{"id":3655,"date":"2015-06-24T17:40:51","date_gmt":"2015-06-24T17:40:51","guid":{"rendered":"https:\/\/lpfch.org\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/"},"modified":"2024-02-14T14:07:01","modified_gmt":"2024-02-14T14:07:01","slug":"5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders","status":"publish","type":"post","link":"https:\/\/lpfch.org\/vi\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/","title":{"rendered":"5 c\u00e2u h\u1ecfi: James Lock v\u1ec1 h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng \u1edf thanh thi\u1ebfu ni\u00ean"},"content":{"rendered":"

Ti\u1ebfn s\u0129, b\u00e1c s\u0129 James Lock, \u0111\u1ed3ng t\u00e1c gi\u1ea3 c\u1ee7a b\u1ed9 h\u01b0\u1edbng d\u1eabn \u0111\u1ea7u ti\u00ean v\u1ec1 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng \u1edf thanh thi\u1ebfu ni\u00ean, th\u1ea3o lu\u1eadn v\u1ec1 l\u00fd do t\u1ea1i sao c\u00e1c li\u1ec7u ph\u00e1p d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng cho nh\u1eefng t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn v\u00e0 nghi\u00eam tr\u1ecdng n\u00e0y l\u1ea1i quan tr\u1ecdng \u0111\u1ebfn v\u1eady.<\/h3>\n

R\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng \u0111\u00e3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong c\u00e1c t\u00e0i li\u1ec7u y khoa t\u1eeb nh\u1eefng n\u0103m 1870, nh\u01b0ng cho \u0111\u1ebfn nay v\u1eabn ch\u01b0a c\u00f3 h\u01b0\u1edbng d\u1eabn n\u00e0o quy \u0111\u1ecbnh c\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho thanh thi\u1ebfu ni\u00ean m\u1eafc ph\u1ea3i t\u00ecnh tr\u1ea1ng n\u00e0y - ch\u1ec9 c\u00f3 h\u01b0\u1edbng d\u1eabn d\u00e0nh cho ng\u01b0\u1eddi l\u1edbn.<\/p>\n

Ti\u1ebfn s\u0129, B\u00e1c s\u0129 James Lock, gi\u00e1o s\u01b0 t\u00e2m th\u1ea7n h\u1ecdc v\u00e0 khoa h\u1ecdc h\u00e0nh vi t\u1ea1i Khoa Y, \u0110\u1ea1i h\u1ecdc Stanford v\u00e0 gi\u00e1m \u0111\u1ed1c Ch\u01b0\u01a1ng tr\u00ecnh R\u1ed1i lo\u1ea1n \u0102n u\u1ed1ng To\u00e0n di\u1ec7n t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Lucile Packard Stanford, g\u1ea7n \u0111\u00e2y \u0111\u00e3 \u0111\u1ed3ng t\u00e1c gi\u1ea3 b\u1ed9 h\u01b0\u1edbng d\u1eabn d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng \u0111\u1ea7u ti\u00ean v\u1ec1 \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng \u1edf thanh thi\u1ebfu ni\u00ean. \u00d4ng \u0111\u00e3 tr\u00f2 chuy\u1ec7n v\u1edbi nh\u00e0 v\u0103n Erin Digitale v\u1ec1 c\u01a1 s\u1edf l\u00fd lu\u1eadn c\u1ee7a c\u00e1c h\u01b0\u1edbng d\u1eabn m\u1edbi, \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean t\u1ea1p ch\u00ed s\u1ed1 th\u00e1ng 5. T\u1ea1p ch\u00ed c\u1ee7a Vi\u1ec7n H\u00e0n l\u00e2m T\u00e2m th\u1ea7n Tr\u1ebb em v\u00e0 Thanh thi\u1ebfu ni\u00ean Hoa K\u1ef3<\/em>.<\/p>\n

H. T\u1ea1i sao l\u1ea1i c\u1ea7n c\u00f3 m\u1ed9t b\u1ed9 h\u01b0\u1edbng d\u1eabn ch\u00ednh th\u1ee9c?<\/strong><\/p>\n

