Viewing blog posts tagged with "Eating Disorders"

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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New eating disorder resources for parents and providers

posted by Julie O'Toole on October 8, 2011 at 1:16am

The great thing about having your own blog is that you get to decide what you think is appropriate reading for your patients and their families.  Book reviews are always subjective, and never more so than on a blog, but I am pleased to have some books (besides my own Give Food A Chance) to recommend to families and other providers which are compatible with our Kartini approach to eating disorders.

I am often told that if I recommend books with a scientific approach “parents won’t be…

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Boys with anorexia nervosa

posted by Julie O'Toole on September 30, 2011 at 3:00pm

I sit at my desk drinking coffee; our patient census over the years is approaching two thousand children and young adults, the majority of whom have had anorexia nervosa or its variants.  And I am thinking about our boys.  

Given the approximate accepted statistic that 90% of patients with AN will be female, (even though the percentage is higher in younger patients), that still gives us around 200 boys.

Remember, with that many, if you think you recognize someone from these…

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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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First Annual FEAST Conference

posted by Julie O'Toole on September 2, 2011 at 6:00pm

OK folks, as Laura Collins says:  “A new era of science-based, family inclusive and truly optimistic eating disorder treatment begins now.”

And it begins with the F.E.A.S.T. conference, the very first, in Alexandria, Virginia on November 3rd and 4th.

The keynote speaker is to be Dr Thomas Insel of the NIMH, perhaps the most prominent person to advocate the concept of anorexia nervosa as a brain disorder and to write an open letter to this effect.

This will not be another of the…

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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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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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