psychotherapeutic point of view, deserves particular praise for the approach recently used various types of psychogenic disorders of food: the participation in one of several groups of "self-mutual-help." As already seen for anorexia, the latter therapy is to share with others their own emotional states and of her own life, thanks to the intervention of a third party who plays the delicate role of "moderator" or, rather, a facilitator, given the difficulties typical of bulimics to be open to the outside world. Groups of "auto-loan-help" are spreading in many Italian cities and even the network is rolling out Internet sites sites, with community and similar tools that allow a dialogue, because the "virtual", it is sometimes accepted by the patient with less discomfort. On the use of drugs, only one part of administering medicine considers useful, especially for prolonged periods too, but in any case, it will be the specialist to take into account all the conditions of the case and, usually, are the best choice other types of therapy. Antidepressants, in particular the so-called SSRIs (selective serotonin reuptake inhibitors) are drugs which, however, are mostly used for the treatment of bulimia. Use of such specialties often SSW is doubtful positive effects, both for action at the psychological level for the downward trend in the frequency of binge eating and compensatory behavior. As for the prognosis, much depends on the causes that have triggered, the promptness with which the disease was diagnosed and, above all, genuine desire to heal. Bulimia, however, can be defeated, even in a very definitive. As we have seen for anorexia, infatti, specie se la malattia inizia a essere curata precocemente e la paziente collabora con coraggio e stimoli (sia da parte di chi le sta vicino, che, soprattutto, dal proprio interno, magari anche grazie al sostegno dei cari), si può completamente uscire dal tunnel, senza riammalarsi mai più. In altri casi, invece, a fasi di miglioramento, si susseguono fasi di riacutizzarsi del disturbo, mentre, nelle situazioni più gravi, in cui la paziente rifiuta di reagire, il decorso è inesorabile e il peggioramento ha un andamento continuo, in alcuni casi fino alla morte per denutrizione o per suicidio.
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