Viewing blog posts tagged with "Weight Restoration"
It has become almost trite to advise parents struggling with the “severe pushback” of doing battle with their child’s eating disorder to remember that flight attendants caution parents travelling with small children to “first place the oxygen mask on yourself (really counter-intuitive for parents) and then place it on your child.” When I first heard this advice on a plane (astonishingly not what would have come naturally to me) I thought “of course! If I am unconscious then my…Read More
I’m sometimes not sure whom I make madder: some kids, some parents, or some insurance companies!
Making kids mad:
Me: “Jill, help me understand why your weight would be way down this week?”
Jill (shrugging): “I don’t know. I actually exercised less and ate exactly what I was supposed to.”
Me: “OK. I guess your body is just telling us you need more food.”
Jill: “What!!?? No way! I refuse to have more food.”
Me: “Well…. unless you can think of something that didn’t go…Read More
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…Read More
I was recently sent an article from which I will be quoting extensively here (it’s also included in this newsletter - ed.). The article is by Heidi Mills, writing for Outside magazine and features the work of Dr. Emily Cooper of Seattle Performance Medicine. Dr. Cooper has consulted with Kartini Clinic on metabolic health and weight balancing for some time. Originally, we worked together to try and solve the conundrum of patients with AN who appear to be weight restored but who…Read More
At Kartini Clinic our evolution to the current levels of care we offer has been a long one. In the first days of the clinic we offered only inpatient (hospital rounds for medical stabilization) and outpatient care. In 2000 we developed the day treatment (partial hospital) level of care. This was a big step forward and allowed us to “gently land” patients, who required brief medical stabilization in hospital, to a lower level of care. In day treatment, such patients could get a lot…Read More
Talking to a mother whose son has just entered our Food Phobia treatment program I realized that I may not have done a very good job stating clearly what our “recipe” for success with this illness has been. What can a parent expect? What can a child look forward to? What if a provider is forced to treat a child with food phobia in an outlying hospital; how might they proceed?
First, a bit about the diagnosis.
Food phobia is the term Kartini Clinic uses for the sudden onset of…Read More
I was recently asked by a professional skeptic, a parent & friend of mine, “why can’t parents re-feed their own children at home without the stamp of approval of the ‘professionals’”?
Well, they can, they DO, they SHOULD!
Home re-feeding is ideal when it works, as virtually any intervention that can be done at home is preferable to one that requires the input of (even caring) strangers. BUT -- and there are several buts-- it does not always work for several reasons:
At Kartini Clinic we have been embarking on something we call “weight restoration 2.0”. In other words we are trying to move beyond mere weight restoration (as critical as that is) towards a deeper assessment of each patient’s full physical recovery. We have noticed, over the years of faithfully weight restoring each and every patient, that people respond differently to recovery from starvation, depending no doubt on their genetics and on the duration of their illness. Just one…Read More