The other important feature in the diet part of their anorexia medicine, is that they have a good diet that gives them all the nutrients that they essential. This should regularly compose bright fruit and vegetables, whole grains, proteins and fats. This way their health may start to enrich and they may begin to be able to do effects that they could not before, if their health was unnatural by their illness.

The ability to make links and to uphold relationships that are not just with other anorexia nervous sufferers, is very important in anorexia treatments. This is a very important part in keeping the enduring fortunate, as it means that they see people that are not just chatting and thinking about anorexia and the gives them more perspective on what normal living is.

One of the more enjoyable aspects to an anorexia healing is in erudition how to have fun again. The gives them more of a perceive of goal than just getting better and gives them something to look brazen to.
In some anorexia treatments the sufferer is encouraged to take a more realistic pose towards failure and the lack of precision in others. This is not painless for someone who has always wanted what he or she thought of as perfection. If they can grasp that there is not genuinely any need for this in everyday living, then it can make effects a lot easier for them.

Teaching someone to eat well and take the gentle thoughts towards the lack of perfection in everything around them, may sound literally plain, but it a subject of selection the patient to see that this is the way that most people think and that it is the easiest way to get on that is the unfeigned challenge.

It is a struggle but with the right position it can be beaten and is constantly beaten by thousands of people every day.

Importance of self-esteem in anorexia

Low self-esteem is a common feature of different eating disorders as it reflects the patient’s fear that if they “abandon” and shows the world as it is in fact will be rejected immediately.

One of the goals of good therapy eating disorder is getting the patient to appreciate its own intrinsic worth.

Reasons for low self-esteem: how someone develops low self-esteem? Involves several factors:

- Belief that figure determines the value: People with eating disorders have come to believe that they are despicable and unacceptable unless they are thin, and of course, never get to be thin enough to feel satisfied.

- Unit of external factors in determining one’s worth: Instead of loving and valued internally, measure their worth through external signals, eg the qualification of an examination, the mark of a race, the endorsement by friends …

- Thinking of themselves as useless and incompetent: If a person feels helpless about his life or environment, it is clear that it will not be able to develop great respect for herself.Tips for encouraging self-esteem:

- Engaging in something the patient already do well: develop a new activity involves patience and the risk of not having attitudes to it, so make sure that the patient operates low self-esteem or individual, engages in something that knows he does well.

- Find “devil’s advocate” imaginary or ask a friend to be: so someone with low self esteem can begin to understand how negative it is relying on external reinforcement to feel good about herself.

- Asking “Why is it so important to a particular aspect?, Would it change your life a lot if I weighed 4 kilos less?,” Would get better in the job?, Would it be more fun at parties?, “Eleanor Roosevelt have achieved most things if it had been beautiful? “.

- Why not look better without worrying about your weight?. It’s nice to imagine a world where people’s weight was unchanged. “Would you still take half a grapefruit for dessert instead of chocolate cake?.

- Act as if it were thin, as if it were beautiful. Paradoxically, people who act as if they wanted a better start to get reaction from the world, making them easier to love truly.

- Observe the people around them. This is most effective if it belongs to a club or gym, where people walk around in various states of undress. How many bodies are perfect?. In addition to what can be perfect for someone else may not.

- We must learn to accept. It’s great to develop a plan for healthy nutrition and exercise, leaving it clear that we are not looking for a weight loss plan but only guidelines to eat a normal healthy diet. The same goes for an exercise program: we must make it clear that you are exercising to benefit the heart, bones … not to achieve an impossible figure.

- It’s good to join a group of self-help or support. A group of other people experiencing the same, this will help them see that they are not alone.

Suggestions for the family: eating disorders affect the entire family. It is impossible to pretend that all is well, many parents wonder: “Is it my fault?” Have I done something wrong? “. It is important to remember that eating disorders can have many causes but there is no denying that the presence of a condition usually indicates a basic problem in the dynamics of the family, but also understanding that the patient is so influenced by culture overall and by their upbringing.

It is important to know that only in rare cases of eating disorders manage solution without professional help. The family can not blame the lack of activity can only be expected of a trained professional.

If we wanted someone with anorexia, you have to tell you frankly, do not be silent in the hope that it is only one stage, the longer it persists the disease will worsen the patient more and more difficult it is to treat, plus there is always the possibility of that the patient is pleading for help silently, secretly waiting for someone to notice their plight and help to find a solution.

