A client with bulimia asks you about using medication to treat her bulimia. Your response is based on the knowledge of which of the following?
a. Since bulimia is a behavioral problem, treating bulimia with medications is not an effective strategy.
b. Of the available selective serotonin reuptake inhibitors (SSRIs) medications, only the use of fluoxetine (Prozac) is supported by strong evidence.
c. The most effective medications are the benzodiazepine anxiolytics used to reduce panic attacks that trigger episodes of bulimia.
d. Pharmacological treatment of bulimia usually includes regularly scheduled antiemetics to prevent vomiting of stomach contents.
B
Among the SSRIs, only fluoxetine (Prozac) was shown to be effective in managing bulimia. In addition to SSRIs, forms of psychotherapy have been used to treat bulimia. Cognitive behavioral therapy specifically was shown in one study to be more effective than antidepressants alone. CBT has been shown to reduce both the frequency and the severity of bulimic symptoms.
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What will be an ideal response?