Viewing blog posts categorized under "Recovery"
Your child has been diagnosed with an eating disorder by one of the doctors at Kartini Clinic. Whether this is a restricting disorder with fear of fat, a bingeing and purging disorder or what we call ARFID (avoidant restrictive food intake disorder), it matters little. What matters is that the prospect of treatment is new and intimidating to you.
Before treatment was decided on, you may have struggled with typical and understandable ambivalent feelings: are we over-reacting? Are…Read More
When I first thought about writing this blog I had patients with anorexia nervosa in mind. Patients with AN often struggle to find their voice, regardless of how smart, competent and encouraged they may be by others. On the other hand, our patients of high body weight for whom metabolic problems have lead to obesity, can have the same problem: shame and self-loathing has made them reluctant to use their voice, to fight back.
Unfortunately, “finding their voice”, a commonly stated…Read More
Over the past 20 years (yes 20!) of re-feeding children with eating disorders, we at Kartini Clinic have learned some tips and tricks, which I thought I would pass along. Whether you are re-feeding a child at home or in a clinical setting, I hope these pointers can be helpful to you.
Remember: even though life stops until you eat and that without weight restoration you will get nothing, there are ways to help make the process less painful and more…Read More
Have you ever heard of the ancient Chinese book called the I Ching, also known as The Book of Changes? If you were young during the 60’s and 70’s, I bet you have, otherwise, probably not. Sources of inspiration, when doing really complex and challenging things, such as re-feeding a sick child who resists and resents your efforts, can come from unexpected places. For me, this week, that source of reflection was the I-Ching, as I remembered a story in it about a fox.
Wikipedia says:…Read More
It's funny what one gets criticized for. Recently a couple of young patients have let me know that some other eating disorder providers in our community have tried to steer them away from Kartini Clinic because “Kartini Clinic just shoves a tube in everyone”. You can imagine this was rather startling to hear. And -- goes without saying, I hope! -- quite untrue.
The history of nasogastric (NG) tube use at Kartini Clinic is this: on our pediatric inpatient unit we have always been…Read More
Here we go into our season of Thanksgiving again. And we, at Kartini Clinic, give thanks for a lot of things: for the healing of our patients, for the continued evolution of (more) affordable healthcare for families, for enough food to put on the table, for the health and safety of our loved ones.
That’s the good side of Thanksgiving for us, but there is a challenging side as well. Thanksgiving is not just about gratitude in this country. Traditionally it has also been about…Read More
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…Read More
At Kartini Clinic, we have had a parent support group from the beginning. At first my husband Steve and I led parent group. After a few years it was taken over by a much more competent leader, Kartini family therapist Leslie Weisner LMFT, in whose hands it remains today. As our program grew and developed we added more groups, all free of charge, for our patients’ parents. Jean Malnati, our parent advocate and herself a parent of a child with an eating disorder, leads the parenting…Read More
On Friday, Netflix released "To the Bone," a film about a young woman struggling with anorexia nervosa. The film has received a great deal of publicity, raising some questions and concerns among parents of children and adolescents with eating disorders.
Here are five questions you may have about the film.
My child is recovering from an eating disorder; should they watch this movie?
The question we would ask is why? If it is to gain “insight” into a complex brain illness in…Read More