Anorexia nervosa: Treatment optionsAAnorexia nervosa: Treatment optionsAnorexia nervosa: Treatment optionsEnglishPsychiatryPre-teen (9-12 years);Teen (13-18 years)BodyNANon-drug treatmentCaregivers Adult (19+)NA2016-02-02T05:00:00ZSeena Grewal, MD, MSc, FRCP(C)11.100000000000051.0000000000000916.000000000000Health (A-Z) - ProcedureHealth A-Z<p>​Find out about the range of in-hospital and outpatient treatments that can help a child recover from anorexia nervosa.</p><p>​Anorexia nervosa is a very serious illness. If left untreated, it can lead to <a href="/Article?contentid=267&language=English">problems in all parts of the body</a>, including the heart, bowels, liver and bones. Because of the serious possible medical complications, anorexia nervosa requires both medical and psychological treatment.</p><h2>Key points</h2><ul><li>If a child is at an extremely low weight with an irregular heart rate or low blood pressure, they will receive treatment in hospital. This treatment focuses on giving enough nutrition to return the child or teen to a healthy weight and limiting exercise. At home, the goal is to reintroduce all the foods that a child has cut out from their diet.</li><li>If a child is medically stable, they will be treated at an outpatient eating disorders program by a team of professionals. They will receive psychological treatment and have their weight, heart rate and blood pressure checked regularly.</li><li>Because anorexia nervosa affects the whole family, psychological treatment will usually involve family based therapy. Some teens may receive cognitive behavioural therapy.</li><li>If anorexia nervosa occurs with depression or anxiety, a child or teen may be prescribed antidepressants when they regain some weight.</li></ul><h2>In-hospital medical treatment</h2><p>If your child is at an extremely low weight and has a slow or irregular heart rate or low blood pressure, they will need to be admitted to hospital so their heart rate, blood pressure and weight can be monitored closely.</p><p>Most people with anorexia nervosa have experienced substantial weight loss and food restriction. As a result, it is important to provide nutritional treatment to help your child regain weight and restore the body's nutrients to appropriate levels.</p><p>While in hospital, your child will receive the nutrition they need to help them return to health. Your child's healthcare team will adjust the amount of nutrition and activity throughout the stay so your child regains weight in a steady, regular pattern. The goal is for your child to receive the amount of nutrition that their body requires to gain weight and reintroduce a variety of foods that they may have cut out during their illness.</p><p>As a parent, you will typically be involved in feeding by helping to supervise meals with your child. The goal for discharge is for your child to be at a medical status that is considered safe to be out of hospital (at a safe weight and with regular heart rate and blood pressure).</p><h2>Outpatient treatment with a care team</h2><p>If your child with anorexia nervosa is medically stable and does not require an in-hospital stay, you will be seen by an outpatient eating disorders program. There, your child will be cared for by a team of specialists, including a psychiatrist, psychologist, dietitian, adolescent medicine doctor or paediatrician, nurse or social worker. These experts will work together to come up with the best possible care plan to meet your child's unique needs.</p><p>Your child will visit the hospital or clinic to come to appointments, but they will not stay overnight. These appointments will include psychological treatment to address your child's eating disorder and regular checks of your child's weight, heart rate and blood pressure. The weight checks help your child's team see how much weight your child is gaining. Weight gain is a vital part of returning the body back to health.<br></p><h2>Further information</h2><p>For more information on anorexia nervosa, please see the following pages:</p><p> <a href="/Article?contentid=268&language=English">Anorexia nervosa: Overview​</a></p><p> <a href="/Article?contentid=269&language=English">Anorexia nervosa: Signs and symptoms</a></p><p> <a href="/Article?contentid=267&language=English">Anorexia nervosa: Medical complications</a></p><p> <a href="/Article?contentid=266&language=English">Anorexia nervosa: How to help your child at home</a></p><h2>Resources</h2><p> <a href="http://www.nedic.ca/" target="_blank">NEDIC – National Eating Disorder Information Centre</a> (Canada)<br></p><p> <a href="https://www.nationaleatingdisorders.org/" target="_blank">NEDA – National Eating Disorder Association</a> (United States)</p><p>American Academy of Pediatrics – <em><a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Is-Your-Teen-at-Risk-for-Developing-an-Eating-Disorder.aspx" target="_blank">​Eating Disorders in Children</a> ​</em></p><p> <a href="https://www.beateatingdisorders.org.uk/" target="_blank">BEAT – Beating Eating Disorders</a> (United Kingdom)<a href="http://www.b-eat.co.uk/"></a></p><p> <a href="https://keltyeatingdisorders.ca/" target="_blank">Kelty Eating Disorders​</a> (Kelty Mental Health Resource Centre, BC Children's Hospital)</p><p>Children's Hospital of Eastern Ontario – <a href="https://www.cheo.on.ca/en/eating_disorder_info" target="_blank"><em>Eating Disorders​</em></a></p>
