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 Disorders"
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
I can’t tell you how many parents report their child with anorexia nervosa (or bulimia nervosa, binge eating disorder, fill in the blank…) becoming very irritated, not to say ANGRY, at them for something we call “externalizing the illness”.
What does this term mean? It actually refers to a very positive attitude adjustment undergone by both parents and patients whereby they are able to separate the sufferer from the illness and blame the illness, not the sufferer, for how hard life…Read More
Kartini Clinic has a new home, and we are excited for a number of reasons. For starters, this time around we were able to design our units especially for our kids; they’re full of light and air and space to do art, a new classroom, a roof deck, not to mention our very own commercial kitchen - designed to provide space for parent cooking class as well - from which we serve all of our meals. Our food is sourced from the neighborhood’s New Season’s Market, conveniently located across…Read More
Last week I was pleased to discuss a paper by Walt Kaye and colleagues that I felt strongly supported ordered eating for people with anorexia nervosa. Ordered eating on our Kartini meal plan has always been the cornerstone of our weight restoration strategy for children and young adults who suffer from this condition. It works and Dr Kaye’s research tells us why.
This week I would like to refer you to a blog written by Cindy Bulik of the University of North Carolina. Cindy is a…Read More
Two current Kartini parents handed me an excellent article the other day whose lead author, Walter Kaye, is likely well known to our readers. The article, Temperament-based Treatment for Anorexia Nervosa, appeared in the European Eating Disorders Review.
I was especially pleased to see this article, although many of us have heard Walt speak about meal planning and the latest neuro-biological and neuro-radiological evidence before. Neuro-biological and neuro-psychological evidence…Read More