Anorexia athletica, also referred to as compulsive or obligatory exercise, is a form of anorexia that involves excessive exercise as a means of extreme weight reduction. It is a serious disorder that may require intensive treatment as a means of improving physical and emotional wellness and to create long-term, successful recovery.
Out-Patient Psychotherapy
Out-patient psychotherapy refers to one-on-one counseling sessions that addresses thoughts, feelings and behaviors regarding one's disorder. According to Texas Eating Disorder Treatment Programs, psychotherapy will likely benefit those who exercise compulsively, regardless of the severity of their condition. Optimum therapy will guide one toward improved self esteem and body image and will address negative feelings, thoughts or situations that have likely contributed to the development of the disorder. Because eating disorder behaviors often serve as coping mechanisms, positive, healthier means of coping, such as open expression of feelings, should be explored and acquired.
Hospitalization
According to the National Eating Disorders Association, the body must slow down many of its major processes when one is enduring anorexia-induced starvation. When the body is starved of nutrients and energy due to compulsive exercise it can lead to a variety of serious health consequences, such as dangerously low blood pressure, electrolyte imbalances, malnutrition, physical exhaustion, fainting and even organ failure. Because hospitalization forces the patient to stop self-harming behaviors, reduce physical over-exertion and to attain proper nutrition, programs that help one develop means of continuing these practices on their own once they are released from the hospital are recommended. Individual counseling often continues once hospitalization has ceased until full, stable recovery has been reached.
Medication
While there are no medications specifically geared toward treating anorexia or compulsive exercise, medications that address common side effects or underlying issues, do exist. According to the National Institute of Mental health, medications, such as antidepressants, anti-psychotics or mood stabilizers, may help reduce modest symptoms of anxiety or depression associated with eating disorders. Keep in mind, however, that research regarding the helpfulness of medications pertaining to eating disorders is on-going and careful consideration with a qualified medical professional is advised. Generally speaking, medications are used as a supplementary treatment option, best when coupled with other forms of treatment, such as individual therapy.