Kho\u0301a:<\/strong> Ch\u01b0a bao gi\u1edd c\u00f3 c\u00e1c th\u00f4ng s\u1ed1 th\u1ef1c h\u00e0nh n\u00e0o \u0111\u1ec1 c\u1eadp \u0111\u1ebfn r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng \u1edf tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean, v\u00e0 chuy\u00ean m\u00f4n trong \u0111i\u1ec1u tr\u1ecb nh\u1eefng r\u1ed1i lo\u1ea1n n\u00e0y g\u1ea7n nh\u01b0 b\u1ecb c\u00f4 l\u1eadp. Tuy nhi\u00ean, r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng l\u1ea1i r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng: T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh tr\u1ecdn \u0111\u1eddi \u1edf tr\u1ebb em g\u00e1i v\u1ecb th\u00e0nh ni\u00ean ch\u1ec9 kho\u1ea3ng 1%, v\u00e0 r\u1ed1i lo\u1ea1n n\u00e0y c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao nh\u1ea5t trong s\u1ed1 t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh t\u00e2m th\u1ea7n.<\/p>\n

Thanh thi\u1ebfu ni\u00ean c\u1ea7n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u1edbi m\u1ee9c \u0111\u1ed9 ph\u00e1t tri\u1ec3n v\u1ec1 th\u1ec3 ch\u1ea5t v\u00e0 c\u1ea3m x\u00fac c\u1ee7a h\u1ecd, th\u1ef1c t\u1ebf l\u00e0 cha m\u1eb9 h\u1ecd th\u01b0\u1eddng mu\u1ed1n v\u00e0 c\u1ea7n tham gia v\u00e0o qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i c\u1ee7a h\u1ecd v\u00e0 th\u1ef1c t\u1ebf l\u00e0 h\u1ecd th\u01b0\u1eddng kh\u00f4ng m\u1eafc ch\u1ee9ng r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng trong th\u1eddi gian d\u00e0i nh\u01b0 nh\u1eefng b\u1ec7nh nh\u00e2n tr\u01b0\u1edfng th\u00e0nh c\u00f3 c\u00f9ng ch\u1ea9n \u0111o\u00e1n.<\/p>\n

H\u01a1n n\u1eefa, r\u1ea5t nhi\u1ec1u ch\u01b0\u01a1ng tr\u00ecnh \u0111\u00e0o t\u1ea1o v\u1ec1 t\u00e2m l\u00fd h\u1ecdc v\u00e0 t\u00e2m th\u1ea7n h\u1ecdc kh\u00f4ng th\u1ef1c s\u1ef1 cung c\u1ea5p c\u01a1 h\u1ed9i \u0111\u00e0o t\u1ea1o v\u1ec1 c\u00e1ch \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng. \u0110\u00e2y l\u00e0 m\u1ed9t h\u1ea1n ch\u1ebf nghi\u00eam tr\u1ecdng c\u1ee7a nhi\u1ec1u ch\u01b0\u01a1ng tr\u00ecnh \u0111\u00e0o t\u1ea1o; t\u1ea5t c\u1ea3 \u0111\u1ec1u n\u00ean cung c\u1ea5p c\u01a1 h\u1ed9i t\u00ecm hi\u1ec3u v\u1ec1 b\u1ec7nh nh\u00e2n r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng m\u1ed9t c\u00e1ch c\u00f3 h\u1ec7 th\u1ed1ng. T\u00f4i hy v\u1ecdng c\u00e1c th\u00f4ng s\u1ed1 th\u1ef1c h\u00e0nh m\u1edbi s\u1ebd gi\u00fap t\u1ea1o \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i cho vi\u1ec7c n\u00e0y.<\/p>\n