SOME TIPS:

- Compose himself before, not emotion expressing serious concern and understandable way.

- Expect resistance. Anorexics say keep in perfect health.

- It is necessary to stand firm in spite of what the patient says or denied, need help. Make clear that our concern is your health and your life.

- It’s good to make the patient responsible for their conduct.

- Be willing to help ourselves, because eating disorders affect people around too.

- It’s good to make sure their own family’s needs are met. There are support groups for relatives of people affected.

CONCLUSION

When considering a treatment, has taken the first and most important step to recovery: it was understood that there is a problem, it requires great courage.

During an intervention and effective treatment, can help ease the destructive pressure anorexia and other eating disorders have on patients and relatives. A good treatment program does not offer a cure for overnight but it offers hope.

There is no standardized method for treating eating disorders “is the best treatment that gives results.”
The important thing is that the program is comprehensive, combining psychotherapy and nutrition therapy counseling and assistance, if necessary, specialized medical care

1. Individual psychotherapy: perhaps the most important aspect of therapy is to develop a warm relationship between patient and therapist.

People affected often find it difficult to trust others. You need a high degree of confidence by the patient to trust the therapist. The patient must abandon their fears and begin to develop normal eating habits.

2. Traditional psychotherapy: The media in this psychotherapy encourage the patient to reflect on his childhood dreams and unexpressed feelings for, thereby acquiring a new perception of their current behavior.

Recognizing the role of these subliminal influences, the patient will acquire a new perception of their actions and change.

This kind of therapy is better as an accessory to other methods. Today, psychologists know that knowledge about the roots of a person’s behavior, will not you change this behavior unless you change the eating habits of the patient. Many of them spend years in traditional therapy without ever revealing that they have a disorder.

Moreover, as the patient gains control of the diet, traditional psychotherapy can help you identify and manage some of the feelings that contribute to the disorder.

3. Behavior Modification: This form of therapy completely ignores the underlying feelings and focuses only on changing behavior. The behavior modification works on a principle: to reinforce a desired behavior through rewards and punish or ignore unwanted behavior.

This form of therapy works best when the patient is admitted to the hospital, where staff can answer incentives such as TV or excursions, …

When first applied this method gave good results, but unfortunately were only temporarily. The patients found the hospital stay so unpleasant that performed the desired behavior is only enough to be discharged and once out, they returned to their old ways.

4. Cognitive Behavioral Therapy (CBT) combines the best aspects of traditional psychotherapy and behavior modification.

This method requires knowledge and challenge self-destructive behaviors and thoughts, followed by appropriate changes in behavior.

This therapy involves the following steps:

* Reinforce knowledge of the patient, their own thinking patterns.
* Teach him to recognize the connection between certain feelings, self-destructive thoughts and behavior disordered eating.
* Replace the erroneous beliefs more appropriate ideas.
* Gradually changing the fundamental assumptions that underlie the development of eating disorders.

It is often assumed “mistaken beliefs” at one time or another, the difference is that for a patient with anorexia are more extreme these beliefs. Some of these thoughts are typical:

- Thinking black or white / all or nothing: it is the conviction that if everything is not perfect, disaster is just around the corner.

- Errors of attribution: for example, when an anorexic bluntly state that has gained a kilo just by eating a pie last week when in reality this weight gain was because I was at the time of the menstrual period, which always made retain fluids.

- Magical Thinking: the minor food indulgence in the “forbidden” means instant obesity. Some people say, “My body does not tolerate carbohydrates, instantly becomes the fat” or “I’m addicted to sugar,” “I taste something sweet and I lose control.” Such ideas attributed unreal and almost magical properties to food and the human body. In these cases, the best look at a book on nutrition or help from an expert in nutrition programs to explain to the patient as the body metabolizes food, in order to help her understand that there is no food called “bad”.

- Customization: Anne, an anorexic for 15 years, spent the holidays in the treatment of eating disorder when she returned to school and had gained 3 or 4 kilos. Her teacher saw her and said, ‘Anne, you’re great!!, Did you have a good summer? “. During the day Anne lamented: “Have I gained so much that people notice?, Did she know that I was subjected to therapy?”. Anne had taken the polite comment from her teacher as a drama, perhaps a reflection of low self-esteem that characterized his illness.

- Exaggeration: Anne’s reaction to her teacher’s comment is an example of overstatement: the tendency to deorbit things. The comment from the teacher became a belief.

