ENES - Experten-Netzwerk-Essstörungen Schweiz

Treatment Setting

The treatment of eating disorders varies based on the individual’s circumstances and may occur on an outpatient, day-care, or inpatient basis. Close collaboration among all treatment partners is essential for achieving sustainable success.

Specific Treatment

  • Role of Family Physicians:
    Family physicians play a key role in the early detection of eating disorders, providing medical monitoring, and encouraging patients to seek appropriate psychotherapeutic interventions.
  • Specialized Care:
    Eating disorders are best treated by specialists or institutions experienced in managing these conditions. Such providers offer tailored therapeutic approaches and elements specific to eating disorders. Treatment often spans several months to years, necessitating continuity of care and close coordination among general practitioners, psychotherapists, counseling centers, and specialized clinics.

Outpatient

Outpatient care is typically the first line of treatment and is well-researched for its effectiveness. It allows patients to remain in their familiar environment, which is particularly valuable as it enables them to continue their education, work, or other daily activities. However, if the patient’s condition worsens during outpatient treatment or if progress is insufficient, more intensive treatment in a day clinic or an inpatient setting should be considered.

Day Treatment (Part-time Inpatient Care)

Day (hospital) treatment provides a structured and intensive therapy program that includes both individual and group therapy sessions during the day. Patients return home at night and on weekends, allowing for a balance between therapeutic intervention and maintaining a connection to their everyday environment.

This treatment model is particularly suited for:

  • Patients who are highly motivated and do not have co-occurring severe mental health conditions.
  • Individuals for whom outpatient care has proven insufficient.
  • Those transitioning from inpatient care to everyday life as part of a follow-up program.

Patients with chronic eating disorders may also benefit from day hospital treatment, particularly when the focus is on improving daily structure and fostering social integration.

Inpatient

Inpatient care at specialized clinics is based on a multimodal therapy program, which includes both individualized therapeutic sessions and participation in structured group therapies. This setting provides a high level of support and supervision, making it suitable for severe or complex cases. Inpatient treatment is often necessary, especially in managing anorexia nervosa, where repeated admissions may be required due to the condition's relapsing nature.

Inpatient care at specialized clinics is based on a multimodal therapy program, which includes both individualized therapeutic sessions and participation in structured group therapies. This setting provides a high level of support and supervision, making

  • Rapid or significant weight loss:
    • A decrease exceeding 20% of body weight over six months.
  • Severe underweight:
    • A BMI below 15 kg/m².
  • Lack of success with outpatient treatment
  • Absence of social support
  • Marked psychological comorbidity
  • Physical Vulnerability
  • Difficulty managing eating behaviors:
    • Overwhelming challenges with meal structure, food intake, or eating habits that cannot be addressed in outpatient care.
  • Requirement for interprofessional care