1. Mise en place de la prise en charge de 2 ème recours des patients souffrants de TCA dans le L.R. Mr Nicolas Sahuc Président de l’association “L’ACT, redonnons du sens au comportement alimentaire” Nîmes TCA,13 mars 2009 Dr Sébastien Guillaume Sce psychologie médicale C.H.U. Lapeyronie
2. Liens familiaux Croyances et réalités alimentaires Antécédants familiaux La génétique Les représentations culturelles L’éducation STRESS Approche multidisciplinaire Sociologiques Thérapeutiques Corporelles nutritionnelles La Recherche
3. Ambulatoire A l’hôpital Hors médical Patients Mise en relation Centre Expert La recherche Hospitalisation de jour Psychothérapies Approches nutritionnelles Surveillance médicale Situation d’urgence “ L’ACT, redonnons du sens au comportement alimentaire” Groupes de paroles parents Groupes de paroles Patients Nîmes TCA,13 mars 2009 Groupes de paroles Montpellier-Nîmes
Good afternoon, my name is Nicolas Sahuc, I come from the south of France, the cicada country! I have been working as a dietician since october 2003 I opened my own private practice in 2004 in Nîmes and Montpellier. I’m going to present you what I have been doing in my region since 2007 to help people with ED through a non-profit-organization. Firstly: During my practise, I realised that some people: - regulated their emotions by taking or refusing food - others had control on food to increase their confidence - some of them have binge eating to feel secure. And Secondly My first experience in ED was very hard. The patient was a BMI of just 10 and she was an old ED. I had never been made aware of the psychosocial aspect and treatment of ED during my studies of dietician. I felt lost and afraid. From this experience and this emotion, like a sign, I took a course in ED at St Anne Hospital in Paris in 2006, and last year I started training in cognitive and behavioral therapy at the Med School in Montpellier. (NEXT PICTURE)
During the day, patients can be received for specific tests and consultations in endocrinology sces at nimes or montpellier hospitals. If there is an emergency they can keep patients in. So rapidly we can have an idea about the situation. The endocrinologist or psychiatrist decides to see them at the hospital and in the meantime we follow the patients in ambulatory with a team composed with a physician, nutritionist or dietician and a psychologist. Patients can get into the discussion group program whenever they want.
The next step is the creation of an expert center planned for 2009 in Montpellier where we will evaluate ED and refere the patients to the right units or services. Hopefully a specialized unit will be created in the years to come to welcome ED patients in Languedoc Roussillon.
