Binge eating disorder and obesity

Tıkınırcasına yeme bozukluğu (TYB), DSM-IV’de başka yerde sınıflandırılamayan yeme bozukluklarına dâhil edilmektedir. Yapılan çalışmalarda TYB olanlarda yüksek oranda psikiyatrik eştanı saptanmıştır. Ayrıca depresyonun TYB tedavisi sonrasındaki nükslere de neden olduğu vurgulanmıştır. Bu yazıda obezite tedavisinde başarılı olamayan ve bu nedenle de psikiyatriye yönlendirilen genç bir kadın olgu sunulmuştur. Tedavisinde hem fluoksetin hem de BDT birlikte kullanılmış ve etkili sonuçlar elde edilmiştir. Hasta aynı zamanda diyetisyenin verdiği diyet ve egzersiz programını takip etmiş ve dâhiliye tarafından kontrol edilmiştir. Obezite tedavisinde multidisipliner yaklaşım önemlidir. Psikiyatrik değerlendirme ve olası psikopatolojilerin tedavisi ile başarılı sonuçlar elde edilmektedir.

Tıkınırcasına yeme bozukluğu ve obezite

Binge eating disorder (BED) is included into eating disorders that are not otherwise specified in DSM-IV. It is more common among overweight women applied to treatment. In the conducted researches it was found that there was high level psychiatric comorbidity in patients with BED. In addition, it has been emphasized that depression caused relapses after BED treatment. In this article, a case of a young woman that failed obesity treatment and therefore referred to psychiatry clinic has been presented. In her treatment fluoxetine and BDT were used and effective results have been obtained. The patient at the same time followed the diet program given by dietician and was controlled by internal medicine department. Multidisciplinary approach is important in the treatment of obesity. Successful results have been obtained with psychiatric evaluation and with the treatment of psychopathologies.

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