Guest Post by Lauren Muhlheim, Psy.D., CEDS and Therese Waterhous, PhD/RDN 2 Case Studies of how FBT trained clinician parents usedFBT for an early intervention.
Disorders are serious mental illnesses with dangerous medical
consequences.Without early intervention,
eating disorders may become chronic or even fatal. Parents are often unaware of some of the
early signs of an eating disorder.Even
if they are aware of early warning signs, they are often uncertain and reluctant
to intervene out of fear of worsening the situation. Maudsley
Family Based Treatment (FBT) is one of the leading evidence-based treatments
for adolescents with eating disorders.Studies are underway to evaluate the effectiveness of early
interventions using an FBT approach. Parents Act Now is a study at Stanford for
early intervention for Anorexia and Family Internet-Based Early Bulimia Nervosa
Study is underway at the University of Chicago. This paper
describes how two clinicians trained in the provision of FBT …
MEDICATION I am going to begin this blog with a quote from my own book Give Food A Chance, but I will be
quoting from the only chapter (“Psychopharmacology”)which I did not write.
Here is Janiece Desocio RN, PhD, psychiatric mental health
nurse practitioner (PMHNP) at Kartini Clinic, speaking:“rarely do we think about food as having
pharmacological properties, but in fact, food is an essential source of the
chemicals produced by our brains to stabilize mood, moderate anxiety, induce
sleep, reduce pain, and regulate appetite…… the brain is a natural pharmacy”.
I want to begin a discussion of medication in the treatment
of childhood anorexia nervosa with this quote and its emphasis on food and
adequate weight restoration.Medication
should not be used as a substitute for good food and plenty of it.Without weight restoration you will get
Many parents have written in to the Around The Dinner Table
forum to discuss medication in their child’s treatment plan.They cite their experien…
Every year around this time, I have a few patients who graduate from high school with plans to go away to college. I also have patients who are preparing to go away to summer camp, take a vacation without their parents, or study abroad. At this time of year, kids are usually relieved that school is ending and excited about the experiences that wait for them just over the horizon. But for parents, this can be a time of trepidation and uncertainty.
Most children, teenagers, and young adults with eating disorders are able to recover successfully with
the help of their families and guidance from skilled clinicians. Once recovered, most of these young
people can maintain their wellness while living at home with the protection of their families. But when
they are removed from their parents’ watchful eyes and their treatment team’s steady support, relapse
is more likely to occur.
Let’s face it: relapse happens. Parents must remain mindful of this possibility foreve…