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Viewing blog posts tagged with "Bulimia"

Can I Tell You About Eating Disorders?

posted by Julie O'Toole on July 25, 2014 at 1:27am

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…

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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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The Kartini Meal Plan De-Mystified

posted by Julie O'Toole on October 17, 2013 at 12:17am

There is a common misconception out there that Kartini patients are fed on a strict meal plan for the rest of their lives.  But what exactly is our meal plan? And while we talking about it, what's our approach to meals and food in general?

Well…

  1. there’s the “parents in charge” (of all meals) thing

  2. there’s the recording on the food journal thing

  3. there’s the family dinners thing/ home cooking thing

  4. there’s the whole-milk-no-low-fat thing

  5. there’s the…

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The little boy who cried wolf

posted by Julie O'Toole on July 31, 2013 at 9:50pm

On  Science Friday recently Ira Flato interviewed Professor Susan Swithers about her research on artificial sweeteners.  You know the keywords: Splenda, Stevia, Equal, diet soda, zero calorie drinks, sugar-free gum….

 

These items have never been included in the Kartini meal plan and we ask our parents not to have them in the home.  Dr. Swithers now brings a relevant and interesting perspective on such super-sweet chemicals, especially in light of some of our newer metabolic tests…

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Why do some people just get it?

posted by Julie O'Toole on July 18, 2013 at 12:28am

This is a tribute to two people who just plain “get it.”  And, you know, it can be hard to get.  I certainly know many professionals who deeply do not get it, and some who claim they do and yet who really only give it lip service.

The two people I am referring to are mothers of children with eating disorders; they are F.E.A.S.T. mamas, and they are filmmakers.  I am referring, of course, to Charlotte Bevans and Mary Gutteridge, the Bobbsey twins of enlightened animation.

And what…

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10 Steps to an Accurate Eating Disorder Diagnosis

posted by Julie O'Toole on July 11, 2013 at 12:59am

Inspired to think outside my usual box by Dr. Eric Topol, author of  Creative Destruction of Medicine this morning, I began to ask myself: how can I help parents who may not have access to experienced care, who fear that their child may have an eating disorder, make that diagnosis and get help?  Where do I start?

Well, start first with self-examination.  

We doctors are made very uncomfortable by any talk of patient autonomy or patient empowerment. The words “self diagnosis” are said…

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In an article recently in the New York Times, author Harriet Brown reviews a subject that was hotly debated at the London International Conference for Eating Disorders by Glenn Waller, Roz Shafran and Howard Steiger, among others. The issue was what is called “evidence-based” interventions in eating disorders.

For example, cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT) and family-based therapy (FBT) are  purportedly evidence-based interventions in the field…

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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…

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