Anorexia nervosa: treatments

The treatment of anorexia is very complex and involves different specialists.

The purpose of the treatments is to: compensate for nutritional deficiencies, give the teenager a fair image of her body, restore her normal eating behavior. Only one third of anorexics heal completely, the others maintain disorders ranging from simple eating disorders to more important behavioral disorders.

The management of the anorexic must be done by a psychiatrist, if possible specialized in eating disorders. But it must also be associated with medical follow-up as such, by a nutritionist, a pediatrician or the family doctor.

Psychotherapy is indicated most of the time, but this treatment requires the person's adherence to regular monitoring. Nevertheless, it has no interest when undernutrition is too important. Simply because the ability to think and retreat is lessened and does not allow psychological work.

When "follow-up in town" (by the general practitioner) is not enough to cure anorexia, or weight loss worsens dangerously, hospitalization is necessary.

The approaches to hospital psychiatric treatment differ from one team to another. For a long time the therapeutic isolation was practiced, which consisted in forbidding the family any contact with the patient until a sign of improvement. Many care teams now integrate the family into psychotherapy, in the context of family interviews, therapeutic meals, etc.

Body (therapeutic touch, qi-gong, yoga, etc.) and creative (art therapy, dance-therapy, etc.) treatments are becoming more and more important in order to help the patient to to reconcile with his body.

The healing criteria are the resumption of a normal eating behavior, the return of the rules and a scale needle that starts to climb again ...

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