Vi\u1ec7c c\u00e1c h\u01b0\u1edbng d\u1eabn n\u00e0y \u0111\u01b0\u1ee3c xem x\u00e9t k\u1ef9 l\u01b0\u1ee1ng s\u1ebd mang l\u1ea1i s\u1ef1 tin t\u01b0\u1edfng cho ng\u01b0\u1eddi ch\u0103m s\u00f3c. C\u00f3 s\u1ef1 \u0111\u1ed3ng thu\u1eadn xung quanh nh\u1eefng khuy\u1ebfn ngh\u1ecb n\u00e0y. C\u00e1c h\u01b0\u1edbng d\u1eabn th\u1ef1c h\u00e0nh c\u0169ng tr\u1edf th\u00e0nh th\u01b0\u1edbc \u0111o th\u1ef1c s\u1ef1 quan tr\u1ecdng \u0111\u1ed1i v\u1edbi c\u00e1c c\u00f4ng ty b\u1ea3o hi\u1ec3m khi h\u1ecd c\u00e2n nh\u1eafc v\u1ec1 vi\u1ec7c chi tr\u1ea3 v\u00e0 c\u00e1ch t\u1ed5 ch\u1ee9c ch\u0103m s\u00f3c.<\/p>\n

H. T\u1eeb l\u00e2u, vi\u1ec7c t\u00e1ch b\u1ec7nh nh\u00e2n tr\u1ebb kh\u1ecfi gia \u0111\u00ecnh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 ch\u1ee9ng ch\u00e1n \u0103n t\u00e2m th\u1ea7n, \u0111\u00e3 c\u00f3 ti\u1ec1n l\u1ec7. Nh\u01b0ng \u0111\u00f3 kh\u00f4ng ph\u1ea3i l\u00e0 \u0111i\u1ec1u m\u00e0 c\u00e1c th\u00f4ng s\u1ed1 m\u1edbi khuy\u1ebfn ngh\u1ecb. T\u1ea1i sao l\u1ea1i c\u00f3 s\u1ef1 thay \u0111\u1ed5i n\u00e0y?<\/strong><\/p>\n

Kho\u0301a:<\/strong> Trong nhi\u1ec1u th\u1eadp k\u1ef7, quan ni\u1ec7m cho r\u1eb1ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng - \u0111\u1eb7c bi\u1ec7t l\u00e0 ch\u1ee9ng ch\u00e1n \u0103n t\u00e2m th\u1ea7n, m\u1ed9t ch\u1ee9ng b\u1ec7nh \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n c\u1ee5 th\u1ec3 t\u1eeb n\u0103m 1874 - c\u1ea7n ph\u1ea3i \u0111\u01b0a tr\u1ebb em ra kh\u1ecfi cu\u1ed9c s\u1ed1ng th\u01b0\u1eddng ng\u00e0y v\u00e0 \u0111\u01b0a ch\u00fang v\u00e0o b\u1ec7nh vi\u1ec7n trong th\u1eddi gian d\u00e0i v\u00ec l\u00fd do y t\u1ebf v\u00e0 t\u00e2m th\u1ea7n. Nh\u01b0ng trong 15-20 n\u0103m qua, ch\u00fang ta \u0111\u00e3 th\u1ea5y c\u00e1c ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf m\u1edbi n\u1ed5i, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa v\u00e0 ban ng\u00e0y d\u1ef1a tr\u00ean gia \u0111\u00ecnh. Nghi\u00ean c\u1ee9u hi\u1ec7n nay cho th\u1ea5y kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 k\u1ebft qu\u1ea3 gi\u1eefa hai lo\u1ea1i \u0111i\u1ec1u tr\u1ecb. \u0110i\u1ec1u \u0111\u00f3 kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa kh\u00f4ng hi\u1ec7u qu\u1ea3, nh\u01b0ng nh\u00ecn chung, n\u00f3 kh\u00f4ng t\u1ed1t h\u01a1n.<\/p>\n

