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 "Eating Disorder Treatment"
This post was originally published on February 13, 2012.
I (among others) have recently been challenged by Laura Collins to get the message out that weight restoration is critical to psychological recovery in anorexia nervosa. Some authority, Laura says, must declare definitively that psychological recovery is tied to weight restoration.
Some authority… okay… but who?
Since the late 1990’s the AAP (American Academy of Pediatrics) has issued guidelines for hospitalization (after…
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
On February 9 at 10:30 AM PST / 1:30 PM EST, Dr. Julie O'Toole, founder and Chief Medical Officer at Kartini Clinic for Children and Families in Portland, Oregon will lead a Tweet Chat conversation sponsored by Academy for Eating Disorders. The Tweet Chat will focus on “Weight Restoration 2.0”, a topic which Dr. O'Toole has written about extensively in her blog, Give Food a Chance.
To participate in the live Tweet Chat, you need to have a Twitter account. To follow or participate in…Read More
It still happens all the time. I go to see a family in the hospital (and they can be from anywhere) and as I take their history, the parents begin their recitation of what brought their son or daughter to this juncture in the first place.
It often starts subtly: increased alone time as a result of less interest in social activities, more time spent on homework and “fitness” or sport. Eating “healthy”. Who can argue with eating healthy and homework? Then the vegetarianism.…Read More
All our kids know it: at Kartini Clinic there are no cell phones allowed on the unit.
But why not?
Well, treatment takes focus and it takes interaction with the therapists, doctors and other patients. Today I walked in on a group therapist talking with the high school-aged kids about the difficulties one of them was experiencing with concentration. The supportive comments and suggestions given from one patient to another were nothing short of amazing. The kids are amazing, but…Read More
One thing I've observed over the years is that those readers who are interested in anorexia nervosa seem to have little interest in obesity, which they often seem 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)? Quite a lot, as it turns out. And by the way, it’s worth repeating at the outset, neither condition is one…Read More
I was born in 1949, the second World War had been over for a mere four years. As a girl raised in the 50’s and 60’s I was taught to read books, wear dresses, skirts and pinafores, and to sit still. As long as I had a book the sitting still was no problem. And I always had a book. At sixteen I participated in the American ritual of learning to drive a car, and never looked back. At eighteen I went to college and sat in class with everyone else, my class choices limited by what was…Read More