TAILIEUCHUNG - Chapter 076. Eating Disorders (Part 5)

An algorithm for basic treatment decisions regarding patients with anorexia nervosa or bulimia nervosa. Based on the American Psychiatric Association's practice guidelines for the treatment of patients with eating disorders. | Chapter 076. Eating Disorders Part 5 An algorithm for basic treatment decisions regarding patients with anorexia nervosa or bulimia nervosa. Based on the American Psychiatric Association s practice guidelines for the treatment of patients with eating disorders. Although outpatient management may be considered for patients with anorexia nervosa weighing more than 75 of expected there should be a low threshold for using more intensive interventions if the weight loss has been rapid or if current weight is 80 of expected. Less severely affected patients may be treated in a partial hospitalization program where medical and psychiatric supervision is available and several meals can be monitored each day. Outpatient treatment may suffice for mildly ill patients. Weight must be monitored at frequent intervals and explicit goals agreed on for weight gain with the understanding that more intensive treatment will be required if the level of care initially employed is not successful. For younger patients the active involvement of the family in treatment is crucial regardless of the treatment venue. Psychiatric treatment focuses primarily on two issues. First patients require much emotional support during the period of weight gain. Patients often intellectually agree with the need to gain weight but strenuously resist increases in caloric intake and often surreptitiously discard food that is provided. Second patients must learn to base their self-esteem not on the achievement of an inappropriately low weight but on the development of satisfying personal relationships and the attainment of reasonable academic and occupational goals. While this is often possible some patients with AN develop other serious emotional and behavioral symptoms such as depression self-mutilation obsessive-compulsive behavior and suicidal ideation. These symptoms may require additional therapeutic interventions in the form of psychotherapy medication or hospitalization. Medical complications .

TỪ KHÓA LIÊN QUAN
TAILIEUCHUNG - Chia sẻ tài liệu không giới hạn
Địa chỉ : 444 Hoang Hoa Tham, Hanoi, Viet Nam
Website : tailieuchung.com
Email : tailieuchung20@gmail.com
Tailieuchung.com là thư viện tài liệu trực tuyến, nơi chia sẽ trao đổi hàng triệu tài liệu như luận văn đồ án, sách, giáo trình, đề thi.
Chúng tôi không chịu trách nhiệm liên quan đến các vấn đề bản quyền nội dung tài liệu được thành viên tự nguyện đăng tải lên, nếu phát hiện thấy tài liệu xấu hoặc tài liệu có bản quyền xin hãy email cho chúng tôi.
Đã phát hiện trình chặn quảng cáo AdBlock
Trang web này phụ thuộc vào doanh thu từ số lần hiển thị quảng cáo để tồn tại. Vui lòng tắt trình chặn quảng cáo của bạn hoặc tạm dừng tính năng chặn quảng cáo cho trang web này.