A basic treatment approach has not yet been adopted for the treatment of both diseases. The effectiveness of individual psychotherapy techniques, family therapy, group psychotherapy, and pharmacological treatment is discussed. It generally means benefiting from many treatment approaches at the same time, within the framework of cooperation and collaboration. Within this framework, medical interventions regarding nutrition and correction of somatic status should also be included. In order to increase body weight in anorexia nervosa and to reduce binge eating attacks in bulimia nervosa, consult with a nutritionist; If somatic complications require it, it is necessary to work with an internal medicine specialist. In the treatment of anorexia nervosa, it is risky to gain weight rapidly without improving body image during nutritional rehabilitation. By starting with an intake of 1,500 calories a day and gradually increasing it, an increase of 1-1.5 kilos per week can be aimed. If somatic complications are life-threatening and body weight is 30% below what is expected for age, gender and height, hospitalization may be required. The effectiveness of family therapy in the treatment of eating disorders is increasingly recognized. Some researchers suggest that treatment for eating disorders that does not address the family will fail. It is more effective in young patients living with their families. We work with the adolescent and his family on the basis of separation-individuation and gaining autonomy. Its place in the treatment of anorexia nervosa seems to be more accepted than that of bulimia nervosa. Cognitive-behavioral psychotherapy is one of the most effective treatment methods. Similar techniques are used in anorexia nervosa and bulimia nervosa. Wrong eating attitude and excessive preoccupation with body weight are targeted. Cognitive-behavioral psychotherapy is very effective in correcting the main symptom of body image disorder. Classical psychoanalysis has a limited place in the treatment of eating disorders, especially in anorexia nervosa, due to the difficulty of transference. Psychoanalytic references are needed to explain psychopathology, but it is not possible to study them immediately with the patient whose treatment demand is very inadequate. Psychodynamic psychotherapy has an important place in the treatment of eating disorders. The aims of psychodynamic psychotherapy are; Increasing the patient's capacity to feel and talk about his/her feelings It can be summarized as ensuring the patient's health, facilitating the expression of feelings of power and dependence, addressing superego and primitive guilt feelings, developing more appropriate coping strategies according to the existing eating behavior, increasing self-care, and returning the patient to a healthy physical, nutritional and cognitive state. It should not be forgotten that drug therapy in the treatment of these diseases is still new and its place is very limited for now.
RECOMMENDATIONS FOR PARENTS:
Be an example
Not forcing or threatening
Encouraging children to feed themselves from the age of 1, even if pollution occurs
Small meals, small bites
Support in choosing alternatives within the meal
Verbal positive eating behaviors reward as
Try not to be too strict about certain foods
Strict, firm but gentle discipline
Deciding a specific time period in advance for the duration of the meal
Serving sweets, candy and chocolate only after the child has finished his meal
Avoid insisting on finishing the plate completely
Preferring the table and chair to eat, on the lap, in front of the TV, etc. avoidance
Consistency in all eating discipline
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