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Overview

Eating Disorders: Treatment, Procedure, Cost and Side Effects

What is the treatment?

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How is the treatment done?

Eating disorders are mental disorders that cause persistent abnormal eating habits that have a great adverse impact on the physical and mental health of a person. Eating disorders make people focus on their body shape, weight, and their food, developing extremely unhealthy and downright dangerous eating behaviors. The most well known among eating disorders are Anorexia Nervosa, Bulimia Nervosa, and Binge Eating disorder.

Anorexia Nervosa is the condition where a person suffers from a fear of gaining weight and severely restricts food intake, causing a very low body weight. The patient considers themselves to be overweight even when they would be extremely underweight and continue to limit food intake trying to become thinner. Bulimia Nervosa is another disorder where the patient goes through cycles of sudden overeating followed by attempts to compensate including forced vomiting, excessive exercise, intake of laxatives, etc. Overeating and purging cycles cause embarrassment, feelings of guilt and shame, and is repeated secretly to avoid the shame. Anorexic people may also indulge in the purging behavior, but differs from bulimia in the fact that anorexic patients are always severely underweight, while bulimic patients fall in the normal to overweight category. Patients suffering from the binge eating disorder go through cycles of overeating regularly, but do not indulge in purging behavior.

Treatment for eating disorders mostly focus on psychotherapy to bring patients out of the mindset causing the disorder. This is often combined with medical care and nutritional therapy.

Who is eligible for the treatment? (When is the treatment done?)

Treatments for eating disorders often require a combination of treatments. Medications may be prescribed to deal with any underlying physical disease that causes the eating disorder. Sometimes a mental disease like anxiety or depression is the cause of an eating disorder, and these may be treated with medications to treat the eating disorder. Treatments are also combined with nutritional guidelines tailored to individual patients to help them cope with the nutritional imbalance caused due to the disorder and to restore them to their normal BMI.

The most important mode of treatment for eating disorder is psychotherapy. Since eating disorder is a mental disorder, psychotherapy shows the best results in treating it as it can address all the underlying causes for the disorder to have developed and help the patient deal with them better. Psychotherapeutic options may include behavior therapy targeted at the diseased individual, group therapy among a group of people affected by similar condition, or family therapy where the friends, family, and loved ones of the patient are involved. Psychotherapeutic treatment may be applied in combination with one or more of medications and nutritional therapy. Depending on the severity of the disorder and its outcomes, hospitalization may also be advised.

Who is not eligible for the treatment?

Eating disorders manifest as persisting abnormal eating habits. Anybody who is very seriously underweight and yet regularly insists on eating far lesser than necessary is eligible for treatment. People who are very anxious about their weight and body shape often develop eating disorders and need to be treated. People who regularly get urgent craving for food at random times during the day and eat massive amounts compulsively need to be treated for eating disorders. Also people who regularly eat inedible items like dirt, talcum powder, toothpastes, etc. need to be treated for eating disorders.

Are there any side effects?

Everybody can feel sudden cravings for food or may be unsatisfied with their body image. But in a number of cases these concerns do not persist and do not affect eating behavior. In these cases the people affected do not need to be treated.

What are the post-treatment guidelines?

There are no significant side effects to treatments for eating disorders. Some medications may show adverse effects sometimes.

How long does it take to recover?

Treatments for eating disorders need to be followed up with a nutritional chart designed and tailored to recover normal BMI for patients. A psychoanalytic checkup may be advised after some time after the treatment concludes to rule out any chances of relapse.

What is the price of the treatment in India?

Like other psychoanalytic treatments, treatments for eating disorders are long term treatments. The recovery period is as long as the duration of the treatment, which is stopped after the problem is resolved.

Are the results of the treatment permanent?

Cost of treatments for eating disorders can range between Rs. 500 and Rs. 10,000. There is no real upper limit pertaining to the treatment as psychotherapy can extend for as long as needed.

What are the alternatives to the treatment?

The treatment results are usually permanent as long as the triggers causing the disorder do not reappear, or other triggers do not come into play.

