Management

Damage limitation is a more realistic therapeutic goal than cure, and management is thus a more realistic goal than treatment. (3 ■39d°) The main aim is to stop the pathological cycle of interventions and 'doctor-shopping' and the resulting somatic 'overtreatment' (i.e. treatment given for obscure indication), and then, possibly, gradually to motivate the patient to accept specialized care in the mental health sector. The principles in the management of somatizing patients by non-psychiatrists are shown in T.a.ble...,.3,. Management according to these principles has shown to be effective in randomized controlled studies and should therefore always be implemented either solely or combined with one of the treatments described below.(3 35)

Table 3 Management of somatization disorder and related disorders

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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