Assignment: Outpatient Treatment
Assignment: Outpatient Treatment
AN: The current picture of recovery (UMMC, 2015)
• 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
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
