Monthly Archives: June 2009

Inpatient vs. Outpatient Treatment for Eating Disorders…What People Are Really Saying About Their Treatment

eating disorder treatment cincinnati

photo used under a creative commons license

According to recent result’s of Dr. Norton’s online survey, in which more than 125 people have participated, Out-Patient Psychotherapy was found to be the most therapeutic of the following treatment options: Hospitalization for medical stability, Forced weight gain via feeding tube, In-Patient residential, In-Patient therapy group, Out-Patient psychotherapy, Out-Patient therapy group, Over Eaters Anonymous, Nutritional Counseling and Gastric Bypass Surgery.

Participants in Dr. Norton’s Survey rated their forms of treatment as follows:

Out-Patient Psychotherapy

*39.7% found Out-Patient Psychotherapy to be Very Therapeutic and

*36.2% found it to be Somewhat Therapeutic

*3.4% felt that this therapy did more harm than good

In-Patient Residential

*20.9% found In-Patient residential treatment to be Very Therapeutic and

*33.9% found it to be Somewhat Therapeutic

*18.3% felt that In-Patient Therapy did them more harm than good

Limitations of In-Patient Treatment

The learning taking place often does not  generalize to the home environment.  Patients are put on meal plans and are monitored 24/7 by staff such that they are not really learning to make new choices.  Also the daily stressors of family dynamics, school/work pressures and social demands are not present.  The patient has been removed from daily triggers that may have contributed to the eating-disorder in the first place.  Finally this treatment can also be very costly and often results in no insurance coverage as many HMO’s will not cover once the person has been in-patient.

Pro’s of Out-Patient Treatment.

Out-Patient Treatment, especially if it includes Family Treatment, allows the individual to deal with the eating disorder in their everyday setting and provides an atmosphere conducive for family involvement which can be key to recovery.  This method also involves persistent effort for the person with the eating-disorder to get better on their own.  Finally Out-Patient is more cost effective when compared to In-Patient treatment.

Our Strategy: We approach the problem by aligning with the patient rather than colluding against her, blaming her, or casting her in the role of someone who is incapacitated.  While those suffering from an eating disorder do have severe and/or debilitating distortions regarding food, weight and body image, they will ultimately have to choose for themselves whether or not to face their fears and change their relationship with food.  Taking away control only delays that decision and may have serious side effects.

Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2009, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible.

Please credit ‘© 2009, Dr J Renae Norton. http://edpro.wpengine.com’


HOW CHORES HELP CREATE HEALTHY HAPPY FAMILIES

benefits of household chores

3 Good Reasons to Assign Household Chores for Children:

1.  It can help create healthy habits. On average children age 8 – 18 spend 3 hours a day either watching t.v., playing video games or on the computer.  The responsibility of a household chore would get them away from the t.v. and up and moving.  Vacuuming, mopping, mowing the lawn and gardening are all good ways to increase your heart rate.  Children need at least 90 minutes of moderate to strenuous physical activity a day, chores are a great way to get your child moving.

2.  It can help reduce stress and family tension. A messy, cluttered house can cause a lot of tension and resentment within a family.  Often parents just complain or yell at their children for not helping.  This can create feelings of failure and anger for both the parent and the child.  A sedentary lifestyle combined with feelings of shame, failure and anger can lead into emotional eating habits.

3.  Allows parents more time to spend with their children. Why should parents spend their evenings and weekends doing all the housework?  When the kids pitch in the work could be done in half the time.  This time could be used to go for a family bike ride, walk or maybe even a game of chase or hide and seek.  Remember ” a family that plays together stays together”.

The prevelance of childhood obesity in the United States is increasing at an alarming rate.  According to the Center for Disease Control (CDC), the percentage of overweight children 2-5 years of age has doubled, with one in four pre-schooler’s being overweight or at risk for obesity.  Fifty percent of these children will become obese adults.  For more information about this study you can visit the CDC’s website at HERE.

Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2009, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible.

Please credit ‘© 2009, Dr J Renae Norton. http://edpro.wpengine.com’

Grocery Shopping – Simple Task or Time Consuming Nightmare?

grocery shopping eating disorder anxiety

I don’t know of many people who actually enjoy the mundane task of going grocery shopping but for those who suffer from an eating disorder it can be an absolute nightmare. For them going to the grocery can be time consuming, mentally exhausting and costly.  Check the results we collected from Dr. Norton’s Online Survey concerning grocery shopping.

  • 75.2%  debate whether or not to purchase each particular item
  • 44.4% find themselves fantasizing about binging on certain foods while grocery shopping
  • 30.1% spend more than they can afford on food

These statistics, which are from a sample of over 125 respondents, are good examples of why Dr. Norton provides the service of shopping coach.

Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2009, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible.

Please credit ‘© 2009, Dr J Renae Norton. http://edpro.wpengine.com’

BULIMAREXIA, DID YOU KNOW?

Bulimarexia Treatment Cincinnati

BULIMAREXIA – An eating disorder that has the characteristics of both Anorexia and Bulimia.  The person affected by this disorder will cycle between the restricting habits that are associated with Anorexia and the bingeing and purging characteristics of Bulimia.  This eating disorder is very dangerous and is physically and emotionally damaging.

After reviewing the data from Dr. Norton’s online survey we found that Bulimarexia had the largest population of those who took the survey.

  • 38% identified themselves as having Bulimarexia
  • 25% identified themselves as having Anorexia
  • 12.5% identified themselves as having Bulimia
  • 10.8% identified themselves as Emotional Eaters
  • 13.3% identified themselves as Obese

Why Bulimarexia Is So Dangerous

1.  The fact that it is not a recognized diagnosis yet so many people suffer from it causes a serious problem for the therapist/physician and creates a serious gap in treatment.

2.  The cycle of binging and restricting is very dangerous and can cause many serious health problems such as decreased bone density, loss of menses (difficulty conceiving), tooth decay and kidney damage just to name a few.

3.  Bulimarexia often goes undetected or thought of as “just a phase”.  For example a parent might notice their child’s decreased food intake and some weight loss but just as they start to take notice of  this the child cycle’s into the binging component of this disorder.  The parent is relieved to see their child eating again and their previous concerns are dismissed.

If you are in the Cincinnati area and are seeking treatment for your eating disorder, whether it be anorexia, bulimia, binge eating disorder or bulimarexia, there is help! You can set up a consultation with me by calling 513.300.8042.

Medical Advice Disclaimer: The information included on this site is for educational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult his or her healthcare provider to determine the appropriateness of the information for their own situation or if they have any questions regarding a medical condition or treatment plan. Reading the information on this website does not create a physician-patient relationship.

© 2009, Dr J Renae Norton. This information is intellectual property of Dr J Renae Norton. Reproduction and distribution for educational purposes is permissible.

Please credit ‘© 2009, Dr J Renae Norton. http://edpro.wpengine.com’