The document discusses various treatment options for anorexia nervosa including counseling, nutritional therapy, medication, and family therapy. It provides details on individual therapy, family therapy including the Maudsley method, and notes that while treatments have shown success, more research is still needed.
The document discusses various treatment options for anorexia nervosa including counseling, nutritional therapy, medication, and family therapy. It provides details on individual therapy, family therapy including the Maudsley method, and notes that while treatments have shown success, more research is still needed.
The document discusses various treatment options for anorexia nervosa including counseling, nutritional therapy, medication, and family therapy. It provides details on individual therapy, family therapy including the Maudsley method, and notes that while treatments have shown success, more research is still needed.
The document discusses various treatment options for anorexia nervosa including counseling, nutritional therapy, medication, and family therapy. It provides details on individual therapy, family therapy including the Maudsley method, and notes that while treatments have shown success, more research is still needed.
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2 Abstract Anorexia Nervosa is a serious illness in todays culture. There are millions of people battling the disease. Treating Anorexia can be a complicated process. There are a variety of treatment options ranging from counseling to medications. Each type of therapy has its own strengths and weaknesses. Age, degree of the illness and gender must all be considered when the doctors are selecting the right treatment option(s). While all these varying types of treatments are being considered, experts agree that more research is needed into this illness. Keywords: anorexia nervosa, treatment of eating disorders
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3
Sample APA Paper Approximately 14 million women in the United States are battling with the disease Anorexia Nervosa, AN, which is described as one of the least understood and most intractable of all mental illnesses (Schindehette, Sandler, Nelson & Seaman, 2003, p. 136). Many of the victims of this disease will battle it for the rest of their lives. However, if AN is diagnosed early, during the teen years, it is possible to cure it with appropriate treatment (Cooper, 2001). Therefore, adolescent women struggling with AN need effective treatment, and today, after four decades of research, there is an increasing number of treatment options ranging from counseling, to nutritional therapy, to medication. Yet, some researchers and victims still advocate that there is a need for further research in this area (Kaplan, 2002; Hendricks, 2003). Upon recognizing symptoms, such as strict dieting, weight loss, binge eating or fasting, feeling dizzy, weak, and/or depressed, in addition to insomnia, family members should seek out the advice of a health care provider. The health care provider will take a complete medical history as well as do a physical examination (Cooper, 2001). After this process is complete, the doctor can begin treating the patients AN, which may include referrals to specialists in counseling, nutrition and other medical fields. One of the more traditional forms of treatment is counseling, which is also referred to as psychotherapy. The goal of psychotherapy is to work with the patient so that she will be able to control her eating and maintain her body weight. There are two primary types of psychotherapy, and they are individual therapy and family therapy. When citing two authors, separate each with a semi- colon. Center the title on the first page of the text. Note that it is in the same font size as the paper itself and there is no bold print, etc. When doing an in-text citation for a para- phrase, you are only required to cite the author and year published; new APA guidelines encourage you to also provide the page number, but it is not required. When doing an in-text citation for a direct quote, make sure to use the author, year published and the page number. *In APA set the margins to one inch. *Note that if a date of publication is not known for a source, n.d., for no date, may be used citation in lieu of the date. SAMPLE APA PAPER
4 Individual therapy counsels one on one with the patient. Sometimes there is a team of medical specialists, yet the therapy sessions are between the patient and her doctor(s). This type of therapy has mixed results. According to an article in the Journal of the American Academy of Child and Adolescent Psychiatry (1999), individual therapy is superior when used in treating older adolescents and those who have late-onset AN (Robin et al.). A 2003 publication in The American Journal of Psychiatry concurs with this finding (Pike, Walsh, Vitousek, Wilson & Bauer). However, both articles findings state that individual therapy is not the best treatment for young adolescents or those with early-onset AN. While individual therapy does not work well with young adolescents or patients with early-onset AN, family therapy seems to have made significant strides in treating this group of patients. A study in the Canadian Journal of Psychiatry stated, without the involvement of the parents and family as therapeutic allies, weight gain is extremely difficult to achieve (Geist, Heinmaa, Stephens, Davis & Katzman, 2000). Family therapy may employ not only the assistance of parents and other family members; it can also call on schools and friends as part of the treatment strategy. One such strategy is a program called the Maudsley Method. This radical new treatment option was developed in the 1980s at the Institute of Psychiatry and Maudsley Hospital in London. This method coaches parents to help their kids gain weight by whatever means necessaryby preparing their favorite foods, with 24-hour monitoring to prevent purging and hours of cajoling at the dinner table (Schindehette et al., 2003, p. 136). Note that when more than six individuals author some- thing, cite the first authors last name and refer to the others as et al. The date is not given in this in-text citation since it is used in the sentence before the citation. For in-text citations with 3-5 authors, switch to First Author et al. on subsequent references. SAMPLE APA PAPER
