Viewing blog posts tagged with "Eating Disorders"

Bart Walsh to speak at 20th Annual International Eating Disorder Conference

posted by Julie O'Toole on October 10, 2012 at 1:44am

I am delighted to announce that Bart Walsh, LCSW, Kartini Clinic’s individual and hypnotherapist of many years, will be presenting three workshops at the 20th Annual International Eating Disorder Conference, one of Europe’s leading eating disorders conferences, October 18-20. The conference takes place in the picture perfect alpine village of Alpbach, Austria. Bart's presentations are listed below; hopefully some of you will be able to join him!

Rapid Remission of Eating Disorder…

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Flawed science: scary ramifications

posted by Julie O'Toole on September 29, 2012 at 1:23am

Recently an article was published looking at the caloric intake of children at various ages and the relationship of this intake to their weight.  The article was published in the respected journal Pediatrics and picked up across cyberspace in various medical information processing and reporting sites.  What was not picked up were the little words: “not statistically significant.”

Deeply held beliefs, paradigms, and explanations of the world that make intuitive sense whether or not…

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One more reason to make the diagnosis early

posted by Julie O'Toole on September 7, 2012 at 3:00pm

And one more reason to make the diagnosis early

Professor Richard Crandall of Reed College, himself a renowned scientist, sent me an article he thought I might be interested in.  I have to say, after I read it I was dismayed on several levels.  Read it yourself and see.  The original source is the British Journal of Opthalmology.

The first level of my distress is that I had not known about this complication before.  While it is obvious that anorexia nervosa and attendant starvation is…

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Eating Disorders and the Brain

posted by Julie O'Toole on May 21, 2012 at 11:01pm

I have already blogged about the new book edited by Bryan Lask and Ian Frampton with the felicitous title  Eating Disorders and the Brain.  But the other day, flipping through it, I landed on the chapter by Ken Nunn which nearly brought tears to my eyes, it was so powerful, and so right.

The chapter (Chapter 5) is called Neurochemistry: the Fabric of Life and the Fabric of Eating Disorders and Professor Nunn puts forth his Five Propositions.  They are:

Proposition #1: Our bodies and…

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The Evidence Is There, Now Make It Work

posted by Julie O'Toole on April 13, 2012 at 8:29pm

Jacques, a friend and parent advocate, sent me an online summary of an article discussing the current evidence base for the use of Olanzapine in anorexia nervosa.  Keep in mind as you read the summary that, regardless of the evidence base for efficacy and safety of Olanzapine in general and with anorexia nervosa in particular, this is still an off label use of this drug.  Off label means it is a drug approved for one condition which is used by physicians to treat a different…

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Wrong in too many ways to count

posted by Julie O'Toole on March 30, 2012 at 2:59pm

I follow Laura Collin’s blog almost all of the time—but some personal medical issues have kept me from reading lately, until today.  I scanned her recent entries and saw this.??

Good God.  But it does raise a few questions/issues; in fact, way more than a few.??

  1. Parents don’t cause eating disorders. Since we founded the Kartini Clinic we have been saying loudly, unequivocally and clearly:  Parents don’t cause eating disorders and children don’t choose to have them.  Do we say this…
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A wolf in sheep’s clothing

posted by Julie O'Toole on January 20, 2012 at 2:00pm

Every researcher in the field of eating disorders tries their best to reduce the burden of suffering for patients.  They try to contribute to the meaningful scientific discussion.  Having said that, however, I am going to proceed to critique an article by Natalie Godart, Sylvie Berthoz, Florence Curt and colleagues at the Institut Mutualiste Montsouris in Paris, France; the French National Institute for Health and Medical Research; King’s College, London Institute of Psychiatry; the…

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Anorexia Nervosa in the 17th century

posted by Julie O'Toole on December 17, 2011 at 12:38am

There seems to be a discussion that simply will not die in the world of eating disorders (particularly when it comes to anorexia nervosa) around whether the “desire for thinness” is culturally bound and whether AN is a “modern phenomenon”.

A few years ago I was fortunate enough to acquire a copy of Pthsiologia, a book written in 1689 by Richard Morton, an astute observer and physician of his day.  Morton’s description of two cases—one in a boy and one in a girl-- of what we now call…

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Making Thanksgiving plans

posted by Julie O'Toole on November 11, 2011 at 2:00pm


This is a difficult time of the year for our patients and, I imagine, for eating disordered patients everywhere.  All over the country people are making plans for family to gather and to frequently do what can only be described as “binge” together.  Why do I say binge?  Well, because on Thanksgiving day people frequently eat more, sometimes much more, than they ordinarily do, which triggers a lot of “regret” style talk, which triggers a lot of discussion of everyone’s diets, weight…

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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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