Treatment Issues
If the alcohol dependence is treated as the primary disorder, the purging anorexia
is often ignored. Typically, the purging anorexia becomes a life-threatening treatment
focus, with the alcohol dependence seen as a secondary problem, treated only through
detoxification.
As the above illustration shows, the present state of treatment
typically leads to a relapse of both disorders. The same
is true if alcohol dependence is treated as primary and the
purging anorexia is ignored. It is clear that a more supportive
type of treatment that addresses both problems is necessary.
SUPPORTIVE TREATMENT
FOR ANOREXIA/ALCOHOL DEPENDENCE
Restrictive Hospital Environment
Detoxify from alcohol
Intravenous fluids
Electrolyte replacement
Medical stabilization
Psychiatric assessment
Brief psychotherapy
Weight gain = discharge
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Structured Living Environment
Sober living environment.
Nutritionist supervisor.
Alcohol & Easting Disorder support meetings.
Attend after-care programs.
Referral resources for:
medical supervision &
long-term psychotherapy.
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The above illustration outlines a supportive, long-term
treatment approach that may offer the best possible chance
for recovery for women suffering from the dual diagnosis
of purging anorexia and alcohol dependence.
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© Susan M. Sherman, 2002
All Rights Reserved. |