\u0110i\u1ec1u \u0111\u00f3 th\u1ef1c s\u1ef1 quan tr\u1ecdng b\u1edfi v\u00ec chi ph\u00ed v\u00e0 t\u00e1c h\u1ea1i c\u1ee7a vi\u1ec7c \u0111\u01b0a m\u1ed9t \u0111\u1ee9a tr\u1ebb 14 tu\u1ed5i v\u00e0o vi\u1ec7n h\u00e0ng th\u00e1ng tr\u1eddi l\u00e0 r\u1ea5t \u0111\u00e1ng k\u1ec3. V\u00e0 ch\u00fang ta c\u0169ng bi\u1ebft r\u1eb1ng h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi, khi s\u1ee9c kh\u1ecfe \u0111\u00e3 kh\u00e1 h\u01a1n, s\u1ebd h\u1ecdc \u0111\u01b0\u1ee3c nhi\u1ec1u nh\u1ea5t t\u1eeb li\u1ec7u ph\u00e1p t\u00e2m l\u00fd trong b\u1ed1i c\u1ea3nh cu\u1ed9c s\u1ed1ng th\u1ef1c t\u1ebf, n\u01a1i h\u1ecd c\u00f3 th\u1ec3 h\u1ecdc c\u00e1ch qu\u1ea3n l\u00fd nh\u1eefng th\u00e1ch th\u1ee9c m\u00e0 h\u1ecd s\u1ebd g\u1eb7p ph\u1ea3i khi \u0111\u1ed1i ph\u00f3 v\u1edbi gia \u0111\u00ecnh, tr\u01b0\u1eddng h\u1ecdc, v.v.<\/p>\n

V\u00ec v\u1eady, khuy\u1ebfn ngh\u1ecb c\u1ee7a ch\u00fang t\u00f4i l\u00e0 \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean. \u0110\u00e2y l\u00e0 m\u1ed9t tuy\u00ean b\u1ed1 m\u1ea1nh m\u1ebd, tr\u00e1i ng\u01b0\u1ee3c v\u1edbi ti\u1ec1n l\u1ec7 \u0111i\u1ec1u tr\u1ecb tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn m\u1eafc ch\u1ee9ng ch\u00e1n \u0103n t\u00e2m th\u1ea7n b\u1eb1ng c\u00e1ch n\u1eb1m vi\u1ec7n k\u00e9o d\u00e0i.<\/p>\n

H. Khi gia \u0111\u00ecnh tham gia v\u00e0o qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng c\u1ee7a con m\u00ecnh, h\u1ecd th\u1ef1c s\u1ef1 \u0111ang l\u00e0m g\u00ec v\u00e0 l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 h\u1ecd bi\u1ebft ph\u1ea3i l\u00e0m g\u00ec?<\/strong><\/p>\n

Kho\u0301a:<\/strong> Gia \u0111\u00ecnh n\u00ean tham gia v\u00e0o vi\u1ec7c ch\u0103m s\u00f3c con c\u00e1i khi con m\u1eafc b\u1ea5t k\u1ef3 b\u1ec7nh n\u00e0o, bao g\u1ed3m c\u1ea3 r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng. \u0110i\u1ec1u k\u1ef3 l\u1ea1 l\u00e0 ngay t\u1eeb \u0111\u1ea7u cha m\u1eb9 \u0111\u00e3 b\u1ecb b\u1ecf r\u01a1i. T\u1ea1i Ch\u01b0\u01a1ng tr\u00ecnh R\u1ed1i lo\u1ea1n \u0102n u\u1ed1ng To\u00e0n di\u1ec7n c\u1ee7a ch\u00fang t\u00f4i, cha m\u1eb9 gi\u00fap con c\u00e1i b\u1eb1ng c\u00e1ch h\u1ecdc c\u00e1ch ng\u0103n ng\u1eeba c\u00e1c h\u00e0nh vi r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng v\u00e0 th\u00fac \u0111\u1ea9y vi\u1ec7c \u0103n u\u1ed1ng b\u00ecnh th\u01b0\u1eddng, v\u00e0 th\u1ef1c hi\u1ec7n \u0111i\u1ec1u n\u00e0y m\u1ed9t c\u00e1ch h\u1ed7 tr\u1ee3 v\u00e0 y\u00eau th\u01b0\u01a1ng. V\u00ec c\u00e1c h\u00e0nh vi v\u00e0 suy ngh\u0129 li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c cha m\u1eb9 hi\u1ec3u r\u00f5, \u0111\u1ed9i ng\u0169 chuy\u00ean gia c\u1ee7a ch\u00fang t\u00f4i s\u1ebd gi\u00fap cha m\u1eb9 h\u1ecdc c\u00e1ch gi\u1ea3i quy\u1ebft ch\u00fang.<\/p>\n

