Beyond the Stereotypes: Why Eating Disorders in Children Demand a Specialized Approach and Early Intervention
When we think of eating disorders, we often imagine adult struggles, but they can affect children and young adults profoundly.
A nurse is talking to the patient who is sitting on the examination table.
Spotting the Tiger: Identifying Early Eating Disorder Symptoms in Children
In the powerful documentary, "Spotting the Tiger," narrated by Oscar Award Winner Jamie Lee Curtis, the film emphasizes the importance of recognizing early warning signs of eating disorders in children.…
Are social media platforms making eating disorders in children worse?
Are social media platforms making eating disorders in children worse?
Nurse Meeting With Teenage Girl And Mother In Hospital
New to Treatment? Don’t Panic!
Your child has been diagnosed with an eating disorder by one of the doctors at Kartini Clinic. Whether this is a restricting disorder with fear of fat, a bingeing and…
Nurse Meeting With Teenage Girl And Mother In Hospital
Online Reviews
This post is from Kartini Clinic CEO Morgan O'Toole. Online reviews have become part of our everyday lives. Who hasn’t glanced at the star ratings when Googling a new hair…
A nurse is talking to the patient who is sitting on the examination table.
Guest BLOG: F.E.A.S.T. on Euthanasia and anorexia nervosa
F.E.A.S.T. - by parents, for parents Some of you may be shocked by the concept of euthanasia for people with eating disorders -- we at Kartini Clinic certainly are. …
happy school girls running outdoor at sunny autumn day
The Importance of School in Holistic Recovery from an Eating Disorder
A peaceful, happy and healthy childhood with completion of developmental goals can be severely disrupted by illness, especially by chronic illness. The developmental tasks of childhood and adolescence are roughly:…
A nurse is talking to the patient who is sitting on the examination table.
See Something, Say Something
See something, say something is what the anti-terrorist watch tells us at the airport and in public spaces. When people take individual and collective responsibility for reporting whenever they see…
A nurse is talking to the patient who is sitting on the examination table.
Finding Your Sass
When I first thought about writing this blog I had patients with anorexia nervosa in mind. Patients with AN often struggle to find their voice, regardless of how smart, competent…
Nurse Meeting With Teenage Girl And Mother In Hospital
20 Tips and Tricks for Re-Feeding Your Child
Over the past 20 years (yes 20!) of re-feeding children with eating disorders, we at Kartini Clinic have learned some tips and…
A nurse is talking to the patient who is sitting on the examination table.
A Parable for Staying the Course in Treatment
Have you ever heard of the ancient Chinese book called the I Ching, also known as The Book of Changes? If you were young during the 60’s and 70’s, I…
A nurse is talking to the patient who is sitting on the examination table.
The Use of NG tubes in Pediatric Eating Disorder Treatment
It's funny what one gets criticized for. Recently a couple of young patients have let me know that some other eating disorder providers in our community have tried to steer…
A nurse is talking to the patient who is sitting on the examination table.
Thanksgiving with your child
Here we go into our season of Thanksgiving again. And we, at Kartini Clinic, give thanks for a lot of things: for the healing of our patients, for the continued evolution…
happy school girls running outdoor at sunny autumn day
Back To School And The Risk Of Relapse
When you practice as long as I have in the field of childhood eating disorders, one thing becomes abundantly clear: there are cycles to the frequency with which patients…
A nurse is talking to the patient who is sitting on the examination table.
The Importance of Parent Groups
At Kartini Clinic, we have had a parent support group from the beginning. At first my husband Steve and I led parent group. After a few years it was taken…
A nurse is talking to the patient who is sitting on the examination table.
To The Bone: What You Should Know
On Friday, Netflix released "To the Bone," a film about a young woman struggling with anorexia nervosa. The film has received a great deal of publicity, raising some questions…
A nurse is talking to the patient who is sitting on the examination table.
Why Animal Therapy?