Anorexie: options de traitementAAnorexie: options de traitementAnorexia: Treatment optionsFrenchPsychiatryPre-teen (9-12 years);Teen (13-18 years)BodyNANon-drug treatmentCaregivers Adult (19+)NA2016-02-02T05:00:00ZSeena Grewal, MD, MSc, FRCP(C)000Health (A-Z) - ProcedureHealth A-Z<p>Découvrez les options de traitement en milieu hospitalier et en ambulatoire pouvant aider votre enfant à se rétablir de l’anorexie.</p><p>L’anorexie est une maladie très grave qui, sans traitement, peut entraîner des <a href="/Article?contentid=267&language=French">troubles de tout l'organisme</a>, y compris du cœur, des intestins, du foie et des os. En raison des sérieuses complications médicales possibles de leur maladie, les anorexiques ont besoin à la fois de traitement médical et de psychothérapie.</p><h2>À retenir</h2> <ul><li>Un enfant sera traité à l’hôpital si son poids est très faible avec un rythme cardiaque faible ou irrégulier et une tension artérielle basse. Les soins hospitaliers se concentrent sur l’ingestion d’une quantité suffisante de nourriture pour que l’enfant ou l’adolescent retourne à un poids santé et sur la limitation de ses exercices. À la maison, l’objectif est de réintroduire les aliments que l’enfant a éliminés de son régime.</li> <li>Si l’état d’un enfant est stable, il sera traité par une équipe de professionnels dans un programme externe de traitement des troubles alimentaires. Il suivra une psychothérapie, et son poids, sa fréquence cardiaque et sa pression artérielle seront vérifiés régulièrement.</li> <li>Parce que l’anorexie touche toute la famille, l’approche thérapeutique habituellement adoptée est la thérapie familiale. Certains adolescents peuvent bénéficier d’une thérapie cognitivo-comportementale.</li> <li>En cas d’anorexie accompagnée de dépression ou d’anxiété, on peut prescrire des antidépresseurs à l’enfant ou à l’adolescent quand il aura pris du poids.</li></ul><h2>Traitement médical en milieu hospitalier</h2> <p>Si votre enfant a un poids très faible et qu’il a un rythme cardiaque lent ou irrégulier ou une hypotension artérielle, il devra être traité à l’hôpital afin que sa fréquence cardiaque, sa respiration et sa tension artérielle soient surveillées de près.</p> <p>La plupart des anorexiques ont subi des pertes de poids et une dénutrition considérables. Il est donc important que votre enfant reçoive un traitement nutritionnel qui l’aidera à prendre du poids et à rétablir les nutriments dans son organisme à des niveaux normaux.</p> <p>Durant son séjour à l’hôpital, votre enfant recevra la nourriture dont il a besoin pour rétablir sa santé. Son équipe de soins rajustera sa quantité de nourriture et son niveau d’activité tout au long de son séjour à l’hôpital afin qu’il reprenne son poids de façon régulière et constante. L’objectif est d’assurer que votre enfant ingeste la quantité de nourriture dont son corps a besoin pour reprendre du poids et de réintroduire une variété d’aliments qu'il a pu éliminer durant sa maladie.</p> <p>Comme parent, vous jouerez typiquement un rôle dans l’alimentation de votre enfant en aidant à superviser ses repas. Au moment de son congé, votre enfant ne devrait avoir aucun problème qui requiert une hospitalisation (son poids ne devrait présenter aucun danger et son rythme cardiaque et sa pression artérielle devraient être normaux).</p> <h2>Traitement ambulatoire par une équipe de soins</h2> <p>Si l’état de votre enfant anorexique est stable et ne requiert pas une hospitalisation, vous participerez à un programme externe de traitement des troubles alimentaires. Votre enfant sera pris en charge par une équipe de spécialistes, dont un psychiatre, un psychologue, un diététicien, un spécialiste de la médecine de l’adolescence ou un pédiatre, un infirmier ou un travailleur social. Ces spécialistes mettront leurs efforts en commun pour établir un plan optimal de traitement pour répondre aux besoins uniques de votre enfant.