H. Phi\u00ean b\u1ea3n m\u1edbi c\u1ee7a c\u1ea9m nang ch\u1ea9n \u0111o\u00e1n v\u00e0 th\u1ed1ng k\u00ea c\u00e1c r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n, DSM-5, \u0111\u00e3 bao g\u1ed3m m\u1ed9t s\u1ed1 thay \u0111\u1ed5i v\u1ec1 ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng. Nh\u1eefng thay \u0111\u1ed5i n\u00e0y ph\u00f9 h\u1ee3p nh\u01b0 th\u1ebf n\u00e0o v\u1edbi c\u00e1c th\u00f4ng s\u1ed1 th\u1ef1c h\u00e0nh m\u1edbi?<\/strong><\/p>\n

Kho\u0301a:<\/strong> Nh\u1eefng thay \u0111\u1ed5i \u0111\u1ed1i v\u1edbi DSM kh\u00f4ng th\u1ef1c s\u1ef1 thay \u0111\u1ed5i c\u00e1c khuy\u1ebfn ngh\u1ecb v\u1ec1 ch\u0103m s\u00f3c. Nh\u01b0ng \u0111i\u1ec1u quan tr\u1ecdng v\u1ec1 DSM-5 l\u00e0 n\u00f3 cho ph\u00e9p nh\u1eefng ng\u01b0\u1eddi \u0111i\u1ec1u tr\u1ecb tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean ch\u1ea9n \u0111o\u00e1n c\u00e1c em m\u1eafc ch\u1ee9ng r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng ch\u00ednh x\u00e1c h\u01a1n. B\u1ea1n kh\u00f4ng c\u1ea7n ph\u1ea3i s\u1eed d\u1ee5ng c\u00e1c s\u1ed1 li\u1ec7u c\u1ee7a ng\u01b0\u1eddi l\u1edbn, v\u00e0 c\u00f3 ph\u1ea1m vi \u0111\u1ec3 xem x\u00e9t quan \u0111i\u1ec3m c\u1ee7a cha m\u1eb9, ch\u1eb3ng h\u1ea1n. V\u00ec v\u1eady, v\u00ed d\u1ee5, m\u1ed9t b\u00e9 g\u00e1i v\u1ecb th\u00e0nh ni\u00ean \u0111\u00e1p \u1ee9ng h\u1ea7u h\u1ebft c\u00e1c ti\u00eau ch\u00ed c\u1ee7a ch\u1ee9ng ch\u00e1n \u0103n t\u00e2m th\u1ea7n nh\u01b0ng \u0111\u00e3 m\u1ea5t hai k\u1ef3 kinh nguy\u1ec7t thay v\u00ec ba, ho\u1eb7c m\u1ed9t thi\u1ebfu ni\u00ean c\u00f3 h\u1ea7u h\u1ebft c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a ch\u1ee9ng cu\u1ed3ng \u0103n nh\u01b0ng l\u1ea1i n\u00f4n m\u1eeda m\u1ed9t l\u1ea7n m\u1ed9t tu\u1ea7n thay v\u00ec b\u1ed1n l\u1ea7n m\u1ed9t tu\u1ea7n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n. N\u00f3 cho ph\u00e9p ng\u01b0\u1eddi ch\u0103m s\u00f3c l\u1eadp b\u1ea3n \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb t\u1ed1t h\u01a1n theo c\u00e1c h\u01b0\u1edbng d\u1eabn m\u00e0 ch\u00fang t\u00f4i \u0111\u00e3 ph\u00e1t tri\u1ec3n. C\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng \u0111\u00e3 vi\u1ebft r\u1ea5t nhi\u1ec1u v\u1ec1 nhu c\u1ea7u s\u1eeda \u0111\u1ed5i ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o DSM-5, v\u00e0 ch\u00fang t\u00f4i r\u1ea5t vui m\u1eebng v\u1ec1 h\u1ea7u h\u1ebft nh\u1eefng thay \u0111\u1ed5i \u0111\u00f3. <\/p>\n

