Why Do People Think Eating Disorder Treatment Facilities are a Good Idea?

Many people with eating disorders hope to get their eating problems under control on their own. However, one must face the fact that behind an eating problem are usually mental causes that need to be treated therapeutically. If this does not happen, there is a high risk that the eating disorder will become chronic or return to symptom-free stages.Why Do People Think Eating Disorder Treatment Facilities are a Good Idea?
Only those affected can decide if they want to give up the eating disorder or not. This decision is the most important prerequisite for a successful therapy.

Why Do People Think Eating Disorder Treatment Facilities are a Good Idea?

Building blocks of a therapy

Since eating disorders have many different causes and affect different areas of life, almost always a multi-professional support by different professional groups is necessary. This breakdown can be found in most inpatient therapies and is also useful for outpatient care.
Since eating disorders are diseases with physical consequences, medical supervision by an internist or general practitioner is almost always necessary. Here, a medical diagnosis is first performed and the possible medical complications of an eating disorder are observed and treated. Specifically, this means, among other things, the regular weight control, checking the laboratory values, cardiac and renal function, etc.

The goals of psychotherapy are the treatment of symptoms of eating disorders (such as vomiting, starvation, binge eating) and other mental health problems (eg, self-esteem problems, social integration). It is also possible to explore the causes as well as the benefits of the eating disorder - which exist alongside all the negative consequences. If sufferers can learn to achieve these benefits in a symptom-free and healthy manner, the entire mental balance can be restored. Studies have shown that cognitive behavioural therapy, psychotherapy based on depth psychology and family therapy interventions show the best efficacy in the treatment of anorexia, bulimia and binge eating.

In nutritional therapy, specifically for eating disorders, sufferers learn to tackle the acute symptoms of food restriction, overeating, or vomiting. Here is e.g. Knowledge about adequate meal structure and normal portion sizes, as well as working on the integration of prohibited foods.

Especially if the eating disorder is already long, it can have an impact on the whole life. In this case, a socio-educational accompaniment helps, e.g. to overcome social isolation, to achieve (re-) integration in school or work or to reduce debt.

 Eating Disorder Treatment Facilities are a Good Idea?Treatment options

Why Do People Think Eating Disorder Treatment Facilities are a Good Idea?

Meanwhile, there are many places a good network with different therapeutic options -, especially for eating disorders. The spectrum ranges from self-help groups, self-help manuals, outpatient therapy groups, outpatient psychotherapy, family therapy, (day) clinics to residential groups. It is also taken into account that already not only young girls are affected by eating disorders. Many therapy offers are aimed specifically at men or those over 40 years old.

Which therapy comes into question depends on the individual symptoms and situation. An assessment can only be made after a medical diagnosis and must be clarified in a detailed consultation.
Outpatient treatment

This always consists of a combination of medical support, outpatient psychotherapy, nutritional counselling and, if necessary, further interventions, such as outpatient groups or socio-educational support.

Why Do People Think Eating Disorder Treatment Facilities are a Good Idea?
Outpatient therapy may be useful under the following conditions:

  • BMI over 15, or over the 3rd Age percentile in children and adolescents
  • Regular weight gain in underweight
  • No severe bulimic symptoms (eg heavy binge eating, very frequent vomiting, severe laxative abuse)
  • Disease insight and motivation to change
  • No physical complications
  • No suicidality, severe self-harm or other mental or physical comorbidities
  • Supporting social environment
  • The majority of people with binge eating or bulimia can be cared for on an outpatient basis. Therapeutically guided self-help programs can help especially people with bulimia. In outpatient treatment for anorexia, studies show only modest success rates.
  • Inpatient treatment

This is possible in day clinics, clinics and residential groups that specialize in the treatment of eating disorders.

Inpatient therapy may be useful under the following conditions:

  • BMI below 15, or under the 3rd age percentile in children and adolescents
  • Fast or sustained weight loss
  • Severe bulimic symptoms (e.g., severe bingeing, very frequent vomiting, lack of any structure in eating habits, severe laxative abuse)
  • The strong incarnation of the symptoms
  • Low disease insight or motivation to change
  • Physical complications
  • Suicidality, severe self-harm or other psychological or physical comorbidities
  • Stressful social environment

Excessive demands in the outpatient setting, lack success in outpatient therapy
Especially for people with anorexia, inpatient treatment is very often necessary, as the risk of death is significantly increased in this disease. A normalization of eating behaviour and the achievement of normal weight can often not be achieved in the outpatient setting.

Most successful eating disorder treatment centres
    Clinic selection is generally not left to the patient or their relatives alone. Most health insurance companies have clinics or work only with certain institutions. However, you can make suggestions to your health insurance, but it does not have to be according to that.

We suggest the following procedure: First, ask your health insurance provider: Which clinics can you use and are paid by your health insurance?
We are often asked to recommend a special clinic. This is very difficult because we do not have enough detailed information about the functioning of the facilities to fully assess them. It's best to find out for yourself. You can also ask your doctor, therapist or health insurance company.

About the basic mode of operation and theoretical orientation usually inform the information brochures of the institutions. It's best to call there or request documents via internet and email.

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Why Do People Think Eating Disorder Treatment Facilities are a Good Idea? Why Do People Think Eating Disorder Treatment Facilities are a Good Idea? Reviewed by Jemi Culin on January 11, 2018 Rating: 5

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