Koks gydymas, skirtas išvengti po skydliaukės išsiskyrimo? Izaks, G. Pacientai liguistai bijo nutukti, save vertina kaip per storus.

In the earliestdiagnostic criteria for AN, bulimicbehaviour such as binging, vomitingand using laxatives was seen as apossible consequence of AN ratherthan a separate disorder.

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In ,however special diagnostic criteriafor bulimia nervosa BN were developed. In the DSM-IV-TRcriteria were also introduced for binge eating disorder BED ,that is, having recurrent binges not compensated by purgingbehaviour and often resulting in excess weight and obesity.

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For that reason a transdiagnostic approach of EDs hasbeen developed. Most EDs are found inyoung women aged years.

For men, however, the bodyideal is not being slim but having strong muscles.

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The questionis whether muscle dysmorphia can be seen as seen as a malevariant of AN. Because EDs have severe consequences early diagnosisand effective treatment are very important. A problem, however,is that in the first stage EDs patients deny having eatingproblems, or feel too ashamed to seek help.

bariatrinis svorio metimas birmingham al

Their bariatrinis svorio metimas birmingham al behaviour is not yet experienced as a problem but asa solution for underlying problems such as low self esteem,negative body image and lack of emotion regulation and socialcoping strategies. In the first period of their ED patients are notmotivated for treatment, because they are afraid of losing theircontrol over food, gaining weight, and becoming fat.

bariatrinis svorio metimas birmingham al

Sooner or later ED patients are confronted with severephysical consequences such as emaciation, tiredness, lowbody temperature, amenorrhoea, abdominal pain, sore throat,osteoporosis, fertility problemspsychological consequences such as obsessive and compulsive thoughts about food andweight, lack of concentration, negative emotions, depression,suicidal thoughtsand social consequences such as distrust ofothers, isolation, and being unable to continue their educationor job.

Confronted with these effects bariatrinis svorio metimas birmingham al often becomemotivated for treatment. Motivational interviewing can bevery helpful at this stage. ED patients are often first diagnosed and treated by a GPor psychologist. Severe EDs patients are admitted to a hospitalor a clinic for EDs.

For BN cue-exposure is used in order to preventbinging and purging. Although antidepressants can helpto reduce binges and depression, medication is not the coretreatment for EDs. Effective treatments for EDs are cognitivebehavioural treatment, psychodynamic therapy, interpersonaltherapy, body oriented therapy and emotion-focused treatment.

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For young ED patients family therapy is very important. Recently mindfulness, acceptance and commitment therapy ACTand compassion therapy have proved to be usefulstrategies in the treatment of EDs.

Because of a lack of consensusabout the criteria for recovery these percentages vary greatlybetween different studies, which makes a comparison betweenoutcome studies debatable.

For full recovery and prevention ofrelapse after treatment it is important that not only the disturbedeating behaviour is normalized and the physical consequences arereduced, but also the underlying problems are tackled.

bariatrinis svorio metimas birmingham al

Importantcriteria for recovery from ED are healthy eating behaviour andweight, a positive body attitude, more self-esteem, and betteremotion regulation and social coping strategies. She finished herPh. She did research at prevention of ED, risk factors and risk groups, chronicED, criteria for recovery and the process of recovery.

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She has written several books about EDs, some together with Prof. Vandereycken from the LeuvenUniversity in Belgium.

In a new book about Guidelines for Recovery from Eating Disorders will be published. Address for correspondence: Dr. The results of thisstudy indicate that long term treatment with antipsychoticmedication in females is likely to increase prolactin andto be associated hypo-gonadal state.

Рыбина висела в зеленоватой пустоте и плавники ее были размыты стремительным движением -- она была живым воплощением скорости и силы. Претворенные в линиях этого живого тела, продолжали свой век изящные очертания тех огромных кораблей, что когда-то владели небом Земли.