2022 Volume 2 Issue 1 Pages 19-27
The younger age of patients with eating disorders is attracting attention. Furthermore, the COVID-19 pandemic has led to a worldwide increase in the number of child and adolescent patients, and countermeasures for these patients have been highlighted as a medical and social issue. From the perspective of a pediatrician, this article discusses pediatric outpatient treatment (physical and psychological treatment) of child eating disorders. It is important to formulate a treatment plan for the patient at the initial visit. Attention to physical management in childhood is discussed, especially with regard to necessary tests. Major global guidelines for psychological treatment of children and adolescents are described; FBT is important in the treatment of children and is outlined. In patients who resist treatment, the coexistence of developmental disorders should be considered as a factor in the persistence of symptoms. The goal of treatment of eating disorders in children and adolescents is not only to overcome the physical crisis but also to enable the patient to lead a stress-free daily life with family and friends, and therapists need to take into account supports beyond eating behavior.
