Anorexia Nervosa
Hans Steiner MD1
1 Clinical Assistant Professor, Department of Psychiatry and Behavioral Sciences, Division of Child Psychiatry and Child Development; and Medical Director Psychosomatic Inpatient Service, Children's Hospital at Stanford, 520 Willow Rd. Palo Alto, CA 94304
Anorexia nervosa is a complex, chronic, remittent disorder of mostly adolescent women. It presents with multiple psychiatric and medical symptoms which are difficult to diagnose and treat, especially in the long run. Its differential diagnosis is complex and treatment requires dedicated effort and several specialists working cooperatively. Its etiology is still unclear, although there are several promising leads. Treatment is largely empirical and nonspecific at this point. Early identification and aggressive treatment are the only hope for preventing chronicity. Its relatively high mortality attests to the fact that it is not a benign disorder.