Newswise — Elizabeth Hartz, a lecturer and clinical coordinator of SUNY Buffalo State's new Nutrition Education Counseling Center (NECC), wrote a literature review about the treatment of resistant bulimia nervosa. 

 “Relapse is a consistent issue that has yet to be resolved,” Hartz said. “Treatment centers continue to use a multidisciplinary approach to treatment to include, but not limited to, personnel such as social workers, psychologists and/or psychiatrists, registered dietitians, trained kitchen staff, and medical personnel. Transitional care can also be difficult. 

“While insurance policies can vary dramatically on behavioral health coverage, once treatment ends in a facility, it may be difficult to find the same type of care on the outside and there may not be coverage for it. For the best chance of a full recovery, it is important to catch the symptoms early on. Any eating disorder occurring for longer than one year has a greater chance of being resistant with more relapse.”