Conclusion: CBT has been practiced successfully in patients with bulimia and has been recommended for treating anorexia nervosa but their long-term effect on the latter is not known with certainty.

- Your general physical and mental state.
- The severity of the condition.
- The possible existence of concurrent disorders.
- Their willingness to change.

For the therapy result, doctors and therapists need more information about the person trying to help.

An eating disorder involves all facets of someone’s life:

- Your self-image.
- Your relationship with family and friends.
- Your ability to enforce their rights and make known their needs.

Most of those affected disorder get much of their own image, that is, through it can be seen as special or thin or heavy. (Just imagine how it feels to develop a trait that anyone is particularly proud, only to be told you have to change it).

This is the task that faced by people who face treatment: Assume that the trait of being so proud, is harmful.

For this reason, the assessment must be as detailed as possible so that the therapist can tailor therapy to each patient.Questionnaires: Questionnaires have been developed several specialized to evaluate patients. They help to assess someone’s attitudes toward weight and shape and clarify the psychological characteristics such as personality traits, the degree of social performance and similar problems. The most commonly used are:

* TAIC: Test of attitudes of food intake. It consists of 26 questions designed to measure the presence of disordered eating patterns and whether the patient suffers from anorexia nervosa.

* ELITIC: Test with 91 questions designed to measure a range of psychological symptoms that are thought to contribute to the development and maintenance of eating disorders such as the tendency to thinness, body dissatisfaction, perfectionism …

These questionnaires can not be used in themselves to diagnose eating disorders, what they can do is say who is more likely to have an eating disorder and what can be some of their own problems.

The interview: The interview should help the doctor or therapist to get a clearer idea of the lifestyle of the patient and their current weight, diet history, eating habits …

Other aspects such as attendance at work or class, with a boyfriend or husband or friends and family and foreign occupations are of interest because they shed light on their performance skills, the degree of independence and the extent of their isolation.

The doctor, during the interview, will have great interest in the past and present attempts to be dieting, bingeing and vomiting, use of laxatives, diuretics and diet pills.

Finally, the interviewer will want to know if the person is ready to change and especially if it is ready to receive therapy.

Moreover, it is also important physical assessment. If a woman has a figure emaciated and unable to think clearly or be restless and / or other signs of imbalance, may require immediate hospitalization. A physical impairment so extreme, affect mental functioning and ability to benefit from therapy.

The intervention: it is often used by those who want to the person concerned and worried about their behavior, is an eating disorder, drug or alcohol abuse or other kinds of self-destructive behaviors. Surgery can be an effective means of communicating their concerns, establish some rules and maybe the person concerned, decide to seek help.

To attempt an intervention is needed these two points:

1 – If possible, the intention is a positive comment to a counselor, clergy or family doctor.

2 – It is necessary to carefully plan the intervention. Who should be there, parents, brothers, boyfriends … In general the right people are closer to patients, who see it more often and those whose lives have been affected by his conduct.

3 – You must know the facts so you can give the offeree reason for his concern: It is inappropriate to criticize and say “you’re destroying this family” is harmful and melodramatic though it may be true -. Instead you could say that it is concerned about his health, perhaps even for his life.4 – We must stand firm. It may not produce a miracle overnight, but that’s no reason to change its view that a problem exists.

5 – It is normal to expect resistance to the anorexic. They get a sense of pride and identity of Being thin and feel attacked when someone tries to change it.

6 – It should be documented. Must read literature on the subject of food intake, see if any support program or camp in your community.

7 – We must always remember the purpose of the intervention. Its goal is to help the affected person. If it fails the first time that, keep trying, we must not give up or lose sight of the goal.

8 – We must recognize the patient’s fears. For an anorexic, the idea of changing habits maintained for months, maybe years, it really scares begin to think or fear that you are trying to turn it into a fat. Do not minimize those concerns even if they seem irrational.

9 – It is advisable to wait. It is very important to intervene early because probably not get instant results. You may be required several days or several weeks to finally accept an anorexic help.

10 – Do not forget your own needs who performed the surgery. An eating disorder has effects on family life. It’s nice sometimes to seek socio-psychological support or find a support group to ensure that you are caring properly.

The success of therapy depends on many factors, including:

- The personality of the patient and her desire for change.

- The duration of their disorder.

- The age at which the disease began.

- Your family history.

- Level of social and vocational skills.

- The occurrence of other disorders such as depression.

