Viewing blog posts categorized under "Recovery"

Going off to college (with an eating disorder): 4 Tips for Parents

posted by Julie O'Toole on September 24, 2011 at 12:57am

We get a lot of questions about how to handle college for an eating disordered young adult.  There is no one right way to handle all situations, but I will list a few of our ideas here.

#1:   Make a plan!  Do not just cross your fingers and hope that things will go well for your child. Wishful thinking is not your friend.

#2:   If  your college-bound child is currently active in their eating disorder, for example bingeing or purging at any frequency, losing weight, restricting their…

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Family-based eating disorder treatment for the young adult patient

posted by Julie O'Toole on September 16, 2011 at 2:59pm

Family-based treatment for the young adult patient

For most of us when we are 17, 18, 19 or slightly older, independence from our family of origin can’t come a moment too soon.  We are anxious to be independent, and highly allergic to ‘being told what to do’.  And usually—though young folks often do not credit this—our parents are equally anxious for us to do so.  Although many of us parents are very tearful at the ‘loss’ of our child to our home, we are also excited to see them…

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Think what’s at stake

posted by Julie O'Toole on August 30, 2011 at 3:40am

I am often asked: “do we really need to have all this treatment for our child’s eating disorder?  Can’t she/he just talk to someone once a week and not have it interfere with school/soccer/summer vacation/my work schedule?"

I imagine they could.  But then you’d get what people used to get: spotty and unreliable results.  In past decades, people with anorexia nervosa were ill for years, often long into adulthood.  Restricting eating disorders became more entrenched and soon purging was…

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The Long Silence

posted by Morgan O'Toole-Smith on August 19, 2011 at 3:00pm

Occasionally we invite guest bloggers to write about their experiences in the field. Steve Nemirow has been, among many things, a intake co-ordinator at Kartini Clinic for many years, and has talked to hundreds of families about their struggles to find proper eating disorder treatment for their children. This is one of those conversations.

Life on the Fracture

Recently I was on the phone with a young father from a southwestern state, whose 8 y. o. son was refusing to eat any solid…

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Family Based Treatment and the Kartini Method

posted by Julie O'Toole on April 22, 2011 at 8:00pm

Several people whom I respect have asked me to do something I find hard: stop calling what we do at Kartini Clinic "Family based Treatment". That term, they aver, should be reserved for "certified" Maudlsey practitioners.

This gripes me on two accounts:

Firstly, we have been calling what we do "family-based treatment" since at least 2000. When I left my practice of general pediatrics to begin seeing only children with all conditions of disordered eating, I was influenced by several…

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Relapse in Patients with Anorexia Nervosa

posted by Julie O'Toole on May 18, 2010 at 11:03pm

I am occasionally asked whether or not anorexia nervosa is a chronic illness.  As far as I am concerned, anorexia nervosa is a chronic illness of remission and exacerbation, which is a medical way of saying an illness that often returns after a period of stability.  Anorexia can be gotten into good remission, which may last many years, but it can flare up with a recurrence of symptoms during times of stress, life change or for no apparent reason.  We call this relapse.

As with the…

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More Details about Kartini Clinic’s Meal Plan

posted by Julie O'Toole on March 15, 2008 at 2:21am

I have recently received some feedback about our food plan that impels me to add a few details. The food plan has been the backbone of treatment at the Kartini Clinic for many years, but there are some things you should know about it.

  • It was developed to enable families to feed their children without resort to counting calories or exchanges. The child chooses among real food items that have been counted already (by us). Many different food choices are available.
  • Within the…
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