Which is used as first-line outpatient psychological treatment for adolescents diagnosed with anorexia nervosa?

Choice A reason: Family-based therapy (FBT), also known as the Maudsley approach, is the first-line outpatient psychological treatment for adolescents with anorexia nervosa. It actively involves parents in the refeeding process and empowers families to take charge of their child’s nutrition and recovery. FBT has demonstrated superior outcomes in weight restoration and reduction of eating disorder behaviors compared to other modalities in this age group. It is developmentally appropriate and addresses the systemic nature of the disorder. Choice B reason: Cognitive-based therapy (CBT) is effective for bulimia nervosa and binge eating disorder but is not the first-line treatment for anorexia in adolescents. CBT focuses on restructuring distorted thoughts and behaviors but lacks the family involvement critical for adolescent recovery. Choice C reason: Individual psychotherapy may be used as a supportive intervention but is not considered first-line for adolescents with anorexia. Adolescents often lack the insight and autonomy needed for individual therapy to be effective in early stages of treatment. Choice D reason: Dialectical behavior therapy (DBT) is primarily used for emotional dysregulation and borderline personality disorder. While it may help with co-occurring conditions, it is not the standard first-line treatment for anorexia nervosa in adolescents.