[Management strategies of eating disorders in adults].
The importance of the acute and chronic impact of eating disorders in adults, from both a somatic and psychological point of view, requires the means used to be commensurate with the potential severity of these disorders. Moreover, the reluctance--or even the opposition--of patients to the treatment increases the difficulty in the management of these already complex disorders. In any event, besides the patient's active collaboration during the treatment, which should be reached gradually, the therapeutic strategy to be adopted should be multimodal and integrated. In addition to the primary care physician, a great number of health professionals can be involved, each in their specialty, so as to treat all the aspects of the disorders. It should be noted that hospitalization, either scheduled or decided in emergency, can be considered at any point in the continuum of care, and is often a turning point in the management of these disorders. Finally, whichever the individualized combination of care provided in the treatment of eating disorders, the primary care physician--dietitian/nutritionist--psychiatrist triad constitutes an essential, minimal therapeutic basis.
Gicquel
Ludovic
L
Clinique des maladies mentales et de l'encéphale (Pr F. Rouillon), hôpital Sainte-Anne, 75674 Paris 14. l.gicquel@ch-sainte-anne.fr
D000328:Adult; D000553:Ambulatory Care; D000856:Anorexia Nervosa / Q000628:therapy; D052018:Bulimia Nervosa / Q000628:therapy; D003131:Combined Modality Therapy; D003266:Continuity of Patient Care; D019033:Delivery of Health Care, Integrated; D001068:Feeding and Eating Disorders / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D006760:Hospitalization; D006801:Humans; D010348:Patient Care Team; D010358:Patient Participation; D010817:Physician-Patient Relations; D016728:Self-Injurious Behavior / Q000523:psychology; D016312:Treatment Refusal