How Is Anorexia Diagnosed
Doctors use several methods to officially diagnose anorexia. For example, a physical exam will help reveal any telltale changes in your normal body function. Blood tests also help uncover these kinds of changes. Additional forms of physical testing may include:
- X-rays that assess the health of your bones
- Electrocardiograms or other heart-related tests
- Pneumonia testing
A psychological assessment or evaluation is also standard. An assessment provides a general overview of your typical thoughts and feelings. It also provides information on your typical eating patterns. A detailed evaluation allows your doctor to gain a fuller picture regarding these issues.
Doctors also look for specific anorexia symptoms. These symptoms include:
- Significant weight loss caused by restricting your calorie/energy intake
- Extreme fear of putting on weight, or
- Ongoing behavior that makes it hard for you to gain weight
- A distorted perception of your weight or body shape, or
- Basing your sense of self on your weight or shape
- A failure to recognize the impact of your low body weight
You have restrictive anorexia if you have not binged or purged for the last three months. If you have binged and purged during this timeframe, you have binge-purge anorexia.
Anorexia Treatment: Eating Disorder Treatment Types
Like all other eating disorders, anorexia is a complex illness. To recover from its effects, you typically need multiple forms of treatment. Options that may play a role in your anorexia treatment include:
- Temporary hospitalization
- Medical treatment or supportive care
- Some form of psychotherapy
- Nutritional counseling or therapy
You may need to be hospitalized to address an anorexia-related emergency. This kind of emergency may involve immediate threats to your physical well-being. It may also involve suicidal thinking or other immediate psychological threats.
Whether you are hospitalized or not, supportive care is common. Common forms of support include:
- Tracking your vital signs
- Making sure you are well-hydrated
- Using electrolytes to correct any serious imbalances
Some people require medical care in the form of a feeding tube.
Certain kinds of psychotherapy have provided benefits for people recovering from anorexia. Teenagers often improve with the help of family-based therapy. Adults may benefit from CBT, or cognitive behavioral therapy.
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Restoring a Healthy Diet in People With Anorexia
Anorexia treatment focuses largely on helping you return to a healthy body weight. As a rule, this is not a simple process. Instead, it requires input from several kinds of medical experts. Your primary doctor often plays a supervisory role. A therapist or psychologist will help you make the necessary changes in your eating behaviors. A nutritional therapist or counselor will help you plan the specific details of your new eating plan.
Your loved ones will probably also have an important part to play. They can provide vital support in helping you reach your weight-gain goals. In addition, they can help create living conditions that make it easier for you to recover. Lifestyle and therapeutic approaches to anorexia work together to increase your overall recovery odds.
Challenges to Anorexia Treatment
Challenges are the norm for anyone receiving anorexia treatment. Often, affected people do not believe they need help. Instead, they view their eating behaviors as valid and right for them. Even if you know help is needed, you may have difficulty reaching out. Why? Some people with anorexia fear gaining weight more than they fear the impact of their illness.
Residential Treatment and Anorexia
You may need residential treatment for anorexia. Reasons for taking this approach may include:
- Weighing less than 85% of normal for your height and age
- Needing supervision to maintain a healthy eating pattern
- Having a home life that do not support an effective recovery
- Lacking enough motivation to recover as an outpatient
- Requiring help to avoid purging behaviors
- Having additional mental health issues
Ask your doctor if residential treatment works best for your situation.