01
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2014

Zaburzenia odżywiania

W ich leczeniu terapią, która ze względu na swoją skuteczność stosowana jest z wyboru na całym świecie jest terapia poznawczo-behawioralna (CBT czyli cognitive-behavioral therapy).

Dane wskazują, że 2 na 3 pacjentów, którzy ukończyli leczenie zareagowali na nie bardzo dobrze, oczywiscie pod warunkiem całkowitego zaangażowania się.

Terapia polega na rozmowach pacjenta z terapeutą. Początkowo sa one skoncentrowane na mechanizmach podtrzymujących problem i skupione na teraźniejszości i przyszłości. Jeśli zaistnieje taka potrzeba to zajmuje sie także poczatkami problemu.

Terapia bywa okreslana jako “szyta na miarę”, czyli dopasowana do konkretnych problemów danej osoby i jej potrzeb tak, by wkrótce w trakcie jej trwania pacjent wraz z terapeuta stali sie ekspertami od tych konkretnych zaburzeń i tego co je podtrzymuje.

Najczęściej terapia trwa:

  • 20 sesji w okresie 20 tygodni dla pacjentów z BMI powyżej 17,5 (pierwsze 8 sesji dwa razy w tygodniu, kolejne 10 co tydzień, ostatnie 3 co dwa tygodnie)

  • 40 sesji w okresie 40 tygodni dla pacjentów z BMI pomiędzy 15 a 17,5 (piersze 20 sesji dwa razy w tygodniu, kolejne rzadziej)

Ważne, by w trakcie terapii było jak najmniej przerw, by nabrać odpowiedniego rozpędu by terapia lepiej działała.

Sesja trwa około 50 minut, sesja diagnostyczna bywa dłuższa nawet do 1,5 godziny.

Terapeuta wraz z pacjentem maja stworzyć zespół, który razem współpracuje w celu pokonania problemów z jedzeniem. Po każdym spotkaniu umawia sie na kolejne kroki, które pacjent wykonuje sam pomiedzy spotkaniami. Są one priorytetowe mimo, iż czasem bywają ciężkie do wykonania.

Cała praca jaką pacjent włoży w terapię i wysiłek bywa ogromny, ale wartościowy. Im wiecej wysiłku się włoży, tym lepsze efeky uzyska. Ważne by wziąć z terapii ile sie da i nie poddawać, gdy jest cieżko.

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