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The role of complementary medicine in the holistic, patient-centered recovery from anorexia nervosa - a narrative review

Authors: Carvalho Isabel TJournal: Journal of complementary & integrative medicinePublished: September 1, 2025DOI: 10.1515/jcim-2025-0170
Q2 JournalSJR: 0.4h-index: 25
Preliminary EvidenceSystematic Review

In Plain Language

Anorexia nervosa (AN) can be a severe psychiatric disorder associated with one of the highest mortality rates among mental health conditions. AN treatment demands a comprehensive, multidisciplinary approach. However, conventional therapies often fall short in addressing the full biopsychosocial complexity of the illness. This narrative review explores the emerging role of complementary medicine (CM) in the management of AN, emphasizing its scientific rationale, clinical applications, and relevance within integrative care models. By synthesizing findings from current literature, the review examines a range of CM interventions, such as functional nutrition, dietary supplementation, phytotherapy, aromatherapy, acupuncture, reflexology, massage therapy, mindfulness meditation, yoga, Qigong, Tai Chi, homeopathy, and Bach Flower Remedies. These modalities aim to restore nutritional equilibrium, improve psychological well-being, enhance body image, reduce stress and anxiety, foster self-regulation, and strengthen the mind-body connection. When used alongside standard treatments, CM may offer a more holistic and individualized approach to care, supporting sustained recovery and reducing relapse risk. Nevertheless, while preliminary evidence is encouraging, further high-quality research is needed to validate the efficacy of these therapies and inform the development of evidence-based integrative treatment protocols for AN.

Key Findings: what this systematic review found

  • ✓Anorexia nervosa is associated with one of the highest mortality rates among mental health conditions and requires a comprehensive, multidisciplinary treatment approach.
  • ✓Conventional therapies alone often fail to address the full biopsychosocial complexity of anorexia nervosa, highlighting the need for complementary approaches.
  • ✓Multiple complementary medicine modalities including functional nutrition, acupuncture, reflexology, massage therapy, mindfulness meditation, and yoga show potential in improving psychological well-being, reducing stress and anxiety, and enhancing body image in anorexia nervosa treatment.

What This Means for You

While reflexology and other complementary therapies show encouraging early signs of helping with anorexia recovery, the evidence is still developing—use them as a helpful addition to conventional medical treatment, not a replacement.

What This Means for Practitioners

Position reflexology as a supportive tool within a multidisciplinary team approach to anorexia recovery, focusing on stress reduction and body reconnection while emphasizing the need for client collaboration with medical providers.

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Common questions about this study

What does this study mean in practice?

While reflexology and other complementary therapies show encouraging early signs of helping with anorexia recovery, the evidence is still developing—use them as a helpful addition to conventional medical treatment, not a replacement.

What did this study find?

Anorexia nervosa is associated with one of the highest mortality rates among mental health conditions and requires a comprehensive, multidisciplinary treatment approach. Conventional therapies alone often fail to address the full biopsychosocial complexity of anorexia nervosa, highlighting the need for complementary approaches. Multiple complementary medicine modalities including functional nutrition, acupuncture, reflexology, massage therapy, mindfulness meditation, and yoga show potential in improving psychological well-being, reducing stress and anxiety, and enhancing body image in anorexia nervosa treatment.

How strong is this evidence?

This is a systematic review and we rate its evidence preliminary. It was published in Journal of complementary & integrative medicine, a Q2 journal. This study is indexed here for context; it did not test reflexology itself.

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