has become customary that on the pages of glamorous magazines, on TV in fashion shows, advertisements, we always see the "ideal images" of global and domestic show-business stars, public figures and cultivate in our minds a kind of feminine beauty. Ideas about it in the second half of XX century have evolved from a fragile, airy, graceful feminine figures to clumsy version of "teenage girl" at the beginning of our century. Models, actors, athletes, leading always talking about harmony as an integral criteria of success and level of recognition and affirmation. Many young girls dream to get closer to that elusive standard of beauty, exhausting themselves diets, exercises in fitness clubs, beauty treatments. Unfortunately, the media and public opinion not only dictates the fashion in clothes and accessories, but also on the disease. Conscious refusal of food, in order to lose weight, is known in the medical world as anorexia nervosa. A growing number of victims of the disease in the United States, Europe, and now in Russia in the millions, it is practically an epidemic. According to Western psychiatrists mortality from this disease (if untreated) is over 20%! In other words, patients simply die from exhaustion! The worst thing in this situation, the girls usually do not think their behavior is painful, explaining his "psychologically understandable" motives fix their own, often imaginary, of completeness. In advanced cases, "supporters of harmony" are no longer able to control their eating instincts, and then requires serious medical attention. Who gets into the "trap" own illusions? According to domestic authors, anorexia nervosa suffer 4% of girls aged 14 to 20 years. In men, such disorders are rare. In adolescence, the issue looks extremely urgent,moreattention to their appearance, peer ridicule, reckless remarks authoritative for those girls, especially my father or brothers, not the correct expression of envious friends can play a fatal role in the development of the nervous anorexia. This happens usually in the social and highly successful families belonging to middle and higher strata of society. By "risk" refers to a family where there is a "cult of food, or the opposite approach to nutrition. When a lot of talk about the need to limit yourself to food, "not to gain weight." Often mothers themselves suffer from their own "not perfect" and use a variety of trendy diets and worship throughout the cream. It is noted that in such families are overbearing mother, a determined nature and tend to suppress the father, even to discredit him in the eyes of children and others. In other cases, parents are emotionally cold with children, suspended, absorbed in their problems, do not give the expected girl emotional response, approval, endorsement, although formally mother and daughter - "best friends". It is assumed that conscientious objection teenager to eat - nomorethan a protest reaction against the despotism of the mother and not enough attention and warmth from their parents. As a asle, parents are placing greater demands on children, artificially loading them with various "useful and prestigious" occupations (foreign languages, music, ballroom dancing). From early childhood, these children carry a heavy burden of responsibility are in a constant state of inner tension. Girls who join the ranks of patients with anorexia nervosa differed from their peers high aspirations, perseverance, and punctuality, suspiciousness, excessive demands on himself. Anorexia nervosa are often called "the disease of an excellent pupil". Part of teenagers dominate demonstrative character traits with high self-esteem, even some self-interest, they require constant attention and recognition from others. Many early childhood marked lowered vitality and loss of appetite, moodiness when feeding, hysterical reaction. Another type of girls is characterized by increased shyness, natural shyness, negative attitudes toward friendship with the boys. However, anorexia nervosa develops not only in young girls, but after twenty years, when the ratio of their appearance remains overvalued, and as a social identity has not been fully implemented, infantile. "How to Be," "Blessed," the love? disorder begins is not noticeable. The initial period may last from three months to two years. Increased interest and dissatisfaction with the figure gradually develops into a deep not correctable, often false, the conviction of excessive fullness in comparison with the chosen "ideal". This disparity desirable and indeed becomes a source of constant anxiety, occupies an increasingly prominent place in your thoughts and feelings. Starting with the selectivity of food, exclusion, high-calorie foods, fans harmony gradually reduce the amount eaten, then tighten the diet, ignoring even the whites or eat mostly lacto-vegetarian diet. Subsequently the whole of their diet are only juices and mineral water, with pleasure consume fasits. In addition, the active practice of physical exercise: aerobics, shaping, jogging, swimming, doing everything standing, a lot of walk. Trying to reduce sleep, tightening the waist belts or cords so that the food "is slowly absorbed. Self-restraint in eating is achieved persistent stasggle with hunger, because, in fact, reduce appetite they have. Though they strongly disguise his obsession, and never admit that hungry or not satisfied with the appearance. In this note a bad mood, irritability, tearfulness. Internally condemn yourself for each eaten a bite. Trying to compensate for their "mistake" ever increasing physical activity. As a result of emotional exhaustion, leaving behind the physical peaks, leading to severe depression. Pets often treat it as a "transitional age", "Blessed," love or do not pay attention, assuming that everything goes by itself. Teens also are lookingmoreandmoresophisticated methods of weight loss: use