5 An example of how involved the parents are in this treatment is seen in Abbies story. Abbie, at her low point, was 17 years old and weighed only 68 pounds. Usually dinner was a struggle for the entire family as Abbie tried almost anything to avoid food. She would squeeze butter out of toast and wipe it on her hands like lotion, all so she could keep away from putting anything with caloric content into her mouth. Then Abbies parents learned of the Maudsley Method and started her in it. Shortly after starting the program, her parents had her wearing white gloves to dinner. The objective was for all the food to go into her mouth and not on or under the table or massaged into her skin. The gloves were to be clean at the end of the meal. Her parents said, If she slopped some milk on the table, shed lick it up. She knew that, no matter what, she had to eat it all (Schindehette et al., 2003, p. 136). Overall, in this family based therapy program the Maudsley Method, parents are empowered to use food as medicine and to go to extreme measures to ensure that the medicine stays in their patient. Many other studies also report significantly greater success with family based therapy. People magazine (2003) reports that while the mortality rates for AN still average around 5 to 20 percent, the Maudsley Method is reporting success rates as high as 90 percent five years after treatment was initially sought. Other studies agree that family therapy is one of the best treatments for young adolescents and those with early-onset AN (Robin et al., 1999; Geist, et al., 2000). While individual and family therapy are two of the more traditional methods of treating AN, nutritional therapy, which is also called psychoeducational therapy, is also commonly used. The aim of psychoeducation is to give information about the nature of the disease in hopes of cultivating behavioral and attitudinal changes in the patient. SAMPLE APA PAPER
6 Furthermore, a study has reported that family-based psychoeducation produces the same results as family therapy while costing less (Geist et al., 2000). However, these results were not replicated with a group of older adolescents (Pike et al., 2003). Medication is another method used to treat AN. Using medication, or pharmacological therapy, to treat AN also has some promising results. According to European Child and Adolescent Psychiatry, recent evidence suggests a role for medication in the relapse prevention stage of the illness (Kotler & Walsh, 2000). Medication is commonly used along with another form of treatment. This is referred to as a multidisciplinary approach. Pharmacological therapy uses medicines that help the patient reduce the fear of becoming fat, depression and anxiety as well as gain weight (Cooper, 2001). While each of these treatments reports success in various groups or when combined with other treatments, there are still individuals who do not feel that the treatments are effective. One such person is Jennifer Hendricks, who authored Slim to None, a book that chronicles her daily struggle with AN. Many times throughout the text Hendricks stated that she did not feel that the treatments she was receiving were of any benefit. Christopher Athas, President of the American Institute of Anorexia Nervosa, stated in the foreword of Slim to None, There is a glaring inadequacy of the mental health system to treat and fully understand this disease (2003, p. ix). Eventually Jennifer lost her battle and died. The Canadian Journal of Psychiatry also states that there is a significant need to find effective management that truly impacts on long-term outcome (Kaplan, 2002, p. 236). Note that no author is needed in this citation since the author was referenced in the sentence before the direct quote. SAMPLE APA PAPER
7 Overall, there are a variety of treatments ranging from individual and family therapy, to nutritional counseling to medicine; however, there are still too many young women like Jennifer Hendricks who lose their battle with AN. Hopefully, the future will hold an increasing number of women whose stories are similar to Abbies. SAMPLE APA PAPER
8 References Cooper, P. G. (2004, January 1). Anorexia nervosa. Clinical Reference Systems, 176. Retrieved from http://galenet.galegroup.com Geist, R., Heinmaa, M., Stephens, D., Davis, R., & Katzman, D. (2000). Comparison of family therapy and family group psychoeducation in adolescents with anorexia nervosa. Canadian Journal of Psychiatry, 45, 173-178. Retrieved from http://search.ebscohost.com Hendricks, J. (2003). Slim to none. Chicago: McGraw-Hill. Hester, J. (2003). Never say die. British Medical Journal, 326, 719. Retrieved from http://www.bmj.com/cgi/content/full/326/7391/719 Kaplan, A. (2002). Psychological treatments for anorexia nervosa: A review of published studies and promising new directions. Canadian Journal of Psychiatry, 47, 235- 242. Retrieved from http://search.ebscohost.com Kotler, L. A., & Walsh, B. T. (2000). Eating disorders in children and adolescents: Pharmacological therapies. European Child & Adolescent Psychiatry, 9(Suppl. 1), I108-116. Retrieved from http://search.ebscohost.com Pike, K. M., Walsh, B. T., Vitousek, K., Wilson, G. T., & Bauer, J. (2003). Cognitive behavior therapy in the posthospitalization treatment of anorexia. The American Journal of Psychiatry, 160, 2046-2049. Retrieved from http://proquest.umi.com Robin, A. L., Siegel, P. T., Moye, A. W., Gilroy, M., Dennis, A. B., & Sikand, A. (1999). A controlled comparison of family versus individual therapy for adolescents with anorexia nervosa. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1482-1491. Retrieved from http://galenet.galegroup.com *Make sure to continue double spacing the references page.
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9 Schindehette, S., Sandler, B., Nelson, M., & Seaman, D. (2005, December 15). Recipe for life. People, 60(1), 135-138. Retrieved from http://bloomington.libproxy.ivytech.edu/ login?url=http://search.ebscohost.com.bloomington.libproxy.ivytech.edu/ login.aspx?direct=true&db=f5h&AN=11768263&site=ehost-live
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