DIAGNOSIS OF ANOREXIA NERVOSA AND HOW TREATMENT

Diagnosis Anorexia Nervosa

In diagnosing anorexia, first the doctor will ask you first about diet and weight of the patient, such as how much he worried about her weight and whether often brings back food that has been consumed.

After that the doctor will also collect data on the patient's weight, especially if patients experience significant weight loss.

To determine a healthy weight, your doctor will calculate the body mass index or body mass index (BMI). BMI is a calculation of weight, which refers to the ratio of weight and height of a person. Benefits BMI calculation is to determine whether someone has advantages, disadvantages or healthy weight.

The formula used in the calculation of BMI is body weight in kilograms divided by height in meters squared (m²). For example, if the patient's weight 66 kg and height is 1.65 meters, then the calculation is 66 / 1.65 × 1.65 = 24.24 kg / m²

BMI is normal for adult Asians is 18.5-22.9 (kg / m2), whereas the normal BMI for children and adolescents depending on their age. In adults, the condition of anorexia may be suspected if the BMI is under 17.5.

There is no specific test in the diagnosis of anorexia

Doctors may not need to do special tests for the diagnosis of anorexia nervosa, but the doctor will usually perform a simple check to determine whether the patient has complications due to anorexia. Things that need to be examined by a doctor is:

• Blood pressure
• Pulse
• Hands and feet
• Body temperature

Doctors will usually ask the patient to perform simple physical movements to see the strength of the muscles of the patient. Simple physical movements that question is like a squat, stand up, and shift when seated.

A person prone to heart problems if anorexic. The heart problems one of which is an irregular heartbeat. Usually to determine this, the doctor performs an electrocardiogram.

Treatment of Anorexia Nervosa

   

Sometimes treatment must be done by force if conditions of anorexia has entered a dangerous and life-threatening stage sufferers. In cases like this, the family should immediately bring sufferers to the hospital so quickly handled.

Treatment of anorexia nervosa usually done by combining psychotherapy with supervised weight recovery. It's important to make the treatment as early as possible, especially if the patient has lost large amounts of weight. In addition, the immediate treatment can reduce the risk of complications.

Treatment of anorexia through the psychological aspect

A number of psychological treatment can be applied to treat anorexia. Usually the treatment will last from half to one year even longer, depending on the condition or the severity of anorexia sufferers. Below is described a number of therapies are performed as part of the response.

Cognitive analytic therapy to discover the patient's past

This therapy is based on the theory that mental health problems including anorexia is caused by patterns of thought and behavior unhealthy formed since the patients were children or teenagers. This therapy involves a three-stage process.

The first stage is a reformulation. At this stage of reformulation, typically therapy specialist will find out the patient's experience in the past that might be the reason why the patterns are not healthy can grow.

The second stage is the introduction. A therapist will help the patient to see and understand how the patterns of unhealthy contributed to anorexia.

The third stage or last stage is the revision. At this stage, a number of changes that can stop patterns of unhealthy are identified, assessed, and then applied.

Changing negative thought patterns with behavioral therapy

A person's behavior is usually the result of patterns of thought. Vice versa, the behavior can shape the mindset as well. Many things are not realistic believed as true by anorexia sufferers. For example they feel their self-esteem depends on their weight. They are very afraid of being ridiculed or disrespected by others because it is considered obese.

Therefore, through cognitive behavior therapy, the therapist will try to help patients change the negative thoughts about food and the appearance of a pattern of positive thinking and realistic, so expect deviant behaviors the patient can be lost.

Interpersonal therapy that examines environmental sufferers

This therapy is based theories to environmental relationship with anorexia, where the environment and the people around have a very strong influence in shaping the psychological state of the sufferers. The theory concludes that low self-esteem and anxiety experienced by sufferers arising from the interaction with the people around.

During this therapy, the therapist will try to examine the negative things associated with the patient's interpersonal relationships and figuring out how to overcome the negative things.

The role of the family as part of the treatment of anorexia

The role of the family is very important for the recovery of people with anorexia because usually the family are most likely to feel the impact of anorexia itself. Besides must try to understand the conditions that are being experienced by sufferers, families can also work closely with physicians to help speed up the healing process.

Gain weight regularly and safely

As part of the treatment plan, the doctor will include suggestions on how to raise the patient's weight safely. The doctor will also continue to monitor the patient's physical health. For pediatric patients and adolescents, their height will be checked regularly to ensure they are growing normally.

Raise the normal weight should be gradual. As a first step, the therapist will usually ask the patient to try to eat regularly, even small meals. This therapy is considered successful after the patient's return to normal diet with adequate nutrition, including vitamins and minerals. Hopefully, through this therapy, the patient can go back in a gain of half to one kilogram per week.

Treatment of anorexia by using drugs

If anorexia is only overcome by taking drugs, usually result will not be effective. The use of drugs will only be felt effective when combined with other therapies. Drugs are also used to treat psychological problems associated with anorexia, such as depression and obsessive compulsive disorder. The drugs included the olanzapine and selective serotonin reuptake inhabitors (SSRIs).

SSRIs are a type of antidepressant. This medication can help relieve depression and anxiety associated with anorexia. Usually the doctor will give this drug if the patient's weight had returned to normal. Giving SSRIs to patients with weight below normal could cause significant adverse side effects.

While olanzapine are drugs given to anorexia sufferers who do not respond to other treatment. This drug can help relieve anxiety associated with eating or weight.

Treatment of anorexia can not be done instantly. To recover fully, people could take a few years for any concomitant medication, some of them still had an eating disorder.

Complications of Anorexia Nervosa

Some health problems or even death can occur if anorexia is not treated immediately. Complications arise due to lack of nutrients needed by the body, in this case of food intake.

In addition to anorexia nervosa, there is a similar condition called bulimia nervosa. Some anorexics further bulimia. People with bulimia usually bingeing before they took it back the way induce vomiting or taking laxatives.

Examples of complications that can arise as a result of anorexia include anemia, low blood pressure, irregular heartbeat, and even heart failure. People with anorexia also threatened to suffer damage to the liver and kidneys.

In children and adolescents, anorexia can inhibit physical development. In adults, especially women, these conditions can lead to osteoporosis, menstrual disorders, and infertility. While adult men, anorexia can lead to impotence and erectile dysfunction.

Anorexia during pregnancy

A pregnant woman who suffered from anorexia may be at risk of miscarriage, premature birth, low weight gave birth to a baby, and sometimes the process of giving birth should be assisted by cesarean section. Pregnant women who develop anorexia usually will continue to be monitored by a physician, either during pregnancy, or after delivery.

Not only women who could become pregnant anorexia sufferers, women who are pregnant former anorexia sufferers still need to get control, as well as support during their pregnancy.