Assignment: Outpatient Treatment

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Assignment: Outpatient Treatment

Assignment: Outpatient Treatment

AN: The current picture of recovery (UMMC, 2015)

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• The outlook for people with anorexia is variable, with recovery often taking between 4 to 7 years. Long-term studies show that: – 50 to 70% of people recover from anorexia nervosa. – 25% never fully recover.

• There is also a high chance of relapse even after recovery. • More people die from anorexia than from any other psychiatric

disorder. Anorexia is associated with high lifetime mortality from both natural and unnatural causes: – Up to 20% die from complications of the disease. – suicide is responsible for 50% of fatalities associated with anorexia

• Many, even after they are considered “cured,” continue to show traits of anorexia, such as remaining very thin and striving for perfection.
BN: The current picture of recovery

– Recovery from Bulimia Nervosa – 50% recover – 30% improve – 20% don’t recover – 10% continue to meet full diagnostic criteria after 10

years of the illness
Treatment Research Shows Hopeful Success

• Cognitive Behavioral Therapy (CBT) for Bulimia Nervosa patients (DeAngelis, 2002) – works with the unrealistically negative thoughts people

with bulimia nervosa have about their appearance – guides them in changing eating behaviors

• Example: helping them normalize their diet. – Research:

• Immediately after Cognitive Behavioral Therapy treatment, a significant number of cognitive behavioral therapy patients:

– stopped bingeing and purging – showed positive changes in psychosocial eating-disorder symptoms

such as preoccupation with shape and weight, depression and self- esteem
Treatment Research Shows Hopeful Success

• Anorexia Nervosa – A new outpatient treatment from England is showing

great promise as an effective option for AN. – Psychologists use a form of family therapy that enlists

parents’ aid in getting their child to eat again and helps to strengthen the child’s autonomy.

• the method targets the obsessive anorexic mindset as the villain rather than the patient or their family.

– “This approach sees the eating disorder as controlling the adolescent, thereby interrupting normal development. The family is not to blame for the eating disorder, but is seen as a valuable ally in treatment.” (Le Grange)

• Results: – two-thirds of all patients regained weight within a normal range

without needing to be admitted to the hospital – most showed striking improvements in psychological functioning – parents became less critical of each other and of their child by the end

of treatment.
Treatment Research Shows Hopeful Success (Bergh, et. al., 2013)

• Subjects- – 1,428 patients with eating disorders treated at 6 clinics that were consecutively referred

over 18 years – Patients had used both inpatient and outpatient treatment. – Patients were diagnosed with anorexia nervosa, bulimia nervosa, or an eating disorder not

otherwise specified. • Treatment-

– the patients normalize their eating pattern with mealtime feedback provided by a Mandometer

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