When we meet with anorexia in children?
We see mothers often complain that their kids "do not eat" or "do not eat enough" or "you must not eat." Their attitude shows a lot of worry, anxiety, fear that the baby is not high enough, "developed", "too weak" ... They complained of whims and child refusals, time spent in front of the whole plate, the all sorts of attempts to persuade the child to eat "whole", the punishments and rewards afima ... Some of them they were "desperate", "as it struggled for several years," they can not. " We describe visits to a pediatrician at the hospital, the analysis they have made the child in an attempt to find a cure for "his lack of appetite."
The child is also sometimes present in the consultation, whether it be the little fella is already in school. We talk about anorexia baby, sometimes associated with other diseases, such as vomiting or gastro-esophageal reflux. These mothers go to a psychologist or therapist on the recommendation of the pediatrician, family doctor, hospital staff or come alone when they realize that there is a psychological component to the origin of the disorder. Eating problems are common during childhood and adolescence but vary in intensity and mode of expression.
What can a therapist?
Hearing the mother's words, her pain psychologist or trying to find the cause of anorexia when she came. Ť ť There is always something that was the origin of the disorder, a random (a pregnancy, a separation, a death, etc.), condition (mother's depression can perhaps another disease, perhaps a family member suffering of another). When asked: "Since child does not eat?" Our mother often responds "Never was killed by eating" or "she was eating less and less every day began to decline more than food." However, as we speak, to put in words various events, situations, feelings that come to mind her mother recalls a painful moment, a "trauma" that the family past. Maybe it is something that seems unrelated to anorexia child, nor can the child has learned that the event was very small or maybe it was not yet born ... And that's when the mother's anxiety increased when her condition was affected and with it and "desire" to eat the child.
Do therapeutic
For baby, working on dyadic mother-child psychotherapy focusing on how the mother feels and reacts to the child refusing to eat, to vomit his weight loss. As the mother manages to goestioneze own mental states related to child feeding, care of in general, its ability to be "a good mother, begins to solve the problem.
For children older version is decided by the physiotherapist according to the first session. Either will work only with the mother or mother and child will come up with will work together, entering into dialogue about a relationship problem, either the child or young person will remain in therapy, if it depends on solving the problem.
In all cases but it is important to detect the dynamics of family, the ties between relatives, disclosure, any contradictions, misunderstandings, conflicts, so-called "secret" family because in them we find the source of the difficulty of eating, swallowing, the retain the food inside, manifested in children suffering as a symptom of a hidden unconscious by adults who often is considered as "not matter", "I went over ..."," he has now ...".
