New York State Psychiatric Institute
This study aims to optimize a treatment package for the relapse prevention treatment of AN. In the Preparation Phase, we examined accessibility and feasibility of the treatment package. In the current Optimization Phase, we will identify which components of treatment contribute to positive outcomes after acute hospitalization. We will carefully evaluate maintenance of remission, measured by rate of weight loss and end-of-trial status.
While many approaches to reducing relapse after hospital care have been tried, there is little information about which treatment elements confer benefit. This trial, Relapse Prevention and Changing Habits (REACH+), targets the habitual control of maladaptive behavior to support patients with AN in the 6 months after acute treatment, a time of high vulnerability to relapse. Each component of REACH+ addresses a question that is critical to answer in order to identify and optimize a relapse prevention treatment package that balances efficacy and burden. We will test the acceptability and feasibil…
Inclusion Criteria: * Diagnosis of Anorexia Nervosa at hospital admission * Medically Stable * Internet capability with videoconferencing * Weight restored (BMI \> 19 kg/m2) at New York State Psychiatric Institute Exclusion Criteria: * Current substance use or other comorbid disorder requiring specialized treatment * Pregnancy * Imminent risk of suicide * Serious medical illness * Daily psychotropic medication other than antidepressants (medications that are known effect weight are exclusionary, i.e. stimulants, olanzapine, mirtazapine) * Participation in outside psychotherapy or structured…
Psychotherapy
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