Viewing blog posts tagged with "Eating Disorder Treatment"

Safe Eating Using the “Magic Plate”

posted by Julie O'Toole on December 9, 2011 at 2:29am

Magic PlateI am often surprised and pleased at the way we—pediatric providers who believe in the biological basis for eating disorders and parents who are caring for their children-- stumble our way forward trying to make things work and find ourselves on the same track.

I was given this lovely plate after the FEAST conference, by a mom, with the following kind words:

Dr. O'Toole,

Thank You for believing in parents and for all your hard work and dedication in the treatment of EDs, and…

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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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Coming to Terms with My Daughter’s Genetically Programmed Body Size

posted by Julie O'Toole on November 18, 2011 at 1:59pm

Friends:  at the F.E.A.S.T. conference in Washington DC, I was approached by a mother (we’ll call her Kathy) who thanked me for helping her out from a distance with my blog titled “Determining Ideal Body Weight”.  She told me how she struggled to come to grips with the weight gain her daughter truly needed to get well.  I was very impressed by her eloquence, humility and dedication to her daughter.  I asked her if she would consider writing a guest blog so that other parents…

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Don’t take no for an answer

posted by Julie O'Toole on October 28, 2011 at 3:00pm

I made this dialogue up, pieced it together from things that have been said to mothers and fathers seeking our care for their eating disordered children many times over the years.  

“Doctor, I am really worried about Simon.  He seems thin to me and recently all he does is study and exercise, he rarely goes out with his friends any more and he used to be such a social kid.”

“Don’t worry, Mom.  Kids go through all kinds of stages.  They have to experience who they are and often try on…

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Making medical rounds on our patients

posted by Julie O'Toole on October 24, 2011 at 10:59pm

Life for most pediatricians used to be pretty well defined: you got up early and made hospital rounds on all your patients—mostly newborn babies and an occasional hospitalized child—before you went to see patients in the office.  Day in and day out, rounds were the rhythm of a doctor’s life. For many of us “making rounds” meant driving to more than one hospital to see everyone, so the day started early and was highly predictable, if a lot of work.  Most physicians trained in the era…

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Readers of this blog know that Kartini Clinic offers inpatient medical stabilization, partial hospitalization and outpatient care, all entirely family based.  We do not offer residential care.  However, we find ourselves occasionally forced to refer a patient for residential treatment despite the fact that residential care is by its very nature not family based and despite the fact that the patient will ultimately have to return to their community and family and try to stay in…

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Going off to college (with an eating disorder): 4 Tips for Parents

posted by Julie O'Toole on September 24, 2011 at 12:57am

We get a lot of questions about how to handle college for an eating disordered young adult.  There is no one right way to handle all situations, but I will list a few of our ideas here.

#1:   Make a plan!  Do not just cross your fingers and hope that things will go well for your child. Wishful thinking is not your friend.

#2:   If  your college-bound child is currently active in their eating disorder, for example bingeing or purging at any frequency, losing weight, restricting their…

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Family-based eating disorder treatment for the young adult patient

posted by Julie O'Toole on September 16, 2011 at 2:59pm

Family-based treatment for the young adult patient

For most of us when we are 17, 18, 19 or slightly older, independence from our family of origin can’t come a moment too soon.  We are anxious to be independent, and highly allergic to ‘being told what to do’.  And usually—though young folks often do not credit this—our parents are equally anxious for us to do so.  Although many of us parents are very tearful at the ‘loss’ of our child to our home, we are also excited to see them…

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Think what’s at stake

posted by Julie O'Toole on August 30, 2011 at 3:40am

I am often asked: “do we really need to have all this treatment for our child’s eating disorder?  Can’t she/he just talk to someone once a week and not have it interfere with school/soccer/summer vacation/my work schedule?"

I imagine they could.  But then you’d get what people used to get: spotty and unreliable results.  In past decades, people with anorexia nervosa were ill for years, often long into adulthood.  Restricting eating disorders became more entrenched and soon purging was…

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The Long Silence

posted by Morgan O'Toole-Smith on August 19, 2011 at 3:00pm

Occasionally we invite guest bloggers to write about their experiences in the field. Steve Nemirow has been, among many things, a intake co-ordinator at Kartini Clinic for many years, and has talked to hundreds of families about their struggles to find proper eating disorder treatment for their children. This is one of those conversations.

Life on the Fracture

Recently I was on the phone with a young father from a southwestern state, whose 8 y. o. son was refusing to eat any solid…

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