Although once thought of as a White upper socioeconomic status illness, eating disorders are now known to occur among ethnic minority individuals. Unfortunately, because there have been no treatment trials specifically for ethnic minority individuals with eating disorders, very little is known about the efficacy and generalizability of current existing treatments for these individuals. Therapists face a clinical dilemma in attempting to maintain evidence-based practice while being culturally sensitive and adapting research-supported treatments for ethnic minority individuals. This chapter provides a review of the literature on prevalence rates and how the clinical presentation of ethnic minorities (Latinos, African Americans, and Asian American) differs from that of White individuals. In addition, it provides information on how evidence-based treatments have been adapted for ethnic minority groups and other important considerations when providing eating disorder treatment for ethnic minority individuals.
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