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Guided Self-Help Family Based Therapy for Adolescents with Anorexia Nervosa: What is it and who is it for?

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  1. Fiona

    The presentation was impressive and Dr Lock was confident and kind. Thank you Judy for arranging this. I was struck however at the low uptake and the atmosphere of fear from many of the parents. This treatment has great promise as AN option for families who are willing and able to do it but it must not be seen by providers as a cheap option. In one study only 10% of the families offered it felt confident enough to choose it

  2. Purplerain

    I would have loved to have something like this! We didn’t have any thing resenbling evudence based treatment until much later (d already WR+). But i understand that if parents have options they might not choose this one.

  3. Julia Q

    I would be interested to know whether parents perhaps weren’t aware of what outpatient eating disorder treatment would look like, the tenets of FBT and how they will need to be supported to do the bulk of the refeeding work themselves. In this age of medical intervention, some families may have been waiting for the hospital/doctors to help their child and not realising that it will actually be them doing the work. I am curious if the take-up of GSH would have improved with a one-off family intervention session first, the urgency of early intervention, covering the basics of evidence-based treatment and reiterating the need to begin skilling themselves up to manage this at home.

  4. Sarah Rowland EDCS

    In agreement of Julia Q, many parents are unaware the bulk of the hardworking is carried out at home by themselves, further ingraining symptoms making it harder again too manage. There is generally a belief that FBT isn’t working as their child is attending sounds and yet their young pardon “isn’t getting any better” – which as we know is not how FBT is meant to be delivered or managed..
    A single session too educate parents at primary care level in what they can do straight away, and what they should expect from the model, and getting support connections in place would help in these misunderstandings, hopefully getting recovery off to a better start.

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