what are the best strategies to overcome anorexia binge-purge subtype?

The strongest approach described is a coordinated plan combining behavioral therapy and support with medication when clinically appropriate; severe binge-purge symptoms may warrant specialist assessment for advanced treatments. These options require care from qualified eating-disorder professionals. 1

• 1. Biological mechanisms: Anorexia and bulimia involve different disrupted brain processes. Bulimia is associated with impulsivity and reduced inhibitory, prefrontal control, which can contribute to cycles of bingeing and purging; it is not simply a failure of willpower. 2 3
• 2. Behavioral interventions: Behavioral approaches may help bulimia, especially when introduced early, and combining them with medication was described as more effective than either approach alone. 1
• 3. Medication: The discussion mentions serotonergic medicines and some medicines that affect dopamine and norepinephrine as possible treatments for bulimia-related impulsivity. It specifically notes Wellbutrin (bupropion) as potentially effective for some binge-eating disorders; medication choice requires a prescriber’s evaluation. 4 5
• 4. Therapy and nutrition: Cognitive behavioral therapy and behavioral interventions are discussed as treatment approaches. The cited material also describes family-based support and habit awareness for anorexia, but does not provide a nutritionist recommendation for anorexia binge-purge subtype. 6 7
• 5. Deep brain stimulation: Targeted stimulation involving prefrontal networks and the nucleus accumbens is described as a promising but invasive, still-studied approach for binge-eating disorder—not as an established treatment for anorexia binge-purge subtype. 8