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It is common knowledge that the cure effect of any disease depends on the time a patient asked for help. The psychotherapy of bulimia starts since the time of first contact of a psychotherapist and a client. The key and necessary condition for starting therapy is a client's wish to get rid of the problem, to take on responsibility for her life, and the belief in her abilities and change possibility. Psychotherapy is aimed at: 1). The management of a client's idea of ideal weight and the ways to keep it. In the course of work we identify the client's optimum weight taking into account various criteria: height, age, constitutional type, physical energy demands, and what is the most important — optimum weight is identified depending on bulimia duration. I will make some explanations: if bulimia lasts for several years already, all metabolic processes if not disregulated are blocked; and it is to early to identify ideal weight until the remission last at least 3 months — it can be identified only when there is a normal competence of all the organic vitals and systems. If there is really an excessive weight resulting from bulimia (very often at the beginning of the disease), its management is possible only by psychotherapist supervision and not earlier than after 3–6 months' stable remission. 2). Assistance in forming individual diet skills. I adhere to the principle of education in respect to this point. There are no suggestive treatment, no hypnosis, no food limitations and even no calorie counting. My objective lies in educating you to use such an intuitive nutrition method which is used by all slender people who cause envy in a certain degree as they are never on a diet but always slender! And they are slender just because they do not keep diet and do not form an attitude toward food based on the following principle: «fat, sugar is harmful, calorific, I will get fat». In the course of psychotherapy the work is conducted to fight «the fear of food», and negative attitude towards it. It is the fear of food and putting on weight that provokes breakdowns. We don't need it, that's why we don't have fear. There are NO limitations on any food products and there NO harmful products according to my «New nutrition» technique. There are: balance, mental harmony, peace of mind, pleasure from food taste, use for organism, energy for body, and joys of normal life! The education in respect to «New nutrition» technique is realized gradually, a client starts keeping a nutrition diary noting (do you think calories and the amount of food eaten?) — No way! She makes notes of favorite and useful food which from now on is no longer thrown away from the stomach hardly had it got in it but is distributed for all vitally important things: pleasure, satisfaction, satiation, use, energy, vitamins, micro- and macronutrients, proteins and carbohydrates. She also notes all associate questions the answers to which she gets at the next consultation or by phone or e-mail. 3). Psychointervention work is aimed at client's realizing of the effect of identity and emotional problems on eating behavior disorder development. It is focused on identification and change of wrong thinking models, points of view and psychological sets that may cause or aggravate engorgement fits or the other extreme — complete food rejection. This is the work with fears, stress, troubles which may provoke a breakdown, with conflict situations, micro- and macrotraumas. This is new psychological sets to a new behavior model, acceptance oneself to be healthy, unique, and happy. 4).The explanations of the necessity of long-term therapy are given within active therapy as well as appropriate measures, human diet and the number of meetings to control is discussed. 5).Interpersonal psychotherapy is oriented to the problems of interpersonal relations, self-esteem, self-confidence, social communication skills and to the solution strategies. 6).Various family therapy forms are used. The objective of family therapy is to help family members to change drivers which may affect certain thinking trouble development of a bulimic. Not only a patient is accountable for the disease. 7).Group therapy is very efficient when a patient recovers. Group communication allows patients to share experience, to tell about the ways to overcome the disease and to learn others' experience. Furthermore, lending assistance to others facilitates self-esteem improvement. That's why an idea of founding «Ex-bulimic society» has emerged. As to drugs: Antidepressants are considered to make engorgement fits less frequent as well as reduce the wish to clean the stomach by retching. Many psychiatrists currently use Prozac fluoxetine as a means of bulimia in-treatment. I regard this treatment mode with extreme care and this medicine is not used within my mode of bulimia treatment. A pill can't cure inner negative and wrong psychological sets. This the way back, to way to rely on something — on a pill in particular. The best way to cure bulimia is the use of «Help yourself!» principle which might firstly seem cruel but it becomes clear after first consultations that it is the only true and efficient principle which can and must be relied on. And my objective is to teach it to you. Antidepressants are no objects. What concerns medical and drug treatment itself it can't be done without to cure such a grave disease. Patients are sent to such specialists as endocrinologist, gastroenterologist, proctologist depending on disease duration and aggravation. If necessary a patient is sent to a psychiatrist whose assistance contributes much to the life activity resetting of vitals and organic processes what facilitates psychic recovery. Dear girls! Don't be shy and don't be afraid of asking for help! Desperation and lack of belief have helped nobody. The way really exists. There are some examples and proofs that bulimia can turn into a chance to change one's life — to change for the better! You will make use of the disease, but you will not be its victim any longer. You will obtain a fresh view of the world; you will start living with new ideas, plans and health. I have worked a lot about changing my life with regard to the personal experience of having suffered from bulimia for many years. I have changed everything: my habits and goals, changed education and scope of activities. I have gained a valuable experience of working with clients; I have made every effort to get the problem of bulimia discussed. And I have done everything with one objective in mind — to make each girl suffering from bulimia as I did some time ago realize that there is an escape, that bulimia is not a fatal damnation or an unfamiliar ail which can't be cured any way. There is the solution to this problem. I have experienced everything you feel right now, everything making life unbearable, everything taking away joy and strength at the best age. Each feeling is not just familiar to me — I have experienced it. Having suffered from bulimia for ten years I am going to waste no moment of my life to suffering from it any longer. Of course, there is no secure against diseases. But if there is at least one chance in a million to help yourself, to save your health and best life years to live more eventful and interesting life — don't miss it! My experience and my clients' experience prove it. There is a chance of recovery! Living without bulimia is possible!!! Sincerely yours with wishes for happiness and health, Irina Kultchinskaya Internet journal Bulimiastop.com |