Anorexia Nervosa Treatment For Humans
Sometimes, anorexia nervosa treatment should be done forcibly if anorexia conditions have entered a dangerous and life-threatening stage. In such cases, the family should immediately bring the infected person to the hospital for immediate treatment.
Anorexia nervosa treatment is usually done by combining psychological therapy with a controlled weight gain. It is important to make treatment as early as possible, especially if the patient has lost a significant amount of weight. In addition, immediate treatment can reduce the risk of complications.
1.Emergency and Physical Impact
If the severity of anorexia nervosa is very severe with symptoms of malanutrisi that can lead to death, then the handling in the hospital needs to be done. In this case the patient will be given intravenous fluids or fitted with nasogastric tubes to channel food through the nose. Hospital care is intended to treat dehydration, heart rate disorders, and electrolyte imbalance.
Treatment by the hospital is also necessary if the patient experiences signs of major depression leading to suicide attempts. Because it is important for families to always monitor the psychological condition of anorexia sufferers so that this can be prevented.
2.Raise your weight periodically and safely
As part of the treatment plan, your doctor will include suggestions on how to safely raise a patient’s weight. The doctor will also continue to monitor the patient’s physical health. For pediatric and adolescent patients, their height will be checked periodically to ensure they grow normally.
Raise the weight normally should be done gradually. As a first step, the therapist will usually ask the patient to try to eat regularly, even in small portions. This therapy is considered successful after the patient’s diet back to normal with adequate nutritional intake, including vitamins and minerals. It is expected that through this therapy, patients can re-gain weight by half to one kilogram per week.
3.Through psychological aspects
A number of psychological treatments can be applied to treat anorexia. Usually treatment will last for half a year to a year, or even longer depending on the condition of the person or the severity of anorexia.
One example of the method of handling anorexia through psychological aspects is through behavioral therapy to change the negative mindset. One’s behavior is usually the fruit of his mindset. And vice versa, behavior can form the mindset as well. Many unrealistic things are believed to be true by anorexics. For example they feel their self-esteem depends on their weight. They are very afraid of being ridiculed or disrespected by others because they are considered fat.
Therefore, through cognitive behavioral therapy, the therapist will try to help the patient change negative thinking about food and appearance into a positive and realistic thinking pattern, so that expected deviant behavior of the patient can be lost.
The second method of treatment is through analytic cognitive therapy by tracing the patient’s past. This therapy is based on the theory that mental health problems including anorexia are caused by unhealthy patterns of thinking and behavior that have been formed since the childhood or adolescence.
Analytical cognitive therapy involves three stages of the process. The first stage is reformulation. At the stage of reformulation, usually a therapist will seek out past patient experiences that may be the reason why unhealthy patterns can develop. The second stage is the introduction. A therapist will help patients see and understand how these unhealthy patterns contribute to anorexia. The third or final stage is a revision. At this stage, a number of changes that can stop these unhealthy patterns are identified, reviewed, then applied.
The third method of treatment is interpersonal therapy to assess the environment of the patient. This therapy is based on the theory of environmental relationships with anorexia which the environment and people around have a very strong influence in shaping the psychological condition of people. The theory concludes that the low self-confidence and anxiety experienced by the sufferer arise from the interaction with those around.
During this therapy, the therapist will try to examine the negatives associated with the patient’s interpersonal relationship and find out how to overcome these negative things.
4.The role of the family
The role of the family is very important for the recovery of anorexia because usually the family is the party who feel the impact of anorexia itself. In addition to trying to understand the condition being experienced by people, the family can also work with doctors in helping speed up the healing process.
5. Using drugs
If anorexia is treated solely by taking medication, it usually will not be effective. The use of new medicines will be effective when combined with other therapies. Drugs are also used to treat psychological problems associated with anorexia, such as depression and obsessive compulsive disorder.
Drugs that may be given include antidepressants, antipsychotics, and mood stabilizers. Examples of commonly used drugs include olanzapine and selective serotonin reuptake inhabitors (SSRIs).
SSRIs are antidepressants. These drugs can help relieve depression and anorexia-related anxiety. Usually the doctor will give this medicine if the patient’s weight has returned to normal. Giving SSRIs to patients with underweight weight is feared will cause adverse side effects. While olanzapine is a drug usually given to people with anorexia who do not respond to other treatment methods. These drugs can help relieve anxiety associated with diet or weight.
Treatment of anorexia can not be done instantly. To fully recover, people can take several years because even after treatment, some of them are still eating disorders.