</p> <p>Votre enfant se rendra à l’hôpital pour ses rendez-vous, mais il ne restera pas la nuit. Ces rendez-vous comprendront une vérification régulière de son poids, de sa fréquence cardiaque et de sa pression artérielle. Les vérifications de son poids permettent à l’équipe chargée de votre enfant de déterminer combien de poids il a pris. Stabiliser le poids de votre enfant est un élément essentiel du traitement visant à rétablir sa pleine santé.</p><h2>En savoir plus</h2><p>Pour plus d’informations sur l’anorexie, veuillez consulter les pages suivantes :</p><p> <a href="/Article?contentid=268&language=French">Anorexie: présentation générale</a></p><p> <a href="/Article?contentid=269&language=French">Anorexie: signes avant-coureurs</a></p><p> <a href="/Article?contentid=267&language=French">Anorexie: complications médicales</a></p><p> <a href="/Article?contentid=266&language=French">Anorexie: comment aider votre enfant à la maison</a></p><h2>Ressources</h2><p> <a href="http://www.nedic.ca/" target="_blank"><span>NEDIC – Centre d’information sur les troubles alimen</span><span>taires</span></a> (Canada)</p><p> <a href="https://www.nationaleatingdisorders.org/">NEDA – Association nationale des troubles alimentaires</a> (États-Unis)</p><p>L'académie américaine de pédiatrie – <em><a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Is-Your-Teen-at-Risk-for-Developing-an-Eating-Disorder.aspx" target="_blank">​Eating Disorders in Children</a></em></p><p> <a href="https://www.beateatingdisorders.org.uk/" target="_blank">BEAT – Lutter contre les troubles alimentaires</a> (Royaume Uni)</p><p> <a href="https://keltyeatingdisorders.ca/" target="_blank">Troubles alimentaires Kelty</a> (Centre de ressources sur la santé mentale Kelty, Hôpital pour enfants de la Colombie-Britannique)</p><p></p><p>Le Centre hospitalier pour enfants de l’est de l’Ontario – <a href="https://www.cheo.on.ca/fr/troubles_alimentaires_info" target="_blank"><em>Troubles de l'alimentation​</em></a>​​​</p>

 

 

 

 

Anorexia nervosa: Treatment options700.000000000000Anorexia nervosa: Treatment optionsAnorexia nervosa: Treatment optionsAEnglishPsychiatryPre-teen (9-12 years);Teen (13-18 years)BodyNANon-drug treatmentCaregivers Adult (19+)NA2016-02-02T05:00:00ZSeena Grewal, MD, MSc, FRCP(C)11.100000000000051.0000000000000916.000000000000Health (A-Z) - ProcedureHealth A-Z<p>​Find out about the range of in-hospital and outpatient treatments that can help a child recover from anorexia nervosa.</p><p>​Anorexia nervosa is a very serious illness. If left untreated, it can lead to <a href="/Article?contentid=267&language=English">problems in all parts of the body</a>, including the heart, bowels, liver and bones. Because of the serious possible medical complications, anorexia nervosa requires both medical and psychological treatment.</p><h2>Key points</h2><ul><li>If a child is at an extremely low weight with an irregular heart rate or low blood pressure, they will receive treatment in hospital. This treatment focuses on giving enough nutrition to return the child or teen to a healthy weight and limiting exercise. At home, the goal is to reintroduce all the foods that a child has cut out from their diet.</li><li>If a child is medically stable, they will be treated at an outpatient eating disorders program by a team of professionals. They will receive psychological treatment and have their weight, heart rate and blood pressure checked regularly.</li><li>Because anorexia nervosa affects the whole family, psychological treatment will usually involve family based therapy. Some teens may receive cognitive behavioural therapy.</li><li>If anorexia nervosa occurs with depression or anxiety, a child or teen may be prescribed antidepressants when they regain some weight.</li></ul><h2>In-hospital medical treatment</h2><p>If your child is at an extremely low weight and has a slow or irregular heart rate or low blood pressure, they will need to be admitted to hospital so their heart rate, blood pressure and weight can be monitored closely.</p><p>Most people with anorexia nervosa have experienced substantial weight loss and food restriction. As a result, it is important to provide nutritional treatment to help your child regain weight and restore the body's nutrients to appropriate levels.</p><p>While in hospital, your child will receive the nutrition they need to help them return to health. Your child's healthcare team will adjust the amount of nutrition and activity throughout the stay so your child regains weight in a steady, regular pattern. The goal is for your child to receive the amount of nutrition that their body requires to gain weight and reintroduce a variety of foods that they may have cut out during their illness.</p><p>As a parent, you will typically be involved in feeding by helping to supervise meals with your child. The goal for discharge is for your child to be at a medical status that is considered safe to be out of hospital (at a safe weight and with regular heart rate and blood pressure).