The aim of this article is to discuss critical issues in treating males with eating disorders, and to present assessment and treatment outcome data for 111 males who received residential treatment for moderate to severe eating disorders. Males with eating disorders are often not included in eating disorder research as the population of individuals with eating disorders has historically been predominantly female. Whether this is due to actual lower prevalence of this disorder among males or to fewer males seeking treatment is not clear. In any case, there is limited empirical research on the particular treatment issues of males, and in treatment environments males are frequently in the minority. We have found that an all-male treatment environment is helpful in allowing males to benefit from treatment with less stigma. Data are presented which characterize psychiatric co-morbidity, excessive exercise, body image, sexuality, and spirituality in males. Treatment outcomes for males in this environment are positive.

This article describes a comparison of adolescent patients with a diagnosis of anorexia nervosa receiving treatment with and without family-based therapy. Sixteen patients with anorexia nervosa were evaluated and compared pretreatment and post-treatment. The family-based program used is an adaptation of the Maudsley approach; a parallel treatment program used the standard multidisciplinary treatment at Rogers Memorial Hospital. The outcome measures in both programs were depression, eating disorder symptoms, weight, and body mass index. Individuals treated with the Maudsley approach made significant improvements in all outcomes measured. These preliminary findings support the notion that parental involvement in the treatment of anorexia nervosa is effective in significantly reducing overall eating disorder behaviors, decreasing symptoms of depression, and improving weight.

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