{"id":5252,"date":"2015-08-12T10:33:14","date_gmt":"2015-08-12T08:33:14","guid":{"rendered":"http:\/\/mandometernyc.com.preview.binero.se\/?page_id=5252"},"modified":"2018-07-06T14:57:00","modified_gmt":"2018-07-06T12:57:00","slug":"a-week-in-treatment","status":"publish","type":"page","link":"https:\/\/mando.se\/en\/mandometer-method\/individual-treatment-plan\/a-week-in-treatment\/","title":{"rendered":"A week in treatment"},"content":{"rendered":"
[vc_row attached=”true”][vc_column css=”.vc_custom_1435313748010{padding-right: 25px !important;}”][mk_title_box color=”#666666″ highlight_color=”#000000″ highlight_opacity=”0″ size=”16″ line_height=”26″ margin_bottom=”24″ font_family=”none”]Anna is 16 years old diagnosed with anorexia nervosa. She has been attending the day program for two months and currently has a BMI of 17.8. She went to a few of her classes at school during spring, and now that is summer vacation she has chosen to do some work experience at a pet store.[\/mk_title_box][\/vc_column][\/vc_row][vc_row][vc_column width=”1\/2″][vc_row_inner attached=”true” css=”.vc_custom_1444658553337{padding-top: 0px !important;padding-right: 0px !important;padding-bottom: 0px !important;padding-left: 0px !important;}”][vc_column_inner width=”1\/2″ css=”.vc_custom_1444658608756{padding-right: 5px !important;}”][mk_custom_box padding_vertical=”0″ padding_horizental=”2″ bg_color=”#ffffff”][mk_image src=”https:\/\/mando.se\/wp-content\/uploads\/Food.png” image_size=”full” lightbox=”true” align=”center” crop=”false”][\/mk_custom_box][\/vc_column_inner][vc_column_inner width=”1\/2″ css=”.vc_custom_1444658597995{padding-left: 5px !important;}”][mk_custom_box padding_vertical=”0″ padding_horizental=”2″ bg_color=”#ffffff”][mk_image src=”https:\/\/mando.se\/wp-content\/uploads\/goals.png” image_size=”full” lightbox=”true” align=”center” crop=”false”][\/mk_custom_box][\/vc_column_inner][\/vc_row_inner][\/vc_column][vc_column width=”1\/2″][vc_column_text]There are many foods that Anna is afraid to eat. She has written a list of all her fear foods, and with the help the treatment she has been receiving at the Mandometer clinic she is steadily checking off foods from her list.[\/vc_column_text][vc_column_text]Anna has also written down her goals and objectives. She has met several of these too.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][mk_divider style=”thin_solid” margin_top=”15″ margin_bottom=”25″][\/vc_column][\/vc_row][vc_row][vc_column width=”1\/2″][mk_custom_box padding_vertical=”0″ padding_horizental=”0″ bg_color=”#ffffff”][vc_row_inner attached=”true”][vc_column_inner width=”2\/3″ css=”.vc_custom_1439397495637{background-color: #ffffff !important;}”][mk_image src=”https:\/\/mando.se\/wp-content\/uploads\/Schedule_week.png” image_size=”full” lightbox=”true” crop=”false”][\/vc_column_inner][vc_column_inner width=”1\/3″][mk_image src=”https:\/\/mando.se\/wp-content\/uploads\/Schedule_day.png” image_size=”full” lightbox=”true” align=”center”][\/vc_column_inner][\/vc_row_inner][\/mk_custom_box][\/vc_column][vc_column width=”1\/2″][vc_column_text]Monday 15\u00a0June<\/strong><\/p>\n

Anna receives a call from her case manager in the morning to talk about how her weekend has been. Anna went to the movies with her mother as reward for meeting the goals she and her case manager set together last week. Anna and her case manager set new goals for the coming week and organise a schedule that includes visits to the clinic, her internship and other social events.[\/vc_column_text][vc_column_text]Anna experiencs difficulties to be on time for appointments. Therefore the case manager and Anna write a schedule or a \u201cto do list\u201d hour by hour. Below is Anna\u2019s schedule for Monday.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=”1\/2″][mk_image src=”https:\/\/mando.se\/wp-content\/uploads\/Reward_Schedule1.png” image_size=”full” lightbox=”true” align=”center” crop=”false”][\/vc_column][vc_column width=”1\/2″][vc_column_text]Part of the weekly planning includes setting new goals for the week. Anna and her case manager agree that she must continue to follow her meal plan, that she must keep her physical activity low and that Anna will eat some of the fear foods that are on her list. Anna\u2019s case manager suggests she eats a hamburger out at a restaurant. Anna is not comfortable with this and says that it\u2019s too hard to eat a hamburger and fries on the same day, and that she should be allowed to eat something easier. Anna\u2019s case manager explains that it is often better to aim high, and goes on to remind Anna of some successful examples from previous challenges where Anna has succeeded. Anna agrees to try. She and her case manager discuss possible rewards for Anna if she is able to meet this weeks objectives. Anna decides she want to go in to the city to do some shopping and buy a new pair of shoes on Sunday.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=”1\/2″][mk_image src=”https:\/\/mando.se\/wp-content\/uploads\/CB_med_pat.png” image_size=”full” lightbox=”true” align=”center” crop=”false”][\/vc_column][vc_column width=”1\/2″][vc_column_text]Tuesday 16 June<\/strong><\/p>\n