It is important to remember that there is no miracle cure for eating disorders. These diseases involve problems against which the patients have fought and continue to fight for the greater part of their lives, but a good treatment program will help build self-confidence and teach patients to face their problems without engaging in self-destructive behavior or . The program will also help restore health and physical strength.

In general, the three main goals of therapy are:

1 .- To mitigate the physical and dangerous or who pose a threat to life.

2 .- Teach the patient to eat normally and enjoy a more relaxed relationship with food.

3 .- To investigate, in the hope of change, destructive thoughts concerning eating, weight and eating.

According to Martinsen is a close relationship between physical exercise and depression because the more exercise less depression. This phenomenon can be explained from two viewpoints:

- Medical: It helps to improve health problems and

- Psychological: exercise requires concentration, which prevents thoughts cause negative reactions.

Physical exercise increases self-esteem, as they get a positive body image. It is conceivable that the positive effect of physical activity is simply a placebo effect, as inferred in Deshornais study in which 48 boys underwent a physical activity program. He told half of them that the program was aimed at improving their psychological well and nothing was said to the other half. In the end it was found that self-esteem had improved in the study group, and not the other.

Physical exercise also has its risks as dependence on physical activity. Morgan proposed the following warning signs:

- Emphasis on physical exercise as an obligation.

- Experimenting with symptoms of “dostinencia” as irritability, anxiety and depression when it prevents the exercise.

- Maintenance of exercise despite the medical prohibition.

Morris conducted an experiment with 40 riders to observe the usual withdrawal symptoms. The experiment consisted of riders split into two groups. The first physical activity interrupted for two weeks. At the end of the second week of suppression of physical activity, the components of the group “inactive” depressive symptoms had a significantly higher than the runner group. The “inactive” during those two weeks of inactivity, had more somatic complaints, more anxiety, insomnia and more feeling more stress than their “assets”. Morris Hence deduce that the interruption of regular physical exercise produces a real “withdrawal”.

Physical exercise practiced for reasons of weight, muscle tone, obsessively personal appeal, is directly related to eating disorders and body image dissatisfaction. This means that stopping abruptly physical activity occurs weight restoration.

In contrast, a regular practice of moderate physical exercise to keep fit and lose weight not obsessively is very beneficial both mentally and physically

Anorexia is more common in women than in men but this is not to say there are not men who suffer, but there are few (no fewer than 100 cases described in medical literature before 1986).

Because there are few men who have it, has come to view women differently from anorexia. Comparisons have been made between clinical and developmental characteristics of boys and anorexic women:

The first review was in 1985 in the department of psychiatry at the University of Munich and the Max-Planch institute where the features were compared with 23 anorexic 29 anorexic. It concluded that the average age of onset is the same for both sexes. 95% of men expressed a denial of the disease, hyperactivity, ideal of thinness, weight and diet phobia. Bulimic symptoms occurred in 76% of them being regarded as restrictive as 24%. Vomiting occurred in half of patients. This symptom is equal in women but with more intensity than them, demonstrating more somatic complaints, more specific concerns, more anxiety related to sexual themes, more hyperactivity. It examined personality traits of each other and found no difference. The only other was found that the age of the mother at the birth of the patient was significantly lower in the case of anorexics. It is a fact difficult to interpret.

We conducted a second study which took place at St George Hospital in London in 1986 and compared 36 men with 102 women anorexic anorexics. It was the following:

SIMILARITIES

- Fobia under the weight
- Ideal of slimness
- Average age of onset
- Socioeconomic class of source
- Characteristics of previous weight
- Duration of the disease at the time of the consultation
- Monitoring of dieting
- Order in the family, number of siblings
- Type of childhood relationships with peers
- Sexual activity premorbid
- Academic achievement
- Mental illness in parents
- Weight disorders in the family

DIFFERENCES

- In some of the procedures used to combat weight gain, women use more laxatives.
- Males have practiced more sports than women.
- The controls follow-up between 2 and 20 years after the consultation seems to point to a more optimistic results in men, but without reaching significant differences.

There is an apparent existence of a sex ratio and more specifically of homosexuality in men anorexic.

In clinical practice shows that the male anorexic but that “being thin” want “not fat”, why care about get some muscles to “impress the girls.” Adolescent boys also experience a lot more social pressure to strenuous exercise, assuming and practicing what has been called “physicality”.

In short, while teenage girls, while in pursuit of thinness, are concerned about the manner of dress, cosmetics, hairdressing, the use of costume jewelry / jewelry … adolescent boys engaged, preferably in the construction and shaping of your body.