8 AM: drop-off time at Kartini Clinic. It’s early, and patients and parents alike have a day of hard work ahead of them. But then... enter Ryla. Family therapist Lisa…
A nurse is talking to the patient who is sitting on the examination table.
The Role of Parents in Treatment
This post was originally published on December 16, 2015. Possibly nothing has changed so much over the last ten years as the acceptance of parents’ role in the treatment of…
Why Weight Restoration in Eating Disorder Treatment Must Come First
This post was originally published on February 13, 2012. I (among others) have recently been challenged by Laura Collins to get the message out that weight restoration is critical to…
Apple with a heart cut into it. Photo in old color image style.
Tolerating our own children’s distress
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…
A nurse is talking to the patient who is sitting on the examination table.
Family-based Treatment: why is it so wretchedly hard?
This post was originally published on June 12, 2013. We’ve all heard from parents whose child had (or has) an eating disorder and who re-feed them at home, single-handedly and…
Why We Limit Hyper-Palatable Foods for One Year
When I was first introduced to the Minnesota Semi-Starvation Study (MSSS), published in 1950 by Ancel Keys and his team, I was overwhelmed by the sheer volume of data…
A nurse is talking to the patient who is sitting on the examination table.
Building a Web of Safety
One of the challenges of swimming against the stream -- as when, for example, one insists that parents don’t cause eating disorders when many providers learn and believe otherwise --…
Physician Beam Scale - Medical professional sliding balance weight scale at a physician's office
Setting Goal Weights
Setting a goal weight is not simple. And it is never harder than in a growing child, where it is a moving target. I have written some rather lengthy guidelines…
A nurse is talking to the patient who is sitting on the examination table.
Animal Assisted Therapy
Kids and animals, it’s magical. Although some researchers have tried to figure out why, exactly, really - who cares? Many a little kid, or even older kid, who refuses to…
A nurse is talking to the patient who is sitting on the examination table.
Why Wait For Treatment?
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…
A nurse is talking to the patient who is sitting on the examination table.
Our First Teaching Webinar
Today we did our first webinar on a site called ReelDX, specifically created as a teaching tool for providers and students, offering lifelong learning for a variety of other specialists…
A nurse is talking to the patient who is sitting on the examination table.
Goodbye, Bryan
Anyone who knows me knows that I am no longer young. Yet I have teachers. My patients are my teachers and some of my colleagues are (still) my teachers. At…
A nurse is talking to the patient who is sitting on the examination table.
Why We Ban Cell Phones at Kartini Clinic
All our kids know it: at Kartini Clinic there are no cell phones allowed on the unit. But why not? Well, treatment takes focus and it takes interaction with the…
A nurse is talking to the patient who is sitting on the examination table.
Helping Parents, Together
Mother nature built us to protect our offspring and, where necessary, the offspring of other members of our “tribe”. Elephants and non-human primates have been reported to foster or adopt…
A nurse is talking to the patient who is sitting on the examination table.
What Real Mental Health Parity Looks Like
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…
A nurse is talking to the patient who is sitting on the examination table.
Traveling with ED
I am writing to you from Berlin tonight and thinking about a recent article written by Dr. Bulik on the challenges of international travel for those with an eating disorder,…
A nurse is talking to the patient who is sitting on the examination table.
The Suffering of Others
“With what incredible courage we are able to endure the suffering of others” -- My favorite quote from English garden writer Christopher Lloyd. And nowhere does it apply more than…
A nurse is talking to the patient who is sitting on the examination table.
Very Early Onset Anorexia Nervosa
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…
A nurse is talking to the patient who is sitting on the examination table.
Avoiding negative energy balance
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…
A nurse is talking to the patient who is sitting on the examination table.
Connecting the Dots
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…
A nurse is talking to the patient who is sitting on the examination table.
The Surprising Similarities Between Anorexia and Obesity
One thing I've observed over the years is that those readers who are interested in anorexia nervosa seem to have little interest in obesity, which they often seem regard as…
A nurse is talking to the patient who is sitting on the examination table.
