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 …
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 …
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 …
![Family having dinner and unhappy in FBT [Image description: family of 2 adults and two kids and the teen girl looks very unhappy about eating] Represents a potential family in California doing FBT for their teen's eating disorder](https://www.eatingdisordertherapyla.com/wp-content/uploads/2023/11/pexels-cottonbro-studio-6603140-1024x682.jpg)
In Family-Based Treatment (FBT), we charge families with nourishing their teens back to health through meals at home. Because FBT is a parent empowerment model, parents are often given little specific guidance about how to do this. If you are like other families with whom I’ve worked, now that you understand this important point, you …
![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](https://www.eatingdisordertherapyla.com/wp-content/uploads/2023/06/DALL·E-2023-06-08-19.23.06-a-drawing-of-a-teen-girl-wearing-a-purple-shirt-and-running-on-a-treadmill1.png)
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 …
![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](https://www.eatingdisordertherapyla.com/wp-content/uploads/2022/11/pexels-august-de-richelieu-4262010.jpg)
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 …
![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](https://www.eatingdisordertherapyla.com/wp-content/uploads/2021/08/My-project1.png)
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 …
![Parenting During FBT [Image description: photo of one teen pushing another in a shopping cart] Represents a potential family with teens getting help for an eating disorder in Los Angeles, California](https://www.eatingdisordertherapyla.com/wp-content/uploads/2021/07/jakob-rosen-55MqyzQuZMI-unsplash-1.jpg)
Parenting during FBT is a different type of parenting. Parents doing Family-Based Treatment (FBT) often struggle with “normal parenting concerns” and setting limits while doing FBT. They’re refeeding their teens at home, doing the hard work often done by professional staff at treatment centers, but they still have to parent. It’s exhausting. Their teens who …
![FBT Treatment Team Including Therapist, Dietitian, and Medical Doctor in Los Angeles, California [Image description: Purple scrabble tiles spelling "FBT Treatment Team"]](https://www.eatingdisordertherapyla.com/wp-content/uploads/2019/04/IMG_00091-1024x768.jpg)
Family-based treatment (FBT) is the leading evidence-based treatment for teens with anorexia nervosa and bulimia nervosa. In an ideal world, every person with an eating disorder would have access to a full treatment team. This team could include a therapist, a dietitian, a medical doctor, and a psychiatrist. However, manualized FBT calls only for a …
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 …