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Anorexia: Treatment and long-term outcomesAAnorexia: Treatment and long-term outcomesAnorexia: Treatment and long-term outcomesEnglishPsychiatryTeen (13-18 years)NANANon-drug treatmentTeen (13-18 years)NA2019-03-25T04:00:00Z10.200000000000056.4000000000000774.000000000000Flat ContentHealth A-Z<h2>How is anorexia treated?</h2><p>The first step in <a href="/Article?contentid=3785&language=English">anorexia nervosa (AN)</a> treatment is to assess if it’s safer for you to be treated as an inpatient (staying in the hospital) or an outpatient. Your health care provider will check if there are problems with your heart rate or blood pressure or if your weight is so low that it is dangerous for you to go about your normal routine outside the hospital. </p><p>Most teens get help for AN by coming to an eating disorder clinic once or twice a week as an outpatient. Clinic visits usually involve seeing a therapist, sometimes seeing a doctor or nurse for a medical check and sometimes meeting with a dietitian (with your parent or caregiver) to talk about how you have been eating.</p><p>The goal of treatment is to help you to return to eating in a regular way. This means supporting you to have the right amount and variety of foods that your body needs and helping you maintain a healthy weight. The therapist will also work with you to help you manage emotions that may come up about your eating, including any worries about gaining weight.</p><p>Treatment for AN usually also includes family-based treatment (FBT). This is because AN affects the whole family and it can sometimes be really hard for someone with an eating disorder to go through treatment on their own. As part of the treatment, your parents will make decisions about your nutrition and learn how to help you with your emotions related to eating or weight gain.</p><p>If you are experiencing depression or anxiety in addition to AN, your health-care team may suggest other therapy for those conditions once the eating disorder is under control.</p><p>Sometimes your health-care team may also suggest medication. Antidepressants can help with depression or anxiety. Unfortunately, however, there is no evidence that medications help with worries about body image. </p><h2>At SickKids<br></h2><p>SickKids has an eating disorder program that treats children and teens who are struggling with symptoms of anorexia nervosa, bulimia nervosa and avoidant restrictive food intake disorder. For more information on our program visit: <a href="http://www.sickkids.ca/adolescentmedicine/programs/eating%20disorders%20program/eating-disorders-program.html">www.sickkids.ca/adolescentmedicine/eating-disorders-program</a></p><h2>Resources</h2><p> <a href="http://www.nedic.ca/">NEDIC – National Eating Disorder Information Centre</a> (Canada)</p><p> <a href="https://www.nationaleatingdisorders.org/">NEDA – National Eating Disorder Association</a> (United States)</p><p>American Academy of Pediatrics – <em> <a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Is-Your-Teen-at-Risk-for-Developing-an-Eating-Disorder.aspx">Eating Disorders in Children</a> </em></p><p> <a href="https://www.beateatingdisorders.org.uk/">B-EAT – Beating Eating Disorders</a> (United Kingdom)</p><p> <a href="https://keltyeatingdisorders.ca/">Kelty Eating Disorders</a> (Kelty Mental Health Resource Centre, BC Children's Hospital)</p><h2>References</h2><p>Practice Parameters for the Assessment and Treatment of Children and Adolescents with Eating Disorders - J Am Acad Child Adolesc Psychiatry 2015;54(5):412–425.<br></p>
