When you practice as long as I have in the field of childhood eating disorders, one thing becomes abundantly clear: there are cycles to the frequency with which patients appear on our doorstep for treatment -- and on the doorsteps of all the other treatment centers as well. The trouble is, it has proven difficult to understand the peaks and troughs of these cycles and correlate them to much of anything. But there do seem to be a few tentatively recognizable patterns. And these…Read More
Viewing blog posts tagged with "Anorexia"
This post was originally published on November 13, 2013.
Until I lived in the world of therapists and mental health professionals as part of the Kartini multidisciplinary team treating children with eating disorders, I had never actually heard the phrase “tolerating distress”, particularly as it pertained to parents. Like most parents, I have a very difficult time tolerating pain in my own children, either physical or emotional and, when put in that situation, I immediately get…Read More
This post was originally published on June 12, 2013.
We’ve all heard from parents whose child had (or has) an eating disorder and who re-feed them at home, single-handedly and successfully. The Around the Dinner Table forum is full of such stories from parents who help other parents trying to do the same. But not all children’s illnesses can be so managed. At Kartini Clinic we practice a day treatment model of family-based care (as well as inpatient medical stabilization and…Read More
The canny ability of eating disorders to twist even the most kindly meant words is something that is experienced by almost all our patients. We originally published this post back in the summer of 2011 and have decided to share it again because an awareness of of this facet of ED is so valuable to patients, families and care providers at every stage of recovery.
I find myself explaining this many times to parents and friends of our patients: there is a secret language to eating…Read More
I can’t tell you how many parents report their child with anorexia nervosa (or bulimia nervosa, binge eating disorder, fill in the blank…) becoming very irritated, not to say ANGRY, at them for something we call “externalizing the illness”.
What does this term mean? It actually refers to a very positive attitude adjustment undergone by both parents and patients whereby they are able to separate the sufferer from the illness and blame the illness, not the sufferer, for how hard life…Read More
One thing I believe to have learned over the years is that those readers who are interested in anorexia nervosa seem to have little interest in obesity, which they regard as an lifestyle choice irrelevant to them, while those who study obesity often ask themselves what this rare condition (AN) has to do with their vastly more prevalent (read: important) condition of obesity (OB)? Well, as it turns out, quite a lot.
And by the way, it’s worth repeating at the outset, neither…Read More
For the purposes of this discussion I am somewhat arbitrarily defining “very early onset” as 12 years and younger. Despite what you might think, this is not synonymous with “pre-pubertal onset” as Caucasian girls on average begin breast development - and the hormonal changes associated with this - at about 10 ½ years of age. Boys on average begin to go through pubertal changes about two years later. And for girls and boys of African and Hispanic heritage average ages for these…Read More
Have you ever wondered what to tell your other children and family members about your child’s eating disorder? Have you ever wished you had a child friendly, succinct and upbeat resource to share?
Along comes a small book to be published shortly from from Jessica Kingsley Publishers, written by Bryan Lask and Lucy Watson called Can I tell You About Eating Disorders? This little book is apparently one of a series of books written about what the authors refer to as “limiting…Read More
I am asked this nearly every week by one parent or another, and I answer reflexively “of course”. In order to do what we do at Kartini Clinic we have to believe our patients can get well, that our efforts and the herculean efforts of the parents can be rewarded. There are no guarantees in life, but there needs to be hope. Hope based on real evidence.
It is true that some patients with eating disorders never do get well. They experience a lifetime of disability and mental illness.…Read More