</p><h2>Outpatient treatment with a care team</h2><p>If your child with anorexia nervosa is medically stable and does not require an in-hospital stay, you will be seen by an outpatient eating disorders program. There, your child will be cared for by a team of specialists, including a psychiatrist, psychologist, dietitian, adolescent medicine doctor or paediatrician, nurse or social worker. These experts will work together to come up with the best possible care plan to meet your child's unique needs.</p><p>Your child will visit the hospital or clinic to come to appointments, but they will not stay overnight. These appointments will include psychological treatment to address your child's eating disorder and regular checks of your child's weight, heart rate and blood pressure. The weight checks help your child's team see how much weight your child is gaining. Weight gain is a vital part of returning the body back to health.<br></p><h2>Nutritional treatment as an outpatient</h2><p>Families can sometimes be surprised by how much nutrition their child needs just for their body to start to rebuild and get back to a healthy weight. If your child is receiving treatment, it is best to reintroduce all the foods that your child cut out while they developed the eating disorder and have them eat a variety of foods from all the food groups.</p><h2>Psychological treatment</h2><p>Treatment for anorexia nervosa generally takes a ‘whole family' approach. This means that a child's care team will include the entire family in the therapy. The type of treatment most commonly provided is family based therapy or treatment (FBT). Some teens may receive <a href="/Article?contentid=702&language=English">cognitive behavioural therapy (CBT)</a> or may take part in other types of family therapy. Whichever therapy is used, it starts once your child is medically stable.</p><p>The purpose of including the family is to help parents support the child with re-feeding at home and any related anxiety the child might express at meal times. Recovery from anorexia nervosa does not happen overnight; it may take years of treatment to fully recover.</p><h2>Medications</h2><p>Some children and teens with anorexia nervosa may also experience depression and/or <a href="/Article?contentid=18&language=English">anxiety</a>. If these interfere with a person's ability to function or take part in their eating disorder treatment, they may be prescribed <a href="/Article?contentid=701&language=English">medication</a> along with <a href="/Article?contentid=702&language=English">psychological therapy​</a>. The most common medications prescribed are antidepressants, but sometimes people with anorexia nervosa may also be prescribed anti-psychotic medications to help manage obsessive thoughts. Antidepressants are less effective when someone is at an extremely low weight, so your child's team might not suggest them until your child is at a weight where they may have a benefit.</p><h2>Further information</h2><p>For more information on anorexia nervosa, please see the following pages:</p><p> <a href="/Article?contentid=268&language=English">Anorexia nervosa: Overview​</a></p><p> <a href="/Article?contentid=269&language=English">Anorexia nervosa: Signs and symptoms</a></p><p> <a href="/Article?contentid=267&language=English">Anorexia nervosa: Medical complications</a></p><p> <a href="/Article?contentid=266&language=English">Anorexia nervosa: How to help your child at home</a></p><h2>Resources</h2><p> <a href="http://www.nedic.ca/" target="_blank">NEDIC – National Eating Disorder Information Centre</a> (Canada)<br></p><p> <a href="https://www.nationaleatingdisorders.org/" target="_blank">NEDA – National Eating Disorder Association</a> (United States)</p><p>American Academy of Pediatrics – <em><a href="https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Is-Your-Teen-at-Risk-for-Developing-an-Eating-Disorder.aspx" target="_blank">​Eating Disorders in Children</a> ​</em></p><p> <a href="https://www.beateatingdisorders.org.uk/" target="_blank">BEAT – Beating Eating Disorders</a> (United Kingdom)<a href="http://www.b-eat.co.uk/"></a></p><p> <a href="https://keltyeatingdisorders.ca/" target="_blank">Kelty Eating Disorders​</a> (Kelty Mental Health Resource Centre, BC Children's Hospital)</p><p>Children's Hospital of Eastern Ontario – <a href="https://www.cheo.on.ca/en/eating_disorder_info" target="_blank"><em>Eating Disorders​</em></a></p><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/anorexia_treatment_options.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/anorexia_treatment_options.jpgAnorexia nervosa: Treatment optionsFalse