title: [Eating disorders in the physician's office--the first interview may be decisive].
abstract: Physicians are not infrequently the first to be confronted by patients with eating disorders. This means that the doctor has a decisive role in motivating the patient to take further steps to deal with the problem. In order to avoid provoking resistance and termination of the physician-patient relationship, a number of pitfalls during the consultation--for example, a power struggle with the patient, or an alliance with the attachment figure--must be avoided. Since eating disorders are serious psychosomatic illnesses that often have a strong tendency to become chronic, further professional aid is usually indispensable. Here, the internet and advice centers offer a low-threshold entry, and as a next step up, may be followed by inpatient or partially inpatient (e.g. intensive therapeutic live-in groups) measures. Directly following such measures, outpatient treatment makes good sense.
authors.affiliation: ANAD e.V.-pathways, München.
authors.forename: E
authors.initials: E
authors.lastname: Wunderer
authors.forename: A
authors.initials: A
authors.lastname: Schnebel
authors.forename: E
authors.initials: E
authors.lastname: Müller
authors.forename: E
authors.initials: E
authors.lastname: Pecho
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000856:Anorexia Nervosa / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D052018:Bulimia Nervosa / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D005194:Family Practice; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D020407:Internet; D008297:Male; D010817:Physician-Patient Relations; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000628:therapy; D011613:Psychotherapy; D012737:Sex Factors