Viewing blog posts tagged with "Anorexia Nervosa"

Congressional Presentation, November 29, 2012

posted by Julie O'Toole on December 8, 2012 at 2:01am

On Thursday November 29th I went with Laura Collins and the FEAST team to give "testimony" to congressional staffers about the plight of children with anorexia nervosa.  It was an impressive experience to enter the Dirksen building where  many of the senators (including our own Ron Wyden) have their offices.  Senator Schumer (NY) walked past us; the walls and floors were stone and marble and dark wood, the ceilings twenty feet high, the plaster frieze was carved with symbols of the…

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Bart Walsh to speak at 20th Annual International Eating Disorder Conference

posted by Julie O'Toole on October 10, 2012 at 1:44am

I am delighted to announce that Bart Walsh, LCSW, Kartini Clinic’s individual and hypnotherapist of many years, will be presenting three workshops at the 20th Annual International Eating Disorder Conference, one of Europe’s leading eating disorders conferences, October 18-20. The conference takes place in the picture perfect alpine village of Alpbach, Austria. Bart's presentations are listed below; hopefully some of you will be able to join him!

Rapid Remission of Eating Disorder…

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Flawed science: scary ramifications

posted by Julie O'Toole on September 29, 2012 at 1:23am

Recently an article was published looking at the caloric intake of children at various ages and the relationship of this intake to their weight.  The article was published in the respected journal Pediatrics and picked up across cyberspace in various medical information processing and reporting sites.  What was not picked up were the little words: “not statistically significant.”

Deeply held beliefs, paradigms, and explanations of the world that make intuitive sense whether or not…

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One more reason to make the diagnosis early

posted by Julie O'Toole on September 7, 2012 at 3:00pm

And one more reason to make the diagnosis early

Professor Richard Crandall of Reed College, himself a renowned scientist, sent me an article he thought I might be interested in.  I have to say, after I read it I was dismayed on several levels.  Read it yourself and see.  The original source is the British Journal of Opthalmology.

The first level of my distress is that I had not known about this complication before.  While it is obvious that anorexia nervosa and attendant starvation is…

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What helps children with anorexia nervosa gain weight?

posted by Julie O'Toole on June 22, 2012 at 3:00pm

What helps children with anorexia nervosa gain weight?  How can you tell whose child will do well and whose may not?  Can you tell?

At Kartini Clinic we have always felt that three factors determine outcome in children with anorexia nervosa:  

  1. severity of illness  
  2. parental unity with treatment team 
  3. parental ability to enforce the meal plan/re-nutrition.  


And of those three, we think we have noticed over the years that #2 and #3 can trump severity of illness.  In other words, even…

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Exercise and the Severely Anorexic Patient

posted by Julie O'Toole on March 2, 2012 at 11:15pm

On February 18 I attended the annual conference of the Columbia River Eating Disorder Network (CREDN) and heard Dr Ken Weiner of ERC speak there.  Ken spoke about the uselessness, hopelessness and mirage of dieting, but he also spoke about some of the issues pertinent to managing the patient with anorexia nervosa.

In Dr. Weiner’s experience, and the experience of his colleague Dr Craig Johnson (founding editor of the International Journal of Eating Disorders and founding member of…

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Richard Morton’s Description of Anorexia Nervosa in a Young Man

posted by Julie O'Toole on January 6, 2012 at 2:00pm

This is the second and final case presentation Dr. Morton makes of two illustrative examples of anorexia nervosa.  This time it is a young man.  He mentions that the patient is the son of a friend—so imagine how motivated he was to establish the correct diagnosis and find a successful treatment! First Morton discusses the differential diagnosis, establishes the correct diagnosis, discusses failed treatments and finally discusses his successful treatment of what, to him, is a chronic…

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Anorexia Nervosa Case Report, Circa 1684

posted by Julie O'Toole on December 23, 2011 at 11:50pm

As promised, here is the first patient case report by Richard Morton in his 1689 book, Pthisiologia. My comments are in regular italics and his original text in bold (with original, Stuart England grammar and spelling!).

History 1

Mr. Duke’s Daughter in S Mary Axe (a medieval parish in London memorialized by a modern London street of that name) in the year 1684. and the Eighteenth Year of her Age, in the month of July fell into a total Supression of her monthly Courses from a…

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Inpatient Eating Disorder Treatment Checklist for Parents

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

If your child or adolescent is admitted to a hospital for the medical complications of an eating disorder, you need to carefully assess adequacy of care at that hospital.  

Common sense would dictate that we not become aggressive, belittling or demanding of professionals on whom our child is temporarily dependent for medical intervention, however you should not hesitate to inform yourself, rely on your intuition and experience and ask questions.  The days of “because I said so and I…

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Making Thanksgiving plans

posted by Julie O'Toole on November 11, 2011 at 2:00pm


This is a difficult time of the year for our patients and, I imagine, for eating disordered patients everywhere.  All over the country people are making plans for family to gather and to frequently do what can only be described as “binge” together.  Why do I say binge?  Well, because on Thanksgiving day people frequently eat more, sometimes much more, than they ordinarily do, which triggers a lot of “regret” style talk, which triggers a lot of discussion of everyone’s diets, weight…

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