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Other approaches.

A study found that bulimic women had a high sensitivity to hypnosis, indicating that it may be beneficial as part du treatment. It seems that people with anorexia, on the other hand, are quite resistant to the state of vulnerability required in this process. Some researchers have found an association between bulimia and seasonal affective disorder (depression that intensifies in the darker months of winter), suggesting that therapy using intense directed light may be helpful. A one-week experiment in which light was used bulimic helped people with depression, although not made any changes in eating behavior, excessive purging. Longer studies are needed. A technique called guided imagery reduced the frequency of excessive eating and vomiting by almost 75% in one study, this method uses audiotapes to evoke images that reduce stress and help achieve specific goals. Although women with eating disorders are often disqualified for plastic surgery, one study reported that women whose bulimia was stimulated by the large size of the breasts, reduction surgery was effective in resolving the eating disorder

Treatment Goals part 2

Cognitive Therapy conductivist
It combines the best aspects of traditional psychotherapy and behavior modification. This method requires knowledge and challenge self-destructive behaviors and thoughts, followed by appropriate changes in behavior. In this way the patient working simultaneously on the internal motivations and external manifestations. CBT involves the following steps:
Enhance the patient's knowledge of their own thinking patterns.
Teach him to recognize the connection between certain feelings, thoughts and self-destructive behavior trantornada intake.
To examine the validity of certain thoughts or beliefs.
Replace the erroneous beliefs more appropriate ideas.
Gradually changing the fundamental assumptions that underlie the development of eating disorders.

Group Therapy
Group therapy seems particularly valuable in the treatment of bulimia. According to a recent study, this therapy was more beneficial than medication and individual therapy. Since many bulimics think they are the only ones working on these horrible practices, it is therapeutic to learn that other people also do that.
Less is known about group therapy for anorexia nervosa. Some therapists complain that the anorexic group fiercely competing to see who manages to keep the lowest weight or spend more time without eating. In addition, prolonged therapy leads many anorexics need that many groups are inappropriate, since it is unusual for a therapy group last that long.

Family therapy
Many therapists recommend family therapy as part of treatment for anorexia nervosa, because anorexics are often younger than bulimics and still live with their families. Family therapy allows the therapist to simply observe the patterns upset that helped lead to eating disorders.

Nutritional therapy
The goal of nutrition therapy is to help the patient assume you can eat all you want in moderation. To achieve this, it should be free of the fear that everything you eat will make her fat. For the anorexic, this implies a wall of denial: his insistence that he likes how it looks likes it is, nothing happens, their eating habits are good. There are no psychological tricks, but the patient must face a strong test that is too thin, that feels cold all the time, it hurts to sit on a hard chair or just the 30 per cent below ideal weight for their age and height.
For bulimics, the challenge is to learn to eat small amounts of your favorite foods do not necessarily lead to binge and purge session. Toward the end of therapy is recommended that the patient's weekly menu incorporates small amounts banned soon, so make sure to consume these things does not automatically lead to a binge. If the desire to binge becomes irresistible, some doctors recommend three strategies: distraction, delay or repetition.

Treatment Goals part 1

How can you treat these enfremedades?
Treatment Goals
The success of therapy for eating disorders depends on many factors including: the patient's own personality and the desire for change, the duration of their disorder, the age at the beginning of the disease, his family history, his level of social and vocational skills, and the occurrence of other disorders such as depression.

It is important to remember that there is no miracle cure for eating disorders. You can not give someone a pill or utter a magic word and expect the condition go away. These diseases involve problems against which the patients have fought and continue to fight for the greater part of their lives. But a good treatment program will help build self-confidence and teach the participants and will face no problems arise for a self-destructive behavior. For patients who need it, the program will also help restore the health and physical strength. In general the three main goals of therapy are:
Physical symptoms

1 Mitigation dangerous or threatening to life.
2 Teach the patient to eat normally, destructive thoughts concerning eating, weight and eating.
3 Research, in the hope of change, destructive thoughts concerning eating, weight and eating.

Assessment
Before anyone start treatment as an inpatient or outpatient, must be assessed their general physical and mental condition, the severity of their disorder, the possible existence of concurrent disorders and their willingness to change.

Questionnaires
Have developed several specialized questionnaires to evaluate patients. Help someone assess attitudes toward weight and shape, and clarify the psychological characteristics and personality traits, level of social performance and similar problems.

The interview
The appraisal interview helps the doctor to get a clearer idea of the lifestyle of the patient, his current weight, diet history and weight fluctuations, eating habits and attitudes toward weight and family, the husband, the lover or friends, and outside interests and occupations are of interest because they shed light on their performance skills, the degree of independence and the extent of their isolation.

Treatment Options
After evaluation, you will receive recommendations for treatment.

Individual psychotherapy
Perhaps the most important aspect of psychotherapy for disorders of indigestion is developing a warm relationship between patient and therapist. People suffering from these disorders often find it difficult to trust others, especially when asked about eating habits that they themselves considered rare or repulsive; fear that everyone else feel disgusted. You need a high degree of confidence by the patient to trust the therapist.

Traditional Psychotherapy
The traditional therapy methods encourage the patient to reflect about his childhood, dreams and feelings expressed for, thereby acquiring a new perception of their current behavior. Recognizing the role of these subliminal influences, the theory goes, the patient acquire a new perception of their actions and change.

Modifications of behavior
This form of therapy is perhaps antagonistic with respect to traditional psychotherapy, because it completely ignores the underlying feelings and focuses only on changing behavior. The behavior modification works based on a simple principle: to reinforce a desired behavior through rewards and punish or ignore unwanted behavior. For example, an anorexic reaches a predetermined target weight may be allowed to watch a movie or stop going to class one day. If you can not achieve the goal, may be prohibited to watch TV. A similar system of rewards and punishments would work with a bulimic patient.

Biological upheavals

Anexoric: They have abdominal undernourishment, pains, lethargy, excessive loss of weight below the normal thing, which brings severe problems to him of anemia. Lack of menstruation by the nourishing noningestion, are very pale people, very sensible to the cold, weak by the anemia with tendency to the permanent fatigue, usually has faints. The bulímico very badly feels to be fat, looks for to treat, wants aid, for that reason it is of but easy recovery. The anexoric one lacks or has very little brings back to consciousness of its disease, it loses much weight, and it is taken to consult itself, by means of his relatives and friendly and not by he himself. The mass media like the television or the radio, the magazines, stimulate the flacura; at the moment is an exaggerated interest to give like model the flacura, the thin body, until the clothes manufacturers make all the clothes of a small size. All this image is taking to the severe upheavals of these diseases.

Bulimics:

They have too much weight, undergoes muscular diarrhoea or cold, pains, small breakage of glasses in the face, underneath the eyes, reddened face, intense oscillations of weight that can go in a month of 5 and 10 kilos of blow, which brings circulatory and cardiac upheavals to him.