P0345 - Anorexia mentalis-our experience

Abstract

Anorexia mentalis represents mental disorder followed by physical breakdown. We are talking about anorexia when it comes to the weight loss 20%-25%.

The disorder is caused by psycho-social factors.

The treatment includes the team of doctors coordinated by psychiatrist, internist, gynecologist, radiologist, nutritionist and psychologist.

The procedure of treatment begins with:

1. the assessment of mobility: in hospital, dispensary, or in combined treatment (the shorter treatment in hospital the better, with necessary achievement of physical balance, and afterwards obligatory treatment in dispensary)

2. in dispensary it is done:

A. by using therapy-in two tracks-we follow the input (highly energetic products and meals) and the curve of weight growth, i.e. simultaneous physical and mental state.

B. By using pharmaco-therapy (neuroleptics, antidepressants)

C. Psychoterapy(individual, family, behavioral, psychodynamical)

The treatment is done stage by stage and pervading, with individual corrections made by therapist, according to the specificity of particular patient.

From January to the beginning of May, 6 female patients aged 14-18 have been treated.

Conclusion:

Patients treat with this therapy add 7-15 kilos in average during the period of two to three months, menstrual cycle and the change of psycho-pathological appearance are settled which makes good conditions for further psychotherapeutic interventions.