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Viewing blog posts tagged with "Weight Restoration"

Tolerating our own children’s distress

posted by Julie O'Toole on October 20, 2016 at 8:32am

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…

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On Individualized Treatment

posted by Julie O'Toole on July 8, 2016 at 10:11am

I was reading an online opinion piece by one of my colleagues, Dr Ovidio Bermudez, who like me is an adolescent medicine physician and eating disorder doctor.  This one sentence jumped out at me since it reflects what I have said in many ways before, only Ovidio said it better and more succinctly: “Families like to hear that care is tailored to their loved one’s unique recovery need, but core principles of treatment, including symptom interruption and weight restoration, should not…

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Live AED Twitter Chat with Dr. O’Toole!

posted by Julie O'Toole on February 5, 2016 at 2:30pm

On February 9 at 10:30 AM PST / 1:30 PM EST, Dr. Julie O'Toole, founder and Chief Medical Officer at Kartini Clinic for Children and Families in Portland, Oregon will lead a Tweet Chat conversation sponsored by Academy for Eating Disorders. The Tweet Chat will focus on “Weight Restoration 2.0”, a topic which Dr. O'Toole has written about extensively in her blog, Give Food a Chance.

To participate in the live Tweet Chat, you need to have a Twitter account. To follow or participate in…

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Why Wait For Treatment?

posted by Julie O'Toole on January 20, 2016 at 3:35pm

It still happens all the time.  I go to see a family in the hospital (and they can be from anywhere) and as I take their history, the parents begin their recitation of what brought their son or daughter to this juncture in the first place.

It often starts subtly: increased alone time as a result of less interest in social activities, more time spent on homework and “fitness” or sport.  Eating “healthy”.  Who can argue with eating healthy and homework?  Then the vegetarianism.…

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Can Measuring Leptin Lead to Happiness?

posted by Julie O'Toole on August 19, 2015 at 2:27pm

In our clinic we spend a lot of time thinking and talking to our patients about the hormone leptin.

In another instance of the concordance of important findings to obesity science and eating disorder science, the study of leptin and body weight, leptin and menstrual function and now leptin and mood, has revealed relevance to both of these groups.   According to an article titled Leptin Predicts Decreased Depressive Symptoms, from the Neuroendocrine Unit of the Department of…

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What Real Mental Health Parity Looks Like

posted by Julie O'Toole on July 30, 2015 at 1:21pm

According to a June 29th article by Sam PK Collins for Thinkprogress.org., “last week, Missouri Gov. Jay Nixon (D) signed a bill that explicitly states the types of eating disorder treatments insurance providers must cover. The new law builds on the mental health parity law by expanding the definition of “medically necessary” to include mental health treatment. It will also ensure that weight no longer serves as the sole determinant for whether someone may continues treatment.…

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Very Early Onset Anorexia Nervosa

posted by Julie O'Toole on April 3, 2015 at 3:20pm

For the purposes of this discussion I am somewhat arbitrarily defining “very early onset” as 12 years and younger.  Despite what you might think, this is not synonymous with “pre-pubertal onset” as Caucasian girls on average begin breast development - and the hormonal changes associated with this - at about 10 ½ years of age. Boys on average begin to go through pubertal changes about two years later.  And for girls and boys of African and Hispanic heritage average ages for these…

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Avoiding negative energy balance

posted by Julie O'Toole on February 26, 2015 at 5:01pm

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…

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Connecting the Dots

posted by Julie O'Toole on February 6, 2015 at 4:33pm

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…

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Tough Calls Parents Have To Make

posted by Julie O'Toole on January 21, 2015 at 9:17am

For people who are high achieving and successful, patience is typically not one of their long suits, especially when “patience” involves rest and restraint.

It’s not enough that our patients are often self-driven high achievers, but as this temperament trait is also highly heritable, many of our parents are as well.  It is not unusual for our kids to be valedictorians, salutatorians, the lead in the school play, talented musicians, or competitive dancers or athletes, whose efforts…

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