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Основной признак — патологическое стремление к снижению веса и страх ожирения даже при явной худобе [1](https://gemotest.ru/info/spravochnik/zabolevaniya/anoreksiya/). \n\n**Чаще всего** анорексия начинается в подростковом возрасте (12–18 лет), но может развиться и у взрослых до 30–40 лет [1](https://gemotest.ru/info/spravochnik/zabolevaniya/anoreksiya/). У детей младше 12 лет и людей старше 40 лет она встречается редко [1](https://gemotest.ru/info/spravochnik/zabolevaniya/anoreksiya/). Пик заболеваемости приходится на 14–25 лет — период, когда критика внешности воспринимается особенно остро [1](https://gemotest.ru/info/spravochnik/zabolevaniya/anoreksiya/). \n\n**Без лечения** анорексия может привести к истощению и даже смерти [1](https://gemotest.ru/info/spravochnik/zabolevaniya/anoreksiya/).\n\n\n\n## Причины\nНекоторые факторы, провоцирующие заболевание: \n* **Стрессовые ситуации** (смерть близкого, развод, пережитое насилие) [6](https://VielClinic.ru/articles/anoreksiya-pochemu-voznikaet-kak-raspoznat-i-vylechit/)[8](https://www.VIDAL.ru/encyclopedia/narusheniya-psihiki-psihologiya/pisvevoe-povedenie). \n* **Семейные конфликты** в семье, наличие у родственников вредных привычек [8](https://www.VIDAL.ru/encyclopedia/narusheniya-psihiki-psihologiya/pisvevoe-povedenie). \n* **Культурные факторы** — например, мода на худобу, которая вызывает повышенную озабоченность своим весом и внешностью [9](https://www.invitro.ru/library/bolezni/28928/). \n* **Эндокринные нарушения** — изменения в выработке нейромедиаторов, отвечающих за чувства голода, насыщения, удовольствия, могут привести к отсутствию аппетита даже при реальном недостатке питательных веществ [8](https://www.VIDAL.ru/encyclopedia/narusheniya-psihiki-psihologiya/pisvevoe-povedenie).\n\n## Симптомы\nНекоторые признаки анорексии: \n* **Резкое похудение** или поддержание низкого веса ниже нормы для своего роста и возраста [4](https://xn--g1ajj1a.xn--p1ai/articles/anoreksiya/). \n* **Страх поправиться**, даже если вес уже слишком низкий [4](https://xn--g1ajj1a.xn--p1ai/articles/anoreksiya/). \n* **Искажённое восприятие собственного тела** — пациент считает себя толстым или несовершенным, несмотря на реальный вес или внешность [4](https://xn--g1ajj1a.xn--p1ai/articles/anoreksiya/). \n* **Отрицание проблемы** или отказ от лечения — человек не признаёт, что болен или нуждается в помощи, скрывает своё поведение от других [4](https://xn--g1ajj1a.xn--p1ai/articles/anoreksiya/). \n* **Провоцирование рвоты** или постоянный приём слабительного — больной старается избавиться от еды, которую съел, чтобы не набрать вес [4](https://xn--g1ajj1a.xn--p1ai/articles/anoreksiya/).\n\n## Диагностика\nПри подозрении на анорексию необходимо обратиться к терапевту, который выдаст направление на дальнейшую диагностику и к психиатру-психотерапевту [2](https://voronezh.sovamed.ru/zabolevaniya/anoreksiya/). **Диагноз ставится на основе клинических данных и жалоб пациента** [2](https://voronezh.sovamed.ru/zabolevaniya/anoreksiya/). В некоторых случаях используются психодиагностические опросники [6](https://VielClinic.ru/articles/anoreksiya-pochemu-voznikaet-kak-raspoznat-i-vylechit/).\n\n## Лечение\nЛечение анорексии направлено на восстановление функций внутренних органов и общего состояния пациента, формирование адекватного личного восприятия и нормализацию рациона питания [3](https://mcecomed.ru/anoreksiya/). **Некоторые методы терапии**: \n* **Диетотерапия** — диетолог составляет индивидуальный план по восстановлению нормального питания, учитывая личные особенности и сопутствующие заболевания [3](https://mcecomed.ru/anoreksiya/). \n* **Психотерапия** — наиболее эффективным направлением является когнитивно-бихевиоральная психотерапия [13](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/anorexia). \n* **Медикаментозная коррекция** — например, заместительная терапия половыми гормонами для ускорения пубертата, роста и укрепления костей скелета [13](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/anorexia). \n\n**Госпитализация** пациента проводится в случаях крайнего истощения организма или тяжёлых психических нарушениях, например, суицидальных наклонностях [3](https://mcecomed.ru/anoreksiya/). В остальных обстоятельствах, как правило, лечение проводится амбулаторно [3](https://mcecomed.ru/anoreksiya/).","linksData":[{"sourceId":1,"url":"https://gemotest.ru/info/spravochnik/zabolevaniya/anoreksiya/","shownUrl":"https://gemotest.ru/info/spravochnik/zabolevaniya/anoreksiya/","title":"Анорексия — что это, как заболевают, симптомы, лечение","shortUrl":"gemotest.ru","isTranslated":false,"description":"","greenUrl":"gemotest.ru"},{"sourceId":2,"url":"https://voronezh.sovamed.ru/zabolevaniya/anoreksiya/","shownUrl":"https://voronezh.sovamed.ru/zabolevaniya/anoreksiya/","title":"Анорексия: причины, симптомы, признаки, диагностика, лечение","shortUrl":"voronezh.sovamed.ru","isTranslated":false,"description":"","greenUrl":"voronezh.sovamed.ru"},{"sourceId":3,"url":"https://mcecomed.ru/anoreksiya/","shownUrl":"https://mcecomed.ru/anoreksiya/","title":"Анорексия – симптомы, причины, признаки и методы лечения в МЦ Экомед Строгино","shortUrl":"mcecomed.ru","isTranslated":false,"description":"","greenUrl":"mcecomed.ru"},{"sourceId":4,"url":"https://xn--g1ajj1a.xn--p1ai/articles/anoreksiya/","shownUrl":"https://xn--g1ajj1a.xn--p1ai/articles/anoreksiya/","title":"Анорексия - 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