Early Intervention with Family-Based Treatment (FBT) for Eating Disorders

A teen girl sits beside a doctor writing notes, illustrating early intervention with Family-Based Treatment (FBT).

TL;DR Early intervention is crucial in addressing eating disorders, which can lead to severe health issues if not treated promptly. Family-Based Treatment (FBT) is a leading, evidence-based approach tailored for teens, emphasizing parental involvement to support recovery. Despite its potential benefits, parents often hesitate to intervene due to uncertainty about the early signs of these …

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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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Are We Setting Recovery Weights Too Low? Insight From an FBT Therapist

A rusty doctor's scale, for an FBT therapist's article on recovery weights that are set too low.

TL;DR At the 2018 International Conference on Eating Disorders, experts discussed the low BMI threshold (18.5) often used to define recovery from anorexia nervosa, suggesting it’s inadequate for many individuals, especially those with higher weights or atypical anorexia. Many parents and practitioners advocate for a more individualized approach to recovery weights, emphasizing that a higher …

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How We Set Recovery Weights and Why It Matters for Long-Term Healing

Drawing of a doctor weighing a teen patient, illustrating weight monitoring and recovery weights in Family-Based Treatment (FBT).

TL;DR Weight gain is a vital part of recovery from eating disorders for individuals of all sizes, including those with Atypical Anorexia and bulimia. However, there’s a lack of consensus on how to set appropriate recovery weights. Research shows that complete weight restoration is often essential for psychological recovery, as it helps alleviate eating disorder …

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Maintaining Recovery During Short Lunch Times

A neon sign spelling "EAT," a reminder to keep eating lunch in eating disorder recovery even when lunch breaks are short.

Guest post by 2024-2025 doctoral extern, Natalie Cynamon.  School lunchtime is ideal for catching up with friends, decompressing, or watching a show on your phone. However, it’s not long until the bell rings again, telling you it is time to return to class. With so little time to do what you want, it can be …

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Should You Let Your Teen Become a Vegetarian?

Purple Scrabble tiles spelling "vegetarian" above a plate of raw vegetables, for an article on teens becoming vegetarian.

By Katie Grubiak, RDN, and Lauren Muhlheim, Psy.D. We acknowledge that vegetarianism can offer benefits for both individuals and the environment. We also recognize that vegetarianism is embedded in some cultures and religions, and most children and teens raised in these cultures thrive. This article does not aim to debate the ethics of vegetarianism. Instead, …

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ARFID in Children

A boy looks unhappy eating a breakfast of cereal and juice, illustrating ARFID in children.

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

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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Where is Dr. Muhlheim Speaking and Training this Spring?

Dr. Lauren Muhlheim presenting at the FEAST of Knowledge, one of her eating disorder speaking and training events.

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

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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