Which disorder is characterized by treatment often including cognitive-behavioral therapy, family therapy, interpersonal psychotherapy, psychodynamic psychotherapy, psychoeducation, nutritional counseling, and group therapy, with medications sometimes used?

• A. Rumination Disorder
• B. Anorexia Nervosa
• C. Bulimia Nervosa
• D. Encopresis

Answer: (C)

Bulimia nervosa is typically treated with a broad, multi‑modal approach that combines psychotherapy, psychoeducation, nutrition, and sometimes medication. Cognitive-behavioral therapy is central because it directly targets the binge‑eat/purge cycle and distorted thoughts about body image. Interpersonal therapy helps with relational issues that can maintain eating disorder symptoms, while family therapy—especially for adolescents—improves family dynamics and support for recovery. Psychodynamic psychotherapy and psychoeducation provide deeper insight and coping strategies, and nutritional counseling ensures regular, healthy eating patterns. Group therapy offers peer support and shared strategies. Medications are used as adjuncts, with SSRIs like fluoxetine commonly helping reduce binge-purge episodes. This full spectrum of treatments is a hallmark of bulimia nervosa care. By contrast, the other disorders do not typically require or emphasize this exact combination of therapies and pharmacologic options.