Family-Based Treatment for Anorexia

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Thursday, February 02, 2012

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Monday, December 26, 2011

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Tuesday, November 01, 2011

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Sunday, July 24, 2011

Too often, drug and alcohol addiction goes untreated. Because addiction has many dimensions and disrupts many aspects of an individual's life, treatment is complex.

MOST RECENT ENTRY: Family-Based Treatment for Anorexia

by Dr. Mike Atwater - Monday, November 22, 2010

Family-Based Anorexia Treatment

At their initial session of family therapy the Ranallis became locked in a power struggle with their anorexic 13-year-old daughter over eating a bagel with cream cheese. The girl said she would only eat it plain. The parents said to eat it with the cream cheese. She said she would eat only half. Their therapist, Daniel Le Grange calls this conversation an “anorexic debate, that it is not helpful and has to stop”. Dr. Le Grange instructed the parents to make the choices for her, because the anorexia doesn’t allow her to think clearly.

This family-based treatment is a demanding program: for the first two weeks of treatment, at least one parent must be available around the clock to supervise meals and snacks and to monitor children between meals to make sure they do not burn off the calories with excessive exercise.

The Ranallis took turns making sure their daughter ate three meals a day and plenty of high-calorie snacks; Ms. Ranalli even went to her daughter’s school, where the two were given a private room so she could make sure the child ate lunch. At the beginning, it could take 30 minutes to get through breakfast and dinner could last hours.

In a recent study (2010), this family-based approach, called the Maudsley method after the London hospital where it was developed, was more effective than individual therapy and kept working after the end of treatment. Twelve months after the treatment had ended, 49 percent of those who had been in family therapy were in full remission, more than double the 23 percent of those who had been in individual therapy.

Mental health professionals working with Eating Disorders and seeking continuing education may enjoy, Spiritual Approaches in the Treatment of Women With Eating Disorders for (9 CE) from GenesisCE.org.

adapted from an article by Roni Caryn Rabin, New York Times.

Randomized Clinical Trial Comparing Family-Based Treatment With Adolescent-Focused Individual Therapy for Adolescents With Anorexia Nervosa, Lock, LeGrange, et. al, Arch Gen Psychiatry. 2010;67(10):1025-1032. doi:10.1001/archgenpsychiatry.2010.128

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