Return to Exercise and Eating Disorder Recovery in Teens During FBT

Return to exercising during FBT for teen eating disorders [Image description: drawing of a teen running on a treadmill] Represents a potential teen undergoing FBT for an eating disorder in Los Angeles, California

Excessive exercise is often a component of various eating disorders, including anorexia nervosa, bulimia nervosa, atypical anorexia, OSFED, and subclinical eating disorders. It is a symptom that affects up to 80% of those with an eating disorder (Quesnel et al., 2023). By expending energy, exercise may contribute to the negative energy balance that may trigger …

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ARFID in Children

Therapy for ARFID in Children in California [Image description: a boy eating breakfast of cereal and juice and looking unhappy] Represents a potential client receiving counseling for ARFID in California

Does My Child Have Avoidant/Restrictive Food Intake Disorder (ARFID)? For the most part, kids are pickier eaters than adults. If your child is a “picky eater” you may be wondering whether their eating is normal or not. You may have heard about Avoidant Restrictive Food Intake Disorder (ARFID) and wonder whether your child might have …

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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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Where is Dr. Muhlheim Speaking and Training this Spring?

Dr. Muhlheim presenting at the FEAST of Knowledge

Dr. Muhlheim has a number of upcoming events and speaking engagements this spring 2023. Thursday, February 2, she’ll be doing a virtual training for staff at the Haven at the Center for Psychological Services at the Graduate School of Applied and Professional Psychology at Rutgers University, her alma mater. The talk is an overview of …

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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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Teen Eating Disorder Recovery Group

Online Teen Eating Disorder Recovery Group for Teens in California

  As we have written elsewhere, we believe Family-Based Treatment (FBT) is a complete treatment for teens with eating disorders. Most teens will not need (or want) additional therapy. The one area where we think teens could use a little more support is in developing a strong anti-diet stance to stand up to weight stigma …

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ARFID Parent Support Group

ARFID Parent Group for parents in any location over Zoom [Image description: purple scrabble tiles spelling: "ARFID Parent Group"]

We welcome parents of children and teens 10 to 20 with Avoidant Restrictive Food Intake Disorder (ARFID) to our virtual support group. Parenting a child or teen with ARFID is challenging. Feeding a child or teen with ARFID is extremely challenging. Meals may feel like a constant struggle. It’s likely you’ve been given conflicting advice …

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When to Add an Individual Therapist in FBT-Phase 1

Individual therapy in FBT [Image description: photo of a teen seated and facing an adult] Represents a potential teen client in therapy for an eating disorder in Los Angeles, California

When I am working as the Family-Based Treatment (FBT) therapist for a teen in eating disorder recovery, their parents will often ask whether the teen should also see a therapist individually. Unlike other therapy situations, in FBT there is no expectation that there is both an individual therapist and a family therapist. It’s there in …

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What Parents of Teens with Eating Disorders Need to Understand About Diet Culture

What Parents Need to Know About Diet Culture [Image description: a larger woman smashing a scale] Represents a potential parent of a teen receiving eating disorder counseling in Los Angeles, California

Parents and Diet Culture Many parents experience guilt when their teen is diagnosed with an eating disorder. Nearly every parent can point to a time they themselves dieted, opted not to have a dessert they really wanted, expressed a preference toward thinness, or discouraged their child from keeping eating. You may have done things to …

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Externalizing an Eating Disorder: When, Why, and How Do You Do That and Who is “Ed” Anyway?

Externalizing your eating disorder in Los Angeles, California [Image description: a drawing of a girl facing a monster] Represents a potential teen with an eating disorder in Los Angeles, California externalizing her eating disorder

Externalizing an eating disorder is a therapeutic strategy. Jenni Schaefer’s book Life Without Ed, co-written by her therapist Thom Rutledge, popularized this strategy The book summarizes Jenni’s recovery from an eating disorder. Jenni describes how in her treatment she learned to personify the eating disorder as “Ed,” an abusive boyfriend. As explained in the blurb …

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