Eating disorders:preventing, diagnosing and treating

Written by: Dr. Enrique Guerra Gómez
Published: | Updated: 21/05/2018
Edited by: Top Doctors®

We speak of a disorder of eating behavior when there are anomalous behaviors to food intake, including alterations in weight control. The TCA have physical problems due and impaired psychosocial functioning of the individual.

Type

Main Eating Disorders (TCA ) are the anorexia nervosa, bulimia nervosa and binge eating, according to considerations of DSM-V ( diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association, 2013)

There are minor disorders:pica disorder, avoidance and/or restriction of food intake, night eating syndrome etc

.

Diagnostics

As with other mental disorders, medical history, exploration, psychopathological and in these conditions, the physical examination are the key to establishing a diagnosis.

There are also additional examinations:General Analytical specifies hormone, basal metabolism, bone densitometry test etc are also psychological relizan, whether general or specific mental health of anorexia and bulimia. In somatic exams, the physical complications are valued, while the test give us an idea of ​​the intensity of trastornoalimentario. In any case, these auxiliary methods.

Complications

somatic level, The TCA may be complicated by digestive diseases of the upper and lower tract. endocrine disorders, metabolic, renal, osteoporosis etc

psychic level

may appear depressive disorders, obsessive-compulsive disorder and anxiety disorder episodes micropsicoticos addition there comorbid personality disorders particularly bulimia.

Treatment

In all cases, treatment has to be on the one hand, somatic moreover, psychosocial. The somatic treatment trying to restore not only the weight and proper nutrition ;, but the complete normalization of the functioning of the body.

psychosocial treatments consist of psychotherapies (individual, family group, etc ), occupational therapy and social interventions.

Prevention

There are preventive bells TCA at the school level in its various stages, at the level of health centers and, perhaps to a lesser extent, in terms of the media. The intensity and frequency of these bells can vary as a function of the material and human resources, when set at the state level, and also of the peculiarities of healthcare organization in the different Autonomous Communities

.

In all cases, it is necessary to implement primary prevention through health education and secondary prevention through early diagnosis.

*Translated with Google translator. We apologize for any imperfection

By Dr. Enrique Guerra Gómez
Psychiatry

Currently coordinator Feeding Disorders Unit at the Hospital of Santa Cristina (Madrid ), Dr. Guerra Gomez has extensive training experience, academic and teaching as a psychiatrist. His activities as a professional you have even earned the Gold Medal for services to health madrilena granted by the Regional Ministry of Health.

*Translated with Google translator. We apologize for any imperfection

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