Name: Anoreixa 是最致命的精神疾病 (Anoreixa is the most lethal mental illness)
Uploaded: 2025-06-17T17:03:43.000Z
Duration: 4 min 15 s

程度副詞

I'm really concerned that my friend has an eating disorder.

我真的很擔心我的朋友患有飲食失調症。

情態副詞

Well, statistically, 9% of the US population will have an eating disorder in their lifetime.

據統計，9% 的美國人一生中會患上飲食失調症。

But not your friend, she's totally not going to die.

但你的朋友不會，她完全不會死。

哦，我的天哪，她肯定會死的。

Anorexia nervosa has the highest mortality rate of any mental illness, 5% die within four years of diagnosis.

在所有精神疾病中，神經性厭食症的死亡率最高，有 5%的患者在確診後四年內死亡。

With suicide being the second leading cause of death, patients with anorexia have a risk of suicide 18 times higher.

自殺是導致死亡的第二大原因，而厭食症患者的自殺風險要高出 18 倍。

I'm sorry, I don't want to alarm you, but these are the facts and it's very scary, it's very serious.

對不起，我不想嚇唬你們，但這些都是事實，非常可怕，非常嚴重。

Well, I noticed some odd behavior around food, and I was also reading you don't have to be underweight to have anorexia.

我注意到一些與食物有關的奇怪行為，我還讀到過一篇文章，說厭食症不一定非要體重過輕才會出現。

A study found that 31% of its teen patients had all cognitive features and physical complications of the disease without being underweight.

一項研究發現，31% 的青少年患者具有該病的所有認知特徵和身體併發症，但體重並不超標。

And that actually being underweight is usually a sign of a long-term eating disorder.

實際上，體重不足通常是長期飲食失調的表現。

And it is important to note, though it's classified as a woman's disease very often, men and non-binary people suffer from it too.

值得注意的是，雖然這種疾病通常被歸類為女性疾病，但男性和非二元人群也會患上這種疾病。

Oh man, and like, I just feel so bad because she's had such a hard life, you know, starting with her childhood.

哦，天哪，我感覺很糟糕，因為她的生活太艱難了，你知道，從她的童年開始。

That makes sense, recent research, actually, this is fascinating, it suggests that distinct patterns of childhood trauma are linked to specific eating disorder diagnosis.

這很有道理，最近的研究表明，童年創傷的獨特模式與特定的飲食失調診斷有關。

So patients with binge eating disorders were more likely to report a history of physical abuse, patients with bulimia nervosa were more likely to report household substance abuse, etc.

是以，暴飲暴食症患者更有可能報告有身體虐待史，神經性貪食症患者更有可能報告有家庭藥物濫用史，等等。

So it's important that we also take a trauma-based approach to healing eating disorders and not just behavioral.

是以，在治療飲食失調症時，我們還必須採取基於創傷的方法，而不僅僅是行為療法。

I did see a study that in anorexia, the brain's reward response to taste was tied to high anxiety, which then makes food avoidance worse and perpetuates the disease.

我確實看到過一項研究，在厭食症患者中，大腦對味覺的獎賞反應與高度焦慮有關，而高度焦慮又會使對食物的迴避更加嚴重，從而使疾病長期存在。

Yes, and in one of the largest studies today, research revealed that anorexia leads to dramatic changes in brain structure.

是的，在當今最大規模的研究之一中，研究發現厭食症會導致大腦結構發生巨大變化。

Based on 1,648 female brain scans, researchers found decreases in cortical thickness, subcortical volumes and cortical surface area, the brain essentially shrinks down.

根據對 1648 名女性的大腦掃描結果，研究人員發現大腦皮層厚度、皮層下體積和皮層表面積都有所下降，大腦基本上縮小了。

Her body is shrinking, her brain is shrinking.

她的身體在萎縮，大腦也在萎縮。

Well, according to people in the treatment field, it's helpful to eliminate any conversations around food morality, dieting, weight and negative body comments.

