Getting The Anorexia Treatment You Need And Deserve
Anorexia treatment often involves a combination of medical and psychological treatment. You may need to reach out to both a doctor and a licensed therapist to get the comprehensive care you need. It can be very important to treat anorexia as soon as possible to potentially prevent long-term organ damage and restore your physical and mental health. Although going through anorexia treatment is often very challenging, it can be worth it, and it can be possible for your relationship with food and body image to improve. You might begin by connecting with a therapist who specializes in eating disorder treatment through an online therapy platform.
Starting anorexia treatment
If you or someone you love lives with anorexia, treatment often begins by contacting a doctor. Your doctor may conduct a complete physical, potentially including scans of your internal organs and other parts of the body. Anorexia, along with any eating disorder, can cause damage to internal organs, bones, and other body parts, even if it’s caught and stopped early, so your doctor may use various tests to evaluate any issues.
What does anorexia treatment involve?
In many cases, treatment for anorexia involves getting back to a healthy weight. This process may require extensive vitamins, minerals, and medications. For some, hospitalization may be required to start gaining weight as necessary, or to treat any damage that may have been done to internal organs. If the anorexia has gone untreated for quite a while, it may be necessary to jumpstart treatment with intravenous medications and nutrients.
Seeking mental health support
Aside from seeing a general medical doctor, it can be vital to seek a psychiatrist or therapist who can help with the psychological aspects of the disorder. For many, there are underlying factors that contribute to the development of anorexia. With therapy, it can be possible to take a closer look at those factors and start to work through them. It can also be possible to investigate the thought processes that go along with the eating disorder, such as an individual seeking control or feeling unhappy with their body image. By speaking with a therapist, you may be able to start working through these feelings and replacing them with healthier thoughts.
The truth about anorexia treatment
Treatment for anorexia can be very challenging. Even if you've decided to seek treatment on your own, it's often difficult to overcome the thoughts and feelings that can come with the disorder. Knowing that your eating habits are unhealthy doesn't necessarily make it easy to change them. For those who haven't chosen to seek treatment for themselves, but have been placed into treatment by loved ones, it can be even more difficult.
Building a support system
The people around you – your loved ones – will probably want to help you. When it comes to anorexia, though, it can be very difficult for them to do anything. Holding you accountable can be a great first step, but it can be important for your loved ones to take care not to cross any boundaries. They might help you make sure you're eating, taking your medications, and getting to doctor or therapy appointments. For those seeking treatment on their own, this can be a great benefit that may make it a little easier to follow through with instructions, even if you're feeling conflicted about what you want to do.
Learning how to accept help for your eating disorder
For those who did not begin treatment by choice, it can be harder to follow the guidance provided to you, and it may seem like your friends and family are out to sabotage you. The truth is that they are likely trying to help you and save your life, no matter how it may feel at the time. Anorexia can be a dangerous disorder, and your loved ones may be showing you that they care in the only way they know how—by getting you the treatment you deserve, even if it may not be what you want.
When anorexia goes untreated
Dieting and exercising are generally healthy, and even those who are already at a healthy weight can usually benefit from a proper diet and regular exercise. When dieting and exercising start to become extreme, however, it can turn into a big problem. Excessive dieting and exercise can cause damage to your internal organs that may be irreversible. It can also cause dehydration, which may lead to even more organ damage and problems with the skin. Gastrointestinal problems can occur as well, especially if the individual engages in purging behaviors.
If left untreated for too long, it's possible to experience irreversible damage to the organs, and some organs may even shut down. In some cases, anorexia that has been left untreated for a long period can result in death. That's why it can be so crucial to get help for anyone that you think may be struggling with anorexia and to do it as quickly as possible. An extreme loss of nutrients can be dangerous and often becomes more so as symptoms of anorexia continue.
Anorexia symptoms to watch for
There are many different symptoms that you may experience or notice in someone who lives with anorexia. One of the most important things that you may want to look at can be the eating habits of the individual you suspect may have an eating disorder. This may seem obvious, but there can be plenty of different things that you should be looking at besides just if they are eating or not. You want to look at how they are eating as well. Are they extremely careful about calories and fat? Are they counting bites or cutting their food into tiny pieces? These can be signs of a possible eating disorder.
Other signs to look for
If you notice fluctuations in the individual's weight, you may want to take a closer look and talk to them as well. Those with anorexia don’t necessarily lose weight consistently and constantly. Their weight may fluctuate, or if they have a different type of eating disorder, you may notice other weight changes. Changes in weight that seem to go up and down can be cause for concern. Those who seem to eat quickly when they do eat and appear to otherwise skip meals frequently may also be exhibiting signs of disordered eating.
It can also be helpful to look at other things that don't seem to be related to eating. Examples can include:
- Making intricate or spectacular food dishes for other people, but refusing to eat themselves
- Taking a lot of medications or even laxatives, despite not eating very much
- Spending a lot of time working out or seeming to be preoccupied with losing weight and burning calories
These can be signs that something else may be going on, and you might encourage anyone exhibiting these signs to reach out for professional help.
Getting help for anorexia and other eating disorders
Whether it’s you or a loved one who may be living with anorexia, it can be vital to seek professional help as soon as possible. However, it’s often challenging for those with eating disorders to take the first step and schedule an appointment at a therapist’s office. An easier alternative may be to connect with a licensed therapist through an online therapy platform. This can empower you or your loved one to get the support you/they deserve from the comfort and safety of your home.
