. 4 Therapy with drugs that act as deterrent, e. g disulfiram in alcoholism The drug is given in a loading dose of 600-1000 mg/day and then reduced

alcoholism The drug is given in a loading dose of 600-1000 mg/day and then reduced to maintence dose of 125-250 mg/day These drugs havew to be given only ofter complete recovery from withdrawal sympomes. 5 Treatment of associatedp psychiatric disorder- Psychothrapy may be useful even in the absence of an associated psychiatric disorder 6 Referral to agencies concerned with drug-dependence. e.g Aicoholics Anonymous, Narcotics Anonymous B eating DlSORDER Anorexia nervosa and bulimia are the two disorders which mainly affect women Cases unresponsive to Treatment ara associated with signlficani mortality chronic form of these disorders develop in 25% of pts. leading to a habitually low body wt. or a wide tiuctuation in weight due. to regular purging and its cornplications. Many pts suffer from anxiety and affective desorders anorexia nervosa - is characterised by saff-imposed starvation in relentness pursuit of thinness and fear of fatness. leading to varing degrees of emaciation bulimia nervosa - is characterised by episodes of binge (bullima) associated with compensaory behaviours. such as vomlting or laxative misuse. it is accompanied by a sense of loss of control and a strong desire for a thinner body Pts. rnay show title wt. loss or may evan be obese The symptom of bulima can be feature of other medical or a component of anorexia nervosa. CLICAl FEATURES main feature of eating disrders are an avxaggerated desire thinnesss and intense fear of the being fat. the intense drive for thinness generates unusua eating behaviours or toying with food rather than eating it. or secretly disposing of food d food For pts with anorexia nervosa who also displtay. forbidden' foods are typically those consumed In a binge (l.e high calorie. carbohydrate-rich items) binges are followed by efforts to countract the ingestion of excessive calories by vomiting, laxative. or duretic abuse. severa food restriction of vigorous exa. severe food restriction or vigorous exarcising. anorexic