1. Sssshh ….. What is the difference between FBT and CBTe?
FAMILY INPUT
Sssshh ….. What is the difference between FBT and CBTe?

2. is an individual, personalised treatment
CBTe
is an individual, personalised treatment
which also involves
family members
in the support network

3. Parents and carers - a valuable resource as COACH / GUIDE
Development of patient
confidence and independence
Parents and carers play an important role in encouraging recovery, maintain motivation
To be a COACH- it is important that they are supported to gain information about the eating disorder programme and in general about eating disorders.

4. Family formulation
Dr L to explain

5. Siblings- ACTIVITIES / NORMALISING RELATIONSHIPS
Other family members
Siblings- ACTIVITIES / NORMALISING RELATIONSHIPS
Grandparents- COACH / GUIDE or
SUPPORTER FOR THE COACH
Not only parents but also other family members should be included – siblings and grandparents. Siblings - spending time on activities together - also information about the program for eating disorders, psychoeducation
Grandparents - can be involved in assisted meals if helpful. May be involved in supporting a range of family members in different ways.

6. Relevance of the treatment in life stage
Gives experience of adolescent
autonomy and responsibility
Progression to young adulthood
Parents’ own development
Adolescence is a launching/ transition stage of life - important for the adolescent patient not to perceive the family's participation as an intrusion or a threat to their autonomy. Parents will need to develop their own interests and review some of their involvement as parents.

7. What are the differences between family input with
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? )
Family based :
Cbte:
Parents may take the view that they have a less significant role in their child’s treatment but they can contribute helpfully to meal management – acting in a guiding role and giving emotional support

8. Role of parents Externalise the problem Externalise the problem
CBTe
FBT
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)
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

9. Reflection/ Discussion / Questions

10. 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