Anorexia Nervosa

1
(No Transcript)
2

• I look like a fat ugly elephant!

3

• I am looking in the mirror and I see something I
  dont like.

4

• I want to lose more weight.

5

• I AM WORTHFUL!

6
Eating disorders - Anorexia Nervosa

• Anikó Veress Hungary
• Hilde Kristin Syvertsen Norway
• Isabelle Van De Casteele - Belgium
• Jaana Meiesaar Estonia
• Selma Mulic Bosnia-Herzegovina

7
What are eating disorders?

• Eating disorder is when
• a person eats, or
• refuses to eat, in order
• to satisfy a psychic
• need and not a physical
• need.

8
Numbers about eating disorders

• 70 million people in the world have eating
  disorders.
• 90 of them are women between the ages of 12 to
  25.
• Without treatment 20 of people with serious
  eating disorders die.
• With treatment, that number falls to 2-3.

9
Types of eating disorders

• Anorexia nervosa
• Bulimia nervosa
• Binge eating disorder
• Other eating disorders.

10
What is bulimia nervosa?

• Eating large amounts of food in a short time
• Purging.

11
What is binge eating disorder?

• Uncontrolled, impulsive, or continuous eating
• No purging
• Repetitive diets
• Feelings of shame or self-hatred after a binge.

12
Other eating disorders

• Combination of the signs and symptoms
• of anorexia, bulimia, and/or binge eating
• disorder.

13
What is anorexia nervosa?

• Psychiatric diagnosis
• An eating disorder
• Low body weight
• Body image distortion
• Obsessive fear of gaining weight.

14
Numbers

• 1 of female adolescents have anorexia
  nervosa
• 1 in 10 people with anorexia is a man
• In Western countries prevalence range is from
  0.1 to 5.7 in the female subjects
• 1 of 3 anorexia patients die by suicide
• 2 of 3 die of physicals complications caused by
  anorexia nervosa.

15
Symptoms

• Lanugo
• Weight loss
• Feeling cold
• Loss of appetite
• Loss of menstruation
• Fatigue and dizziness
• Loss of libido (sexual appetite)
• Constipation and abdominal pains.

16
Why do people start with losing weight?

• I was jealous of everybody who was in
• and had no self esteem.
• If I were only skinny, all my
• problems would be solved.

17
Consequences or problems

• Headaches
• Weakness
• Anemia
• No periods
• Limited thinking and social life.

18
The main physical problems

• Starvation
• Dehydration
• Muscle and cartlidge deterioration
• Osteoporosis
• Irregular or abnormally slow heart rate
• Heart failure.

19
The treatment in Western Europe?

• Every doctor wants to
• have his own accents
• in his therapy.
• Treatment forms
• Psychological treatment
• Hospitalisation.

20
Psychological treatment

• Family therapy
• Psychodynamic individual therapy
• Cognitive- behavioural therapy
• Interpersonal psychotherapy
• Medication treatment.

21
Hospitalisation

• If the patients life is in
• danger.
• Constant supervision
• Monitoring vitals
• Parenteral (intervenuous) feeding.

22
Treatment team

• Doctors
• Psychologists
• Psychiatrists
• Psychiatry nurses
• Social workers
• Physiotherapist
• Occupational therapist
• Dietitian
• Nutritionists
• Nurses
• Caretakers
• Health visitors.

• TEAM WORK!

23
Pro ana and wannarexia

• Pro-ana is a group of people who promote and
  support anorexia as a lifestyle.
• Wannarexia is a group of people who claim to have
  anorexia or they would like to have.

24
What is well being?

• Definition of well
• being?
• Well being is a state of
• being satisfied with
• different aspects of life
• (job, relationships,
• finances,freedom,
• quality of life,...). (Diener)

25
Well-being for healthy people

• 1 most important 10 least important.
• Exciting, succesful career
• Terrific love life
• Long term relationship
• Involved, responsible person
• Rich friendships
• Varied leisure life
• Well decorated and maintained home
• Spiritual growth
• Travel
• Money

26
What is well being for anorexia patients?

• These are a few examples
• To look skinny
• To lose weight by not eating
• To do exercises to lose weight
• To be alone
• To get compliments from others because they look
  good.

27
A daily menu of an anorexic girl

• Breakfast
•      Black coffee Sweet and low
• Lunch
•          Lettice salad 100g.
•        1 slice of light bread
•        Light hummus
•      Soup
• Snack
•      0 fat yogurt
• Dinner
•   Lettuce salad 100g.
•    2 egg whites
•    Soup

28
Professionals influence on well- being of
anorexia patients

• Let them believe in theirselves
• Let them work together
• Learn to be familiar with the body so that they
  can accept that they have fat,...
• Learn that they should be healing theirself,
  its not only the therapist who can do it.

29

• MIRRORI look in the mirror and what do I see
  ?A young confused woman looking back at me.
  Fear in her eyes, pain in her heart She wants
  the help offered, but doesn't know where to
  start. I look in the mirror and what do I
  see?A fat, ugly woman still staring at me.
  Now tears fill her eyes as she begins to
  thinkHas she gotten fatter? Her heart begins to
  sink. 24 years old, and a lifetime to
  goDreams of the future to live and watch grow.
  I look in the mirror and what do I see?
  Myself with a DISORDER staring at me...

30
Discussion

• What is well-being for you?
• What do you think is well-being for an anorexic
  person?
• What can professionals do to help anorexia
  patients?

31

• THANK YOU FOR YOUR ATTENTION!