People who at least once in their lives have encountered food behavior disorders (RPP) understand that curing them is not so simple. The obsessive desire to lose weight in vials, panic fear and constant thoughts of food are present in the life of every patient. We decided to check whether it is possible to completely cure RPP.

Blogger-millionaire Anastasia Burchuladze, better known under the pseudonym Anastasiz, gained popularity thanks to Videos On the social network YouTube dedicated to the fight against anorexia. Three years after the release of the first plot, the girl recorded the last conversational video about her path, saying that she was able to forget about the anorexia forever. Another example of a complete cure of RPP - Ekaterina Roganovskaya, a blogger with an audience of 350,000 subscribers. The girl created a blog on Instagram to help other people suffering from RPP, talking about their treatment - observing the diet and daily training. Having gained popularity, Roganovskaya began to lead website, on which it sells checklists and books of recipes that help to overcome eating disorders. Secular magazines regularly Report about Stars, defeating anorexia. Among them, according to these articles, Victoria Beckham, Angelina Jolie and Lady Gaga. Also in Media A lot stories About less famous People with the wording "defeated the anorexia."

Eating disorders in the international classification of diseases Relate To the class F, that is, to mental disorders and behavioral disorders, they include nervous anorexia and bulimia, including their atypical forms, overeating associated with other psychological disorders, vomiting associated with other psychological disorders, other meals eating disorders, including the eating of inconsistent, and unexpected disorders eating. Although the RPP has the image of the “fashionable disease”, all people are subject to various types of disorders - regardless of age, gender or lifestyle. So, anorexia nervous mainly Prostious female faces, from adolescence to 40 years, approximately 1.2% of all mankind Classes with this disorder, and its mortality It comes up to 10%. At the same time, older people are prone to compulsive overeating, and Found It has approximately 3.5% of women and 2% of men. And with nervous and neurogenic bulimia, the weight of the patients Remains within the norm or even exceeds it.

The main problem in the treatment of RPP is that the sick most often Not aware Myself such, refusing as a result of treatment and help. To correct all types of food disorders Apply Various methods of psychotherapy, in some cases, also resort to drug treatment. Due to the lack of public danger, RPP in Russia does not fall under the criteria of diseases in which forced hospitalization can be applied. Due to the limited methods of assistance in the framework of official medicine, pseudo -specialists for the treatment of RPP offer a wide range of alternative methods not confirmed by the principles of evidence -based medicine - For example, massage, meditation, acupuncture, yoga and aromatherapy. However, as can be seen from the classification of the ICD, RPP refers to psychiatric diseases, therefore, a specialist psychiatrist is required for treatment, which can also attract specialists from other areas (for example, to correct violations of other organs). Moreover, even authoritative MediaWhen they write about the problem, they do not give a word to doctors, but to representatives of alternative directions.

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According to research and statistics Oxford Center for Clinical Psychology, long -term remission after anorexia nervous is observed in 40–70% of adolescents, another 20-30% can be taken into partial remission, and in 10–20% the disease acquires a chronic form and remains lifelong. In the case of bulimia, prolonged remission after five years of intensive therapy occurs in 35–75% of adolescents and adults, while there are cases of its occurrence over a shorter period-only one or two years. Experts note that from 40% to 60% of patients experience some symptoms of RPP until the end of life. In another research Statistics are similar: in 60% of patients with RPP, it is possible to achieve a complete absence of manifestations for a long time due to constant therapy, 20% are partially restored, in the rest the disease goes into a chronic form.

The trigger mechanisms are also determined that can re -launch a seemingly cured disease. For example, such a factor often It becomes Pregnancy in women who had a history of nervous anoresis. With a lack of weight and unreasonable food rejection during pregnancy Classes up to a third of the Americans. Introduced Even a term not used, however, while in the ICD, is a pregoing that describes the manifestations of anorexia in pregnant women. At the same time celebrated Difficulties in the diagnosis of this condition, associated both with the tabularity of the topic for the patient and with insufficient awareness of obstetrician-gynecologists about him. Run over once overcome compulsive overeating Maybe Both chronic stress and some traumatic event. Effective drugs (including among antidepressants, psychostimulants and products that suppress appetite) that give a long -term effect in the treatment of compulsive overeating, while Not found.

It should also be noted that researchers note the dependence between special genes and the development of RPP. So, for compulsive overeating Highlighted Three associated genes and one For anorexia and bulimia. This does not mean that the carriers of these genes will never be able to completely get rid of the manifestations of RPP in everyday life, but they will be more prone to the development of a chronic, recurrent type of disease.

Thus, today not a single methodology for psychological assistance has been developed and not a single drug combination of drugs is guaranteed to cure food behavior disorders forever. In this case, there are methods of evidence -based medicine that can take the patient into long -term remission.