Viewing blog posts categorized under "Recovery"

First Annual FEAST Conference

posted by Julie O'Toole on September 2, 2011 at 6:00pm

OK folks, as Laura Collins says:  “A new era of science-based, family inclusive and truly optimistic eating disorder treatment begins now.”

And it begins with the F.E.A.S.T. conference, the very first, in Alexandria, Virginia on November 3rd and 4th.

The keynote speaker is to be Dr Thomas Insel of the NIMH, perhaps the most prominent person to advocate the concept of anorexia nervosa as a brain disorder and to write an open letter to this effect.

This will not be another of the…

Read More

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…

Read More

When Other Family Members are Affected by an Eating Disorder Too

posted by Julie O'Toole on August 12, 2011 at 8:46pm

What does it mean to say a family member of a patient with anorexia nervosa is “affected” or “partially affected” with an eating disorder?

The last ten years have brought us a lot of new information about eating disorders in general and anorexia nervosa in particular.  One such bit of new information is the evidence of heritability of anorexia nervosa.  In a study published in the Archives of General Psychiatry Dr Cynthia Bulik, a well known researcher from the University of North…

Read More

Childhood Obesity is Not Child Abuse

posted by Julie O'Toole on July 23, 2011 at 12:58am

This week I am including an interesting blog I found on medscape.  Dr Puhl (the Director of Research at the Rudd Center for Food Policy and Obesity at Yale University) does a better job than I of examining this issue.

I ask you, is there no end to this madness?

Read More

5 Things to Look for in an Eating Disorder Program

posted by Morgan O'Toole-Smith on July 15, 2011 at 11:18pm

As Dr. O’Toole is away this week, I thought I would try to fill her rather roomy shoes and take a stab at this week’s blog. As CEO I’m often asked by parents and providers: what makes a good eating disorder treatment program? What specific criteria should one use to compare programs? What questions should one be asking?

And you won’t be asking these questions only of prospective treatment programs. These will come in handy talking to your insurance company, when they make the…

Read More

Who is not a candidate for family-based eating disorder treatments?

posted by Julie O'Toole on July 9, 2011 at 12:12am

Who is not a candidate for family-based treatments (FBTs)? We don’t like to think about this question, and we like to talk about it openly even less.  As a community eating disorder professionals and families have for the most part only recently come to grips with the concept that family-based treatments are the most successful. They are – to date – the strongest tools in our treatment toolbox.  And because they can be so successful, we like to think that family-based treatments are…

Read More

What does good treatment outcome for anorexia in children look like?

posted by Julie O'Toole on June 25, 2011 at 1:48am

Academics and researchers argue about what they refer to as "outcome" all the time.  How should treatment outcome be defined? How do you know that the patient is "there"?

These are important questions because "good outcome" will need to be defined before we can answer questions like: what percentage of children will achieve a certain outcome? How long will it take?  What factors can affect outcome? How can families influence the likelihood of a good outcome for their own child? What…

Read More

Vertical Integration of Eating Disorder Treatment

posted by Julie O'Toole on June 18, 2011 at 1:15am

There are many by-words in contemporary medicine and ever more coming along.  “Vertical integration” is one of them, but what exactly does it mean?

It means something that we have been doing at Kartini Clinic since 2000 and something we would like to refine further as we move into the future of care for children with eating disorders.  Once, vertical integration was an innovation, now it is becoming standard.  Vertical integration is a system of care where, as the patient moves…

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…

Read More

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…

Read More
Page 8 of 8 pages  ‹ First  < 6 7 8