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 peaks…Read More
Viewing blog posts tagged with "Bulimia Nervosa"
I’m sure all specialties have their frustrations, but here is a major one of mine: patients who come to Kartini Clinic needing -- indeed deserving -- help but at the “eleventh hour.”
What do I mean by this? I mean families who come in seeking help for a condition which is characterized by anosognosia, having waited for a variety of reasons, until shortly before their child’s 18th birthday, at which age their child will be able to refuse treatment, and often will do. Even in…Read More
On the recommendation of Dr. Rod McClymont, of the Center for Eating and Dieting Disorders, Bathurst, Australia, I have been reading a new book, Animal Models of Eating Disorders (Humana Press 2013) edited by Nicole Avena. The second chapter, by Mary M Boggiano Ph.D., stopped me in my tracks: “Binge-Prone Versus Binge-Resistant Rats”.
Don’t laugh. We are mammals; they are mammals. We study rats to understand the physiology of cancer. We study rats to understand the physiology of…
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…