Anna and her case manager go to the pet store where Anna will be doing work practice a few hours a week during the summer.\u00a0 The purpose of the meeting is to organise the hours Anna will be working and to give Anna some information about the animals.\u00a0 Anna\u2019s case manager and the store manager organise the necessary insurance documents.<\/p>\n

Anna visits the clinic for lunch, then rests in one of the warm rooms.\u00a0 Following this, she participates in one of the forums for patients that are held at the Mandometer clinic once a week.\u00a0 Today\u2019s topic, \u201cWhy is it so difficult to choose what to eat?\u201d is run by the clinic’s dietician.<\/p>\n

Anna meets with her case manager again in the afternoon.\u00a0 She talks about some of the things she learned at the patient forum.\u00a0 They put stickers in the boxes on Anna\u2019s reward schedule for Monday\u2019s challenges, and Anna is complemented for her good work.\u00a0 Anna talks about that how she was feeling fat last night, and this raised lots of thoughts and questions.\u00a0 They talk for a while about Anna\u2019s concerns.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=”1\/2″][mk_image src=”https:\/\/mando.se\/wp-content\/uploads\/Vrum-1.jpg” image_size=”full” lightbox=”true” align=”center”][\/vc_column][vc_column width=”1\/2″][vc_column_text]Wednesday 17 June<\/strong><\/p>\n

Anna is doing working practice at the pet store this morning.\u00a0 She is to take responsibility for having her morning snack at 10am.<\/p>\n

At 12 noon, Anna meets with her case manager at a hamburger restaurant.\u00a0 Anna is feeling very anxious and does not want to go into the restaurant.\u00a0 They sit down on a nearby bench; Anna\u2019s case manager reminds her that they have moved slowly towards this goal, and that Anna is doing well.\u00a0 Anna had previously not dared to enter a hamburger restaurant, because she was afraid that just by smelling the food she would be consuming calories.\u00a0 Anna is reminded by her case manager that they practised this last week, and that Anna could in fact enter the restaurant.\u00a0 Anna is also reminded that she has eaten home made burgers and that there is not much difference between these and eating a hamburger from a restaurant.<\/p>\n

They enter the restaurant and Anna meets her challenge.\u00a0 After eating, they sit in the sun and talk.\u00a0 The heat from the sun has a calming effect for Anna.\u00a0 They then return to the clinic for the afternoon snack.<\/p>\n

Later in the afternoon Anna becomes very anxious about the lunch she ate at the restaurant. Anna\u2019s case manager puts aside her administrative work, and takes the time necessary to talk with Anna until her anxiety subsides. Anna spends some more time in one of the warm rooms before she goes home.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=”1\/2″][mk_custom_box padding_vertical=”5″ padding_horizental=”0″ margin_bottom=”0″ bg_color=”#ffffff”][mk_image src=”https:\/\/mando.se\/wp-content\/uploads\/Wbase.png” image_size=”full” lightbox=”true” align=”center” crop=”false”][\/mk_custom_box][mk_image src=”https:\/\/mando.se\/wp-content\/uploads\/MG_7495_verkstad.png” image_size=”full” lightbox=”true” align=”center”][\/vc_column][vc_column width=”1\/2″][vc_column_text]Thursday 18 June<\/strong><\/p>\n

Anna receives some forms to fill out in the morning, and then goes through the results with her case manager.\u00a0 The forms indicate that Anna\u2019s level of anxiety, compulsive behaviour and depression have decreased since they were last measured six weeks ago.\u00a0 Anna describes how she still gets anxious, but that it goes away faster, and that she is willing to sit with her anxiety until it passes.\u00a0 Previously, Anna used unhealthy strategies to avoid feeling anxious such as, hiding food or vomiting after eating.\u00a0 Anna now understands that these behaviours are only short term solutions.\u00a0 Anna\u2019s case manager brings up yesterday as an example of how Anna is now able to ask for help when she is feeling anxious.<\/p>\n

