Table 4.

Treatment approaches for orthorexia nervosa.

Psychoeducation and CBT

Psychoeducation informs about orthorexia, its consequences, and psychological factors.

CBT targets maladaptive thoughts and behaviors; reframing beliefs, coping with anxiety.

Encourages reintegration of avoided foods, monitoring triggers.

Nutritional Counseling and Intuitive Eating

Nutritional counseling restores balance and considers preferences and restrictions.

Intuitive eating focuses on internal cues, mindfulness, and body acceptance.

The combination helps the individual to develop a positive relationship with food.

Mindfulness and Acceptance-based Treatment

Mindfulness enhances awareness of thoughts and emotions, aiding with impulsivity.

Acceptance fosters self-compassion and reduces perfectionism.

Treatment aims for balanced food relationship and psychological well-being.

Family and Social Support

Family involvement reduces isolation and addresses dynamics.

Family therapy promotes understanding and support.

Peer support groups foster empathy and coping strategies.

Family and social support enhance recovery and overall well-being.