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

Dr. Lauren Muhlheim on a zip line, the experience behind her FBT meal strategies for parents.

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

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

Two Asian women eating together, illustrating meal support and Family-Based Treatment (FBT) for adults.

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

A teen in an individual therapy session, for an article on when to add an individual therapist in Phase 1 of Family-Based Treatment (FBT).

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

Drawing of a family of four with a tear between the two parents, illustrating FBT with separated and divorced families.

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

A dressed-up Black family preparing a meal together, for an article on supporting a loved one with an eating disorder through 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….

Drawing of a mother holding a thermometer and her ill daughter's head, for an article on when your teen with an eating disorder is sick.

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

Feature image for an article on empowering parents, not pathologizing them, in eating disorder treatment.

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

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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Ten Facts About Weight Stigma – Guest post by Liliana Almeida, Ph.D.

A larger Black woman holding a towel that reads "wide load," for a guest post on ten facts about weight stigma.

  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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