Tough Calls Parents Have To Make
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…
A nurse is talking to the patient who is sitting on the examination table.
Game Plan For The Holidays
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…
A nurse is talking to the patient who is sitting on the examination table.
When The Smile Comes Back
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…
A nurse is talking to the patient who is sitting on the examination table.
Taking A Moment To Vent
My good friend and colleague Therese Waterhous, a PhD, RD eating disorder specialist and board member of the parent organization F.E.A.S.T., called me the other day. She needed to vent,…
A nurse is talking to the patient who is sitting on the examination table.
Can I speak to the chef, please?
It’s not very common for me to hear things out of the mouths of our patients that I have not heard before—I have heard most things many, many times. For…
A nurse is talking to the patient who is sitting on the examination table.
You Will See the Doctor Now
I was born in 1949, the second World War had been over for a mere four years. As a girl raised in the 50’s and 60’s I was taught to…
A nurse is talking to the patient who is sitting on the examination table.
The Promise of Personalized Medicine
Advances in medicine come in all shapes and sizes: vaccines, antibiotics, anti-virals, immune system boosters and reducers, technological changes and recently, the hope that faster, cheaper and more accurate genetic…
A nurse is talking to the patient who is sitting on the examination table.
Save Yourself First
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…
A nurse is talking to the patient who is sitting on the examination table.
Parental Supervision
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 nurse is talking to the patient who is sitting on the examination table.
Can I Tell You About Eating Disorders?
Have you ever wondered what to tell your other children and family members about your child’s eating disorder? Have you ever wished you had a child friendly, succinct and upbeat…
A nurse is talking to the patient who is sitting on the examination table.
Do Parents Cause Eating Disorders?
Sometimes things happen to me that cause me to wonder what planet I have landed on. Five years ago -- to say nothing of ten or fifteen -- whenever I…
A nurse is talking to the patient who is sitting on the examination table.
Hard News About Exercise And Recovery
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…
A nurse is talking to the patient who is sitting on the examination table.
Can My Child Get Well?
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…
A nurse is talking to the patient who is sitting on the examination table.
The Semmelweis Reflex
Sometimes I get discouraged by what appears to me to be the excruciating slowness with which new ideas enter the mainstream of medical and psychological teaching and practice. In the…
A nurse is talking to the patient who is sitting on the examination table.
Levels of Care
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…
A nurse is talking to the patient who is sitting on the examination table.
Mixed Symptoms
Recently I was making our daily rounds at Randall Children’s Hospital and received a lesson from a very young patient of ours. I say it over and over: “your patients…
A nurse is talking to the patient who is sitting on the examination table.
Looking For A Few Good (Wo)men
I’m not sure how many of you know it, but Kartini Clinic is looking forward to a major expansion. We have signed the lease in a new building which will…
A nurse is talking to the patient who is sitting on the examination table.
Refeeding at Home
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…
A nurse is talking to the patient who is sitting on the examination table.
But For The Grace of God
When I was a girl, my brothers and sister and I had the usual kid-like responses to the world around us. One of them was innocent astonishment at those less…
A nurse is talking to the patient who is sitting on the examination table.
What We Say Matters
I just returned from Tampa, Florida and the 2014 IAEDP conference of professionals involved in the treatment of eating disorders. I was there to talk about the very young child…
A nurse is talking to the patient who is sitting on the examination table.
Thinking About Obesity
Thinking about obesity: calmly, rationally and outside the box When I was a rotating intern at Sacred Heart Medical Center, long ago, I attended rounds with the then head of…
A nurse is talking to the patient who is sitting on the examination table.
Weight Restoration 2.0
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…
A nurse is talking to the patient who is sitting on the examination table.
