When you practice as long as I have in the field of childhood eating disorders one thing becomes abundantly clear: there are cycles to the frequency with which patients appear on our doorstep for treatment -- and on the doorsteps of all the other treatment centers as well. The trouble is, it has proven difficult to understand the peaks and troughs of these cycles and correlate them to much of anything. But there do seem to be a few tentatively recognizable patterns. And these peaks…Read More
Viewing blog posts categorized under "Anorexia Nervosa"
This week’s blog covers a topic - menstruation in female patients - which I have written about before, but, given its critical importance to our female patients and their parents, I’d like to bring it up again.
First let me distinguish between menarche (first period) and the resumption of menses (monthly periods). Menses is an important marker of recovery in girls who menstruated prior to the onset of their eating disorder, and something I’ve written about before. Today I would like…Read More
I’m sure all specialties have their frustrations, but here is a major one of mine: patients who come to Kartini Clinic needing -- indeed deserving -- help but at the “eleventh hour.”
What do I mean by this? I mean families who come in seeking help for a condition which is characterized by anosognosia, having waited for a variety of reasons, until shortly before their child’s 18th birthday, at which age their child will be able to refuse treatment, and often will do. Even in states…Read More
This is a tribute to two people who just plain “get it.” And, you know, it can be hard to get. I certainly know many professionals who deeply do not get it, and some who claim they do and yet who really only give it lip service.
The two people I am referring to are mothers of children with eating disorders; they are F.E.A.S.T. mamas, and they are filmmakers. I am referring, of course, to Charlotte Bevans and Mary Gutteridge, the Bobbsey twins of enlightened animation.
And what…Read More
On the recommendation of Dr. Rod McClymont, of the Center for Eating and Dieting Disorders, Bathurst, Australia, I have been reading a new book, Animal Models of Eating Disorders (Humana Press 2013) edited by Nicole Avena. The second chapter, by Mary M Boggiano Ph.D., stopped me in my tracks: “Binge-Prone Versus Binge-Resistant Rats”.
Don’t laugh. We are mammals; they are mammals. We study rats to understand the physiology of cancer. We study rats to understand the physiology of…
Every researcher in the field of eating disorders tries their best to reduce the burden of suffering for patients. They try to contribute to the meaningful scientific discussion. Having said that, however, I am going to proceed to critique an article by Natalie Godart, Sylvie Berthoz, Florence Curt and colleagues at the Institut Mutualiste Montsouris in Paris, France; the French National Institute for Health and Medical Research; King’s College, London Institute of Psychiatry; the…Read More
I'm often asked how one can distinguish between bulimia and purging or binge-purging anorexia nervosa? What is the difference between them?
Many people say: “I used to have anorexia and then I developed bulimia” or “She has anorexia and bulima, as well”. This is not accurate, and stems from a common misperception that purging (vomiting) means a patient is bulimic.
So why does it matter? Diagnosis is important to get right and it matters as much as it matters to differentiate…Read More
The other day a young patient of mine asked me “which is more important: psychological remission or physical remission?” Of course she was asking because she wanted to know how she could get out of the DTU most quickly, but it was a good question nonetheless.
Which is more important? Well, let’s see…which is more important: breathing or heart beating? Yes, it’s just like that. There is no psychological remission without physical remission. That’s been tried. In fact, we spent…