Anorexie : traitements et résultats à long termeAAnorexie : traitements et résultats à long termeAnorexia: Treatment and long-term outcomesFrenchAdolescent;PsychiatryTeen (13-18 years)NANANon-drug treatmentTeen (13-18 years)NA2019-03-25T04:00:00ZFlat ContentHealth A-Z<h2>Traitement de l’anorexie</h2><p>La première étape dans le traitement de l’<a href="/Article?contentid=3785&language=French">anorexie</a> consiste à évaluer si tu devrais être traité en consultation interne (hospitalisation) ou externe. Ton fournisseur de soins de santé vérifiera ta tension artérielle et ta fréquence cardiaque. Il déterminera également si ton poids est trop faible pour que tu puisses effectuer tes activités habituelles en dehors de l’hôpital.</p><p>La plupart des enfants et des adolescents se font traiter pour l’anorexie dans une clinique pour troubles alimentaires une ou deux fois par semaine en consultation externe. Pendant ces visites à la clinique, ils voient normalement un thérapeute et parfois un médecin ou une infirmière pour un examen médical. Parfois, ils voient aussi un diététicien (en compagnie d’un parent ou d’un fournisseur de soins) pour parler de leurs habitudes alimentaires. </p><p>Le traitement vise à t’aider à recommencer à manger de façon normale, ce qui suppose de t’amener à consommer une variété d’aliments en quantités adéquates pour combler tes besoins nutritionnels et à maintenir un poids santé. Le thérapeute t’aidera aussi à gérer les émotions que tu peux ressentir au sujet de ton alimentation, y compris tes inquiétudes concernant la prise de poids.</p><p>Habituellement, le traitement comprend aussi la thérapie familiale parce que l’anorexie touche tous les membres de la famille et qu’il est parfois très difficile pour une personne atteinte d’un trouble alimentaire d’entreprendre le traitement toute seule. Dans le cadre du traitement, tes parents prendront des décisions au sujet de ta nutrition et apprendront comment t’aider à gérer les émotions liées à l’alimentation ou à la prise de poids.</p><p>Si l’anorexie est accompagnée de dépression ou d’anxiété, l’équipe de soins peut proposer d’autres formes de thérapie pour ces maux, une fois le trouble alimentaire sous contrôle.</p><p>Parfois, l’équipe de soins peut aussi prescrire des médicaments. Les antidépresseurs peuvent réduire la dépression et l’anxiété. Malheureusement, il n’y a aucune preuve indiquant que les médicaments aident à surmonter les inquiétudes liées à l’image corporelle.</p><h2>À l’hôpital SickKids</h2><p>L’hôpital SickKids offre un programme de traitement pour les enfants et les adolescents souffrant de troubles alimentaires comme l’anorexie, la boulimie et le trouble d’alimentation sélective et/ou d’évitement. Pour plus de renseignements sur ce programme, visite la page : <a href="http://www.sickkids.ca/adolescentmedicine/programs/eating%20disorders%20program/eating-disorders-program.html">http://www.sickkids.ca/adolescentmedicine/programs/eating-disorders-program.html</a> (disponible uniquement en anglais).</p><h2>Ressources</h2><p>(Disponibles uniquement en anglais)</p><p> <a href="http://www.nedic.ca/">NEDIC – National Eating Disorder Information Centre</a> (Canada)</p><p> <a href="https://www.nationaleatingdisorders.org/">NEDA – National Eating Disorder Association</a> (United States)</p><p>American Academy of Pediatrics – <em> <a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Is-Your-Teen-at-Risk-for-Developing-an-Eating-Disorder.aspx">Eating Disorders in Children</a> </em></p><p> <a href="https://www.beateatingdisorders.org.uk/">B-EAT – Beating Eating Disorders</a> (United Kingdom)</p><p> <a href="https://keltyeatingdisorders.ca/">Kelty Eating Disorders</a> (Kelty Mental Health Resource Centre, BC Children's Hospital)</p><h2>Références</h2><p>Practice Parameters for the Assessment and Treatment of Children and Adolescents with Eating Disorders - J Am Acad Child Adolesc Psychiatry 2015;54(5):412–425.<br></p>

