P01-222 - Medicament Treatment of Anorexia Mentalis

Abstract

Introduction

Anorexia mentalis is a psychiatric disease followed by body deterioration.Goal: The selecting of medicament treatment and psychotherapy, following certain procedures which will lead the patient into the quickest psychosomatics functioning.

Material and methods

During the period from January till December 2007, 15 female patients, age 14-19, were treated. Six of them were treated with Haloperidol, and 9 received Olanzapine treatment.The therapy consists of:A:A “two-way” therapy and “multi-level”therapy”: food intake (high energy supplements and meals) and body mass growth curve, i.e. physical and psychical conditions are simultaneously monitored (horizontal level).B: Pharmacotherapy (neuroleptics and antidepressives)C: Psychotherapy (individual, family, behavioral, psychodynamic) (vertical level A, B)The treatment is pervasive and in stages, with individual corrections by the therapist according to specificity of each patient.

Results

The following parameters were observed: body weight, BMI, hormonal status, regaining menstrual cycle, and psychical status, brain NMR scan, period of hospitalization. Female patients treated with Olanzapine gained 3-4 kg in one month, during that period psychopathology gradually faded: obsessive thoughts about weight loss, disturbed body image. Depressive emotionality lasts longer; therefore the antidepressives are included in therapy. Female patients treated with Haloperidol gained body weight slower, in a period of five months in average, and they also showed slower psychopathological restitution.

Conclusion

Anorexia is very serious psychological disease that can be a death threat to a patients physical health, therefore, an early disease detection, timely reaction and treatment are essential.