H. B\u1ea1n mu\u1ed1n c\u00e1c b\u00e1c s\u0129 ho\u1eb7c ng\u01b0\u1eddi ch\u0103m s\u00f3c kh\u00e1c r\u00fat ra th\u00f4ng \u0111i\u1ec7p g\u00ec t\u1eeb c\u00e1c th\u00f4ng s\u1ed1 m\u1edbi n\u00e0y?<\/strong><\/p>\n

Kho\u0301a:<\/strong> Th\u1ee9 nh\u1ea5t, \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t cho c\u00e1c r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng \u1edf tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean. C\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p chuy\u00ean s\u00e2u nh\u01b0 nh\u1eadp vi\u1ec7n n\u00ean \u0111\u01b0\u1ee3c d\u00e0nh ri\u00eang cho nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u. Th\u1ee9 hai, thu\u1ed1c ch\u1eafc ch\u1eafn kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t chi\u1ebfn l\u01b0\u1ee3c m\u00e0 ch\u00fang ta bi\u1ebft l\u00e0 h\u1eefu \u00edch cho tr\u1ebb em ho\u1eb7c thanh thi\u1ebfu ni\u00ean m\u1eafc ch\u1ee9ng ch\u00e1n \u0103n t\u00e2m th\u1ea7n ho\u1eb7c ch\u1ee9ng \u0103n v\u00f4 \u0111\u1ed9. C\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng n\u00ean c\u00e2n nh\u1eafc k\u1ef9 l\u01b0\u1ee1ng l\u00fd do k\u00ea \u0111\u01a1n thu\u1ed1c t\u00e2m th\u1ea7n cho nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y. Cu\u1ed1i c\u00f9ng, ch\u00fang t\u00f4i mu\u1ed1n nh\u1eafc nh\u1edf m\u1ecdi ng\u01b0\u1eddi r\u1eb1ng nh\u1eefng r\u1ed1i lo\u1ea1n n\u00e0y r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 nghi\u00eam tr\u1ecdng, v\u00e0 vi\u1ec7c t\u00ecm hi\u1ec3u c\u00e1ch ch\u0103m s\u00f3c tr\u1ebb em l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n

B\u00e0i vi\u1ebft n\u00e0y l\u1ea7n \u0111\u1ea7u ti\u00ean xu\u1ea5t hi\u1ec7n tr\u00ean stanfordchildrens.org<\/a>.<\/em><\/p>","protected":false},"excerpt":{"rendered":"

