Treating Anorexia
The goal of treatment is to get you back to a healthy weight and keep you there. A healthy weight is above 85% of your ideal weight. To achieve this, your intake of calories is gradually increased. This can be accomplished through a number of interventions, including the following:
Therapists help you develop a healthier and more realistic self-image. The therapist will help you find new ways to think about your body and your diet.
Therapy can help you understand and cope with concerns about your relationships.
Families often play a role in eating disorders. Many patients cannot recover unless their families are involved in the changes. All families need to understand the disorder and provide support.
In some cases, anorexic patients benefit from a combination of psychotherapy and antidepressant medication. In particular, selective serotonin reuptake inhibitors (such as sertraline [ Zoloft ] or fluoxetine [ Prozac ]) are used. Used alone, antidepressant therapy is not an effective treatment for anorexia.
Medications and supplements may include:
- Vitamins and minerals to maintain adequate nutrition
- Hormone replacement to resume menstruation and prevent bone loss
Hospitalization may be necessary if:
- Weight is 25%-30% below ideal body weight
- There are signs of serious physical or emotional deterioration