Structuring Your Eating Disorder Recovery Environment

Structuring Your Eating Disorder Recovery Environment [Image description: hand visible writing in planner]

  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. Most evidence-based …

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Adjunctive Therapies to FBT: What are the Additional Therapies That May be Added to FBT? And When Should They Be Added?

Image Description: Paper in window that reads "Mindfulness" Adjunctive therapies that go alongside FBT for Eating Disorders

In a previous post, I have discussed who is typically on an FBT team. In its traditional manualized form, the core team is a therapist, a medical doctor, and the parents. The team can also include a registered dietitian nutritionist (to guide the parents) and may include a psychiatrist. It is not uncommon for medical …

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Online FBT in the Face of the COVID-19 Pandemic

FBT Telehealth Covid

Even prior to the COVID-19 pandemic, our therapists were delivering FBT by telehealth. We continue to do so. One of the most significant impacts of social distancing was a change in the mode of delivery of psychological treatment. Most outpatient therapists, dietitians, and medical doctors moved entirely to telehealth sessions (over the computer). Even many …

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

FBT for young adults

  Family-Based Treatment (FBT) is the leading evidence-based treatment for adolescents with anorexia nervosa and bulimia nervosa. One of the common misbeliefs I hear is that it’s “only for kids or younger teens.” However, I think it has a much wider applicability. In fact, I would say that my FBT training has significantly improved my …

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Instagram to make Diet Ads viewable for ages 18 and over—Why They should Remove Them Altogether

Instagram to make Diet Ads viewable for ages 18 and over—Why They should Remove Them Altogether

by Carolyn Hersh, LCSW On September 18th, 2019 Instagram instituted an official policy that all ads promoting diet and weight loss products would only be able to be viewed by users 18 and over. Any ads that have false claims can be reported and subject to removal. This is a huge victory in the world …

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Parents, Don’t Let Your Kids Download Kurbo!

Parents, don't let kids download Kurbo app

A disclaimer: I have no vested interest in Weight Watchers’ new Kurbo app. This app will in fact create more work for me. But let me be clear: I do not want this kind of work! I know that you mean well and are merely concerned about your child’s health, but I can assure you …

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Getting Your Teen with an Eating Disorder Ready for the First Day Back at School

Getting ready for school with eating disorder

It’s almost the first day of school and parents of students with eating disorders have additional concerns to address on top of the usual back to school frenzy. Transitions can be tough for all teens—they are especially difficult for those with eating disorders. However, there are some preparations you can make to help things go …

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Do I Need to Quit X to Stay in Recovery?

Do I need to quit X to stay in recovery?

By Carolyn Hersh, LCSW, CEDS-S Clinical Supervisor A difficult concept in recovery is knowing when to let go of an activity or even a job that could potentially re-ignite the eating disorder. As a therapist I find myself guiding my clients toward the realization that the sport or career path they had loved so much …

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FBT Treatment Team Members

Family-Based Treatment Teams

Family-based treatment (FBT) is the leading evidence-based treatment for teens with anorexia nervosa and bulimia nervosa. While in an ideal world, every person with an eating disorder would have access to a full treatment team including a therapist, a dietitian, a medical doctor, and a psychiatrist, FBT calls only for a therapist to guide the …

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Nana’s Poundcake, Food, and Cultural Connection

Nana's Poundcake, Food and Cultural Connection

Food for us comes from our relatives, whether they have wings or fins or roots. That is how we consider food. Food has a culture. It has a history. It has a story. It has relationships. –– Winona Laduke Food is about more than sustenance. It is about pleasure and joy and connection. Food is …

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