Safety: Condition Effectiveness: High Timeliness: Medium Relative Risk: Low Side Effects: Low Time For Recovery: Medium Price Range:

Rs. 500 - Rs. 10,000

Popular Health Tips

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Eat garlic along with pure cow ghee for 45 to 60 days. This is most beneficial in curing nerve disorders naturally.
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Eating Disorders And Obesity - What Should You Know About Them?

Dr. Neeraj Gupta 89% (82 ratings)
MBBS
General Physician, Jammu
Eating Disorders And Obesity - What Should You Know About Them?
The prevalence of childhood obesity has increased dramatically over the past few decades, and obesity during adolescence is associated with significant medical morbidity during adulthood. Eating disorders and obesity are usually seen as very different problems but actually share many similarities. Eating disorders (EDs) are the third most common chronic condition in adolescents, after obesity and asthma. In fact, eating disorders, obesity, and other weight-related disorders may overlap as girls move from one problem, such as unhealthy dieting, to another, such as obesity. Understand the links between eating disorders and obesity and promote healthy attitudes and behaviors related to weight and eating. What is an Eating Disorder? Eating Disorders describe illnesses that are characterized by irregular eating habits and severe distress or concern about body weight or shape. Eating disturbances may include inadequate or excessive food intake which can ultimately damage an individual s well-being. The most common forms of eating disorders include Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder and affect both females and males. Signs & Symptoms of an Eating Disorder: A man or woman suffering from an eating disorder may reveal several signs and symptoms, some which are: Chronic dieting despite being hazardously underweight Constant weight fluctuations Obsession with calories and fat contents of food Engaging in ritualistic eating patterns, such as cutting food into tiny pieces, eating alone, and/or hiding food Continued fixation with food, recipes, or cooking; the individual may cook intricate meals for others but refrain from partaking Depression or lethargic stage Avoidance of social functions, family and friends. May become isolated and withdrawn Switching between periods of overeating and fasting What are the health risks associated with these disorders? Stunted growth. Delayed menstruation. Damage to vital organs such as the heart and brain. Nutritional deficiencies, including starvation. Cardiac arrest. Emotional problems such as depression and anxiety. What is Obesity? Obesity means being overweight by the accumulation of excess fat within the body. Obesity is defined to some extent by measuring Body Mass Index (BMI). People become obese by consumption of excess calories, imbalance between calories intake and calories outgoing, leading a sedentary life, lack of sleep , disturbances in lipid metabolism and intake of medications that put on obese. What are the risks associated with obesity? Obesity increases the risk for: High blood pressure. Stroke. Cardiovascular disease. Gallbladder disease. Diabetes. Respiratory problems. Arthritis. Cancer. Emotional problems such as depression and anxiety. How eating disorder and obesity are related? Eating disorders and obesity are part of a range of weight-related problems. Body dissatisfaction and unhealthy dieting practices are linked to the development of eating disorders, obesity, and other problems. Binge eating is common among people with eating disorders and people who are obese. Depression, anxiety, and other mood disorders are associated with both eating disorders and obesity. The environment may contribute to both eating disorders and obesity. Healp Adolescents Develop Healthy Eating Habits: Healp children learn to control their own eating. Offer children a variety of healthy foods at meal and snack times. Eat dinner together as a family most days of the week. Be aware of your child's emotional health. Encourage children to participate in sports, dance, swimming and other physical activities. Counteract harmful media messages about body image. The Splendid Approach: The approach should be quite simple. A proper diet plan, nutritious foods and fruits with proper exercise can do a world of good to you.
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Eating Disorders - How You Can Support Your Child?