Why the basic sciences may save us all
In previous blogs I have spoken to the importance of bench science -- the kind done in the lab to decode the “basic” science that underlies human physiology -- to…
A nurse is talking to the patient who is sitting on the examination table.
FEAST 2014 and Weight Restoration 2.0
Morgan and I just returned from the parent-founded and parent-lead F.E.A.S.T. conference, familiar to many of you as an online resource for parents whose children are struggling with an eating…
A nurse is talking to the patient who is sitting on the examination table.
Vegetables and Kartini Meal Plan
Despite the fact that we occasionally receive criticism of our Meal Plan for its supposed “rigidity”, what has struck me after years of reading people’s food journals is the degree…
A nurse is talking to the patient who is sitting on the examination table.
Quiet hero, mother, activist dear Charlotte
This is the second time I have blogged about a mother named Charlotte and her brave, sassy and in-your-face crusade to find great care and justice for children with eating…
A nurse is talking to the patient who is sitting on the examination table.
Thank you for this patient
In my life as a pediatrician I have twice now had the astonishing, humbling and even joyous experience I am about to relate. Only twice. The first time was many…
A nurse is talking to the patient who is sitting on the examination table.
Appeasing The Monster
Some blog topics draw in a continuous trickle of commentary long after they've been published. One such blog is entitled “Determining Ideal Body Weight”. And little wonder. The other…
A nurse is talking to the patient who is sitting on the examination table.
Anorexia and Siblings
From one of our favorite international (Australian) treatment teams comes an article published online November 2013 in the journal Advances in Eating Disorders: Theory Research and Practice discussing “Anorexia nervosa…
A nurse is talking to the patient who is sitting on the examination table.
Eating for Life
A recent book by UCSF professor and pediatric endocrinologist Dr. Robert Lustig -- horridly titled Fat Chance -- has turned my mind to past discussions of our program’s dietary recommendations, aka the…
A nurse is talking to the patient who is sitting on the examination table.
The Locked Psychiatric Unit
No doubt I will make myself unpopular (again) with some of our psychiatric colleagues by speaking out in this way about the use of locked psychiatric units in the treatment…
A nurse is talking to the patient who is sitting on the examination table.
Selective Eating revisited
I recently blogged on one of the childhood eating disorders (incidentally not yet recognized as such in the DSM system) called selective eating. I got a deluge of parental comment…
A nurse is talking to the patient who is sitting on the examination table.
The Very Young Child With Anorexia
Many people are shocked when they learn that we have patients with anorexia nervosa as young as six or seven, and, although it is rare, it certainly does occur. Why…
A nurse is talking to the patient who is sitting on the examination table.
The Kartini Meal Plan De-Mystified
There is a common misconception out there that Kartini patients are fed on a strict meal plan for the rest of their lives. But what exactly is our meal plan? And…
A nurse is talking to the patient who is sitting on the examination table.
Ronald McDonald House
There are a lot of worthwhile charities in this world, many of them founded by successful business entrepreneurs or their heirs. This blog is about one such charity that has…
A nurse is talking to the patient who is sitting on the examination table.
Portrait of a Nurse
Depictions of nurses and of the relationship between nurses and doctors have been the subject of many films and books and stories. Doctors are usually portrayed as leading and demanding,…
A nurse is talking to the patient who is sitting on the examination table.
Health Is A State, Not A Weight
This week’s blog covers a topic - menstruation in female patients - which I have written about before, but, given its critical importance to our female patients and their parents,…
A nurse is talking to the patient who is sitting on the examination table.
The Eleventh Hour
I’m sure all specialties have their frustrations, but here is a major one of mine: patients who come to Kartini Clinic needing -- indeed deserving -- help but at the…
A nurse is talking to the patient who is sitting on the examination table.
10 Steps to an Accurate Eating Disorder Diagnosis
Inspired to think outside my usual box by Dr. Eric Topol, author of Creative Destruction of Medicine this morning, I began to ask myself: how can I help parents who…
A nurse is talking to the patient who is sitting on the examination table.