 

 

 

 

Anorexia: Treatment and long-term outcomes3786.00000000000Anorexia: Treatment and long-term outcomesAnorexia: Treatment and long-term outcomesAEnglishPsychiatryTeen (13-18 years)NANANon-drug treatmentTeen (13-18 years)NA2019-03-25T04:00:00Z10.200000000000056.4000000000000774.000000000000Flat ContentHealth A-Z<h2>How is anorexia treated?</h2><p>The first step in <a href="/Article?contentid=3785&language=English">anorexia nervosa (AN)</a> treatment is to assess if it’s safer for you to be treated as an inpatient (staying in the hospital) or an outpatient. Your health care provider will check if there are problems with your heart rate or blood pressure or if your weight is so low that it is dangerous for you to go about your normal routine outside the hospital. </p><p>Most teens get help for AN by coming to an eating disorder clinic once or twice a week as an outpatient. Clinic visits usually involve seeing a therapist, sometimes seeing a doctor or nurse for a medical check and sometimes meeting with a dietitian (with your parent or caregiver) to talk about how you have been eating.</p><p>The goal of treatment is to help you to return to eating in a regular way. This means supporting you to have the right amount and variety of foods that your body needs and helping you maintain a healthy weight. The therapist will also work with you to help you manage emotions that may come up about your eating, including any worries about gaining weight.</p><p>Treatment for AN usually also includes family-based treatment (FBT). This is because AN affects the whole family and it can sometimes be really hard for someone with an eating disorder to go through treatment on their own. As part of the treatment, your parents will make decisions about your nutrition and learn how to help you with your emotions related to eating or weight gain.</p><p>If you are experiencing depression or anxiety in addition to AN, your health-care team may suggest other therapy for those conditions once the eating disorder is under control.</p><p>Sometimes your health-care team may also suggest medication. Antidepressants can help with depression or anxiety. Unfortunately, however, there is no evidence that medications help with worries about body image. </p><h2>How to help yourself as you receive treatment for anorexia nervosa</h2><h3>Talk to others</h3><p>It can be really difficult to share your worries about your eating or concerns about your body, but talking to a trusted adult is the first step in getting help.</p><h3>Gradually change your eating patterns</h3><p>Unfortunately, there is no short-cut to recovery from an eating disorder. Getting better requires you to nourish your body with regular meals and snacks from a variety of foods. It may be really hard to think about this, so when your eating disorder is ‘telling’ you to eat less, it can help to eat meals with someone who is supportive.</p><p>The time after eating is when the eating disorder thoughts can get really loud for some people. Try to distract yourself by doing something you enjoy or spending time with others. It can help to focus on activities that are not about weight or body image, such as watching a funny movie or playing a board game with family.</p><h3>Avoid triggers</h3><p>It’s important to avoid triggering situations or environments as you receive treatment for AN. Going online to certain sites, support groups or social media accounts and being around people who talk a lot about dieting or losing weight do not help us feel better about ourselves. Spending a lot of time looking in the mirror also tends to make us over-focus on how we look. This can become a problem especially for people with eating disorders. Instead, try looking out for people or websites that are positive and interesting, not just focused on physical appearance, and try not to compare yourself to others.</p><h3>Learn and practise coping skills</h3><p>As part of your treatment, your therapist may suggest that you try to learn some relaxation methods or <a href="/Article?contentid=3778&language=English">mindfulness</a> to help you cope with your emotions. As overwhelmed as you may feel when eating or comparing yourself to others, do make time to try to practise new coping skills.</p><h2>What can I expect in the future?</h2><p>Anorexia nervosa is a very serious condition and can be life threatening. Up to three in 20 people with AN may struggle with it for over five years. Many people can get better through outpatient treatment, but some people also need inpatient care (overnight stays in the hospital).</p><p>Treatment will usually involve regular appointments over one year for you and your family. You will see a therapist at these appointments and sometimes may also see a doctor or nurse practitioner for a medical check. Remember, the sooner you get help, the sooner you can start to recover. Teens have much better rates of recovery than adults from AN.<br></p><h2>At SickKids<br></h2><p>SickKids has an eating disorder program that treats children and teens who are struggling with symptoms of anorexia nervosa, bulimia nervosa and avoidant restrictive food intake disorder. For more information on our program visit: <a href="http://www.sickkids.ca/adolescentmedicine/programs/eating%20disorders%20program/eating-disorders-program.html">www.sickkids.ca/adolescentmedicine/eating-disorders-program</a></p><h2>Resources</h2><p> <a href="http://www.nedic.ca/">NEDIC – National Eating Disorder Information Centre</a> (Canada)</p><p> <a href="https://www.nationaleatingdisorders.org/">NEDA – National Eating Disorder Association</a> (United States)</p><p>American Academy of Pediatrics – <em> <a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Is-Your-Teen-at-Risk-for-Developing-an-Eating-Disorder.aspx">Eating Disorders in Children</a> </em></p><p> <a href="https://www.beateatingdisorders.org.uk/">B-EAT – Beating Eating Disorders</a> (United Kingdom)</p><p> <a href="https://keltyeatingdisorders.ca/">Kelty Eating Disorders</a> (Kelty Mental Health Resource Centre, BC Children's Hospital)</p><h2>References</h2><p>Practice Parameters for the Assessment and Treatment of Children and Adolescents with Eating Disorders - J Am Acad Child Adolesc Psychiatry 2015;54(5):412–425.<br></p>