Inpatient treatment of anorexia nervosa.

In this paper the indications for inpatient treatment of anorexia nervosa are reviewed. Although all programs aim at weight gain and normalization of eating habits, the means for achieving these goals vary widely from nursing encouragement, operant conditioning or, rarely, hyperalimentation. Most programs now utilize an integrated treatment program that includes a weight restoration program, individual psychotherapy and family involvement. Nutritional considerations during inpatient treatment are also reviewed. The signs and symptoms that commonly occur during weight restoration are outlined. The major psychodynamic conflicts that occur are described and psychotherapeutic methods for treating each are presented.