Differences Between Family-Based Treatment (FBT) and CBTe in Eating Disorder Therapy
Learn the distinctions between Family-Based Treatment (FBT) and CBTe in addressing eating disorders. Discover how parents play roles in these two approaches and their impact on treatment outcomes for individuals with eating disorders.
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Presentation Transcript
FAMILY INPUT Sssshh .. What is the difference between FBT and CBTe?
CBTe is an individual, personalised treatment which also involves family members in the support network
Parents and carers - a valuable resource as COACH / GUIDE Development of patient confidence and independence
Knowledge about eating disorder- (eg: mood problems- depression or anxiety can make it harder to manage eating disorder thoughts or behaviours and being underweight makes depression / anxiety worse) Individual characteristic- (eg: I feel anxious and helpless) Family formulation Interpretation of symptoms of eating disorder (eg: - I need to try to solve the problem by reducing anxiety or worsen mood) Reactions to symptoms of eating disorder (Eg: we are asking too much of her to eat expected diet; support exclusion of food groups) Effects on eating disorder (Eg: remain underweight, increased anxiety, fear of certain foods)
Other family members Siblings- ACTIVITIES / NORMALISING RELATIONSHIPS Grandparents- COACH / GUIDE or SUPPORTER FOR THE COACH
Relevance of the treatment in life stage Gives experience of adolescent autonomy and responsibility Progression to young adulthood Parents own development
So .... What are the differences between family input with Family Based Treatment and CBTe? (Do parents have a less significant role than in Family Based Treatment? )
Role of parents CBTe Externalise the problem Meal table- encouragement and curiosity Diet plan- designed with patient Supported meals and assisted meals Guidance regarding use of Ideas from therapy sessions CBTe folder or self monitoring Collaborate with Therapy team Therapy team comprises patient, professionals (and parents) FBT Externalise the problem Meal table- instructions and encouragement Diet plan- given to patient Supported meals Reflect on styles of parenting (boundaries etc) Family attitudes towards food Collaborate with therapy team Therapy team comprises of professional and parents
Conclusion Continue the work with family Learn and help family learn about impact of eating disorder Build confidence for family Develop new ways to approach a problem
