Research on the Family Meal in FBT: The Impact of Parental Direction

Drawing of a family seated around a table, illustrating research on the family meal in Family-Based Treatment (FBT).

TL; DR Family-Based Treatment (FBT) is the leading outpatient therapy for adolescent eating disorders, particularly anorexia. A key component is the family meal, where parents actively encourage their teens to eat, often under the observation of a therapist. Research with 21 families revealed that direct prompts (like urging teens to eat specific foods) were more …

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Is the (Eating Disorder) Treatment Your Child is Getting FBT? A Therapist Explains

Purple Scrabble tiles asking "How do you know the treatment is really FBT?" for an article on recognizing true Family-Based Treatment.

TL;DR Family-Based Treatment (FBT) is a specialized, evidence-based therapy for children and teens with eating disorders, developed in the 1970s and 1980s. It’s important for parents to differentiate true FBT from general family therapy or other approaches, as not all treatments that claim to be FBT are fully compliant with its structured methodology. Key indicators …

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Help for Night Eating Syndrome

Drawing of a person in purple pajamas at an open refrigerator, with the moon behind them, illustrating night eating syndrome.

Do you find yourself eating late into the night? Do you wake up and eat large meals before going back to sleep? Have you wondered whether this is an eating disorder? Read on to learn more about the problem and how we can help. What is Night Eating Syndrome? Night Eating Syndrome (NES) is a …

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Eating Disorder Relapse Prevention Worksheet

Drawing of a happy woman leaning out the window of a purple car, illustrating the road of eating disorder recovery.

Relapse Prevention Plan A relapse prevention plan is an important tool for maintaining recovery. Complete this worksheet created by EDTLA’s therapist, Carly Poynter, MA. Recovering from an eating disorder takes time. You did not develop your eating disorder overnight and it will not go away that quickly either. It is important to remember that recovery …

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Regular Eating—a Cornerstone of Eating Disorder Recovery

A Black couple smiling as they wash and cut vegetables, illustrating regular eating in eating disorder recovery.

If you have been struggling with an eating disorder or disordered eating, step one of recovery requires the establishment of daily regular eating. This is important for people with anorexia, bulimia, binge eating disorder, and ARFID in all body sizes. Regular eating is one of the earliest goals of Cognitive Behavioral Therapy (CBT) for Eating …

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Structuring Your Eating Disorder Recovery Environment

A hand writing in a planner, illustrating structuring your eating disorder recovery environment.

Recovery is challenging! I am repeatedly moved and impressed by the courage of my patients as they work through recovery from an eating disorder. One strategy that can help support recovery is a careful ​structuring of one’s recovery environment. This applies to adults working individually in treatment as well as to families helping adolescents to recover from …

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A Viewing Guide for “To The Bone” Movie

Feature graphic for a viewing guide to To the Bone, a movie about anorexia.

Ten Things I Want Viewers of To the Bone to Know “To The Bone,” Marti Noxon’s semi-autobiographical film about her experience as a young adult living with anorexia, was released today on Netflix and has already stirred up much controversy within the eating disorder community. Generally, I do not see things in black and white. …

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DBT Skills for Eating Disorders

Graphic for an article on DBT (dialectical behavior therapy) skills for eating disorders.

by Elisha Carcieri, Ph.D. Both cognitive behavioral therapy for eating disorders CBT-E, and interpersonal therapy (IPT) are effective treatments for bulimia nervosa, binge eating disorder, and patterns of disordered eating that don’t meet criteria for diagnosis. CBT for eating disorders involves making changes to patterns of behavior and thinking that serve to maintain the vicious …

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FBT Insights from the Neonatal Kitten Nursery

A kitten, for an article on lessons for Family-Based Treatment (FBT) from a neonatal kitten nursery.

I recently began volunteering at the Best Friends Neonatal Kitten Nursery. Best Friends Los Angeles opened its neonatal kitten nursery in February 2013.  The nursery is staffed with a dedicated coordinator and supported by volunteers who sign up for two hour feeding shifts 24 hours a day to help the kittens grow and thrive. If …

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Look before you leap: Binge Eating Disorder, Vyvanse, and Evidence-Based Psychotherapies

Drawing of 2 pills outside of a prescription pill bottle

Learn Why Therapy is Superior to Medication for The Treatment of Binge Eating Disorder by Elisha M. Carcieri, Ph.D., Psychologist, and staff therapist Binge eating disorder (BED) made headlines when the FDA approved lisdexamfetamine dimesylate (Vyvanse) for the treatment of BED. So, what is BED, how is it treated, and what does this treatment option mean …

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