Method of treating compulsive overeating

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to psychotherapy, reflexotherapy and concerns treating patients suffering from compulsive overeating. Psychotherapeutic influence is realised by means of individual suggestive influence. Patient is brought into the state of trance and simultaneously their acupuncture points are influenced, before individual suggestive influence, neurolinguistic programming is carried out and new ecological image of "healthy Ego" is formed. Essence transformations of personality are realised and new healthy principles of correct nutrition are formed, prevention of "diet depression" is also realised, individual suggestive influence being directed to psychological support, distraction from persistent thoughts about food, weight and figure, normalisation of food intake, elimination of diet self-restrictions, solution of life difficulties; reflexotherapeutic influence on acupuncture points is realised by infrared photobiostimulation and extremely high-frequency exposure onto corporal points, after which patient is given home task in form of "diary of correct food behavior". Infrared photobiostimulation is performed on point T20, extremely high-frequency exposure is performed on corporal points E36, MC6, GL4, VB8, VC12, RP6. Individual suggestive influence is performed by means of Ericksonian hypnosis. On finishing the course of treatment, psychological support is carried out in form of consultations in order to form and support strategy of correct food behaviour. In process of carrying out reflexotherapy course simultaneously infrared exposure of low intensity and extremely high-frequency exposure are used. Individual suggestive influence, infrared exposure of low intensity and extremely high-frequency exposure are carried out simultaneously.

EFFECT: method lies in increasing treatment efficiency.

2 ex

 

The present invention relates to medicine, namely to psychotherapy, reflexology, and for the treatment of patients suffering from compulsive overeating.

Compulsive overeating may manifest as obesity or bulimia nervosa and is regarded as a physiological disorder with biological, psychological and social roots.

There is a method of treatment of compulsive overeating, which includes individual and group psychotherapeutic treatment and reflexology, are protected by the RF patent №2198000, CL AM 21/00, publ. 2003.02.10.

However, this method for all its attractiveness has several fundamental flaws. First, this method is rather complicated for conducting personnel, for not only requires special training, but specific personality type (introvert and extrovert). It is known that pure introverted and extroverted does not exist, and this division is very subjective. Secondly, this type of treatment is associated with discomfort for patients (necessity awake at night) and a deformation of the usual jet lag, which contributes to the exacerbation of chronic diseases associated with obesity. Thirdly, for group treatment of obesity should abide by the laws of group psychotherapy obesity, and there is but the group should be no more than 7 people.

Thus it is necessary to stress the fear, anxiety and mistrust of the group process. This is often confirmed by actual hostile experiences in the group. A large group can itself create significant frustration mainly for its size (up to several tens of participants) and the alienating effect of this on each individual member. This frustration begets hatred: hatred of therapist, to the group, to himself and to the world.

The formation of new conditioned reflex strategies correct eating takes on average 5-6 months and all this time the patient should be in contact with the psychotherapist.

In the known method is not considered vasovist dynamics of group therapy. Based on the phase dynamics of relations in the group, 3 sessions in the group growing negative trends for the group enters a phase of confrontation and breakthrough real feelings. This leads to frustration narcissistic needs, so instead of providing empathic display to individuals and congruent relations in the group gives the experience of neglect, deprivation and undermine self-esteem. This feature of group therapy must be considered and be sure to work, because this is the state of the group's development can lead to aggression, which has a destructive effect, turning about the ECC healing and pathological disintegration path.

Because of the above, this method of losing weight, having obvious advantages, however, leaves uncovered a huge reservoir of people who suffer from compulsive overeating and yet refuse from group therapy. The group approach in comparison is regarded as somewhat superficial, interpersonal and transpersonal, insufficiently supported metapsychological, relatively unfair, because in the process is the scattering of therapeutic efforts of many people at the same time. We offer group therapy impact a bit messy and uses in its practical part vzaimoponimaniye in relation to the psyche of the patient's psycho-techniques, namely the simultaneous use of transpersonal psycho and aversive psychotherapy. This dramatically increases the risk of forming iatrogenically anorexia.

In addition, there is a certain group of the population, principally refuse from group therapy.

Be aware that acupuncture causes a rebalancing of physiological processes that under conditions of stress can cause the depletion of the protective forces of an organism and, respectively, to cause exacerbation of chronic diseases associated with obesity. Conducting acupuncture of trebuetsya certain requirements, one of which is the creation of psycho - emotional state of calm and relaxation. The above technique belongs to the stress-emotional psychotherapy, which may cause a paradoxical reaction - reaction to iglorefleksoterapevta impact. The room in which are acupuncture, must comply with the standards of the sea.

There is also known a method for the treatment of alimentary constitutional obesity Naumchik L.M., protected by the RF patent №2136323, CL AM 21/00, A61K 35/78, A61N 1/18, A61N 1/26, publ. 1999.09.10.

The main disadvantages of the method are:

- when conducting psychotherapy with the techniques of autogenic training is absolutely not considered morfolygicas principles of formation of autogenic suggestions, and it is not recommended to desire nothing negative ("lose weight" is derived from the word "evil" to desire yourself to lose weight=desiring to do evil, that is, bad);

- when creating formulas autogenic suggestion should be avoided prefix "not", because the subconscious mind does not perceive the prefix "not" and autogenic suggestion gets completely opposite meaning;

in the process of conducting psychotherapy obesity all kinds priority to teach patients to distinguish between hunger and appetite, which is not carried out in a known manner;

- use the of rangelov and myostimulation significantly increases the cost and complicates the methodology requiring large areas that in many hospitals cannot;

mass effect is effective in 15% of cases and only in individuals with increased suggestibility;

the treatment occurs without taking into account the physiological changes of the body, characteristic of obesity.

From the above it follows that this method is not so much ineffective as dangerous in terms of the development of iatrogenic disease.

There is a method of treating obesity, protected by the RF patent №2173182, CL AM 21/00, publ. 2001.09.10, selected as a prototype.

According to the method previously identify the leading mechanism of psychological defense in the form of "projection" or "regression". Conduct psychotherapeutic interventions aimed at the destruction of the identified mechanism of psychological defense and the formulation of coping behavior in the cognitive sphere "problem analysis" or "setting values", in the emotional sphere - "protest" or "optimism", in behavioral sphere - "cooperation" or "constructive activity". For fixing of set points additionally carry out acupuncture, acting on the point CI. 10-Show-San-Li, RP. 8-Di-JI, RP. 6-San-Yin-Jiao, that is, a 37-Shang-Ju-Xu, MS. 4 C street, MS. 5-Jiang-Shi.

The disadvantages of the method are:

the method does not take into account the personal development of the patient, because Sri the mechanism of psychological defense in patients using the coping behavior of the projection type or regression in patients with neuroses, in patients with preparationtime disorders, and patients with high risk of occurrence of psychogenic disorders and somatic diseases with therapeutic point of view is not justified and not effective enough, since it leads to the transition from penetrationshuge state in neurotic and stimulates the emergence of Psychotrauma;

a way of considering the problem at the level of "ability" and "opportunities" and absolutely does not affect the level of personal values and beliefs, which limits its effectiveness, i.e. there is a restriction solely behavioral techniques, not worked out the underlying causes, is not considered specific changes of personality in the development of the disease;

in no way create an atmosphere of psychological safety, for the failure of psychological defense by artificial stimulation of anxiety, tension, aggression unethical and short-term psychotherapy is ineffective and usually causes an unwanted complications;

