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Friday, 23 May 2014
Eating disorders cont> Biological Treatments Psychology notes
D. Biological Treatments
>SSRI’s (specific seritone receptive inhibitors) main treatment
eg. Fluoxitine (prozac)
- very high drop out.
2) Anorexia
psychodynamic view (1) Hospitalization - social reinforcement
- in acute stage but not long term- effect
fades and then relapse.
(2) Behaviour Therapy - 86%
Success rate reported based on Minuchin’s Theory. Look at whole family- bring family conflict to forthright. No longer home to have disorder because issue of parents fighting is addressed.
Family seen generally at meal time because it is when happens - can see conflict of eating and problems.
Redefine dynamic. Will be positive- work together as a team and help child.
Bulimia
Effective Cognitive - Behavioural Therapy
- thinking and behaving patterns. Eg. Women collecting pictures of models in bathroom- encouraged her purging.
Severely controlling intake - take one cookie and then eats all.
less rigidity - not the end of world.
Goal is normal eating patterns. Teach proper eating habits; proper weight.
As challenge to all or none, bring food to session -eg. chocolate cake or - less bite is ok. Then therapist can work with it so person does not purge.
What triggers binges/purges and work with that. Eg. Stress.
Work with therapist. What led to binge and purge?
When that happens - relaxation techniques
- talk to someone.
Promising short term.
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