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APA Eating Disorders Patient Guide

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7 Anorexia Nervosa   • Anorexia is characterized by self-starvation and weight loss resulting in low weight for height and age. It is usually driven by an intense fear of gaining weight.   • There are two subtypes of anorexia:   » Restricting type, in which individuals lose weight primarily by dieting, fasting, or excessively exercising.   » Binge eating/purging type in which persons also engage in intermittent binge eating and/or purging behaviors, such as vomiting or taking laxatives.   • Patients with anorexia will require renourishment and weight restoration to assist with recovery.   • Individualized goals will be set for each patient that include target weight and weight gained for each week.   • Psychotherapy is another essential treatment for anorexia to help in normalizing eating and weight-related behaviors. In addition to treating symptoms of the disorder, it will focus on addressing any underlying fears or concerns that contributed to the disorder, such as a fear of weight gain or other body image concerns.   • A number of different psychotherapies are effective in treating anorexia, including cognitive-behavioral therapies, focal psychodynamic psychotherapy, interpersonal psychotherapy, the Maudsley Model of Anorexia Nervosa Treatment for Adults, and specialist supportive clinical management.   • For adolescent and young adult patients, family-based treatment is recommended and teaches family members to help the patient normalize eating and weight control behaviors.

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