the method is limited by the efficiency and ineffective in all cases of obesity, except in cases of obesity, due to the formation mechanism of psychological defense in the form of "projection " or" regression is. In all other cases the development of obesity, this method is ineffective, and sometimes harmful, for the protection of the unconscious includes not only the projection and regression, but also many other pathological defense mechanisms, such as "guilt, "submission", "active avoidance", "retreat" and others. For example, often when faced with traumatic situations obese patients avoid and ignore them, experiencing confusion, blame themselves, they repress their emotions through self-control tend to seek help from other people, demonstrating coping-behavior-type "avoiding" or "retreat". The strategy of avoidance is one of the leading behavioral strategies when forming against non-adaptable, pseudosulcus behavior, leading to the development of obesity. Using this strategy caused by the insufficient development of personal and environmental coping resources and skills active problem solving. It can be adequate or inadequate depending on the specific stressful situation, age and condition of the resource system of the personality, so when conducting psychotherapy aimed at correcting the coping behavior, it is necessary to consider the relationship of coping behavior with coping resources. In the above method is absolutely not considered such a connection that p is fakticheskoi activity generates pseudoanabaena dysfunctional coping behavior and promotes rapid return of excess weight.

Note that the coping-behavior-type projection and regression as pseudonymity reaction can be formed personalities with penetrationthe, neurotic and psychotic organization of mental processes. Conducting breakdown of identified psychological defense mechanism in people with psychotic organization of mental processes leads to the development of psychopathological processes.

In the case of coping-behavior-type "active avoidance" and "retreat" failure mechanism of protection with emotional stress therapy is contraindicated, since it leads to the confirmation of pathological beliefs in their own inferiority and therefore playing into the hands of the progression of obesity.

In the known method is not worked out the concept of "appetite" and "hunger", does not explain the role of a balanced diet and reasonable physical exercise, and also totally ignored the importance of adherence to the diet in the first months of the formation of a new eating behavior and is not formed strategy for a new correct eating behavior.

The basis of the invention lies in the task of creating the modern requirements of the time a treatment for compulsive overeating, which includes multi-level physiological effects, provides a quality the first relief of the main manifestations of compulsive overeating, and the new strategy of correct eating behavior without the use of drugs, as well as high-quality rehabilitation program in the recovery period.

The technical result from the use of the invention is to improve the effectiveness of treatment.

This result is achieved in that in the method of treatment compulsive eating disorder, including psychotherapy and foot reflexology, impact, therapeutic impact is carried out using individual exposure to suggestion, enter into a trance and act simultaneously on acupuncture points while before individual suggestion influence conduct neuro-linguistic programming and form new eco-friendly way "I am healthy", carry out the essential transformation of the self and form healthy principles of proper eating behavior, as well as prevention "diet depression, and individual suggestive direct impact on psychological support, a distraction from the nagging thoughts about food, weight and body shape, normalization of eating the elimination diet of austerity, the resolution of life's difficulties, and foot reflexology, the effect on the acupuncture points provide an infrared photobiostimulation point T20 and Carniola the high-frequency impact on corporeal point E36, MS, GL4, VB8, VC12, RP6, after which the patient is given homework in the form of "diary of a correct eating".

Individual suggestion exposure is performed with the use of Ericksonian hypnosis.

At the end of treatment psychological support in the form of consultations for the formation and support strategy correct eating behavior.

During the course of reflexology are used simultaneously, low-intensity infrared effect and kineviscosity impact.

Individual suggestive impact, low-intensity infrared effect and kineviscosity effects are at the same time.

Individual approach is considered "deeper". Proposed by the applicant technique intra-psychic, metapsychological based on a deep study of the problems that led to compulsive overeating, and technically associated with in vitro effect of enhancing intra-psychic restructuring of internal psychological space personality, during which the cured artificial disease.

The course of treatment is as follows. In the first procedure, the doctor conducts an initial interview with the patient, collects history, defines motivation for treatment and creates a verbal contract with the patient, one of vremenno determines the type of pathological eating behavior. During the initial conversation, the doctor determines the representative system of the patient and adjusting to it, creates a state of rapport. Carrying out diagnostics using computer diagnostic system by Nakatani, the doctor determines the functional state of the patient and the system, requiring correction. In subsequent use of computer diagnostic system they control the dynamics of therapeutic effects. The first procedure is aimed at the formation of a resource state security and comfort.