那麼，根據治療領域人士的說法，消除任何有關食物道德、節食、體重和負面身體評論的對話都是有幫助的。

You want to focus on expressing empathy, and if you're very concerned, you can let them know that you're worried and encourage them to seek help and offer to go with them while they do.

你要注重表達同理心，如果你非常擔心，可以讓他們知道你很擔心，鼓勵他們尋求幫助，並願意在他們尋求幫助時陪在他們身邊。

Whenever we go out to dinner, you barely order anything, and you just take a few bites off of each dish.

每次我們出去吃飯，你幾乎什麼都不點，每道菜都只吃幾口。

Oh my god, bestie, you're right, oh my, that is so sweet of you.

哦，天哪，閨蜜，你說得對，哦，我的天哪，你真是太貼心了。

The reason I don't eat when we go to dinner is because I eat my dinner at 5:30 p.m. like a grandma.

我們去吃晚飯時我不吃東西的原因是，我像奶奶一樣在下午 5:30 吃晚飯。

And you want to have dinner at 7:00 p.m. like a psycho youth.

你想在晚上 7 點吃晚飯，像個神經病青年一樣。

So I get to the restaurant early, I order what I want, I read my book, and then when you come along, it's just like conversation and tea time.

所以我很早就到了餐廳，點了我想吃的東西，讀我的書，然後當你來的時候，就像哈拉和喝茶時間一樣。

And then I also do take little bites of what you order too because.

然後，我也會把你點的東西一小口一小口地吃掉，因為。

Well, you, you know we can have dinner at 5:30.

好吧，你，你知道 我們可以在5: 30吃晚飯。

我不想和你分享我的意大利麵。

Therapy has helped my life in immeasurable ways.

治療給我的生活帶來了不可估量的幫助。

It's taught me how to emotionally regulate, self-reflect, and change patterns that weren't serving me.

它教會了我如何進行情緒調節、自我檢討，並改變那些不利於我的模式。

And look, I know that finding the right therapist, that can be like the hardest battle, right?

聽著，我知道找到合適的治療師是最難的，對吧？

Someone who could be so off the mark and mistuned for my issues could be perfect for yours.

一個對我的問題如此偏差和誤解的人，對你的問題可能是完美的。

But the most important part of therapy is to find someone who you resonate with, whose advice you value, and who can offer you nuanced tools that are suited to your life.

但治療最重要的部分是找到一個能與你產生共鳴的人，你重視他的建議，他能為你提供適合你生活的細緻入微的工具。

So BetterHelp is the sponsor of today's video.

是以，BetterHelp 是今天視頻的贊助商。

And they want to make starting therapy just easier.

他們希望讓開始治療變得更容易。

And I know a lot of people in my personal life who have utilized BetterHelp and have had such a positive experience with their unique therapist.

在我的個人生活中，我認識很多使用過 BetterHelp 的人，他們都與自己獨特的治療師有過非常積極的經歷。

And yeah, sometimes it does take you a second to find that therapist.

是的，有時你確實需要花點時間才能找到那個治療師。

But BetterHelp lets you switch therapists easily until you find the one that you connect with.

但是，BetterHelp 可以讓您輕鬆地更換治療師，直到找到與您投緣的治療師為止。

So to start, you just fill out a questionnaire, and then you're matched with a qualified and licensed therapist in as little as a few days.

是以，開始時，您只需填寫一份調查問卷，然後就能在短短几天內找到一位合格的持證治療師為您配對。

If you're struggling, you can click the link in the description or go to betterhelp.com/akana and get 10% off your first month of therapy.

如果您有困難，可以點擊描述中的鏈接，或訪問 betterhelp.com/akana，享受首月治療九折優惠。

字幕列表影片播放

Anoreixa 是最致命的精神疾病 (Anoreixa is the most lethal mental illness)

anxiety

cognitive

struggle

eliminate