laxatives, enemas, medications that reduce appetite, diuretics, stimulants, many are beginning to smoke, drink large quantities of coffee. After the family feasts there continued a painful sense of guilt, depression, girls are severely condemned himself for "weakness." To get rid of eaten deliberately cause themselves vomit. In the beginning, accompanied by discomfort, then it becomes involuntary. Patients call it "spitting", they say that it brings relief. This uncompromising stasggle against "overweight" is carefully concealed from others, attempts to create a semblance of normal supply, expressed in that part of the meal is shifted from their plates to their neighbors on the table, supposedly eaten pieces hidden in his pockets, and then discarded. At first, when losing weight to expectations, the mood down to euphoria. Girls feel toned, active and claim "extraordinary lightness" throughout the body. Increased self-esteem, they are lively, outgoing, do not feel tired. Undernourished people overlooked the inevitable negative aspects of their condition: flaky skin, thinning, brittle nails and hair, abnormal paleness, "hungry smell" out of his mouth, fast-paced dental caries. Weight loss during this period is 5-10% of the original. When parents notice that all these phenomena, starting Scandals, quarrels about feedings, ultimatums and tears. In response to the same girlmorepersistently observe the "post", deceiving friends and deceived themselves as fully convinced of the need for "a littlemoreto lose weight." After the meal, or even only on the type, the smell of food they feel discomfort in the stomach, they complain about asmbling, bloating, pain, heartburn, belching, feeling of fullness that are really subjective feeling. In part, these symptoms may contain a physical basis, evolving as a result of gastritis, pathology, intestine, pancreas, biliary dyskinesia as a result of unreasonable starvation. These complaints patients often placing families and physicians as evidence that "the body can not take food, are themselves tasly believe in what has been said. Gradually, the feeling of hunger completely disappears. They no longer control their behavior and needs and a very dangerous brink, requiring immediate action to psychocorrection and restorative therapy. Quite often a pathological refusal to eat is combined with bouts of "binge". Irrepressible hunger makes shopping and visual load. Preparing dinner, they experience great pleasure, licking leftover food with knives and spoons. Such patients typically "stuff" close, younger brothers and sisters. Patients go hungry all day, constantly thinking about food, imagining all the nuances of the upcoming meal at the same time, at least twice a week they arise attacks "binge", when patients can immediately swallow a huge number of high-calorific food without chewing and sense of taste. Feeling of satiety is virtually absent. Friends and acquaintances are not even aware of similar episodes in their lives. Thoughts about eating becomes compulsive and completely define the whole way of life, pushing into the background study, work, friends, hobbies. This disorder is called bulimia and often accompanies anorexia nervosa. Princess Nesmeyana of our time. We all sympathize with a child unhappy princess, who "melted like a candle in her eyes" and no one could have her laugh. This story illustrates well the state is obsessed with losing weight girls, after one or two years after the loss of your diet. They look much depleted, vivacity and good mood is replaced by lethargy and apathy, there is disturbing sleep, nervousness, disturbed attention, memory weakens. Suffers posture, plastic movements, patients hump. Appear breach of the heart, palpitations, or slowing of heart rate, always low blood pressure, pathology gastro - intestinal tract, painful constipation. The most terrible defeat of the internal organs. Develop anemia, degenerative changes, the deletion of the internal organs, "starving" the brain and endocrine glands. Typical is the appearance of vellus hair all over his body. Mental attitude of patients leads to a decrease in production of female hormones, resulting in menstasation become scarce, and then stopped altogether. This usually is the reason for treatment to a gynecologist. The consequences of these violations can be severe, up to infertility. Due to the fact that girls are quite adequately judge its condition and continue to stubbornly conceal the real motives behind their actions, misleading parents and doctors, they have long treated therapists, endocrinologists and other specialists. Relatives do not suspect that the reason their child is suffering mental disorders. Unfortunately, psychologists in such cases, help can no longer requires a deeper correction and serious treatment from a therapist or psychiatrist. In advanced cases, patients must be hospitalized due to a sharp (more than 40% of initial body weight ) depletion. Expressed is not critical, and a violation of adolescents, a categorical refusal to supply may pose a threat to life. In cases of extreme exhaustion for the salvation of patients require hospitalization and forced feeding. Psychotropic dasgs - tranquilizers or antidepressants - provide only short-term effect. Therefore, it is extremely important as soon as possible at an earlier stage to seek qualified help. Psychotherapists as the main methods of treatment using family therapy, individual psychoanalysis, behavioral therapy, hypnosis. To eliminate the unpleasant inner feelings using autogenic training Treatment should be comprehensive and only under medical supervision. Record therapist for a consultation carried out by phone (977-08-97) or in the reception of scientific and honey production. Center "CARS" (m-Timiryazevskaya Dmitrovskoye w, 21 A) Therapist Eugene Gavrilov Kirillovna
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