During the initial conversation, the doctor does neuro-linguistic programming (NLP) "anchoring", followed by "collapsing anchors", acolatse emotional state corresponding to the concepts of "food" and "diet". The result is getactualsize food pathological dominant. At the same time provides an explanation of the concepts of appetite and hunger, recommendations on rational nutrition based on the type of pathological eating behavior. These recommendations necessary for the formation of the patients habits meaningfully relate to nutrition.

Recommendations include:

1) diet - 5 times a day

2) the exclusion from the diet of sugars, solid fats, potatoes, flour products,

3) daily calorie - 1000-1200 kcal per day,

4) diary of the rules of the nogo eating behavior, in which the patient carefully records the amount of food eaten per day, a brief emotional state and in writing performs the task given by therapist.

Upon completion of the interviews conducted trance suggestion using Ericksonian hypnosis then type "resource trance, during which the use of direct and indirect suggestions to enhance motivation to achieve the desired result. The emphasis is not on the number of dropped pounds, and to increase self-esteem. In the process of trance give suggestions that increase the level of internal security and safety. At the same time during the trance conduct the procedure grinevichevoj (EHF) and infrared (IR) effect on corporeal point. Use point T20 (IR exposure). Use point E36, MS, RP6, GL4, VB8, VC12 (EHF-influence). Simultaneous foot reflexology, and individual exposure to suggestion help to destroy abnormal communication, forming pathological functional food is a pleasure". As you know, all the usual action in man created the usual stereotype of the program, expressed in the form of a stable functional relationships. All programs, including compulsive behaviors (Smoking, alcohol, obesity), are activated automatically. Impact on reflect the major communication areas of the skin with the relevant parts of the brain change the usual stereotype of pathological eating behavior. After the procedure the patient is given homework, which includes the development of individual diet and physical exercises and the need for additional medical advice. Only independent formation of an individual's diet, taking into account health status, allows you to generate the patient's habit meaningfully relate to nutrition. Creating and informed implementation of complex dosed physical activity is one of the essential conditions necessary for successful treatment, since it allows the patient to learn how to get physical satisfaction and to feel the joy of the body."

The second procedure is an amendment of the basic underlying assumptions to compulsive overeating and begins with a discussion of individual diet and food diary. After discussions were conducted NLP-6 step reframing.

After the procedure, NLP spend a hypnotic trance using techniques of Ericksonian hypnosis. During the trance confirm on a subconscious level to achieve the desired condition and there is a saturation of positive emotions. During the hypnotic suggestion while conducting IR and UHF therapeutic effect on corporeal point. After the procedure, give homework. In homework pre is offered in writing to answer questions - "how and in what circumstances the patient increases the appetite and as the patient manifests a feeling of hunger. This task is necessary for the dissociation part of the person responsible for overeating, from healthy parts of the personality. All the household jobs perform in writing in the diary proper eating behavior.

3 the procedure goes to work with important food. For this purpose, conduct NLP techniques to change the beliefs, then individual suggestive interventions aimed at distraction from the nagging thoughts about food and the formation of a positive image of "healthy "I".

At the same time produce infrared and short-wave exposure. After the procedure, give homework is to write 5 favorite foods or meals to identify situations for which patients have awarded themselves with food, and correction of family scenarios related to overeating.

4 the procedure NLP - technique position descriptions, during which conducts an internal dialogue between the parts of the personality with the creation of the agreement on the new food behavior and creates an internal environment-friendly way "healthy "I" with the implementation of the essential transformation of the self. Then hold individual suggestive interventions aimed at the acceptance of oneself as a whole person, with simultaneous infrared and short-wave impact of the m At the end give homework, aimed at finding and training new behavioral strategies, and recommendations for further food diary.

