Re-posted from Cleveland Center for Eating Disorders (CCED) blog archives. CCED and The Emily Program partnered in 2014.
By Dr. Mark Warren
A recent article in the International Journal of Eating Disorders by Couturier, Kimber, and Szatmari (2013) adds to the literature on the effectiveness of Maudsley Family Based Therapy (FBT). Their conclusion is that while FBT does not show superiority to other therapies during treatment, there are significant benefits at the 6 -12 month follow up. These benefits reach a level of significance that would cause one to recommend FBT for the treatment of eating disorders in adolescents instead of individual therapy. As they discuss in their article, there are multiple limitations to this study, however research literature has long pointed to the superiority of FBT over individual therapy. This article therefore adds to a growing body of data.
From a CCED perspective, we are particularly interested in what happens in those first 6 months and if there is a way to improve the outcome of FBT more rapidly for adolescents. Our clinical experience is that by adding higher levels of care, in particularly partial hospitalization in conjunction with FBT, that we can improve orientation, adherence, and effectiveness of FBT, while still staying in line with the FBT model. Our clinical experience does not meet the criteria of the research considered in this particular article, since it is not a randomized control trial or have a control group associated with it. However, given the data that we have, we hope to find that the utilization of FBT within a higher level of care may be a more rapid way to help our clients move from anorexia to recovery. We hope to publish in the next year on the results of our research into this question.
Couturier, J., Kimber, M. and Szatmari, P. (2013), Efficacy of family-based treatment for adolescents with eating disorders: A systematic review and meta-analysis. Int. J. Eat. Disord., 46: 3–11. doi: 10.1002/eat.22042
Contributions by Sarah Emerman
Blog Archives: January 2013
By: Kate Kaczor, Dietetic Intern
- Think of where you want to be next year and recognize the progress that has been made from the year before. The New Year is a good time for reflection. Thinking about where you’d like your life to be can help you make active steps for achieving it. Don’t forget to praise yourself for all you have accomplished in the last year! This can help motivate you with your current goals.
- Ignore diet resolutions. Some of the most prominent New Year’s resolutions deal with dieting and weight loss—they are also some of the most abandoned. Don’t let all of the post-holiday diet talk negatively impact your recovery. Remember that the over-whelming majority of diets fail and that with the help of your dietitian and the rest of your treatment team you are on the right path to a healthy body.
- Don’t postpone. It is easy to say you will start tomorrow. Your ED may tell you that it’s okay to follow your disordered eating behaviors today—you’ll begin your recovery meal plan tomorrow. Too often, however, this leads to more and more days with ED in control. Decide to take the control back today. Making small, realistic goals can help you stay focused.
- Don’t expect a miracle. With all the fireworks, confetti, and balloons, the New Year gives off a false impression that something magical is happening. Just because 2013 has arrived doesn’t mean things will suddenly be different. Only your continued efforts will help you reach your goals.
- Continue with your team. The New Year can bring about a great deal of change. Change can be just what is needed to get your recovery headed in the right direction, but it can also be an opportunity for ED to sneak in. By staying in continuous communication with your team and attending all appointments you can help ensure that your recovery path is headed in a positive direction.
At The Emily Program we believe that treatment should be accessible and that recovery happens when individuals are able to practice recovery skills in real-life situations. Beginning in January, Hillside Lodging will open for adult female clients who come to our Minneapolis-St. Paul locations for outpatient intensive eating disorder treatment.
Nestled in a safe neighborhood, Hillside Lodging is a fully furnished, four bedroom home located within minutes of our offices, public transportation, restaurants, and retail shops. This non-clinical lodging option offers intensive program clients private space with all the conveniences of home.
For more information or to refer a client, please contact our Lodging Manager, Erin at (651) 315-3302.