Anorexia Nervosa: Who is the Real Culprit of Thinness Obsession?

For the first time, a 16-year-old girl felt liked by a man.

And that day, the man she felt liked offered her dinner. She was excited to meet him for the first time. She wasn't very beautiful in her opinion, but the boy she liked really liked her and invited her to dinner. The day they were going to go out to dinner together, she spent the whole day dressing up. They met for dinner and their conversation started well. During the meal, the boy said to the girl; She said you might actually be more attractive if you were a little thinner. This was the only word he remembered from the meal. In fact, the child told him that a woman should be thin and thin. Thinness makes a woman very attractive, he said. Their conversation continued until midnight that night. But the girl's mind was on that sentence the child said. She always thought to herself that if she were thinner, she would be more attractive. In fact, the sooner she loses weight, the more effective it would be. Because she didn't want to miss the child or miss the opportunity. She would not eat at night anymore. So she could lose weight faster. Because dinners made him gain more weight. She was starting to worry too much about losing weight. Thoughts about losing weight were floating around in her head; six months had passed with strict diets. She had lost exactly 20 kilos in six months. She spent most of her day looking at herself in the mirror. But she still didn't like it. She still wasn't as thin as she wanted. She was 40 kilos now, but she still had hips. He was no longer as active as before. He has difficulty going to school. He was starting to have palpitations from time to time. The boy she liked was no longer on her mind, the feelings about him had disappeared from her mind, all she thought about now was how thin she could become and her body, which was not thin enough. It was also difficult for them to breathe. Could this be because of his weakness? Even though these thoughts came to his mind, he still insisted on losing weight. If she lost another 3-4 kilos, she would be perfect. His family could not understand this situation. But sometimes she wanted to eat the food her mother cooked. His appetite was increasing. On those days, he would immediately go to his room, wet the cotton balls and swallow them. Swallowing the cotton balls was really killing his appetite. Now you are a woman He couldn't find clothes anywhere. The children's sections were perfect for him. Now she could find clothes in the children's sections. But still, her hips were still too much for him. He still couldn't stand the foods he loved so much, but he couldn't eat them himself anymore, he wanted to feed them to his parents. When he ate them, he felt as relaxed as if he had eaten them himself. His life now consisted only of counting calories, examining his body reflected in the mirror, and calculating meals. He couldn't even go to school, he had become very weak, and one day his mother found him unconscious in bed. They took her to the hospital and her anorexia treatment process began.

In this case, we actually see a completely distorted body perception. The young girl had dropped to 40 kilos. The bones of the ribcage were counted. His legs were literally the size of a normal weight person's arms. But she still seemed overweight and thought she had hips. She didn't actually see her body the way we do. His body perception was completely distorted.

We have started to hear frequently about Anorexia nervosa, which is among the eating disorders. Contrary to popular belief, anorexia is not a disease of the modern age. The existence of this disease has been accepted since ancient times. The term anorexia refers to loss of appetite, and neurosis refers to emotional causes. In Anorexia Nervosa, the person refuses to have a normal body weight. The person is very afraid of gaining weight and losing weight does not reduce this fear. Even if the person is very low weight, there is an extreme effort to avoid gaining weight. There is also a significant disturbance in how the person perceives body shape. Excessive weight loss in women causes menstruation not to occur 3 times in a row, menstruation periods to disappear or become irregular. Although he has lost a lot of weight, he may consider himself normal and sometimes even overweight. To lose weight, patients first try to reduce the amount of food they consume. As additional weight loss methods, they may use laxatives or diuretics or use methods such as excessive exercise. A significant portion of patients with eating disorders are women between the ages of 12 and 35. It appears to be twenty times more common in women than in men. Socio-cultural approval of weight loss or making thin people more attractive a highly appreciated; Being perfectionist, obsessive, low self-confidence, and socially introvert are among the factors that increase the possibility of developing anorexia. This disorder is one of the most important diseases in psychiatry that requires urgent treatment. If this disease is not treated; Life-threatening metabolic conditions may occur as a result of heart problems, inability to menstruate, weakening of bones, loss of muscle mass, decrease in blood pressure, slowdown in pulse and respiratory rate, and low potassium, calcium and magnesium levels.

The priority in treatment is the person. To ensure that your weight reaches a healthy level. If the patient does not accept treatment and has serious metabolic disorders, compulsory hospitalization may be required. Psychotherapy must be applied during and after hospitalization or during outpatient treatment. Cognitive behavioral therapy, family therapy and group therapies are very effective in this disease. Family therapy, in particular, has great positive effects. Because people who suffer from this disorder are usually young girls who live with their families. Therefore, ensuring positive communication within the family, eliminating family dysfunctions and making changes within the family system are very important points.

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