Viewing blog posts tagged with "Eating Disorder Treatment"

When Other Family Members are Affected by an Eating Disorder Too

posted by Julie O'Toole on August 12, 2011 at 8:46pm

What does it mean to say a family member of a patient with anorexia nervosa is “affected” or “partially affected” with an eating disorder?

The last ten years have brought us a lot of new information about eating disorders in general and anorexia nervosa in particular.  One such bit of new information is the evidence of heritability of anorexia nervosa.  In a study published in the Archives of General Psychiatry Dr Cynthia Bulik, a well known researcher from the University of North…

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What would Botboy do?

posted by Julie O'Toole on August 5, 2011 at 11:20pm

Even when thinking about eating disorders I can’t help but ask myself:  “wwbbd? --what would Botboy do?”
 
Who the heck is Botboy?
 
Well, the short answer is that Botboy is a social robot of my imagining, about whom I have written a book.  He is clever, dedicated, and in appearance looks something like a squarish metal human—but not too much. A longer, more significant answer is that he—and social robots like him—could be game-changing assistants of the future for people with chronic…

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Childhood Obesity is Not Child Abuse

posted by Julie O'Toole on July 23, 2011 at 12:58am

This week I am including an interesting blog I found on medscape.  Dr Puhl (the Director of Research at the Rudd Center for Food Policy and Obesity at Yale University) does a better job than I of examining this issue.

I ask you, is there no end to this madness?

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5 Things to Look for in an Eating Disorder Program

posted by Morgan O'Toole-Smith on July 15, 2011 at 11:18pm

As Dr. O’Toole is away this week, I thought I would try to fill her rather roomy shoes and take a stab at this week’s blog. As CEO I’m often asked by parents and providers: what makes a good eating disorder treatment program? What specific criteria should one use to compare programs? What questions should one be asking?

And you won’t be asking these questions only of prospective treatment programs. These will come in handy talking to your insurance company, when they make the…

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Who is not a candidate for family-based eating disorder treatments?

posted by Julie O'Toole on July 9, 2011 at 12:12am

Who is not a candidate for family-based treatments (FBTs)? We don’t like to think about this question, and we like to talk about it openly even less.  As a community eating disorder professionals and families have for the most part only recently come to grips with the concept that family-based treatments are the most successful. They are – to date – the strongest tools in our treatment toolbox.  And because they can be so successful, we like to think that family-based treatments are…

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What does good treatment outcome for anorexia in children look like?

posted by Julie O'Toole on June 25, 2011 at 1:48am

Academics and researchers argue about what they refer to as "outcome" all the time.  How should treatment outcome be defined? How do you know that the patient is "there"?

These are important questions because "good outcome" will need to be defined before we can answer questions like: what percentage of children will achieve a certain outcome? How long will it take?  What factors can affect outcome? How can families influence the likelihood of a good outcome for their own child? What…

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Vertical Integration of Eating Disorder Treatment

posted by Julie O'Toole on June 18, 2011 at 1:15am

There are many by-words in contemporary medicine and ever more coming along.  “Vertical integration” is one of them, but what exactly does it mean?

It means something that we have been doing at Kartini Clinic since 2000 and something we would like to refine further as we move into the future of care for children with eating disorders.  Once, vertical integration was an innovation, now it is becoming standard.  Vertical integration is a system of care where, as the patient moves…

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What does a good doctor look like?

posted by Julie O'Toole on May 28, 2011 at 1:10am

What is it that makes a good doctor?  The much vaunted ‘bedside manner’—what does it mean?  I think it’s the old “give a damn” factor at work, a factor I have reported on in earlier blogs here and here.  Good bedside manner is not suavity, not glad-handing, not telling a patient what they want to hear; it is something else entirely.

This blog is another one of my reports describing what it is like for the shoe to be on the other foot, so if you are only interested in reading about…

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Family Based Treatment and the Kartini Method

posted by Julie O'Toole on April 22, 2011 at 8:00pm

Several people whom I respect have asked me to do something I find hard: stop calling what we do at Kartini Clinic "Family based Treatment". That term, they aver, should be reserved for "certified" Maudlsey practitioners.

This gripes me on two accounts:

Firstly, we have been calling what we do "family-based treatment" since at least 2000. When I left my practice of general pediatrics to begin seeing only children with all conditions of disordered eating, I was influenced by several…

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