Dr. Ashish Sakpal 90% (728 ratings)
DNB (Psychiatry), DPM, MBBS
Psychiatrist, Mumbai
Eating Disorders - How You Can Support Your Child?
If your child develops an eating disorder, you might be unsure about how to solve the problem and how to act on it. Eating disorders occur when your child tends to either eat in excess, or eats too less. The behavior of your child is also subjected to change because of an eating disorder. It is likely for him to get withdrawn, rude, and touchy. This makes it difficult for you to deal with them at a time when communication is necessary. Here are some essential tips that you should follow in dealing with eating disorders in children: You should get advice about how to talk to your child. It will help you in realizing that your child is likely to be defensive as their eating disorder is a form of coping. Hence, it is normal for a child to be reluctant about letting go of it. If your child is undergoing treatment, the treatment team has a vital role to play. However, your constant love and support are also very important. It is important to talk to your child about the condition, even though he cannot accept that he is having a problem. Communication is an essential part of treatment, which you should never ignore. You should not blame or judge your child, and refer proper resources to him. You have to be prepared for a negative response from your child. You should educate yourself properly about your eating disorder. Abstain from talking to your child about his appearance, even in the form of a compliment. Use ways for boosting your child s self-esteem and confidence. Abstain from referring to weight problems and diets followed by other people. You need to assure your child that you will be there for him, no matter what. You should talk to him about activities he should get involved in, in a positive tone and approach. Coping with the meal times of your child suffering from an eating disorder is very important as well. Consult your child s treatment team to know about ways of arranging your meal times ideally. Take your child out for shopping and agree on having meals that are acceptable, from both your and his end. You should have an agreement with your whole family regarding meals, which will help to set the expectations of everybody. Agree on not talking about fat content, calorie content, or portion sizes during meals. You must abstain from consuming low calorie food items in front of them. Try to keep the meal time atmosphere positive and light hearted. Do not focus on others during meal times and teach your child to concentrate on his own meal.
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Diabulimia -Why Is It The Most Dangerous Eating Disorder?

Dr. Neeraj Garg 90% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Medicine, DM - Endocrinology
Endocrinologist, Zirakpur
Diabulimia -Why Is It The Most Dangerous Eating Disorder?
If you are diabetic and are in a practice of manipulating insulin levels to bring about weight loss, you must understand that it may have catastrophic consequences on your health. Even though it is not yet officially regarded as a medical condition, diabulimia is a serious eating disorder that can bring about diabetes complications. According to experts, as many as one-third of the young female diabetics could be suffering from various diseases due to this condition. Even though it is more common in females, it is also seen to be occurring in significant numbers of young men as well. Why is diabulimia one of the most dangerous eating disorders? Diabulimia is a condition where the person deliberately injects less than the required amount of insulin to lose body weight. Contrary to type 2 diabetes, type 1 diabetes has no connection with lifestyle or diet. The ones who are affected need to get insulin since they are not able to produce enough insulin for their daily requirements. It is crucial to mention the function of insulin at this juncture. Without this hormone, the digestive system would not be able to break down the sugars from the foods and obtain energy from it. Without insulin, the sugars derived from food will be forced to feed the existing fat, organs, and even muscles. When you are purposefully depriving the body of insulin, you are heading for permanent kidney failure, liver failure, fertility issues, heart diseases and even premature death. But it may not be visible from outside- you will have normalcy in your appearance. Since you are restricting insulin inside the body, you will have a very high blood sugar level. This invariably runs the risk of various complications such as damaging the eyes, kidneys and the nerve endings. The worst thing is that the warning signs may go unnoticed until it is too late. Therefore, it is always suggested to seek advice from endocrinologist as and when you notice any of the signs and symptoms mentioned above. Know the warning signs Even though the term is often deemed inaccurate, diabulimia holds the premonition of a serious pattern of disordered eating. Some of the most common warning signs of this disorder include: Unexplained weight loss Improper growth pattern in adolescents Hyperglycemia Hypoglycemia Recurrent spans of diabetic ketoacidosis along with extreme thirst, extreme hunger and frequent urge to urinate Poor blood glucose control, particularly if it was pretty well in the past Higher than normal hemoglobin A1c levels Microvascular disease that is affecting the eyes, heart, and kidneys Peripheral neuropathy resulting in weakness and numbness in hands and feet Disorder in eating Depression, deterioration of performance and social withdrawal Manipulating insulin can be fatal for people who have type 1 diabetes. In case you see that you are affected by any of these signs and symptoms, you should seek medical attention without further delay.
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Depression - Did You Know It Is Related With Food?

