psychological eating disorder

Bulimia Nervosa(BN) is a psychological eating disorder that is defined by ingesting a large amount of food in a short time (binge eating), which is later followed by purging. The disorder is mainly noted among adolescents and young adults. BN is primarily associated with effects that are both physical and psychological that may lead to distress and impairment in the life of the adolescent. Family-based medication among the youth is leading, but there is more room for improved treatments. Although medicine has evolved over the years, guides for treating eating disorders such as BN still lag.

The reason I choose the article is how the authors provide information on treating the disorder among the youth and how treatment occurs. The methods include family care therapy(FCT), cognitive behavioral therapy(CBT), supportive psychotherapy (SPT), and (PDT) psychodynamic treatment. From the article, I learn that CBT will be less effective in adolescence because all it requires is a therapist to guide patients through a workbook and later monitor their behaviors. It will be challenging for adolescents to follow a book because, to them, it will be like another school.CBT will work better in adults because they are mature enough to speak up their experiences and follow a therapist.SPT is not like CBT that uses specific approaches like using a therapist. It is a comprehensive treatment, which is compared to what a community receives, like using a support group to benefit individuals.

In using PDT, a study was conducted in Germany that involved Psychotherapists for adolescents and children. The method of treatment is tailored for young people, which focuses on a symptom-based approach. The disadvantage of using PDT is that on a theoretical basis, each symptom has a different emphasis and effect on the emotion and behavior of each individual. It will make the recovery process a long journey, mainly if the method is used among many patients, although the authors compare all plans and state that from the four methods of treatment, CBT is the most effective. From my point of view, family therapy will work best in adolescents, not forgetting other forms of therapy because by using a family therapy, this method offers psychoeducation to them and focus on solving problems.

Adolescents go through many challenges, such as emotional stress and the stress of transitioning from childhood to young adulthood. It requires a lot of psychological therapists, and to add to the psychotherapy. The family will play a significant role in restoring proper eating patterns in those adolescents because apart from friends, the family is closer to the individuals than a psychiatrist. The family will easily monitor the eating habits of adolescents and reduce the chances of bingeing. What I tend to disagree with the authors is on the issue of medical treatment because every victim has there signs and symptoms that show it is Bulimia Nervosa. Some are full-threshold and sub-threshold similarly, some purge and those who do not. A clinician is necessary to follow up on the adolescents who have BN because any compensatory behavior has its adverse effect on the health of those individuals, and a medical doctor is required with more importance as psychological treatments.

In conclusion, although few studies show treatment of Bulimia Nervosa in young people is possible, with adolescents, it becomes difficult to detect BN because of secrecy, and this may inhibit treatment. The family plays a significant role in the detection of irrational eating behaviors, and they can help to regulate those eating sessions. Monitoring and assessment from a medical practitioner are also necessary because a clinician can uncover medically significant symptoms and offer pharmacotherapy advice. Even when the medication process among adolescents with BN still lags, some methods show there is a high chance of adolescents recovering from BN.FBT is recommended in some adolescents because it involves caregivers who can participate and monitor patients in their treatment. For those adolescents who are unwilling to join in the FBT, the CBT approach can be helpful. PDT is also useful in dealing with cognitive disorders. However, further research on the medication of BN is necessary to identify the most effective methods of treatment for particular adolescents with certain behaviors and signs and symptoms.

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