Eating disorders and personality disorders narcissism

Eating disorders and personality disorders narcissism   Question: Do not narcissists also suffer from eating disorders like anorexia nervosa or bulimia nervosa? Answer: Patients who suffer from eating disorders either binge on food or refrain from eating and sometimes are anorectic and bulimic. This is an impulsive behavior, as defined by DSM and is sometimes co-morbid Cluster B personality disorder, particularly with borderline personality disorder. Some patients who develop eating disorders as the convergence and confluence of two pathological behaviors: self-mutilation and an impulsive (and no, rituals or obsessive-compulsive) behavior key to improving the mental state of patients who were diagnosed with a disorder personality and an eating disorder is the first focuses on the time of eating and sleeping disorders.By control the eating disorder, the patient insists on control over their lives. This new power is intended to reduce depression, or even eliminated altogether, as a constant of his mental life. You can also improve other aspects of his personality disorder. E 'a chain reaction: the control of disturbances leading to better regulation of a sense of self-esteem, self-confidence and self-esteem. Successfully against a challenge - the eating disorder - generates a feeling of inner strength and results in improved social functioning and a greater sense of being.When a patient has a personality disorder and an eating disorder, the therapist would well before you tackle the eating disorder. Personality disorders are intricate and intractable. Rarely cured (though certain aspects, such as obsessive-compulsive behavior, or depression can be improved with medication or modified). The treatment of personality disorders requires enormous, persistent and continuous investment of resources of all kinds for all involved. The patient from the point of view, the treatment of personality disorder is not an efficient allocation of scarce mental resources. The personality disorders and the real threat. If the personality disorder is cured, but one of the eating disorders are left intact, might die (though mentally healthy)? An eating disorder is a sign of danger ( "I want to die, I feel so bad, somebody help me") and a message: "I lost control. I am very afraid of losing control. I control my food and waste. This way I can check at least one aspect of my life. "Here is where one can and must begin to help the patient - which allows them to regain control of their lives. Family or other data that show what they can do to make the patient feel of control, that things is his way of management, which is to contribute, have their schedules, their own agenda, and that you, their needs, preferences and options matter.Eating disorders indicate the strong combined activity of an underlying feeling of lack of personal autonomy and an underlying feeling of lack of self control. The patient feels too weak and ineffective paralyzingly. Their eating disorders are an attempt to exert and reassert mastery in their lives. In this first phase, the patient is unable to distinguish their own feelings and needs of others. His cognitive and perceptual distortions and deficiencies (eg in relation to their body image? Known as a somatoform disorder) only increase his sense of personal ineffectualness and his need to exercise more self-control (through diet). The patient does not trust itself, not the least. He rightly considers to be his worst enemy, a mortal enemy. Therefore, any attempt to collaborate with the patient against their illness is perceived by the patient as a self-destructive. The patient is emotionally invested in his disorder - vestiges of its modes of self-control patient believes that the world in terms of black and white, of absolutes ( "splitting"). Therefore, we can not let go even a very small degree. He is in constant anxiety. This is why it is impossible to form relationships: he mistrusts (himself and, by extension, others), does not want to become an adult, do not enjoy sex or love (which entail a minimum loss control). All this leads to a chronic lack of self-esteem. These patients like their disorder. Their eating disorder is their only achievement. Otherwise we are ashamed of themselves and disgusted by their shortcomings (expressed through the aversion with which to maintain their body). Eating disorders are susceptible to treatment, although comorbidity with a personality disorder presages a poorer prognosis. The patient should be referred to talk therapy, medication, and to register online and offline support groups (such as Overeaters Anonymous). The prognosis is good for recovery after 2 years of treatment and support. The family must be very involved in the therapeutic process. Family dynamics usually contribute to the development of such disorders.In short: medication or cognitive behavioral therapy, psychodynamic therapy and family therapy should do it.The change the patient, after a successful course of treatment is very marked. His depression has disappeared along with their sleep disturbances. He becomes socially active, and get a life. His personality disorder might make it difficult for him? but, in isolation, without aggravating the situation in other disorders, it is much easier to deal with eating disorders with.Patients may be in mortal danger. His behavior is inexorably ruining their bodies and inexorably. May attempt suicide. You could do drugs. It 's just a matter of time. The goal of the therapist is to gain time. Those who are older, they become more experienced, the more their bodies change with age, chemistry? greater chance to survive and prosper. About the Author Sam Vaknin is the author of Malignant Self Love - Narcissism changes and, after the rain - How the West Lost the East. E 'a columnist for Central Europe Review, PopMatters, and eBookWeb, a United Press Inteational (UPI) Senior Business correspondent, and the editor of mental health and Central East Europe categories in Open Directory Bellaonline, and Suite101. Visit the Web site of a Sam