FBT Meal Strategies Gleaned from Ziplining: A Therapist’s Perspective

Photo of Dr. Lauren Muhlheim on a zip line. An FBt therapist in Los Angeles, CA, shares a metaphor from her zip-lining experience, including meal strategies that canhelp parent support their teen’s eating disorder treatment.

TL; DR In her insightful piece, Dr. Lauren Muhlheim uses a zip-lining experience as a metaphor to illustrate how parents can support their children with eating disorders during family-based treatment (FBT). She highlights key strategies that can ease the anxiety surrounding mealtimes, akin to facing the fear of jumping from a plane. Physical Placement: Parents …

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

A family sits around a dining table. What is the impact of the family meal during family-based treatment? An FBt therapist in Los Angeles, CA, explains the effect this time can have on teens during their eating disorder treatment.

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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With a Little Help From My Family: Who is FBT For?

Two Asian women eating together. Are you an adult with an eating disorder? Find out how you may benefit from Family-based treatment in Los Angeles, CA. Discover success in a recovery plan that relies on the whole family for support.

TL;DR Family-Based Treatment (FBT) is not just for teens; it can be effective for adults, too. Originally designed for adolescents with anorexia and bulimia, FBT involves parental support in meal planning and supervision, which is crucial for recovery. Recent evidence suggests its application extends to young adults and older individuals, with many successfully using it …

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Expert Guidance: When to Add an Individual Therapist in FBT-Phase 1

Picture of a teen in an individual therapy session. Is an individual therapist during FBT necessary? An expert family-based treatment therapist in Los Angeles, CA, explains why it might not be a great idea.

TL;DR In Family-Based Treatment (FBT) for teen eating disorders, experts discourage adding an individual therapist during Phase 1 (nutritional rehabilitation). Most teens do not require individual therapy at this stage, as it can undermine the family’s role and the focus on nutritional restoration. Experts agree that individual therapy should only be considered if there are …

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FBT with Separated and Divorced Families

Family-Based Treatment with divorced families [Image description: a black and white drawing of a family of 4 with a tear between the 2 parents] Representing a possible family seeking FBT in Los Angeles, CA

A common question is whether Family-Based Treatment (FBT) works with separated and divorced families. The answer is definitely yes! The treatment can be implemented in a variety of family configurations as long as at least one parent or guardian is involved in the treatment. But, there is to date, little written about this. Research does …

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Supporting your Child or Other Loved One with an Eating Disorder Through the Holidays

Supporting Child with Eating Disorder Over Holiday in Los Angeles, California [Image description: photo of a Black family preparing a meal together and all the family members are dressed up] represents a potential family supporting a loved one with an eating disorder during the holidays

By Carly Poynter, AMFT, staff therapist The holidays are a challenging time to navigate for most people. The holidays are even more challenging for those who struggle with their relationship with food. As we prepare for the holiday feasts and festivities, there are a few things to consider, especially when you have a child or …

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When Your Teen With an Eating Disorder is Sick….

When your teen with an eating disorder is sick during recovery [Image description: drawing of a daughter in bed and appears ill and her mother is holding her head and a thermometer] Represents a parent caring for a teen with an eating disorder in Los Angeles, California

Guest post by Dr. Jennifer Johnson What if Your Teen With an Eating Disorder is Sick? One of the most common questions that arise when parents are renourishing a teen with an eating disorder is what to do when they get sick. Parents are sometimes totally overwhelmed when that happens. Some families may back off …

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On Empowering Parents—Not Pathologizing Them

Empowering Parents

I often write about the importance of including parents in the treatment of adolescents and young adults. My work is informed by my training in Family-based Treatment (FBT). A central component of this treatment is empowering parents to help their ailing children with eating disorders return to health. When asked why families should be the …

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FBT Insights from the Neonatal Kitten Nursery

FBT Insights from the 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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Ten Facts About Weight Stigma – Guest post by Liliana Almeida, Ph.D.

Weight Stigm [Image description: larger black woman holding towel that says "wide load"]

  Weight stigma is a bias or discrimination relating directly to weight. Despite the fact that more than half of U.S. citizens are larger-bodied, our society holds a strong negative bias against fatness. The media reinforces weight stigma. The media, such as news media, displays persons in larger bodies in stigmatizing ways by depicting them …

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