Ti\u1ebfn s\u0129, B\u00e1c s\u0129 James Lock, \u0111\u1ed3ng t\u00e1c gi\u1ea3 c\u1ee7a b\u1ed9 h\u01b0\u1edbng d\u1eabn \u0111\u1ea7u ti\u00ean v\u1ec1 \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n \u0103n u\u1ed1ng \u1edf thanh thi\u1ebfu ni\u00ean, th\u1ea3o lu\u1eadn v\u1ec1 l\u00fd do t\u1ea1i sao c\u00e1c li\u1ec7u ph\u00e1p d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng cho nh\u1eefng ch\u1ee9ng r\u1ed1i lo\u1ea1n ph\u1ed5 bi\u1ebfn n\u00e0y v\u00e0\u2026<\/p>","protected":false},"author":17,"featured_media":10499,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[148],"class_list":["post-3655","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-in-the-news"],"acf":[],"yoast_head":"\n5 questions: James Lock on guidelines for treating teens’ eating disorders - Lucile Packard Foundation for Children's Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lpfch.org\/vi\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"5 questions: James Lock on guidelines for treating teens’ eating disorders\" \/>\n<meta property=\"og:description\" content=\"James Lock, MD, PhD, co-author of the first set of guidelines for treating adolescents with eating disorders, discusses why evidence-based therapies for these common and...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/lpfch.org\/vi\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/\" \/>\n<meta property=\"og:site_name\" content=\"Lucile Packard Foundation for Children's Health\" \/>\n<meta property=\"article:published_time\" content=\"2015-06-24T17:40:51+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-02-14T14:07:01+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/lpfch.org\/wp-content\/uploads\/2024\/01\/lock_522x280.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"522\" \/>\n\t<meta property=\"og:image:height\" content=\"280\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\/\/lpfch.org\/km\/#\/schema\/person\/0c27ee3a03f60d4845413e6163db996c\"},\"headline\":\"5 questions: James Lock on guidelines for treating teens’ eating disorders\",\"datePublished\":\"2015-06-24T17:40:51+00:00\",\"dateModified\":\"2024-02-14T14:07:01+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/\"},\"wordCount\":1045,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/lpfch.org\/wp-content\/uploads\/2024\/01\/lock_522x280.jpg\",\"articleSection\":[\"In the News\"],\"inLanguage\":\"vi\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/\",\"url\":\"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/\",\"name\":\"5 questions: James Lock on guidelines for treating teens’ eating disorders - Lucile Packard Foundation for Children's Health\",\"isPartOf\":{\"@id\":\"https:\/\/lpfch.org\/km\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/lpfch.org\/wp-content\/uploads\/2024\/01\/lock_522x280.jpg\",\"datePublished\":\"2015-06-24T17:40:51+00:00\",\"dateModified\":\"2024-02-14T14:07:01+00:00\",\"author\":{\"@id\":\"https:\/\/lpfch.org\/km\/#\/schema\/person\/0c27ee3a03f60d4845413e6163db996c\"},\"breadcrumb\":{\"@id\":\"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#breadcrumb\"},\"inLanguage\":\"vi\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"vi\",\"@id\":\"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#primaryimage\",\"url\":\"https:\/\/lpfch.org\/wp-content\/uploads\/2024\/01\/lock_522x280.jpg\",\"contentUrl\":\"https:\/\/lpfch.org\/wp-content\/uploads\/2024\/01\/lock_522x280.jpg\",\"width\":522,\"height\":280},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/lpfch.org\/hy\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"5 questions: James Lock…\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/lpfch.org\/km\/#website\",\"url\":\"https:\/\/lpfch.org\/km\/\",\"name\":\"Lucile Packard Foundation for Children's Health\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/lpfch.org\/km\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"vi\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/lpfch.org\/km\/#\/schema\/person\/0c27ee3a03f60d4845413e6163db996c\",\"name\":\"admin\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"vi\",\"@id\":\"https:\/\/secure.gravatar.com\/avatar\/01a869e9508babcb1c66b6b41356b4ef63d5326e5b27c38b27ed4a46b8e36b9f?s=96&d=mm&r=g\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/01a869e9508babcb1c66b6b41356b4ef63d5326e5b27c38b27ed4a46b8e36b9f?