During the next 6 months hold monthly consultations aimed at increasing self-esteem, on the formation of strategy and tactics of the new eating behavior and increase adaptation to real conditions of life, including work, family-run scenarios associated with overeating, produces a gradual correction of maladaptive psychological defense mechanisms in adaptive acceptable.

For this purpose, individual suggestion influence, mediated through Ericksonian hypnosis, rational psychotherapy, indirect suggestion, client-centered psychotherapy.

This method takes into account the pathological psycho-physiological peculiarities of the development of compulsive overeating and helps not only to reduce weight but also keep it off for quite a long time.

The method was tested on the basis of at "City hospital №47 of Nizhny Novgorod.

Example No. 1. Patient K., 28 years. On receiving complaints of shortness of breath, joint pain, fatigue and weakness. Weight - 110 kg weight gain communicates with second births, after which it recovered to 40 kg Notes uncontrollable desire to eat, vosn is taking place in the evening. Diet evening. Day mostly eating sandwiches, drinking coffee. Regular "sitting" on a diet. Diets are short term and the effect is negligible. Were treated by the above method.

Power was generated from the calculation of 1200 kcal per day. One month weight - 98 kg Complaint does not show that celebrates the improvement of health. Follow-up visits attended regularly. 6 months - weight - 71 kg, no complaints. HELL normalized.

Example No. 2. Patient I., 39 years of age, increasing body mass for 12 years. Weight - 92 kg connected with pregnancy and childbirth. On receiving complaints about the increase in blood pressure, palpitations, shortness of breath with slight exertion, insomnia, pain in the knee joints.

Treatment was conducted under the above scheme. The diet 4-5 times a day from the calculation of 1000 kcal per day. At the end of treatment had no complaints. At the weigh-in weight - 78 kg Consultation in a month: feeling good, diet is observed easily, no complaints. Weight-73 kg After a half-year weight 67 kg, the mood is good, HELL, normal, normal sleep, no pain in the knee joints, said elevated mood, improved relations with her husband.

Thus, the present invention meets all modern requirements, allows them to arrest the main manifestations of compulsive overeating and creates novostroiki correct eating behavior without the use of drugs, as well as high-quality rehabilitation program in the recovery period.

1. The treatment for compulsive eating disorder, including psychotherapy and foot reflexology, impact, characterized in that therapeutic effect is realized with use of individual exposure to suggestion, enter into a trance and act simultaneously on acupuncture points while before individual suggestion influence conduct neuro-linguistic programming and form new eco-friendly way "I am healthy", carry out the essential transformation of the self and form healthy principles of proper eating behavior, as well as prevention "diet depression, and individual suggestive direct impact on psychological support, a distraction from the nagging thoughts about food, weight and body shape, normalization of food intake, elimination diet self-restrictions in the resolution of life's difficulties, and foot reflexology, the effect on the acupuncture points provide an infrared photobiostimulation point T20 and kineviscosity impact on corporeal point E36, MS, GL4,VB8, VC12, RP6, after which the patient is given homework in the form of "diary of a correct eating".

2. The method according to claim 1, characterized in that the individual is property suggestive exposure is performed with the use of Ericksonian hypnosis.

3. The method according to claim 1, characterized in that after the treatment of psychological support in the form of consultations for the formation and support strategy correct eating behavior.

4. The method according to claim 1, characterized in that during the course of reflexology are used simultaneously, low-intensity infrared effect and kineviscosity impact.

5. The method according to claim 1, characterized in that the individual suggestive impact, low-intensity infrared effect and kineviscosity effects are at the same time.



 

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FIELD: medicine.

SUBSTANCE: invention concerns experimental medicine and is intended for reduction of functional activity of adrenal gland cortex for experiment in vivo. Breast xiphoid appendix area of white rats is exposed to radiation of electromagnetic waves of Teraherz range with 150, 176-150, 664 GHz frequencies for 15 minutes. Radiation power density is ˜ 0.2 mW/cm2.

