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Viewing blog posts categorized under "Anorexia Nervosa"

Avoiding Negative Energy Balance

posted by Julie O'Toole on February 18, 2015 at 2:21pm

Last week I was pleased to discuss a paper by Walt Kaye and colleagues that I felt strongly supported ordered eating for people with anorexia nervosa. Ordered eating on our Kartini meal plan has always been the cornerstone of our weight restoration strategy for children and young adults who suffer from this condition. It works and Dr Kaye’s research tells us why.

This week I would like to refer you to a blog written by Cindy Bulik of the University of North Carolina. Cindy is a very…

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Connecting the Dots

posted by Julie O'Toole on February 6, 2015 at 4:23pm

Two current Kartini parents handed me an excellent article the other day. Its lead author, Walter Kaye, is likely well known to our readers. The article, Temperament-based Treatment for Anorexia Nervosa, recently appeared in the European Eating Disorders Review.

I was especially pleased to see this article, although many of us have heard Walt speak about meal planning and the latest neuro-biological and neuro-radiological evidence before.  Neuro-biological and neuro-psychological…

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The Surprising Similarities Between Anorexia and Obesity

posted by Julie O'Toole on January 28, 2015 at 5:41pm

One thing I've observed over the years is that those readers who are interested in anorexia nervosa seem to have little interest in obesity, which they often seem regard as an lifestyle choice irrelevant to them, while those who study obesity often ask themselves what this rare condition (AN) has to do with their vastly more prevalent (read: important) condition of obesity (OB)? Quite a lot, as it turns out. And by the way, it’s worth repeating at the outset, neither condition is one…

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Game Plan For The Holidays

posted by Julie O'Toole on December 18, 2014 at 4:05pm

Christmas is not just one single holiday at Kartini Clinic, it is several. In fact it’s  a season involving many celebrations and special events. Some of our patients’ families do not celebrate Christmas as such, of course, but for those who do, some “highlights”:

Baking… baking… baking. It’s a problem in many ways. And the truth is, no matter how appealing the picture of doing so may be, or how often it’s been done before in your family, probably not everyone should make/bake…

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Taking A Moment To Vent

posted by Julie O'Toole on November 19, 2014 at 5:27pm

My good friend and colleague Therese Waterhous, a PhD, RD eating disorder specialist and board member of the parent organization F.E.A.S.T., called me the other day.  She needed to vent, and now, apparently, I do too.

It’s not that her annoying experience was rare or new, it’s just the fact that such ignorance persists and that at this point -- given the avalanche of new information about pediatric eating disorders --  such ignorance seems willful. You can update your database. I…

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What To Do When The Weight Comes Back

posted by Julie O'Toole on October 8, 2014 at 11:12am

I get asked all the time: will the “extra weight” come off her stomach or his face?  Many people are appalled to hear that parents whose child was starved and wasted could become focused on worrying that “they might have gained a little too much weight”.  But it happens all the time. We talk and talk about weight re-distribution to families, but it’s hard.

I am grateful, therefore, for an article that appeared in the September 2014 issue of the journal Nutrients titled Anorexia…

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The Promise of Personalized Medicine

posted by Julie O'Toole on September 3, 2014 at 10:15am

Advances in medicine come in all shapes and sizes: vaccines, antibiotics, anti-virals, immune system boosters and reducers, technological changes and recently, the hope that faster, cheaper and more accurate genetic analysis can bring us the new approach to medicine and medications: personalized medicine.

As I have mentioned in a previous blog, a leading proponent of personalized medicine has been Dr Eric Topol, editor-in-chief of Medscape and director the Scripps Translational…

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Making ‘em Mad

posted by Julie O'Toole on August 13, 2014 at 12:43pm

I’m sometimes not sure whom I make madder: some kids, some parents, or some insurance companies!

Making kids mad:

Me:  “Jill, help me understand why your weight would be way down this week?”

Jill (shrugging):  “I don’t know.  I actually exercised less and ate exactly what I was supposed to.”

Me:  “OK. I guess your body is just telling us you need more food.”

Jill:  “What!!?? No way!  I refuse to have more food.”

Me:  “Well…. unless you can think of something that didn’t go quite the…

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Parental Supervision

posted by Julie O'Toole on August 6, 2014 at 3:45pm

Eating disorders strike children at virtually all stages of development. Sometimes we think it’s most difficult when they strike a very young child, sometimes it seems the most difficult when a “child” is about to go off to college, or a student exchange program, or start a new school. Personally I think mid adolescence is one of the most difficult times for an eating disorder to strike a child.

Childhood and early adolescence are characterized by learning new skills, but also by…

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Can I Tell You About Eating Disorders?

posted by Julie O'Toole on July 24, 2014 at 3:27pm

Have you ever wondered what to tell your other children and family members about your child’s eating disorder?  Have you ever wished you had a child friendly, succinct and upbeat resource to share?

Along comes a small book to be published shortly from from Jessica Kingsley Publishers, written by Bryan Lask and Lucy Watson called Can I tell You About Eating Disorders?   This little book is apparently one of a series of books written about what the authors refer to as “limiting…

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