Eating Disorders

My Approach to Treating Eating Disorders

Family-Based Treatment (FBT): A Leading Approach for Eating Disorder Recovery

As a psychologist specializing in the treatment of eating disorders, I use Family-Based Treatment (FBT) as my primary approach for children and teens struggling with anorexia nervosa, bulimia nervosa, and other specified feeding or eating disorders (OSFED). Research has consistently shown FBT to be one of the most effective treatment methods, providing families with the tools and support needed to help their child recover.

The Role of Families in Recovery

One of the core principles of FBT is the belief that parents are uniquely positioned to help their child heal. Unlike older models that placed blame on families, recent research confirms that eating disorders are complex illnesses influenced by biological, psychological, and environmental factors. Families are not the cause of eating disorders, but they can be a crucial part of the solution.

An Outpatient Alternative to Inpatient Treatment

FBT is conducted in an outpatient setting, making it an excellent alternative to inpatient care when medically appropriate. This allows your child to remain at home, in their familiar environment, while still receiving intensive, structured support. Given that eating disorders can have severe physical consequences, ongoing medical monitoring is essential to ensure safety throughout the process.

Addressing Resistance and Motivation Challenges

Children and teens with eating disorders often lack the motivation to eat or recover. They may reject treatment, and that is okay. FBT is designed to work in spite of their resistance. Until your child is ready to embrace their own recovery, you, as their parent, can carry that hope for them. No one knows and loves your child more than you do—this is what makes you an essential part of their healing journey.

FBT and the Role of Food in Recovery

A central aspect of FBT is recognizing food as a fundamental part of healing. Your child may feel fearful or resistant to eating, and that’s completely understandable. However, just as medicine is necessary to recover from an illness, nourishing meals are essential for recovery from an eating disorder. In FBT, we often say, “Food is medicine.” Through patience, support, and consistency, you can help your child restore their strength and well-being.

If your child is struggling with an eating disorder, you are not alone. I am here to support you in navigating this journey and guiding your child toward recovery with the evidence-based, family-centered approach of FBT.