EFFECT: reduction of increased functional activity of adrenal gland cortex for experiment in vivo, partial recovery of damaged functional glycocorticoid activity of adrenal gland cortex.

1 tbl, 1 ex

FIELD: medicine.

SUBSTANCE: invention concerns medicine, particularly experimental surgery. Wound surface is daily affected by gaseous ozone of 5 mg/l concentration at output of aggregate and gas flow rate of 1 l per minute for 30 minutes. Local irradiation by millimetre waves of SWF band with 'white noise' type spectre within 53.57-78.33 GHz is performed for 20 minutes.

EFFECT: termination of inflammatory processes and reduced time of cleaning purulent-necrotic tissues from wound surface, stimulation of granulation tissue growth, accelerated epithelisation of wound, reduced wound healing time.

3 dwg

FIELD: medicine.

SUBSTANCE: invention concerns medicine, particularly cardiology, and can be applied in coronary disease treatment, exertional angina of I-II functional class. Magnet laser therapy is performed starting from 4th adaptation day. Infrared laser radiation is applied with wavelength of 0.89 mcm in impulse mode of intensity of 7 W, pulse frequency of 80 Hz and constant magnetic field with induction of 50 mTl. Each of 4-5 symmetrical bioactive points is affected for 1 minute. Total impact time is 8-10 minutes. Full-body hydrosulfide baths are added starting from 5th day of treatment with hydrosulfide concentration of 50-150 mg/l for exertional angina of I functional class and with hydrosulfide concentration of 50-100 mg/l for exertional angina of II functional class. Water temperature is 36°C, duration comprises 6-15 minutes. Baths are performed on days free from magnet laser therapy. A course includes 8 physiological procedures and 8 balneological procedures.

EFFECT: enhanced physical efficiency, stimulated activity of involuntary nervous system, improved indicator values of lipid exchange, peroxide lipid oxidation, antioxidant and coagulation systems, reduced risk of coronary disease complications.

2 ex, 14 tbl, 3 dwg

FIELD: medicine.

SUBSTANCE: invention concerns medicine, particularly cardiology. Starting from the 2nd day of adaptation period patient undergoes extremely high frequency therapy with 4.9 mm wavelength. Starting from the fifth day of treatment radon balneotherapy with radon concentration of 40-60-80 nCi/l is added. First balneological procedure duration is 6 minutes, second procedure is 8 minutes, third one is 10 minutes, and fourth one is 12 minutes, the other procedures of 15 minutes each are performed over a day for the course of 10 physiological procedures and 8 balneological procedures. Bath procedures 1-4 are performed with radon concentration of 40 nCi/l, procedures 5-6 - 60 nCi/l, procedures 7-8 - 80 nCi/l.

EFFECT: enhanced adaptive capabilities of organism, physical efficiency, improved indicator values of lipid exchange, peroxide lipid oxidation, antioxidant and coagulation systems, stabilisation of course, and reduction of coronary disease complication risk.

11 tbl, 2 ex, 1 dwg

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely pediatrics and can be used at treatment of children with a primary arterial hypertensia. After five-day adaptation ultrasonic inhalations are spent using a in day brackish hydrocarbonate-chloride-sodium-boric mineral water at a flow rate of an aerosol 5 l/min. Durations of 3 minutes with the subsequent carrying out of inhalation peach or another stone oil in a combination to psychotherapy as a biological feedback it (IS barefooted) in day. In days free from inhalations also it is barefooted spend the general hydrosulphuric baths at temperature of water 36 deg. With duration from 5 till 10 minutes which release to boys at concentration of hydrogen sulphide in water of the first bath - 50 mg/l subsequent - 100 mg/l, and to girls with concentration of hydrogen sulphide in water of the first bath - 25 mg/l subsequent - 50 mg/l, in a day. On a course on 8 fizio - and balneological treatment.

EFFECT: method provides restoration of cardiogemodynamics and tolerance rising to exercise stresses, activates system of antioxidatic protection of blood.

3 tbl, 2 ex

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