Viewing blog posts categorized under "ARFID"

Looking For A Few Good (Wo)men

posted by Julie O'Toole on March 26, 2014 at 11:14pm

I’m not sure how many of you know it, but Kartini Clinic is looking forward to a major expansion.  We have signed the lease in a new building which will allow us more space for our kids and for the rather expansive ideas we are always coming up with.  We are continually looking for more ways to support our families, to integrate kids in the Day Treatment Unit (DTU) with their own schools, to improve the experience for families whose child needs medical stabilization across the street…

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Refeeding at Home

posted by Julie O'Toole on March 20, 2014 at 5:22pm

I was recently asked by a professional skeptic, a parent & friend of mine, “why can’t parents re-feed their own children at home without the stamp of approval of the ‘professionals’”?

Well, they can, they DO, they SHOULD!  

Home re-feeding is ideal when it works, as virtually any intervention that can be done at home is preferable to one that requires the input of (even caring) strangers.  BUT -- and there are several buts-- it does not always work for several reasons:

  1. Example:…

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But For The Grace of God

posted by Julie O'Toole on March 12, 2014 at 11:32pm

When I was a girl, my brothers and sister and I had the usual kid-like responses to the world around us.  One of them was innocent astonishment at those less fortunate than we: the man at the bus stop without a leg, the “retarded” kid on the playground, homeless people.  If we were unwise enough to comment on them negatively in our father’s presence we felt the full force of his disapproval, the full weight of his teaching.  “When you see someone less fortunate than you, you are…

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Vegetables and Kartini’s Meal Plan

posted by Julie O'Toole on January 22, 2014 at 11:33pm

Despite the fact that we occasionally receive criticism of our Meal Plan for its supposed “rigidity”, what has struck me after years of reading people’s food journals is the degree to which people self-limit their food choices.  This is especially true of vegetables.  I have also noticed that our families’ food journals fall roughly into two categories: those who seem to relish a more Mediterranean style of eating (the original intent of the Meal Plan, by the way) and those who eat a…

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Quiet hero, mother, activist dear Charlotte

posted by Julie O'Toole on January 16, 2014 at 2:22am

This is the second time I have blogged about a mother named Charlotte and her brave, sassy and in-your-face crusade to find great care and justice for children with eating disorders.

Only this time it is not only to sing her praise but to mourn her death.

On the website she founded to promote Charlotte’s helix. her bio reads: “Charlotte Bevan is the youngest of three, the mother of two and the wife of a farmer, but definitely not a farmer's wife.  She left school with barely a…

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Anorexia and Siblings

posted by Julie O'Toole on December 12, 2013 at 5:58am

From one of our favorite international (Australian) treatment teams comes an article published online November 2013 in the journal Advances in Eating Disorders: Theory Research and Practice discussing “Anorexia nervosa in the family: a sibling’s perspective”. (Simon Clarke, Michael Kohn, Sloane Madden et al.).

Every team treating pediatric eating disorders struggles with the effects of the illness on unaffected siblings. Siblings suffer right along with everyone else in the family…

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Selective Eating in Children

posted by Julie O'Toole on March 15, 2013 at 2:48am

[Ed. Note: a more recent blog on this subject can be found here).

There is a little talked-about pediatric eating disorder that I have not covered extensively in my blogs, nor is it covered well in most discussions elsewhere, including the various iterations of the DSM.  As a general pediatrician, like all other pediatricians, I ran into it, but it wasn’t until I read Dr. Rachel Bryant-Waugh and Dr. Bryan Lask’s  Eating Disorders: A Parents' Guide  years ago, that I was introduced…

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