Viewing blog posts categorized under "Binge Eating"

Christmas and a New Year

posted by Julie O'Toole on December 23, 2015 at 4:47pm

Everyone in our field knows that the Holiday season provides special challenges to those with eating disorders, be those restricting, bingeing and purging or predominantly bingeing eating disorders.  Add to this the fact that this is typically a very important time of year to children and you have, well, a mess. It’s over in January though, and that’s the good news!

What makes it a mess? Holidays raise expectations in everyone, expectations that even for adults are often not met and…

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Where Are The Grown-Ups?

posted by Julie O'Toole on August 5, 2015 at 2:00pm

I read an article on Medpage the other day - “Docs have Role in Preventing Childhood Obesity” - about recent recommendations by the American Academy of Pediatrics (AAP), which I found both annoying and discouraging in equal amounts.

First the annoying part: a prominent, almost certainly staged picture of two overweight children with their mouths open, watching TV, a huge spread of take-out food on the coffee table before them.  Who allows their children to be photographed like that?…

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Eating Junk

posted by Julie O'Toole on June 26, 2014 at 1:12am

Recently a patient of ours returned from a treatment setting where she had been presented with “challenge foods”.  In her case she had been given cheetos and soda pop.  Now I ask you, why on earth would someone encourage a child to eat such a thing?

A lot of ink has been spilled on teaching Americans in general and children in particular to make good food choices.  Just because you have anorexia nervosa as a child, and desperately need to gain and maintain adequate weight, does not…

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The Kartini Meal Plan De-Mystified

posted by Julie O'Toole on October 17, 2013 at 12:17am

There is a common misconception out there that Kartini patients are fed on a strict meal plan for the rest of their lives.  But what exactly is our meal plan? And while we talking about it, what's our approach to meals and food in general?

Well…

  1. there’s the “parents in charge” (of all meals) thing

  2. there’s the recording on the food journal thing

  3. there’s the family dinners thing/ home cooking thing

  4. there’s the whole-milk-no-low-fat thing

  5. there’s the…

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The Eleventh Hour

posted by Julie O'Toole on July 25, 2013 at 7:36pm

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…

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Physiology of Binge Eating and What Motivates Us

posted by Julie O'Toole on January 26, 2013 at 2:26am

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…

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