Cognitive Rehabilitation of a Patient with Anorexia

The aim of our research was to assess the efficiency of cognitive rehabilitation aimed at training selective memory with the help of mnemonic techniques. The patient, aged 26, had been treated for anorexia for two years (BMI-9.7, almost critical condition). He complained of an xiety, difficulties in coping, hyperorality and attention disorders, compulsiveness and auto-aggressive behavior. He also had sleep disorders; from time to time he verbalized suicidal thoughts. The family also noticed numerous negative personality changes. The MRI examination revealed minor, generalized cortical and sub-cortical degenerative lesions. The patient had been attending neuropsychological therapy for 6 months, which included training selectivity of memory, working and prospective memory, and executive functions, using mnemonic devices to im prove his cognitive functioning. Also, due to a relationship crisis and the patient's separation from his fiancée, crisis intervention was needed, with special care taken to provide emotional support. Neuropsychological rehabilitation was directed at reducing cognitive disorders. Drawing therapy was also applied. After cognitive rehabilitation the patient has gained 8 kg and reports feeling much better. His personality resources have improved significantly. He prepares meals on his own and eats more regularly. He also takes medicines on his own. He is planning to return to college. What is more, he has begun to think of himself as a person. Cognitive rehabilitation resulted in achieving significant im prove ment in terms of the cognitive and emotional processes of this anorectic patient. Special attention should be drawn to the improvement in the sphere of executive functions, especially in terms of everyday activities and organizing his own life. The results are interpreted with reference to microgenetic theory.