Viewing blog posts tagged with "Recovery"

Game Plan For The Holidays

posted by Julie O'Toole on December 18, 2014 at 8:05am
Christmas is not just one single holiday at Kartini Clinic, it is several. In fact it’s a season involving many celebrations and special events. Some of our patients’ families do not celebrate Christmas as such, of course, but for those who do, some “highlights”: Baking… baking… baking. It’s a problem in many ways. And the truth is, no matter how appealing the picture of doing so may be, or how often it’s been done before in your family, probably not everyone should… Read More

When The Smile Comes Back

posted by Julie O'Toole on December 3, 2014 at 8:29am
Re-feeding has its own rewards, though there can be misery and challenge to get there.  I know that some of you who have been through this, either at home or with a team not at home, will be able to relate to what I am talking about.  It’s when the smile comes back. It’s hard to predict when the tipping point will come.  For some it’s within the first 48 hours of beginning to eat: the circulation improves, the cheeks fill with more color, the eyes brighten and they just feel… Read More

Parental Supervision

posted by Julie O'Toole on August 7, 2014 at 1:45am

Eating disorders strike children at virtually all stages of development. Sometimes we think it’s most difficult when they strike a very young child, sometimes it seems the most difficult when a “child” is about to go off to college, or a student exchange program, or start a new school. Personally I think mid adolescence is one of the most difficult times for an eating disorder to strike a child.

Childhood and early adolescence are characterized by learning new skills, but also by…

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Can My Child Get Well?

posted by Julie O'Toole on May 14, 2014 at 11:52pm

I am asked this nearly every week by one parent or another, and I answer reflexively “of course”.  In order to do what we do at Kartini Clinic we have to believe our patients can get well, that our efforts and the herculean efforts of the parents can be rewarded.  There are no guarantees in life, but there needs to be hope.  Hope based on real evidence.

It is true that some patients with eating disorders never do get well.  They experience a lifetime of disability and mental illness.…

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Relapse in Patients with Anorexia Nervosa

posted by Julie O'Toole on May 18, 2010 at 11:03pm

I am occasionally asked whether or not anorexia nervosa is a chronic illness.  As far as I am concerned, anorexia nervosa is a chronic illness of remission and exacerbation, which is a medical way of saying an illness that often returns after a period of stability.  Anorexia can be gotten into good remission, which may last many years, but it can flare up with a recurrence of symptoms during times of stress, life change or for no apparent reason.  We call this relapse.

As with the…

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