Posts Tagged personality disorders
Overcoming bulimia. The multidisciplinary approach as treatment of choice
The bulimia is an eating disorder that may present a course controlled from a single episode resolved quickly at the structure of a chronic form with a moderate risk of death from medical complications or suicide.
Treatment of eating disorders like anorexia and bulimia, presents several difficulties related to the attitude of patients usually deny the disease and lack of collaborative and often have, concurrently, other psychiatric disorders of interest besides a high risk of suicide. In most cases the treatment is outpatient. It requires hospitalization when outpatient treatment is inadequate, there are significant electrolyte disturbances, the patient has serious co morbidities in mental illness, are at risk of suicide, or you must get her away from pathological family relationships.
In any case it is essential that intervention is calibrated according to the specific needs of the patient.
The most effective treatment is undoubtedly the one to multi-disciplinary approach because, especially in the early stages, you need the backing of several health professionals. First it is necessary to evaluate the medical condition of the patient and treat the complications resulting from excessive ingestion of food and abuse of diuretics and laxatives, as well as by induced vomiting. It’s very useful prescribing a proper diet and a psycho-educational intervention to restore healthy eating habits. Especially in the case of very young patients should involve the family and obtain their cooperation in the therapeutic process. It’s also indicating a path of psychotherapy (individual, group or family) to intervene on the psychological aspects of the disorder and any concomitant psychological disorders (personality disorders, depression or anxiety).
Although psychiatric drugs have proven very effective in treating the symptoms of bulimia, in particular antidepressants such as fluoxetine. It has become evident that their intake leads to a drastic reduction in the number of bulimic crisis even if the disorder is not accompanied by depressive symptoms.
In Italy there are several public health facilities that deal with eating disorders and there are active groups for mutual self-help Over eaters anonymous
Phobias. The chameleon-like forms of anxiety
Phobia is an anxiety disorder characterized by an uncontrollable and irrational fear of an object or situation that leads a person to his avoidance. People with this type of noise are well aware that their fear is excessive and often unwarranted but nevertheless fail to change things. The anxiety is distinguished from phobic fear simply because of the presence of the pipeline to prevent the individual will not only lead to fear a particular situation or object, but also to “avoid” being implemented to this end, a whole set of behaviors and strategies that are likely to cause them a high degree of personal distress and relational.
Literature we find three distinct types of phobias: Agoraphobia, which may be more or less associated with panic disorder, specific phobia and social phobia. Agoraphobia is the fear of being left alone in public spaces from which escape is perceived impossible. When the ‘Agoraphobia is associated with panic attacks, a major factor for its occurrence is the fear of social consequences of having a panic attack in public. Typically the person agoraphobic fears the public places such as shops, trains, buses. Social phobia refers to a fear of speaking or performing in public for fear, irrational; to commit impulsive acts contrary to the common sense of decency and / or shame that may expose the person to negative judgments. Physiological anxiety commonly experienced by everyone before you speak or show themselves in a situation of “public” in these individuals becomes pathological to the point of preventing them from these types of performances.