60 Kelly is a 14-year-old female who has finally been referred for

management of anorexia nervosa. She was diagnosed almost 1 year ago with the food-restricting subtype, but attempts to get her into psychiatric care were unsuccessful. She continues to be resistant but her caloric intake is now < 400 daily and she finally appears to be unable to sustain the supraphysiologic levels of exercise that she has maintained to try and “keep her weight down.” She is 5’2″ tall and weighs 82 lbs., which is approximately 75% of ideal body weight for her height. Her vital signs are stable and surprisingly there are no profound laboratory or ECG abnormalities. When counseling Kelly and her parents about the recommended course of treatment, the PMHNP advises that Kelly will require:

A. Intensive dynamic psychotherapy to alter eating behavior
B. Hospitalization for controlled weight gain
C. Pharmacotherapy with selective serotonin reuptake inhibitors
D. Family therapy to include all members living in the home