Viewing blog posts categorized under "Eating Disorder Treatment"

Yes, But Where’s The Evidence?

posted by Julie O'Toole on November 13, 2014 at 9:32am
You may have heard me say it before: medicine is as prone to fads as the fashion industry. And worse: tightly held “truths” in medicine can be as entrenched as religious beliefs and providers will respond to being challenged with as much heat and resentment as if you had challenged their religion. Didn’t your grandmother tell you (mine did) to avoid talking politics and religion in polite society? Well… here I go anyway. And sorry for the many citations. If you’re going… Read More

The Promise of Personalized Medicine

posted by Julie O'Toole on September 3, 2014 at 8:15pm

Advances in medicine come in all shapes and sizes: vaccines, antibiotics, anti-virals, immune system boosters and reducers, technological changes and recently, the hope that faster, cheaper and more accurate genetic analysis can bring us the new approach to medicine and medications: personalized medicine.

As I have mentioned in a previous blog, a leading proponent of personalized medicine has been Dr Eric Topol, editor-in-chief of Medscape and director the Scripps Translational…

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Making ‘em Mad

posted by Julie O'Toole on August 13, 2014 at 10:43pm

I’m sometimes not sure whom I make madder: some kids, some parents, or some insurance companies!

Making kids mad:

Me:  “Jill, help me understand why your weight would be way down this week?”

Jill (shrugging):  “I don’t know.  I actually exercised less and ate exactly what I was supposed to.”

Me:  “OK. I guess your body is just telling us you need more food.”

Jill:  “What!!?? No way!  I refuse to have more food.”

Me:  “Well…. unless you can think of something that didn’t go…

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Intranasal Treatment for Anxiety

posted by Julie O'Toole on July 3, 2014 at 1:36am

Providers are finally beginning to dip our toes in the waters which have flowed from the realization that psychiatric and psychological disorders are brain disorders.  Case in point: social anxiety.

I don’t know whether we see quite a few eating disordered patients with social anxiety because these diagnoses frequently run together or because social anxiety is so prevalent in the general population, but we do.

And now comes an article by Michael Liebowitz and colleagues from Columbia…

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Do Parents Cause Eating Disorders?

posted by Julie O'Toole on June 19, 2014 at 12:59am

Sometimes things happen to me that cause me to wonder what planet I have landed on.  Five years ago -- to say nothing of ten or fifteen -- whenever I insisted that parents didn’t cause eating disorders, any more than they cause schizophrenia or bipolar disorder or autism, I was treated like I hadn’t done my homework.  Thankfully, that has changed. Virtually no responsible eating disorder professional of any stature believes that parents cause severe mental illnesses, of which…

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The Semmelweis Reflex

posted by Julie O'Toole on May 2, 2014 at 7:30pm

Sometimes I get discouraged by what appears to me to be the excruciating slowness with which new ideas enter the mainstream of medical and psychological teaching and practice.  In the same way that many of us dress in the style that was favored in our youth, many of us do not move far from what we were taught in college or professional school, even when the science has whipped past those teachings with the speed of light. Some professionals even spend their entire lives and careers…

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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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