Cognitive behavioral therapy for eating disorders
One of the most popular and successful types of therapy for anorexia is cognitive behavioral therapy (CBT), which usually teaches individuals to reframe their thoughts about food, health, and body image. Studies show that anorexia treatment using CBT can change beliefs related to food and weight, as well as prevent relapse.
Online CBT can be just as effective as in-person therapy, and it may even offer added bonuses, such as making it easier to find a therapist who specializes in eating disorder treatments.
Takeaway
Frequently asked questions
Read more below for answers to questions commonly asked about this topic.
What is the most effective way to approach the treatment of anorexia nervosa?
Anorexia nervosa is a serious eating disorder with a lot of medical complications and a higher mortality rate than other mental disorders. The most common and effective way to treat anorexia is with a team approach. Typically, a group of medical and mental health professionals works together to stabilize the patient and to work toward long-term healthy eating patterns.
Which mental health treatments work best for patients with anorexia?
Psychotherapy treatments that are most effective for people with anorexia include cognitive remediation therapy, family therapy (mainly for cases involving young people, as it includes other family members and sometimes a group with other families), cognitive behavioral therapy, and dialectical behavioral therapy. Since the severity of eating disorders is associated with all forms of childhood abuse—including emotional, sexual, and physical abuse—these approaches can also start treatment for other traumas.
Read more about outpatient treatment from the National Eating Disorders Association (NEDA).
What is the first goal of the treatment of severe anorexia nervosa?
The priority in the treatment of anorexia is first to stabilize the patient’s vital signs—including blood pressure, heart rate, and temperature—and address any life-threatening medical complications due to the eating disorder symptoms. Then professionals must treat severe weight loss, as many patients come in at a significantly low body weight. Feeding and weight restoration must be approached carefully to avoid refeeding syndrome, a dangerous condition for which patients with anorexia are at higher risk.
Depending on the severity of the physical complications of an eating disorder, a patient may require an inpatient hospital stay. In less extreme cases, outpatient care may be more appropriate. Outpatient treatment may involve a nutrition plan including all food groups and vitamin D and other mineral supplements that ensure the individual ingests all the nutrients they need to stay healthy.
What are the aims of anorexia nervosa treatment?
Treating physical health complications of anorexia is the first priority, then addressing behaviors and mental health issues with cognitive therapy and other types of interpersonal psychotherapy. Finally, nutrition counseling is offered to the patient (and often at least one family member in a family-based treatment plan) to teach healthy eating habits.
What is considered a potential treatment for anorexia nervosa?
Treating anorexia is most commonly a group affair, with a combination of medical interventions, psychotherapy, and nutritional education. Group therapy is also often used. According to the American Psychiatric Association, treating underlying body dysmorphia is a key point of successful treatment. While a psychologist partners with the patient to this end, a registered dietician educates on healthy food choices.
Specialist supportive clinical management (SSCM) is a newer and lesser-known approach to treatment that research suggests is promising in treating anorexia. SSCM integrates elements of cognitive behavioral therapy (CBT), psychodynamic therapy, and psychoeducation to help a person understand their disorder and the difficult feelings related to it and develop strategies to overcome them.
What is the preferred method of treatment for anorexia nervosa and bulimia nervosa?
For eating disorders, team treatment is typically recommended. There are often medical interventions required (especially in cases of anorexia) to treat severe weight loss and complications related to that weight loss. Psychiatric treatment and nutritional therapy are also typically used to help educate on proper nutrition and target underlying false thoughts and beliefs that drive unhealthy behaviors.
What is the ultimate goal of nutrition therapy for individuals with anorexia nervosa?
Nutrition therapy for anorexia and other eating disorders includes three key points:
- Weight restoration along with bodyweight maintenance. In the case of anorexia and severe malnutrition, this often means that the patient must gain weight to return to a healthier body mass index. In the case of other mental health conditions, like binge eating disorder, this may mean weight loss.
- Developing food neutrality through the redevelopment of understanding of fullness, hunger, and satiety (intuitive eating practices).
- Controlling phosphate levels in the blood.
While nutrition therapy and medical care help people control the physical symptoms of their disorder, weekly sessions with a mental health professional in talk therapy can offer more support. This is especially true when a person with an eating disorder is also facing other co-occurring conditions like severe depression.
Which nursing interventions are appropriate for a client with anorexia nervosa?
Nursing interventions for clients with anorexia nervosa include:
- Providing nutritional guidance and support.
- Monitoring and managing co-occurring mental health conditions.
- Educating the client and caregivers on the consequences and dangers of disordered eating behaviors.
What are some characteristics of psychological therapy for patients with an eating disorder like anorexia nervosa?
Psychological therapy for anorexia nervosa and other eating disorders often addresses the symptoms of body dysmorphia. According to the Diagnostic and Statistical Manual of Mental Disorders, body dysmorphia can be defined as a preoccupation with perceived flaws or defects in physical appearance that are not observable to others and can be caused by feelings of inadequacy, shame, and an intense fear of ridicule.
Behavioral therapies will help to build self-esteem, change negative thinking patterns, and offer adaptive coping skills for stress management.
How does diet therapy help to maintain a healthy life?
For anyone, especially those who have experienced an eating disorder, how to eat intuitively can be an extremely important skill to learn, as many people with anorexia nervosa turn to diet pills and other harmful methods to suppress their natural appetite. Many do not understand how to properly identify and manage hunger cues, which diet therapy can teach. A healthy relationship with food can help an individual avoid disordered eating behaviors and chronic health conditions down the road.
Anorexia is highly associated with osteoporosis, which is known as the “silent disease” because individuals often do not know they have weak bones until they break one. In facilitating weight gain and adequate nutrition, people with anorexia can start to rebuild their bone density.
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