Ph. D - Psychology
Psychologist, Jammu
Depression - Did You Know It Is Related With Food?
Depression is a clinical, mental, and emotional condition that may give rise to feelings of hopelessness and chronic sadness. It slows down the way people process everyday activities and leads the patient to a sense of constant gloom and doom. It is a disabling mental condition as per WHO, and may be caused due to reasons like genetics, changes in the balance of hormones, stress, grief, trauma and prolonged, chronic physical ailments. Depression is also connected with food and nutrition. Do you want to know how? Read on to see the three ways in which food and depression are connected. * Severity and Duration: Depression is a mental illness that signifies an imbalance in the hormones and the emotional faculties in the brain. Nutrition is the fuel that keeps the brain and body in prime working condition. When a depressive state sets in or becomes emotionally rooted, then nutritious eating and a proper diet take a back seat as the patient succumbs to a state where he or she is not concerned about the food intake. As a result, the brain and hormonal balance get further affected. This can have an adverse effect on the severity and the duration of the depressive mode, which makes it all a vicious cycle of sorts. Poor appetite, not having proper meals, skipping meals, eating junk, avoiding social settings where food will be served, and even emotional eating are all outcomes of depression too. * Eating Disorders: Many patients who have eating disorders often experience deep rooted and chronic depression. Since despondency and hopelessness are the main characteristics of depressive behaviour, the outcome is that the patient tries to behave in a way that seeks approval. And in all this, the patient usually thinks that he or she is not 'good enough'. In such a scenario, the patient may start trying out fad diets and eventually fall prey to eating disorders like Bulimia that make the patient overeat and then vomit. These eating disorders usually come with phases of binge eating, throwing up, starving and then repeating the cycle again. Eating in secrecy is also a symptom of this condition. * Nutrition to Fight Depression: Nutrition and proper food intake can build a sense of resilience by first of all improving the overall physical condition of the patient. This can take care of a lot of angst even as the minerals and vitamins travel to the brain for better functioning in the long run. Ensure that you eat right as a part of your therapy for depression. This is as good as taking your medication on time!
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Popular Questions & Answers

When I wake up in morning, I feel hungry so that I don't able to do any exercise. But my dinner is good. So what can I do to overcome?

Dr. Sandhya Krishnamurthy 93% (10758 ratings)
BAMS
Ayurveda, Bangalore
Hi, You can take 2 slices of bread or 2-4 rusk or Marie biscuits along with coffee in the morning and then do the exercises.

My son age 8 years old have very lean and unhealthy looks, He is not interested in eating food more, avoid drinking milks tooo. Much worried abt his health concern. please recommend some gud supplements for him.

Dr. Jayvirsinh Chauhan 97% (9030 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
The supplements only will not be beneficial... you have to take proper treatment... preferably homoeopathic... the supplements cannot replace food... they are just supportive...

My daughter is 4 year old she's very fuzzy eater. She eats very much slow even though if I give her favourite meal n snacks. What to do?

BAMS
Ayurveda, Mumbai
Do not worry these is not the topic of worry. See I would like to suggest you something if you will follow them then definately weight of your baby will increase. But you have to follow the advise. Do not force her to eat if she will feel hungry then she will eat and let her eat how much she wants to eat do not force her. If she eat half banana aur something let it be dnt force her. If you want to see the results of the medicine check her weight now and check after 15 days. I am prescribeing some medicines giver her and do not force her to eat continuously. I have treated these kind of patients and parents get happy so follow what I have said. 1. Hingvashtakachurna + pippalimula 10 gm each mix bohat ane give her 1/4 tsp twice a day half hr before meal. 2. Krumikuthar ras 1/4 tablet crush it and give twice a day 3. Arvindaasava 1/4 tsp twice a day.

I am a 17 year old girl. I eat less .I don't have thyroid. But I have obesity. What to do?

Dt. Tanweer Fatima 88% (40 ratings)
Msc - Dietetics and Community Nutrition
Dietitian/Nutritionist, Lucknow
Change your lifestyle and eat at fixed times. You can take multivitamin tablet once a day. May be you are eating too less and because of that body is going into conserving mode.

I do not feel hungry in morning after I woke up but I try to eat something I feel like vomiting and this problem is from about 4 years.

Dr. Sreepada Kameswara 92% (12540 ratings)
DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Your vomiting sensation, dislike for food in the morning is complaint of your digestive system. Homoeopathy has good treatment for this.Take homoeopathic medicine Nux vomica 200 two times daily for one week which will give you relief. If you have any further problem, consult me privately .

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