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/01a869e9508babcb1c66b6b41356b4ef63d5326e5b27c38b27ed4a46b8e36b9f?s=96&d=mm&r=g\",\"caption\":\"admin\"},\"sameAs\":[\"https:\/\/lpfch.org\/wp\"],\"url\":\"https:\/\/lpfch.org\/vi\/impact-stories\/author\/admin\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"5 questions: James Lock on guidelines for treating teens’ eating disorders - Lucile Packard Foundation for Children's Health","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/lpfch.org\/vi\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/","og_locale":"vi_VN","og_type":"article","og_title":"5 questions: James Lock on guidelines for treating teens’ eating disorders","og_description":"James Lock, MD, PhD, co-author of the first set of guidelines for treating adolescents with eating disorders, discusses why evidence-based therapies for these common and...","og_url":"https:\/\/lpfch.org\/vi\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/","og_site_name":"Lucile Packard Foundation for Children's Health","article_published_time":"2015-06-24T17:40:51+00:00","article_modified_time":"2024-02-14T14:07:01+00:00","og_image":[{"width":522,"height":280,"url":"https:\/\/lpfch.org\/wp-content\/uploads\/2024\/01\/lock_522x280.jpg","type":"image\/jpeg"}],"author":"admin","twitter_card":"summary_large_image","twitter_misc":{"Written by":"admin","Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#article","isPartOf":{"@id":"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/"},"author":{"name":"admin","@id":"https:\/\/lpfch.org\/km\/#\/schema\/person\/0c27ee3a03f60d4845413e6163db996c"},"headline":"5 questions: James Lock on guidelines for treating teens’ eating disorders","datePublished":"2015-06-24T17:40:51+00:00","dateModified":"2024-02-14T14:07:01+00:00","mainEntityOfPage":{"@id":"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/"},"wordCount":1045,"commentCount":0,"image":{"@id":"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#primaryimage"},"thumbnailUrl":"https:\/\/lpfch.org\/wp-content\/uploads\/2024\/01\/lock_522x280.jpg","articleSection":["In the News"],"inLanguage":"vi","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/","url":"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/","name":"5 questions: James Lock on guidelines for treating teens’ eating disorders - Lucile Packard Foundation for Children's Health","isPartOf":{"@id":"https:\/\/lpfch.org\/km\/#website"},"primaryImageOfPage":{"@id":"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#primaryimage"},"image":{"@id":"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#primaryimage"},"thumbnailUrl":"https:\/\/lpfch.org\/wp-content\/uploads\/2024\/01\/lock_522x280.jpg","datePublished":"2015-06-24T17:40:51+00:00","dateModified":"2024-02-14T14:07:01+00:00","author":{"@id":"https:\/\/lpfch.org\/km\/#\/schema\/person\/0c27ee3a03f60d4845413e6163db996c"},"breadcrumb":{"@id":"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#breadcrumb"},"inLanguage":"vi","potentialAction":[{"@type":"ReadAction","target":["https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/"]}]},{"@type":"ImageObject","inLanguage":"vi","@id":"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#primaryimage","url":"https:\/\/lpfch.org\/wp-content\/uploads\/2024\/01\/lock_522x280.jpg","contentUrl":"https:\/\/lpfch.org\/wp-content\/uploads\/2024\/01\/lock_522x280.jpg","width":522,"height":280},{"@type":"BreadcrumbList","@id":"https:\/\/lpfch.org\/es\/impact-stories\/5-questions-james-lock-on-guidelines-for-treating-teens-eating-disorders\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/lpfch.org\/hy\/"},{"@type":"ListItem","position":2,"name":"5 questions: James Lock…"}]},{"@type":"WebSite","@id":"https:\/\/lpfch.org\/km\/#website","url":"https:\/\/lpfch.org\/km\/","name":"Qu\u1ef9 Lucile Packard v\u00ec S\u1ee9c kh\u1ecfe Tr\u1ebb em","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/lpfch.org\/km\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"vi"},{"@type":"Person","@id":"https:\/\/lpfch.org\/km\/#\/schema\/person\/0c27ee3a03f60d4845413e6163db996c","name":"qu\u1ea3n tr\u1ecb vi\u00ean","image":{"@type":"ImageObject","inLanguage":"vi","@id":"https:\/\/secure.gravatar.com\/avatar\/01a869e9508babcb1c66b6b41356b4ef63d5326e5b27c38b27ed4a46b8e36b9f?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/01a869e9508babcb1c66b6b41356b4ef63d5326e5b27c38b27ed4a46b8e36b9f?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/01a869e9508babcb1c66b6b41356b4ef63d5326e5b27c38b27ed4a46b8e36b9f?s=96&d=mm&r=g","caption":"admin"},"sameAs":["https:\/\/lpfch.org\/wp"],"url":"https:\/\/lpfch.org\/vi\/impact-stories\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/lpfch.org\/vi\/wp-json\/wp\/v2\/posts\/3655","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lpfch.org\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lpfch.org\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lpfch.org\/vi\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/lpfch.org\/vi\/wp-json\/wp\/v2\/comments?post=3655"}],"version-history":[{"count":1,"href":"https:\/\/lpfch.org\/vi\/wp-json\/wp\/v2\/posts\/3655\/revisions"}],"predecessor-version":[{"id":14182,"href":"https:\/\/lpfch.org\/vi\/wp-json\/wp\/v2\/posts\/3655\/revisions\/14182"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lpfch.org\/vi\/wp-json\/wp\/v2\/media\/10499"}],"wp:attachment":[{"href":"https:\/\/lpfch.org\/vi\/wp-json\/wp\/v2\/media?parent=3655"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lpfch.org\/vi\/wp-json\/wp\/v2\/categories?post=3655"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}