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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Parents, Don’t Let Your Kids Diet!

Just say no to kids' diets in Los Angeles, California [Image description: purple scrabble tiles spelling "Just say no to kids diets']

Updated July 2023. Previously published in 2019 as a response to the Weight Watchers Kurbo app for kids. In January 2023, the American Academy of Pediatrics released guidelines for treating children and teens in larger bodies with “intensive health behavior and lifestyle treatment”–what I call a diet. In case you are tempted to go down …

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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 [Image description: drawing of a boy with a backpack and lunch box and there is a purple school bus in the background] Represents a teen or child with an eating disorder in Los Angeles, California

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 more smoothly. …

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Do I Need to Quit X to Stay in Recovery?

Do I need to quit X to stay in recovery in Los Angeles, California [Image description: photo of a girl in a swimsuit looking away from the pool during a swim meet] Represents a potential teen in eating disorder recovery wrestling with whether she can continue her sport.

By Carolyn Hersh, LCSW, CEDS-S Clinical Supervisor A difficult decision 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 through exploration of their values. Some come to realize that the sport or career path they …

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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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Weight Gain in Bulimia Recovery

Weight gain in bulimia recovery in Los Angeles, California [Image description: purple scrabble tiles spelling "Weight gain in bulimia recovery"]

by Elisha Carcieri, Ph.D., therapist at EDTLA One of the hallmark features of eating disorders is placing a high value on body weight and shape in determining one’s self-worth. In addition, people with eating disorders often believe that diet, exercise, or–in the case of bulimia nervosa–purging, can control body shape and weight. Individuals with bulimia …

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This Halloween, Serve Candy to Your Teen in Recovery

Halloween Candy

A Family-Based Treatment (FBT)-approach Halloween can be scary for teens with eating disorders for the wrong reason: the candy! Most teens with eating disorders are only willing to eat a restricted range of foods. Expanding this range is an important goal of treatment, with the reintroduction of fear foods being a key step. Candy tends …

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Family-Based Treatment Can Help Depression and Self-Esteem Too!

FBT Depression and Self-Esteem

  Family-Based Treatment Family-based treatment (FBT) is the leading evidence-based treatment for teen eating disorders. It represents a paradigm shift from older treatments that focused on helping teens become independent from their parents in order to recover from their eating disorders. In FBT, parents are central members of the treatment team. Parents are charged with …

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A More Diverse Eating Disorder Film

Eating Disorder film Tchaiko Omawale

In the wake of the premiere on Netflix of another eating disorder film, my friend, JD Ouellette, reminded me that the frustration over another stereotypical narrative about eating disorders could provide an opportunity. At the NEDA Conference in 2014, both JD and I (as well as many other attendees) were impressed by Tchaiko Omawale’s sharing …

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A most misguided device

To the long list of desperate and dangerous weight loss products, we can now add the AspireAssist, sadly approved by the US Food and Drug Administration (FDA) this week. The device is marketed as a “minimally invasive” and “reversible” weight loss “solution” for “people with obesity.” Essentially, an aspiration tube is inserted into the patient’s …

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