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They occur along a spectrum of disordered eating and compensatory weight management behaviors, and from low to high body weight. Psychiatric comorbidities are the norm. In contrast to other major psychiatric disorders, first\u2010line treatments for FEDs are mainly psychological and\/or nutrition\u2010focused, with medications playing a minor adjunctive role. Patients, carers and clinicians all have identified personalization of treatment as a priority. Yet, for all FEDs, the evidence base supporting this personalization is limited. Importantly, disordered eating and related behaviors can have serious physical consequences and may put the patient's life at risk. In these cases, immediate safety and risk management considerations may at least for a period need to be prioritized over other efforts at personalization of care. This paper systematically reviews several key domains that may be relevant to the characterization of the individual patient with a FED aimed at personalization of management. These domains include symptom profile, clinical subtypes, severity, clinical staging, physical complications and consequences, antecedent and concomitant psychiatric conditions, social functioning and quality of life, neurocognition, social cognition and emotion, dysfunctional cognitive schemata, personality traits, family history, early environmental exposures, recent environmental exposures, stigma, and protective factors. Where possible, validated assessment measures for use in clinical practice are identified. The limitations of the current evidence are pointed out, and possible directions for future research are highlighted. These also include novel and emerging approaches aimed at providing more fine\u2010grained and sophisticated ways to personalize treatment of FEDs, such as those that utilize neurobiological markers. We additionally outline remote measurement technologies designed to delineate patients\u2019 illness and recovery trajectories and facilitate development of novel intervention approaches.<\/jats:p>","DOI":"10.1002\/wps.21263","type":"journal-article","created":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T03:53:16Z","timestamp":1736913196000},"page":"4-31","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":87,"title":["The current clinical approach to feeding and eating disorders aimed to increase personalization of management"],"prefix":"10.1002","volume":"24","author":[{"given":"Ulrike H.","family":"Schmidt","sequence":"first","affiliation":[{"name":"Centre for Research in Eating and Weight Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience King's College London  London UK"},{"name":"South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelica","family":"Claudino","sequence":"additional","affiliation":[{"name":"Eating Disorders Section, Department of Psychiatry Universidade Federal de S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Fern\u00e1ndez\u2010Aranda","sequence":"additional","affiliation":[{"name":"Clinical Psychology Department University Hospital of Bellvitge\u2010IDIBELL, University of Barcelona and CIBERobn  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrin E.","family":"Giel","sequence":"additional","affiliation":[{"name":"Centre of Excellence for Eating Disorders, Department of Psychosomatic Medicine and Psychotherapy University Medical Hospital  T\u00fcbingen Germany"},{"name":"German Centre for Mental Health (DZPG)  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jess","family":"Griffiths","sequence":"additional","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillipa J.","family":"Hay","sequence":"additional","affiliation":[{"name":"Translational Health Research Institute, School of Medicine Western Sydney University  Penrith NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youl\u2010Ri","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Psychiatry llsan Paik Hospital, Inje University  Gyeonggi\u2010do South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Marshall","sequence":"additional","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Micali","sequence":"additional","affiliation":[{"name":"Center for Eating and Feeding Disorders Research, Mental Health Center Ballerup Copenhagen University Hospital \u2010 Mental Health Services CPH  Copenhagen Denmark"},{"name":"Great Ormond Street Institute of Child Health University College London  London UK"},{"name":"Institute for Biological Psychiatry, Mental Health Centre Sct. 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