Blog2021-06-01T12:15:02+10:00

A helpful stance and information for carers

Treatment manuals tell clinicians what to do in therapy. They outline the things that we think to be useful in helping someone suffering from an eating disorder. What is underemphasised in those manuals is the stance of the therapist that may be most helpful in making the most of the treatment manual. Collaboration or Direction? A ‘collaborative stance’ is central to most therapies. Josie Geller from Canada is one of the worlds leading investigators of stance [...]

Did they just take the F out of FBT

A recent, and important article has just been published in the Journal of the American Academy of Child and Adolescent Psychiatry by Le Grange et al. The paper is the results of a Randomised Controlled Trial of Family Based Treatment (FBT) and Parent Focused Treatment (PFT) done at Royal Childrens’ Hospital in Melbourne. FBT is probably well known to most in the field. PFT is a variant of FBT which is very interesting. There is a manual available [...]

Self Compassion in Eating Disorders: Science or Fluffy Bunnies?

Self compassion is one of the pretty trendy topics in eating disorders.  It is becoming part of many therapist treatment packages despite it not being in any of the evidenced based treatment programs.  In fact,  strident evidence based practitioners, such as Glenn Waller warn against the incorporation of self compassion as an indication of therapist drift.  It is seen as somewhat the realm of fluffy bunnies rather than having a scientific base. I wonder if that [...]

The Eating Disorder Voice

Almost all my patients talk to me of the “voice” that they hear. The (usually) harsh and critical voice that talk, shouts and cajoles all the time.  Sometimes it is reported as a friend, sometimes more like a dictator. Patients often feel scared and trapped by this voice, compelled to do what it says in an effort to silence it.  Often the voice feels more powerful than the person. What is the relationship between the anorexic [...]

What to do when the ‘evidence based treatments’ are not successful?

What to do when the ‘evidence based treatments’ are not successful? One of the big questions in the field is what should you do if an evidence based treatment is not successful. If we look at binge eating as a behaviour, and thus covering the diagnosis of bulimia nervosa (BN) and binge eating disorder (BED), then the “treatment of choice” would be Cognitive Behavioural Therapy (CBT). Yet we know that not all people recover using CBT [...]

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