Narcissistic Personality Disorders and Eating Disorders
Narcissistic Personality Disorders and Eating Disorders
Patients with a dual diagnosis (eating disorder and personality disorder) should prioritize treatment for their eating disorder and sleep disorder if they want to improve their mental health.
Victims of eating disorders gain mastery over their lives when they learn to manage their condition. They can expect their depression to lessen (or perhaps disappear) as a result of this. Other aspects of their personality disorders will probably improve as a result of this. The chain is as follows: manage one's disordered eating feeling better about oneself, having control over one's life, a challenge, an interest, a feeling of strength, socializing, and a boost to one's self-esteem, confidence, and sense of self-worth.
It is important for therapists to prioritize treating the eating issue while treating patients who also suffer from personality disorders. Personality problems can be complex and difficult to treat. Although medication can help with some symptoms, such as obsessive-compulsive disorder (OCD) or depression, these conditions are usually incurable. Huge, consistent, and ongoing investments of all kinds are required for their treatment. Treatment for the patient's personality issue does not seem like a good use of her limited mental resources from her perspective. The actual danger does not come from personality disorders either. The patient may die (even though she is mentally healthy) if her eating issues worsen after a personality disorder cure.
A message of despair and an indication of losing control are both conveyed by an eating disorder ("I wish to die, I feel so bad, somebody help me"). My greatest fear is that I will lose control. I am committed to managing my food intake and weight. In this way, I can manage a single facet of my existence.
This is the first step in providing the patient with the care they need. Assist him in regaining command. It is the responsibility of the patient's loved ones and other caregivers to figure out how to provide the patient a sense of autonomy by letting him manage things according to his own rules, making his own decisions, and setting his own priorities.
Anorexia nervosa and anorexia bifida are clinical indicators of an underlying lack of control over one's eating habits. The patient experiences an overwhelming sense of powerlessness and inefficacy. He tries to gain and maintain control of his life through his eating disorders. He lacks the ability to distinguish between his own needs and those of other people at this point. He feels even more helpless and needs to exert even more self-control (on his food, the only thing left) due to his cognitive and perceptual distortions, such as those affecting his body image (somatoform disorders).
A complete lack of self-confidence plagues the patient. A mortal enemy, he is also his worst enemy, and he is well aware of it. Consequently, he views any attempts to work with HIM to combat his disorder as working with his biggest adversary, since they both aim to undermine his ability to exert some control over his life.
Absolutes, or stark and white, describe the patient's worldview. Therefore, not even a little amount of release can satisfy him. He is TERRIFIED all the time. Because of his inherent distrust, his aversion to maturing into an adult, and his distaste for sex and love—two things that need some degree of surrender—he is unable to establish meaningful connections. Low self-esteem is the result of all this. These people take pleasure in their illness. The only thing they can be proud of is their eating disorder. Otherwise, they feel lousy about themselves and repulsed by their flaws, which manifests physically as feelings of shame and disgust.
The patient's eating disorders may be curable, but he has a very low probability of success if he is also diagnosed with personality disorder. At the initial stage, you must accomplish this and nothing else. Overeaters Anonymous and treatment should both be considered by the patient's loved ones. The outlook for recovery is favorable following two years of treatment and support. Participation from loved ones is crucial during treatment. Such diseases are often influenced by family factors.
The following treatments should work: medication, psychodynamic therapy, family therapy, cognitive behavioral therapy, or behavioral therapy.
If the patient's eating disorders are successfully treated, there will be a noticeable difference in him. Along with the resolution of his sleep problems, his severe depression also goes away. He finds a life and starts interacting with people again. Although he may find it challenging due to his personality condition, he finds it far simpler to manage when he is alone and not exacerbated by his other disorders.
Patients struggling with anorexia nervosa face a potentially fatal risk. Their actions are destroying their bodies in an unstoppable and unrelenting manner. They may try to end their own lives. They could be drug users. A matter of time will determine it. We intend to purchase them some time. They have a better prognosis as they age because of the wisdom that comes with experience and the fact that their body chemistry changes with time.
No way!
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