Diet and exercise: the obsessions that will not die
Aaargh! Although dieting has been shown repeatedly to be destructive, counter-productive and useless in most settings (i.e. you re-gain everything you lose and then some…), it simply will not die…
A nurse is talking to the patient who is sitting on the examination table.
Gene Mutations and the Weight Problems That Plague Us
You’ve heard it everywhere: your friends, your doctor, the New York Times, your personal trainer, virtually anyone who talks to you about health for more than five minutes will give…
A nurse is talking to the patient who is sitting on the examination table.
The Day Treatment Model for Pediatric Patients
With the publication of results for models of family-based home treatments, the treatment of children with eating disorders has changed a lot in the past five or six years, or…
A nurse is talking to the patient who is sitting on the examination table.
Cook, My Darling Daughter!
Cook, My Darling Daughter! is the title of a cookbook from the 1950’s I found in a secondhand bookstore and gave my eldest daughter as a young adult. She had…
A nurse is talking to the patient who is sitting on the examination table.
Evidence Based Medicine: A Necessary change or…does the Emperor have no clothes?
In an article recently in the New York Times, author Harriet Brown reviews a subject that was hotly debated at the London International Conference for Eating Disorders by Glenn Waller,…
A nurse is talking to the patient who is sitting on the examination table.
Selective Eating in Children
[Ed. Note: a more recent blog on this subject can be found here). There is a little talked-about pediatric eating disorder called selective eating that I have not covered extensively…
A nurse is talking to the patient who is sitting on the examination table.
How Do We Measure Success in Eating Disorder Treatment?
When discussing the needs of families new to our treatment program, everyone really wants to know just three things about any treatment: does it work? how long will it…
A nurse is talking to the patient who is sitting on the examination table.
Physiology of Binge Eating and What Motivates Us
On the recommendation of Dr. Rod McClymont, of the Center for Eating and Dieting Disorders, Bathurst, Australia, I have been reading a new book, Animal Models of Eating Disorders (Humana Press 2013) edited…
A nurse is talking to the patient who is sitting on the examination table.
The Creative Destruction of Medicine
I have been reading a book that I highly recommend to readers of my blog. It's called The Creative Destruction of Medicine, by cardiologist Eric Topol. This book is a discussion of…
A nurse is talking to the patient who is sitting on the examination table.
weight gain and percentiles after weight restoration
I was recently asked an important question which I was unable to address during my breakout workshop at this year's FEAST Symposium 2012.The question: does a child who has completed…
A nurse is talking to the patient who is sitting on the examination table.
Congressional Presentation, November 29, 2012
On Thursday November 29th I went with Laura Collins and the FEAST team to give "testimony" to congressional staffers about the plight of children with anorexia nervosa. It was an…
A nurse is talking to the patient who is sitting on the examination table.
An early warning system for eating disorders
What would we do without our modern early warning systems? The terrible weather ravaging New York, New Jersey and all along the East Coast this week has made me reflect…
A nurse is talking to the patient who is sitting on the examination table.
Bart Walsh to speak at 20th Annual International Eating Disorder Conference
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,…
A nurse is talking to the patient who is sitting on the examination table.
One more reason to make the diagnosis early
And one more reason to make the diagnosis earlyProfessor Richard Crandall of Reed College, himself a renowned scientist, sent me an article he thought I might be interested in. I…
A nurse is talking to the patient who is sitting on the examination table.
Proud of her
Today I was seeing a young patient who had just been cleared to resume her sport activities. At the start of the appointment she was nearly trembling with anxiety, for…
A nurse is talking to the patient who is sitting on the examination table.
What helps children with anorexia nervosa gain weight?
What helps children with anorexia nervosa gain weight? How can you tell whose child will do well and whose may not? Can you tell?At Kartini Clinic we have always felt that…
A nurse is talking to the patient who is sitting on the examination table.
