阶梯化治疗
在一项随机对照临床试验中，阶梯化治疗被证明比单独使用CBT效果更有效。在阶梯化治疗方案中，首先是对于自助使用CBT进行手册化指导，如果疗效欠佳（基于流程），会联合氟西汀治疗。对于没有戒除暴食和清除行为的患者，接下来会进行一整套的CBT治疗。这一研究的结果表明，更加个体化的治疗疗效更好。[99]Mitchell JE, Agras S, Crow S, et al. Stepped care and cognitive-behavioural therapy for bulimia nervosa: randomised trial. Br J Psychiatry. 2011;198:391-397.http://bjp.rcpsych.org/content/198/5/391.longhttp://www.ncbi.nlm.nih.gov/pubmed/21415046?tool=bestpractice.com
经颅磁刺激
在一些神经性暴食症患者身上，经颅磁刺激疗法已经呈现了明显的疗效。然而，这仍然应该只是作为实验性治疗。[100]Van den Eynde F, Claudino AM, Mogg A, et al. Repetitive transcranial magnetic stimulation reduces cue-induced food craving in bulimic disorders. Biol Psychiatry. 2010;67:793-795.http://www.ncbi.nlm.nih.gov/pubmed/20060105?tool=bestpractice.com[101]Slotema CW, Blom JD, Hoek HW, et al. Should we expand the toolbox of psychiatric treatment methods to include Repetitive Transcranial Magnetic Stimulation (rTMS)? A meta-analysis of the efficacy of rTMS in psychiatric disorders. J Clin Psychiatry. 2010;71:873-884.http://www.ncbi.nlm.nih.gov/pubmed/20361902?tool=bestpractice.com
认知行为治疗（CBT）和辩证行为治疗
CBT联合辩证行为治疗对于那些患有边缘型人格障碍的进食障碍患者可能会有效。[102]Kröger C, Schweiger U, Sipos V, et al. Dialectical behaviour therapy and an added cognitive behavioural treatment module for eating disorders in women with borderline personality disorder and anorexia nervosa or bulimia nervosa who failed to respond to previous treatments. An open trial with a 15-month follow-up. J Behav Ther Exp Psychiatry. 2010;41:381-388.http://www.ncbi.nlm.nih.gov/pubmed/20444442?tool=bestpractice.com
基于家庭的治疗（FBT）
FBT，一种面向门诊患者的治疗，对于青少年神经性厌食症患者的治疗已经逐渐引起人们的重视。然而，它也适合应用在青少年神经性暴食症患者身上。[103]Couturier J, Kimber M, Szatmari P. Efficacy of family-based treatment for adolescents with eating disorders: a systematic review and meta-analysis. Int J Eat Disord. 2013;46:3-11.http://www.ncbi.nlm.nih.gov/pubmed/22821753?tool=bestpractice.com
对咖啡因摄入的调节
调节咖啡因摄入可能有助于减少冲动调节。[104]Burgalassi A, Ramacciotti CE, Bianchi M, et al. Caffeine consumption among eating disorder patients: epidemiology, motivations, and potential of abuse. Eat Weight Disord. 2009;14:e212-e218.http://www.ncbi.nlm.nih.gov/pubmed/20179408?tool=bestpractice.com
