How to treat eating disorders? She advises the experts

What contributes to the onset and development of eating disorders?

In health care, eating disorders are called multifactorial diseases. Biological, psychological and social influences are described, but they cannot be completely separated and most of them together contribute to the disease. For example, a person may inherit a genetic predisposition to greater sensitivity and more intense experience of negative emotions. Her personality is further shaped by the family environment and close relationships, the impact is affected by difficult events and traumas, and of course the culture of the present and her ideals of beauty. All of this affects our self-image. Man with disposition to eating disorder it is then much more threatened in fragile periods of life, when the disease can only break out after inappropriate comments from the environment or in situations that bring too much uncertainty in life. It can also happen that a person loses weight unintentionally at first, but the PPP-prone brain reacts to the weight loss by developing anorexia nervosa.

How does the disease affect family relationships?The family is going through a huge ordeal. The disease undermines trust in relationships, breaks existing certainties, relatives of the sick person struggle with helplessness. Suddenly, they have another person at home behaving irrationally, irritably, and impulsively, avoiding common time and refusing healing steps. Parents tend to blame themselves, to find out what they did wrong and how they could prevent illness. Sometimes, perhaps to protect themselves from these feelings, they minimize the situation. But finding the culprit will not help, on the contrary, it can delay the start of treatment. The family is the patient’s closest ally. Its members therefore need the continued support of experts so that together they can get through a difficult process. Parents should have the opportunity to consult each other on how to manage the family plan. In most cases, we also recommend family psychotherapy, which aims to restore healthy family development and foster mutual understanding.

What conditions must be met for the treatment to be successful? How hard is the road to recovery? Do you see any reservations in the treatment of eating disorders in our country, and if so, what should be improved? What is still missing in our country?

It’s great to be able to move forward in time. This is not always easy, under the influence of PPP the patient often denies the problem and hides changes in behavior. A promising avenue on the road to recovery is when the family connects with an expert who will help with initial understanding and guidance on how to be helpful in treatment. Subsequently, in an ideal case, an interdisciplinary team is formed, composed mainly of a psychotherapist or a family psychotherapist, a psychiatrist and a nutrition therapist, or other specialties according to the needs of the nobody. To heal, it is necessary to undergo nutritional rehabilitation, which means nurturing the body and gradually getting rid of the fear of food and unhealthy habits in food and exercise. The heart of the most advanced stages of treatment, in my opinion, is in psychotherapeutic work, which nurtures a person personally. We touch on interpersonal relationships, relationships with others and with the body, the key issue is the processing of emotions. The goal is to help a person become more resilient and confident in their ability to face life’s difficulties without having to take control. food and movement. The healing process is not linear. The key essence is the patience of all involved and the support of loved ones, which helps the patient to maintain hope and continue with treatment, even if the voice of the disease commands otherwise. The effectiveness of PPP treatment would be facilitated by the expansion of inpatient or outreach services that would help in the initial stages or in the transition from hospitalization to daily life. We would also need much more functional interdisciplinary teams whose members are in close contact with each other.

According to statistics, in 2020 more than five thousand clients in the Czech Republic were treated for eating disorders. What does this disease look like, who can it affect and how does the treatment actually take place? Moderator and therapist Honza Vojtko and a psychiatrist and the head physician of the Center for Eating Disorders prof. MUDr. Hana Papežová, CSc., As Mgr. Natália Tokárová of the Anabell Center. You can watch the current part about PPP in the video at the beginning of this article.

What should I do if I notice someone in my area has an eating disorder, what should be my first steps to help them?

Recommendations will vary slightly for parents, siblings, friends or teachers. It is generally a good idea to prepare for such an interview. Ideally, you should find at least basic information about PPP and provide a safe environment for discussion. Start the conversation when you yourself have enough energy and feel like it. You can start by saying that you have noticed that the person in question is not well, that you are worried about them and that you are there for them. Give him time to process, try talking to him a few times. If he gains confidence, offer him an escort to an expert or contacts to crisis lines and specialized workplaces. Pressure, remorse and ultimatums don’t work. It is important not to betray him. We should repeatedly remind parents and loved ones that their child is not yelling at them in tense moments, but an insidious mental illness. Their child is still inside and needs help from them.

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My psychology 04/22

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