COACHING FAMILY-BASED OUTPATIENT TREATMENT METHOD FOR ADOLESCENT ANOREXIA NERVOSA. A CASE REPORT.

ABSTRACT Family-based treatment (FBT) has been shown to be an effective treatment for adolescent anorexia nervosa and the method is nowadays generally recommended, but probably not widely enough in practice in Finland. Around a decade ago, one severe anorexia patient was successfully treated by a...

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Main Author: JAANA RONKAINEN, JUKKA RONKAINEN
Format: Article
Language:English
Published: The Finnish Foundation for Psychiatric Research 2024-11-01
Series:Psychiatria Fennica
Subjects:
Online Access:https://www.psykiatriantutkimussaatio.fi/wp-content/uploads/2024/10/Psychiatria_Fennica%E2%94%ACa2024_Ronkainen_et_al.pdf
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author JAANA RONKAINEN, JUKKA RONKAINEN
author_facet JAANA RONKAINEN, JUKKA RONKAINEN
author_sort JAANA RONKAINEN, JUKKA RONKAINEN
collection DOAJ
description ABSTRACT Family-based treatment (FBT) has been shown to be an effective treatment for adolescent anorexia nervosa and the method is nowadays generally recommended, but probably not widely enough in practice in Finland. Around a decade ago, one severe anorexia patient was successfully treated by a paediatrician (JR), in an initially unplanned treatment, at a healthcare centre as an outpatient, by coaching the family to return the patient to their previous normal eating habits. The severe malnutrition (weight loss of 20 kgs and body mass index 14.3 kg/m2) and the eating disorder symptoms alleviated in approximately six months by actively supporting and coaching the parents, in weekly appointments, to take whole responsibility for the meals. During the last ten years, the paediatrician (JR) has applied the coaching family-based method (c-FBM) to all adolescent patients with a restrictive eating disorder seeking help, first at the Primary Healthcare Centre of Oulu, and lately at Primary Healthcare Centres of Länsi-Pohja District and at a private clinic in Oulu. The c-FBM is otherwise quite similar to the generally used FBT method, with the most significant difference being the primary care paediatrician taking the main responsibility for the treatment. In this article we introduce the c-FBM through four lately treated patient cases who have all benefited from the treatment within one year.
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spelling doaj-art-32f7e0beced34989bb76ba024186d9922025-01-22T09:42:26ZengThe Finnish Foundation for Psychiatric ResearchPsychiatria Fennica2489-61522024-11-015590100COACHING FAMILY-BASED OUTPATIENT TREATMENT METHOD FOR ADOLESCENT ANOREXIA NERVOSA. A CASE REPORT.JAANA RONKAINEN, JUKKA RONKAINENABSTRACT Family-based treatment (FBT) has been shown to be an effective treatment for adolescent anorexia nervosa and the method is nowadays generally recommended, but probably not widely enough in practice in Finland. Around a decade ago, one severe anorexia patient was successfully treated by a paediatrician (JR), in an initially unplanned treatment, at a healthcare centre as an outpatient, by coaching the family to return the patient to their previous normal eating habits. The severe malnutrition (weight loss of 20 kgs and body mass index 14.3 kg/m2) and the eating disorder symptoms alleviated in approximately six months by actively supporting and coaching the parents, in weekly appointments, to take whole responsibility for the meals. During the last ten years, the paediatrician (JR) has applied the coaching family-based method (c-FBM) to all adolescent patients with a restrictive eating disorder seeking help, first at the Primary Healthcare Centre of Oulu, and lately at Primary Healthcare Centres of Länsi-Pohja District and at a private clinic in Oulu. The c-FBM is otherwise quite similar to the generally used FBT method, with the most significant difference being the primary care paediatrician taking the main responsibility for the treatment. In this article we introduce the c-FBM through four lately treated patient cases who have all benefited from the treatment within one year.https://www.psykiatriantutkimussaatio.fi/wp-content/uploads/2024/10/Psychiatria_Fennica%E2%94%ACa2024_Ronkainen_et_al.pdfeating disorderanorexia nervosaprimary carefamily-based treatmentadolescent
spellingShingle JAANA RONKAINEN, JUKKA RONKAINEN
COACHING FAMILY-BASED OUTPATIENT TREATMENT METHOD FOR ADOLESCENT ANOREXIA NERVOSA. A CASE REPORT.
Psychiatria Fennica
eating disorder
anorexia nervosa
primary care
family-based treatment
adolescent
title COACHING FAMILY-BASED OUTPATIENT TREATMENT METHOD FOR ADOLESCENT ANOREXIA NERVOSA. A CASE REPORT.
title_full COACHING FAMILY-BASED OUTPATIENT TREATMENT METHOD FOR ADOLESCENT ANOREXIA NERVOSA. A CASE REPORT.
title_fullStr COACHING FAMILY-BASED OUTPATIENT TREATMENT METHOD FOR ADOLESCENT ANOREXIA NERVOSA. A CASE REPORT.
title_full_unstemmed COACHING FAMILY-BASED OUTPATIENT TREATMENT METHOD FOR ADOLESCENT ANOREXIA NERVOSA. A CASE REPORT.
title_short COACHING FAMILY-BASED OUTPATIENT TREATMENT METHOD FOR ADOLESCENT ANOREXIA NERVOSA. A CASE REPORT.
title_sort coaching family based outpatient treatment method for adolescent anorexia nervosa a case report
topic eating disorder
anorexia nervosa
primary care
family-based treatment
adolescent
url https://www.psykiatriantutkimussaatio.fi/wp-content/uploads/2024/10/Psychiatria_Fennica%E2%94%ACa2024_Ronkainen_et_al.pdf
work_keys_str_mv AT jaanaronkainenjukkaronkainen coachingfamilybasedoutpatienttreatmentmethodforadolescentanorexianervosaacasereport