At lunch, Anna uses her Mandometer\u00ae to eat a control meal.\u00a0 Anna puts the amount of food that she wants to eat on her plate, and eats it at the pace she thinks is right.\u00a0 She is regularly prompted to rate how full she feels over the course of her meal.\u00a0 After eating Anna rests in a warm room.\u00a0 Later in the day, Anna and her case manager look at the results of her control meal.<\/p>\n

Anna says that she didn\u2019t eat much food because she knows that the normal serving size that a healthy person eats is 350 grams.\u00a0 Healthy individuals normally eat this amount of food in 12-15 minutes.<\/p>\n

In the afternoon, Anna joins some of the other patients in the craft room, where patients can do activities, such as painting, sewing, embroidery, wood work and working with ceramics.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=”1\/2″][mk_image src=”https:\/\/mando.se\/wp-content\/uploads\/Reward_Schedule2.png” image_size=”full” lightbox=”true” align=”center” crop=”false”][\/vc_column][vc_column width=”1\/2″][vc_column_text]Friday 19 June<\/strong><\/p>\n

Anna and her case manager have an appointment with the clinic\u2019s doctor at 9am. The purpose of the meeting is to discuss how Anna is feeling now that she has stopped taking the anti-depressant medication she was on when she commenced treatment at the Mandometer Clinic. Anna says that she is feeling well and she is not aware of any major issues. The doctor is pleased with Anna\u2019s progress, and explains that following her treatment plan is what has helped reduce her depression and compulsive behaviour.<\/p>\n

At 11am Anna and her case manager review Anna\u2019s challenges for the week, and talk about other areas where Anna has made progress.\u00a0 Anna’s reward schedule now looks as the picture shows:[\/vc_column_text][vc_column_text]Anna\u2019s case manager asks her what happened on Wednesday, because one box is empty.\u00a0 Anna says that her bus was late and she couldn\u2019t sit still and wait for the next one, so she walked to the next station.\u00a0 Anna and her case manager talk about it.\u00a0 Anna suggests she will try cake on Saturday.\u00a0 Anna\u2019s case manager is impressed with her initiative and they agree that Anna will get her reward on Sunday.<\/p>\n

At the end of each week Anna\u2019s case manager phones Anna\u2019s mother to tell her about how the week has gone and let her know about any upcoming events in the treatment plan.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=”2\/3″][mk_divider style=”thin_solid” margin_top=”30″][mk_custom_box padding_vertical=”0″ padding_horizental=”0″ margin_bottom=”0″][vc_row_inner][vc_column_inner width=”5\/12″ css=”.vc_custom_1465475417185{padding-left: 0px !important;}”][mk_image src=”https:\/\/mando.se\/wp-content\/uploads\/Mandometerklinikerna_4Hornstenar_eng_all_crop.png” image_size=”full” group=”_general” link=”\/en\/mandometer-method\/the-four-cornerstones\/” align=”center” margin_bottom=”5″][\/vc_column_inner][vc_column_inner width=”7\/12″][mk_icon_box icon=”no” title=”You learn to eat normally, rest in a heated environment, reduce your activity, and prepare to return to school or work” text_size=”24″ font_weight=”300″ read_more_txt=”The four cornerstones of treatment” read_more_url=”\/en\/mandometer-method\/the-four-cornerstones\/” icon_color=”#a1ce8e” icon_circle_color=”#a1ce8e” margin=”0″][\/mk_icon_box][\/vc_column_inner][\/vc_row_inner][\/mk_custom_box][mk_divider style=”thin_solid” margin_top=”10″ margin_bottom=”15″][\/vc_column][vc_column width=”1\/3″ el_class=”MandoRightColumn”][mk_padding_divider size=”30″][mk_custom_box padding_vertical=”0″ padding_horizental=”0″][mk_image src=”https:\/\/mando.se\/wp-content\/uploads\/Patienter.png” image_size=”full” group=”_general” link=”\/en\/mandometer-method\/when-you-are-healthy-again\/” align=”center” crop=”false”][mk_icon_box icon=”no” text_size=”18″ font_weight=”300″ read_more_txt=”When you are healthy again” read_more_url=”\/en\/mandometer-method\/when-you-are-healthy-again\/” icon_color=”#a1ce8e” icon_circle_color=”#a1ce8e” margin=”20″]\n

We follow our patients<\/a>
\nfor five years after remission<\/a><\/h3>\n[\/mk_icon_box][\/mk_custom_box][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"

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