Traditional Treatment Methods Anorexia and Bulimia Family Individual therapy and Cognitive Behavioral therapy •Less than 50 recovery for Anorexics • about 50 recov

							Traditional Treatment Methods: Anorexia and
                  Bulimia

Family/Individual therapy and Cognitive Behavioral therapy

   •Less than 50% recovery- for Anorexics
   • about 50% recovery- Bulimia

Family Therapy- 30-50% Anorexics relapse after 1 year.

Although traditional treatment is less than 50% successful,
many treatment facilities still use these methods and the patients
have little chance of recovering.
Mortality rates can be as high as 25% for anorexics.

The usefulness of traditional theory and treatments??
            The Karolinska Method
Treatment Plan of Cecilia Bergh, Ph.D. and Per Sodersten, Ph.D.

   • Anorexic patients set individual weight gain goals

       • no less than 4.4 lb gain at a goal

       • once that weight was reached the patient set a new goal

   • Patients ate 3 meals per day- 1 meal with food weighed on a
   scale
       • The scale recorded weight of the food eaten from the plate
       so the researchers knew how much of the food each patient
       consumed.
       • patients were taught to eat slowly and trained to report
       their satiety level; in effect, re-learning how to eat properly
       and recognize proper fullness sensations
   Karolinska Method cont.
 every minute patients reported their level of satiety
on scale from (0 –10).
       • 0 – none at all   10- extremely strong
       • gradually increased amount of food eaten

 After each meal patients rested for 1hr. in a warm
room with a temperature that could be as high as 104
degrees Fahrenheit.
 Exercise was eliminated or limited to a slow walk
around the clinic- increased exercise allowed once
patient was in remission.
                  K Method Cont.
• Scheduled meals
   • Breakfast 7-8 am
   •Lunch 11:30 am- 12:30 pm
   •Dinner 4:30-5:30 pm
   • Snacks in between
• Social goals- increase social activity
   • going to café with friends, school, jobs
   • school- 1hr a day prior to remission
• No psychopharmacological drugs used for treatment
                 Patient Groups
 The 32 patients were randomly assigned to either the control
group or the treatment group.
   • 16- treatment group/ 16- control group

   • The control group received no treatment except for the
   initial evaluation and patients waited for treatment an
   average of 17.5 months.
       o Only 1 patient went into remission while waiting for
       treatment.
   • The treatment group began the program on average about
   1.3 months after the initial evaluation.
           Remission of Symptoms
 Remission: a patient no longer meets the criteria for an eating
disorder. Also included in the definition:
   • body weight, psychological profile, and lab tests all had to be
   normal, and food and dieting could no longer be a problem for
   the patient.
   • patients also had to be back in school or working and
   socially active.
 Remission rates

   • 14 out of 16 (88%) patients in the treatment group entered
   into remission after an average of 14.4 months.
   • A follow-up 22 months after the patient entered remission
   showed 76% of the patients still in remission.
                    Second Study
 In a second study of 168 patients

   • 145 patients entered remission or approximately 90%: 83
   within 12 months of treatment and 62 in just 7 months.
   • Of the 83 patients- approx. 90% (75/83) returned for the
   follow-up at 12 months post treatment
   • These results show that most of the patients who entered this
   treatment program recovered from their eating disorder.