Noteworthy in the topic of male anorexics the use of anabolic steroids. These products, derived from testosterone, were administered to German soldiers during World War II. This was intended to increase their aggressiveness and their “fighting spirit”. Probably it was the first application of these substances outside the medical clinic. Following this were the athletes who ingest steroids began to develop non-fat tissue and increase muscle strength.

But steroids also produce these changes in the person have many negative consequences, such as hepatic cysts occur, reduce the variety of protective cholesterol, reduce sperm production and testicle size, reduce the production of sex hormones (in both sexes , etc.).

Fortunately, the use of steroids is not yet widespread practice among adolescents taking stimulants and anabolic usually to improve their musculature and athletic performance.

SYMPTOMS physical starvation
* Cool skin, sometimes with a bluish tint.
* Pain when sitting.
- Development of fine hair all over his body.
- Hypotension, or abnormally low pressure.
- Heart weakened.
- Indigestion after little food he consumes.
- Feeling weak or tired.
- Problems with sleep.
- Anemia due to lack of iron and protein.

- Hormonal abnormalities, absence of menstrual periods.Psychological characteristics of anorexia nervosa

- BODY IMAGE: Most anorexics perceive a distorted body image because they are too fat, ignoring what it is they look emaciated.

One of his main fears is to become fat and the decision to maintain a fairly low body weight at any cost.

- A watershed event: this refers to the immediate young adulthood and independence that society expects her to succeed. As becomes thinner and weaker, the anorexic needs more attention of those around her, and no longer has to worry about going out alone because it would entail greater control over their own lives.

- Satisfy several conflicting needs: the release of the stress of entering adulthood and achieve independence, while attracting the attention of parents and provides a measure of control over their own existence.

Through these psychological characteristics can be observed two types of anorexia:

- Austere anorexics: they start losing weight through diet and exercise, usually helps with laxatives, diet pills and / or diuretics.

- Anorexic voracious: they show features of bulimia nervosa, ie passing through bingeing and vomiting.

Other features are those with these girls:

- A history of slight overweight: these girls start taking a little overweight so start with strict diets and then do not stop when they reach the weight they wanted, they like, and continue to lose weight.

- An excessive desire to please others and avoid stressful situations: try to please others at the expense of their own happiness and thus develop a rigid personality, expressed in an excessive need to follow rules and a tendency to criticize others. They try to maintain control over their environment because they have no control over their own lives.

This also leads to fear having to face new situations and problems arise and they identity and control.

- Choosing a hobby or a career that places great importance on weight: the careers of dancer, actress, model and athlete, encourage this disease because it is given a high value on having a slim and healthy.

There are a number of factors are also crucial in anorexia:

- Family factors: many of the affected families are from loving and caring but there are a number of factors that will lead to anorexia. It is well established that families of anorexics are located in the middle and upper socioeconomic strata of society. This fact implies behaviors, values and personal relationships other than the person belonging to other strata as well be a tendency for parents of anorexics have advanced ages.

Granting of a great emotional importance to food, eating, weight and appearance: this case can occur when parents are involved in some kind of close relationship with food restaurants, working in the food industry …

Cases of anorexia nervosa in the family and anemic disorders in close relatives: Most cases usually occur because a family has already suffered from anorexia or any emotional disorder like depression or manic depression.

Exaggerated emphasis on the appearance and achievements by one or both parents are often subjected to diet to please a parent what the cover leads to negative feelings like anger.

An excessively close relationship with parents, excessive control: parents take too much control over them coming to make their own decisions and govern their own lives because they have high expectations placed on them. They try to completely satisfy the wants, needs and expectations, and in doing so fail to express their own wishes to produce a lack of recognition of herself as an individual in its own right.

Other family problems: many disorders that may have within it such as alcoholism which leads the child to focus on it and neglect their problems.

All these problems are intertwined. Disorders come to spend a lifetime in a particular social and family environment. Members of a family almost never realize the impact of their conduct in the future patient.

The first case of anorexia was in Catherine of Siena. With 26 years his idea of devoting his life to God clashed with their parents’ plans to marry her.

This situation led her to lock herself in her room getting ill-treated by not eating at the end enter the Dominican order, but with half its weight.

The prestige of Catherine of Siena and quickly spread after his death at age 28, had many religious followers.

