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Do we need novel treatments for anorexia nervosa? A patient perspective

Published online by Cambridge University Press:  11 July 2025

James Downs Open the ORCID record for James Downs [Opens in a new window]
James Downs*
Affiliation:
Person with Lived Experience, Cardiff, UK
*
Correspondence: James Downs. Email: jamesldowns@gmail.com
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Abstract

Despite growing interest in novel treatments for anorexia nervosa, outcomes remain poor – often not because existing interventions are inherently ineffective, but due to systemic barriers that hinder their delivery. Written by a person with lived experience, this article critiques the prioritisation of innovation over implementation, highlighting how funding structures, methodological limitations and ethical practices in research can exacerbate inequalities and constrain real-world impact. It explores the untapped potential of existing treatments, the ethical complexities of researching anorexia nervosa and the risks of reinforcing false dichotomies – such as those between old and new, promise and futility, and body and mind. The paper argues for an integrated approach that values both innovation and refinement, closing current gaps in knowledge and treatment through greater collaboration across disciplines. Recommendations are made to support the orientation of research and care systems towards more effective, personalised and just treatment for anorexia nervosa.

Keywords

Eating disorderspsychological therapiesanorexia nervosa

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Type
Feature
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The British Journal of Psychiatry , First View , pp. 1 - 5
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Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists

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