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Reply with quote  #1 is a link to a study which was done adapting FBT principles to transition age youth, ages 16-25. As many of the wise parents on this board already know, it has helped our kids enormously to have structured eating at home even when they are older. Here it is in a study form. Hopefully, this can be rolled out to families at some point. So if your daughter or son's team is telling you to let them eat on their own, here is evidence that supporting them with structure and firm boundaries to eat at home is effective in the fight against anorexia.


This pilot study conducted an open trial of a manualized adaptation to Family-Based Treatment for Transition Age Youth (FBT-TAY) for Anorexia Nervosa (AN). The aims were: (1) determine the acceptability of FBT for TAY; and, (2) establish preliminary effect sizes for the impact of FBT-TAY on eating disorder behavior and weight restoration.

They made a few changes because of the age of the participants:

In this study, four adaptations were made to FBT: 1) the young adult had the discretion to choose whom to involve in their treatment; 2) a collaborative therapeutic stance with the young adult; 3) increased focus on developmental issues; and, 4) incorporation of individual sessions in phase three. 

Here is how the sessions actually break down:

I think that this is an interesting development in the treatment of anorexia in this age group. Hopefully, there will be therapists trained and offering this within the next few years. The study showed some good results. It should be noted, however, that there was a high dropout rate during the study, and that weigh-ins three months after the study showed some weight loss, probably due to the fact that the participants might no longer have been living at home, so a longer time with supervised eating is probably necessary. 



Posts: 1,043
Reply with quote  #2 
Hi Kali,
thanks for posting this.
Maybe it can help us to fight all that doctors who think we should NOT be in charge for food with our young adults and that they should do all on their own, which is definitivly impossible in the hands of AN.

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Posts: 2,167
Reply with quote  #3 
Thanks Kali, 
That is a great study.

Son,DX with AN, (purging type) in 2015 ,had 4 months immediate inpatient,then FBT at home since. He is now in strong recovery,  and Living life to the full, like a "normal"[biggrin] teen. This is with thanks to ATDT. Hoping to get him into full recovery and remission one day at a time. Getting him to a much higher weight, and with a much higher calorie plan than his clinicians gave him as a target, was instrumental to getting him to the strong recovery that he is in now. Food is the medicine.

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Reply with quote  #4 
Well spotted Kali. Thanks for sharing, another one for the file. 
D diagnosed restrictive AN June 2010 age 13.5. Weight restored July 2012. Relapse and now clawing our way back. Treatment: multiple hospitalisations and individual and family therapy.

Posts: 106
Reply with quote  #5 
Hi Kali
My wish would be that this is what parents received on diagnosis, oh along with no wait lists for treatment
Hopefully one day
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