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Article #20: How To Handle A Child With Anorexia

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According to the National Institutes of While concerned parents can't force
Health, about 0.5 to 3.7 percent of girls children with anorexia to stop, it is
and women will develop anorexia nervosa imperative to support them in their
over a lifetime, and around 1.1 to 4.2 struggles. More and more, doctors and
percent will develop bulimia nervosa. patients advocate family-centered
Nearly 0.5 percent of anorexics die each therapy-letting parents back into the
year from the illness, making it one of treatment process. For decades, parents
the top psychiatric illnesses to cause were seen as an anorexic's biggest
death. problem and were even blamed as the cause
Those suffering from anorexia are for the disorder. Research has shown that
extremely fearful of gaining extra weight while parents can influence a child's
and may exhibit negative behaviors and eating disorder, they are typically not
actions leading to severe weight loss. the cause. Known as the Maudsley approach
Pounds are lost by over-exercising and (after the London-based hospital it was
restricting calorie intake. Anorexics developed in), family-centered therapy
view their bodies in a distorted way. focuses on helping parents become a
When they look in the mirror, despite support system. Food is the "medicine" to
being dangerously thin, they see treat the illness, and doctors coach
themselves as too heavy. For concerned parents and their child through meals and
parents who have children with anorexia, appropriate behavior in a clinical
there is an array of assistance available setting. After a few tries, families are
from programs at hospitals, treatment then sent home to continue the treatment.
centers, and clinics specializing in Patients benefit from the love and
eating disorder recovery. support afamily network provides.
One of the problems in overcoming Regardless of the approach settled on,
anorexia is that those with the illness for any treatment program to be
don't usually see it that way-that don't successful, those with anorexia need the
think they are sick. If somebody with continued support of family and friends.
anorexia is in immediate danger, they Following is advice for parents, courtesy
might need emergency care for of The National Eating Disorders
malnourishment, including dehydration and Foundation (
electrolyte imbalances. Educate yourself about eating disorders.
Long-term treatment entails a team effort Read as much material as you can in
with professionals trained in eating magazines, books, articles, and
disorders, including dieticians, mental brochures.
health professionals, medical doctors, Understand the differences between facts
and treatment centers: and myths about weight, nutrition, and
- Dieticians. A dietitian will create exercise. Being armed with facts will
meal plans and monitor calorie intake to help you reason with your child about the
implement a healthy diet. However, misconceptions they adhere to.
there's more to recovering from an eating Be truthful. Don't be afraid to voice
disorder than changing one's eating your concerns to a child who struggles
habits. with eating or body image issues.
- Mental Health Professionals. People who Pretending the problem doesn't exist does
suffer from anorexia suffer emotionally not help.
and mentally as well. They need change Be loving, yet firm. Loving your means
the way they view themselves to boost you hold them accountable for their
their self-esteem, and their mood can actions and the consequences of those
benefit from carefully prescribed and actions. It does not mean you let them
monitored antidepressants. Psychiatric manipulate you. Do not make rules or
treatment sessions typically last at promise you can't or don't intend to
least a year and take place one-on-one, uphold, such as "I won't tell anyone" or
with family, or with other people with "If you do this anymore I won't ever
eating disorders. speak with you."
- Medical Providers. While those still in Sincerely compliment your child on their
the early stages (less than 6 months) terrific personality, accomplishments, or
typically avoid hospital stays, for contributions. Reinforce the idea that
people with advanced cases, checking into beauty is not just skin deep.
a unit for anorexia or bulimia may be Be a positive example in regard to your
required. People with anorexia need own eating, exercising, and
constant monitoring of electrolytes, self-acceptance.
hydration levels, and vital signs. A Know when to share. It can be hard to
doctor should be involved in the on-going know if you should share your concerns
medical treatment. with somebody else, if at all. By
- Treatment Centers. Clinics across the addressing issues with eating or body
country provide a live-in environment for image early, you stand a better chance of
children suffering from anorexia. These working through the issues with your
centers provide a treatment child. Don't wait to seek help until your
team-dieticians, psychiatrists, and child is extremely sick. They need as
doctors-under one roof. Such programs much support from you as possible.
entail an extended stay.






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