Eating disorders among young people: treatment by the family system

October 4, 2024

The conference with experts organized by the Villa Santa Chiara Nursing Home reflects on how to intervene with multidisciplinary therapy that involves not only the patient but also the parents.

Verona, October 4, 2024 – “Involving the family, especially parents, in the treatment of children with eating disorders is essential, and often involves a process of introspection and self-reflection.

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Disorders such as anorexia, bulimia nervosa, or binge eating, which mainly affect adolescents, are often manifestations of deep emotional distress that affects the entire family system. Reducing the problem to simply “she doesn’t eat because she wants to be thin” is a superficial view: it is essential to understand the deeper meaning of eating disorders (EDs), their roots, causes, triggers, and the factors that perpetuate them. It is not a question of looking for blame or intentions, but of recognizing a pain that needs to be addressed and treated, requiring active work on the part of parents as well. In many cases, these disorders originate in unresolved generational traumas, which are unconsciously passed on to new generations.

This, in summary, was the speech given by Dr. Maria Zaccagnino, EMDR Supervisor and Facilitator, Scientific Director of the EMDR Therapy Center for Anorexia in Milan, during the conference “The role of parental figures” organized today by the Villa Santa Chiara Nursing Home at its headquarters in Quinto (Verona).

Dr. Zaccagnino focused on the “crucial role of parents of patients with eating disorders, taking care of their experiences”. In her report, she states: “Including parents in the therapeutic process means not only supporting the individual patient, but also intervening in the entire family system, benefiting all its members. In many families, there are situations of latent suffering that are neither addressed nor treated, which continue to negatively influence family dynamics and the healing process.”

Including parents in the therapeutic process means trying to benefit the entire family system. Eating disorders are usually rooted in pain that must be treated and sometimes requires work with the parents, which then affects their son or daughter. There are many situations in which there is significant suffering within the family that has never been addressed or treated.

Eating and nutritional disorders are pathologies that are constantly on the rise, increasing and worsening among the very young, partly as a result of the psychological consequences of Covid, as well as greater awareness and knowledge of the pathologies. The onset of these disorders is occurring at an increasingly early age, affecting boys and girls as young as 10-12 years old, with experts predicting that the age of onset will decrease further in the near future. Three million people in Italy (about 5% of the population) suffer from these disorders, and statistics indicate that 8-10% of girls and 0.5-1% of boys face disorders such as anorexia or bulimia. In 2022-2023, the Veneto Region recorded 1,350 first visits, 3,000 patients treated, 1,000 hospitalizations, and 350 visits to the emergency room.

“We have reached the third conference of the training project ‘Eating Disorders’,” explains Dr. Marco Bortolomasi, psychiatrist and head physician at the Villa Santa Chiara Nursing Home. “This cycle was designed to offer specific and advanced training to the professionals who make up the multidisciplinary team involved in the treatment of nutrition and eating disorders. Highly qualified professionals such as psychiatrists, psychologists, nutritionists, or dietitians, and, in more serious cases, even educators, work together to address these disorders.“ ”In our facility,“ he adds, ”there is a growing demand for hospitalizations, which we keep to a minimum in order to maintain the continuity and effectiveness of our interventions.”

According to Dr. Alessandra Minelli, psychologist and psychotherapist, associate professor of psychobiology at the Department of Molecular and Translational Medicine at the University of Brescia: “The involvement of various actors is crucial in the treatment of patients with eating disorders, especially in the most severe cases. The contribution of a network of highly specialized professionals and the families themselves cannot be overlooked. The biggest challenge is to create effective synergy between the various members of the multidisciplinary team, promoting constant communication and a shared vision of the therapeutic process. Prevention, early diagnosis, and an approach that includes the patient and their family context are the keys to effectively addressing these disorders.”

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