There are many cases of anorexia in the nuns of the Middle Ages. Fasting was a way for the spirit to triumph and not the flesh. Being without food was considered a sign of holiness. This monitoring anorexia suffered by God was called “Holy Anorexia”

Anorexia was the word used by doctors as synonymous with lack of appetite, loss of appetite and certain stomach disorders.

Richard Morton was the first who gave a description of anorexia box. Described a patient 18 who showed the symptoms of anorexia nervosa: weight loss, obsessive dedication to the study, loss of appetite …

Morton always refers to the disease as a nervous disorder and is curious to know who healed this girl away from her family and studies.

Finally, with the intervention on the family of a patient and his return as a means to heal, it got the concept of anorexia nervosa remains within scientific medicine.

In the twentieth century anorexia nervosa is known as a fear of gaining weight, but before the twentieth century was not clear whether the girls who had suffered from fear of gaining weight or not. This was questioned because many were religious or spiritual motivations.

In this century, Freud’s view was that all appetites were manifestations of libido or sexual impulses as eating or not eating associated with the presence or absence of basic sexual impulses. Fasting Freud supposed to disgust or discomfort caused by food. But Freud did not give any weight to socio-cultural factors in anorexia nervosa.

- Primitive societies: in primitive societies, women had more sex appeal fat than thin. A fat woman was a sign of high status, prestige.

In all cultures were carried out procedures to change some characteristic body to increase sexual attractiveness and social. Using paints, cosmetics but until the advent of the modern world where cultures are not intended to have more social appeal by increasing or decreasing your body.

A rich woman’s body was a sign of luxury, thinness was a symbol of death.

CONCEPT

Anorexia nervosa is an eating behavior disorder characterized by a significant loss of body weight normally produced by the voluntary decision to lose weight. This thinning is achieved by eliminating or reducing food consumption, especially the “fattening” and also quite often through vomiting, laxative abuse, excessive physical exercise and consumption of anorectics, diuretics …

The disorder usually starts between 14 and 18 years of age, but in recent times is decreasing age of onset.

The anorexic patient experiences intense fear of weight gain, although it decreases more and at an alarming rate. It produces a distortion of body image, which undertakes to maintain the diet.

The fact weight loss is almost always denied by the patient and not generally aware of the illness. This malnutrition causes alterations, symptoms and disorders: hypotension, skin changes, hair loss, gastrointestinal disorders, etc.. There are also symptoms of anxiety, depression and obsessive. This malnutrition also causes sadness, irritability, social isolation and even thoughts of death and suicide.

Concerns about food are truly haunting. The thoughts and attitudes related to body weight and food, and disease progression after diagnosis indicates that 25% of patients remain anorexic, 40% have depressive symptoms and 25% obsessive. The mortality rate is between 8 and 10%, but when the illness lasts more than 30 years this figure rises to 18%.

After twelve years of disease progression in healing a person is considered virtually impossible.

About half of patients experience episodes anorexic bulimics, this is also a feeding behavior disorder characterized by the presence of episodes in which the patient ingests food quantities above normal, although in principle the bulimic does not wish at all that binge . Following these binges, still vomiting, laxatives, diuretics …

At the onset of anorexia involving sociocultural factors, is the pressure from society, the media, the desire for thinness.

Individual factors are also involved, as are the bodily changes that require the attention fixed on the body. Is this the time when the adolescent body image compared with the body aesthetic model this in their social environment.

There is also talk of the family as an important factor in the onset of anorexia but not something specific to the disease. It was observed that there is a predominance of overly educational style and excesses of eating disorders, mood and anxiety disorders in relatives of anorexics.

But these elements can not be considered important factors of this disease, ie, are associated with other diseases that have nothing to do with food. Anyway once that anorexia is underway, family conflicts loom large.

Warning Signs of Anorexia Nervosa

- Eat a diet as if, despite already very thin.
- Wear clothes too baggy or too big.
- Being preoccupied with weight, diets and to achieve the figure.
- Experience personality changes.
- Experience dizziness, fainting, unconsciousness and difficulty concentrating.
- Fear of gaining weight or becoming fat.
- Distorted perception of weight, size or shape of your body.
- In women, the absence of at least three consecutive menstrual cycles.
- No other physical or psychiatric disorder that could justify the loss of weight or refusal to eat.
- Start of treatment before 25 years of age.
- Presence of at least 2 physiological symptoms associated with anorexia nervosa. These are:
* Abuse of laxatives, diuretics or diet pills.
* Exercise excessively. You may even 5 or 6 hours a day.
* Osteoporosis. The bones become fragile.