The stigma that will not go away
I have written and blogged about this subject before. In some ways it is the third rail of eating disorder treatment: touch it at your peril! But touch it we…
A nurse is talking to the patient who is sitting on the examination table.
Judgement and consequences: where to hospitalize an eating disordered child
It is understandable for parents to hope treatment for their ill child could be as close to home as possible - and to wish for as little disruption to family…
A nurse is talking to the patient who is sitting on the examination table.
The Evidence Is There, Now Make It Work
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…
A nurse is talking to the patient who is sitting on the examination table.
Wrong in too many ways to count
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.??…
A nurse is talking to the patient who is sitting on the examination table.
Re-training the brain and modifying behavior in eating disorder treatment
Ah the brain, it's so complex; we are so complex! What of our behavior is under our control? What is amenable to cajoling, influence and even coercion? Does this change with…
A nurse is talking to the patient who is sitting on the examination table.
Exercise and the Severely Anorexic Patient
On February 18 I attended the annual conference of the Columbia River Eating Disorder Network (CREDN) and heard Dr Ken Weiner of ERC speak there. Ken spoke about the uselessness,…
A nurse is talking to the patient who is sitting on the examination table.
Coming from afar
This week I have had the privilege of treating a young person whose parents moved heaven and earth to fly them across the entire United States to seek what they…
A nurse is talking to the patient who is sitting on the examination table.
A wolf in sheep’s clothing
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…
A nurse is talking to the patient who is sitting on the examination table.
Richard Morton’s Description of Anorexia Nervosa in a Young Man
This is the second and final case presentation Dr. Morton makes of two illustrative examples of anorexia nervosa. This time it is a young man. He mentions that the patient…
A nurse is talking to the patient who is sitting on the examination table.
Safe Eating Using the “Magic Plate”
I am often surprised and pleased at the way we—pediatric providers who believe in the biological basis for eating disorders and parents who are caring for their children-- stumble our…
A nurse is talking to the patient who is sitting on the examination table.
Inpatient Eating Disorder Treatment Checklist for Parents
If your child or adolescent is admitted to a hospital for the medical complications of an eating disorder, you need to carefully assess adequacy of care at that hospital. Common…
A nurse is talking to the patient who is sitting on the examination table.
Don’t take no for an answer
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…
A nurse is talking to the patient who is sitting on the examination table.
Making medical rounds on our patients
Life for most pediatricians used to be pretty well defined: you got up early and made hospital rounds on all your patients—mostly newborn babies and an occasional hospitalized child—before you…
A nurse is talking to the patient who is sitting on the examination table.
The residential Eating Disorder Treatment payment storm: some moderation to this debate please
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…
A nurse is talking to the patient who is sitting on the examination table.
Going off to college (with an eating disorder): 4 Tips for Parents
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…
A nurse is talking to the patient who is sitting on the examination table.
Family-based eating disorder treatment for the young adult patient
Family-based treatment for the young adult patientFor most of us when we are 17, 18, 19 or slightly older, independence from our family of origin can’t come a moment too…
A nurse is talking to the patient who is sitting on the examination table.
Think what’s at stake
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…
A nurse is talking to the patient who is sitting on the examination table.
The Long Silence
Occasionally we invite guest bloggers to write about their experiences in the field. Steve Nemirow has been, among many things, a intake co-ordinator at Kartini Clinic for many years, and…
A nurse is talking to the patient who is sitting on the examination table.
Family Based Treatment and the Kartini Method
Several people whom I respect have asked me to do something I find hard: stop calling what we do at Kartini Clinic "Family based Treatment". That term, they aver, should…
A nurse is talking to the patient who is sitting on the examination table.
Relapse in Patients with Anorexia Nervosa
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…
A nurse is talking to the patient who is sitting on the examination table.
More Details about the Kartini Clinic Meal Plan
I have recently received some feedback about our food plan that impels me to add a few details. The food plan has been the backbone of treatment at the Kartini…
