Treating Anorexia: No One To Blame

[HuckleB]

The age of their youngest patients has slipped to 9 years old, and doctors have begun to research the roots of this disease. Anorexia is probably hard-wired, the new thinking goes, and the best treatment is a family affair.

http://msnbc.msn.com/id/10219756/site/newsweek /

"Emily Krudys can pinpoint the moment her life fell apart. It was a fall afternoon in the Virginia suburbs, and she was watching her daughter Katherine perform in the school play. Katherine had always been a happy girl, a slim beauty with a megawatt smile, but recently, her mother noticed, she'd been losing weight. "She's battling a virus," Emily kept on telling herself, but there, in the darkened auditorium, she could no longer deny the truth. Under the floodlights, Katherine looked frail, hollow-eyed and gaunt. At that moment, Emily had to admit to herself that her daughter had a serious eating disorder. Katherine was 10 years old.

Who could help their daughter get better? It was a question Emily and her husband, Mark, would ask themselves repeatedly over the next five weeks, growing increasingly frantic as Katherine's weight slid from 48 to 45 pounds. In the weeks after the school play, Katherine put herself on a brutal starvation diet, and no one—not the school psychologist, the private therapist, the family pediatrician or the high-powered internist—could stop her. Emily and Mark tried everything. They were firm. Then they begged their daughter to eat. Then they bribed her. We'll buy you a pony, they told her. But nothing worked. At dinnertime, Katherine ate portions that could be measured in tablespoons. "When I demanded that she eat some food—any food—she'd just shut down," Emily recalls. By Christmas, the girl was so weak she could barely leave the couch. A few days after New Year's, Emily bundled her eldest child into the car and rushed her to the emergency room, where she was immediately put on IV. Home again the following week, Katherine resumed her death march. It took one more hospitalization for the Krudyses to finally make the decision they now believe saved their daughter's life. Last February, they enrolled her in a residential clinic halfway across the country in Omaha, Neb.—one of the few facilities nationwide that specialize in young children with eating disorders. Emily still blames herself for not acting sooner. "It was right in front of me," she says, "but I just didn't realize that children could get an eating disorder this young."

Most parents would forgive Emily Krudys for not believing her own eyes. Anorexia nervosa, a mental illness defined by an obsession with food and acute anxiety over gaining weight, has long been thought to strike teens and young women on the verge of growing up—not kids performing in the fourth-grade production of "The Pig's Picnic." But recently researchers, clinicians and mental-health specialists say they're seeing the age of their youngest anorexia patients decline to 9 from 13. Administrators at Arizona's Remuda Ranch, a residential treatment program for anorexics, received so many calls from parents of young children that last year, they launched a program for kids 13 years old and under; so far, they've treated 69 of them. Six months ago the eating-disorder program at Penn State began to treat the youngest ones, too—20 of them so far, some as young as 8. Elementary schools in Boston, Manhattan and Los Angeles are holding seminars for parents to help them identify eating disorders in their kids, and the parents, who have watched Mary-Kate Olsen morph from a child star into a rail-thin young woman, are all too ready to listen.

At a National Institute of Mental Health conference last spring, anorexia's youngest victims were a small part of the official agenda—but they were the only thing anyone talked about in the hallways, says David S. Rosen, a clinical faculty member at the University of Michigan and an eating-disorder specialist. Seven years ago "the idea of seeing a 9- or 10-year-old anorexic would have been shocking and prompted frantic calls to my colleagues. Now we're seeing kids this age all the time," Rosen says. There's no single explanation for the declining age of onset, although greater awareness on the part of parents certainly plays a role. Whatever the reason, these littlest patients, combined with new scientific research on the causes of anorexia, are pushing the clinical community—and families, and victims—to come up with new ways of thinking about and treating this devastating disease.

..."

http://msnbc.msn.com/id/10219756/site/newsweek/

[Warpy]

1. I had an anorexic roommate back in the 60s

before anyone knew what it was. I used to get her stoned and distract her just enough that she wasn't paying attention when she got the munchies.

She lived through it and eventually got counseling and broke the pattern.

However, this is a very old problem. There's a book out called "Holy Anorexia" and is a study of the lives of many female Catholic saints. The behavior patterns were very familiar to anyone who's known an anorexic.

[MountainLaurel]

2. One thing that struck me

About the anecdotal case used in the lede, and forgive me for speculating. It mentions that this girl is from the Virginia suburbs, which probably means the DC area (there aren't enough urban areas here to merit the term suburb). Some middle- and upper-class parents here can be frighteningly VERY achievement oriented; the sort of place where some will feel like they've got to get their two-year-old into the "right" preschool so they can get into the "right" magnet program for gifted kids and the "right" private school, so they can go to the "right" university. Some parents consider themselves a failure if their child isn't reading by 4 or prefers making mudpies to playing with the latest educational toy. Summers are for computer camp or day camp at the Kennedy Center, not playing in the backyard.

In the past, I've read that high achievers (and those raised by them) are at a greater chance of being susceptible to AN. My personal experience with classmates who had anorexia falls into that category. In this case, I wonder if that might have played a role with Emily.

:shrug: