The results of this pilot study suggest that brief intensive training can increase providers' knowledge and change their routine clinical practices, resulting in increased rates of detection and intervention in the primary care setting.

As the number of eating disorder cases rises, primary care providers are increasingly called upon to diagnose and treat eating disorder patients. Unfortunately, few primary care providers have the necessary experience and training to adequately treat these patients. The Eating Disorder Curriculum for Primary Care Providers has been specifically designed to addresses this lack of training and improve the rate of early detection. This is accomplished through basic didactic sessions and individualized instruction on the specifics of manualized treatment in the primary care setting.

Twenty subjects with binge eating disorder were randomly assigned to flexible-dose fluvoxamine or placebo for 12 weeks. A significant reduction in binge frequency, Beck Depression Inventory scores and the eating concern, shape concern and weight concern subscales of the Eating Disorder Examination were noted for both fluvoxamine (n = 9) and placebo (n = 11) groups. There were no significant differences between fluvoxamine and placebo for any treatment outcome variables. The findings from this small trial contribute to the inconsistent results of antidepressant studies in binge eating disorder.

▪ Abstract As the number of patients with eating disorders continues to grow, primary care providers are more frequently challenged with treating anorexia nervosa and bulimia nervosa. The management of these conditions requires a comprehensive understanding of eating disorder assessment, medical consequences, comorbid psychiatric disorders, and levels of treatment. An effective treatment plan is typically cognitive behavior oriented and may include a combination of individual, group, and family therapies. These therapies and other treatment options, such as psychopharmacology, will be reviewed.