The silent struggle : Understanding the experience of being in treatment for anorexia nervosa

Background: Anorexia Nervosa is a complex, severe psychological disorder associated with the highest mortality rate among psychiatric illnesses. Treatment often overly emphasizes weight gain and physical recovery, neglecting underlying psychological and emotional aspects. This narrow focus leads patients to feel a loss of autonomy, identity, and deep mistrust towards caregivers. Aim: The aim of this study was to evaluate and synthesize qualitative studies exploring women’s lived experiences when in treatment for Anorexia Nervosa Method: The study was conducted as a qualitative literature review. Twelve scientific original articles, systematically searched in the CINAHL and PubMed databases, were critically appraised, and only articles of moderate or high quality were included. Data were analyzed inductively using thematic analysis based on Braun and Clarke’s framework. Results: The reliance on weight and BMI reinforces anorectic mechanisms. A strong therapeutic relationship, based on trust, is more critical for patient engagement than the specific treatment approach. Lack of continuity during transitions significantly increases the risk of relapse. Conclusions: Treatment is fundamentally compromised by an overly narrow focus on physical metrics. A person-centered care model, founded on trust and empathy, is crucial for patients' long-term recovery. Caregivers must ensure continuous support during the transition to outpatient care to mitigate cyclical readmissions. Further research into person-centered models is necessary.