Family-Based Treatment for Eating Disorders: Therapy and Counseling Programs

When you’re experiencing difficulties because of a mental health condition, having support from your family and loved ones can be an incredible asset. A Mission For Michael (AMFM) Mental Health Treatment Centers provide comprehensive care, including helping you develop a healthy support network. Our residential treatment centers can be located in California, Minnesota, and Virginia.

We provide treatment for a range of mental health conditions including mood disorders, personality disorders, schizophrenia spectrum disorder, and dual diagnosis conditions. Family-based treatment is commonly available to help your loved ones gain the knowledge they need to support you in your recovery. We are going to focus on Family therapy for eating disorders. While AMFM treatment centers do not provide treatment for those experiencing moderate to severe eating disorders, we can support those who are struggling with some disordered eating behaviors.

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What is Family-Based Treatment FBT?

Family-Based Treatment, or FBT, is an evidenced based treatment that can be used to help adolescents who are struggling with eating disorders. This approach is used to help parents understand these mental health conditions and take an active role in treatment. This approach embraces family collaboration, and has been found to be effective with those struggling with anorexia and bulimia.

There are three phases included in FBT. This includes weight restoration, restoring control of eating behaviors to the adolescent, and having them return to age-appropriate activities and responsibilities. FBT eating disorder treatment can be used in outpatient treatment centers so that the individual and their family can implement the knowledge they learn in real-time. If you would like support to determine which treatment program is ideal for your needs, we invite you to contact AMFM to complete your confidential complimentary assessment.

What Are Eating Disorders?

Eating Disorders are a grouping of mental health conditions that are known for affecting eating behaviors, weight, and body image. Eating disorders can have a significant impact on a persons physical health and mental wellness when left untreated. Eating disorders can affect individuals of diverse ages, genders, and other characteristics.

There are several types of eating disorders that, with the most common being:

  • Anorexia nervosa: There are two subtypes of anorexia that have varying symptoms. Restrictive type is when an individual loses weight by fasting, excessive exercise, and extreme dieting. Bing-eating/purging type is when someone engages in typical anorexic food restriction behaviors, with times of binge-eating and purging behaviors.
  • Bulimia nervosa: Bulimia nervosa generally involves a pattern of alternating extreme dieting and low caloric intake, with binge-eating high calorie or “forbidden foods”. Binge-eating is described as eating a large amount of food in one sitting, often done in secret. Individuals often feel out of control during binges, and eat until they are past the point of feeling full, which can include abdominal discomfort and nausea.
  • Bing eating disorder: The key difference between binge-eating disorder and bulimia nervosa is that those who are struggling with binge-eating disorder do not engage in compensatory behaviors like purging or extreme dieting. The behaviors associated with a binge are identical.
  • Avoidant Restrictive Food Intake Disorder (ARFID): ARFID is marked by eating disturbances that do not meet nutritional needs because of picky eating. This could be the result of a lack of appetite, low interest in food, food avoidance for sensory characteristics, and experiencing anxiety regarding eating. Some experience persistent worry or fear of chocking, becoming nauseous, feeling constipated, or having an allergic reaction to food.
  • Other Specified Feeding and Eating Disorder (OSFED): OSFED is a broad category that can be used when there are clinical disturbances in eating behaviors that impair functioning at work, school, in social settings, or within a family. These symptoms do not meet the full criteria for other eating disorders, but still have a significant impact on overall well-being.

Signs and Symptoms of Eating Disorders

There are a number of signs that you may notice when someone is struggling with an eating disorder. As we mentioned earlier, there is a range of eating disorders, each of which has their own symptoms and treatments. In most cases, eating disorders have a combination of physical and emotional signs.

Some of the signs and symptoms of an eating disorder that you may recognize include:

  • Preoccupation with weight and food: This can include calorie counting, restrictive eating, and a focus on eating only “healthy foods.” There is often a strong preoccupation or fear about gaining weight.
  • Behavioral changes reading eating habits: This can include skipping meals, binge-eating, or avoiding social meals. Eating in secret and hiding food can also occur.
  • Emotional changes: May include anxiety, depression, and irritability. This can also include withdrawal from family and friends
  • Physical symptoms: Can include dizziness, fatigue, fainting, dry skin, brittle nails, hair thinning, or digestive issues.
  • Weight fluctuations: There can be rapid weight loss or gain, depending on the eating disorder. You may also notice that they are maintaining a weight above or below a healthy range.
  • Distorted body image: This can include a persistent belief that they are overweight, even thought they are underweight. They may compare their body to others, and be preoccupied with particular areas of the body that appear normal to others.
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How is Family-Based Treatment Structured?

Family-based treatment is broken down into three phases. This approach allows behavioral health centers to provide support that is supportive and collaborative. Treatment has an emphasis on teamwork, accountability, and communication. Continue reading for more on FBT phase 1,2, and 3 explained:

  • Phase 1, Weight Restoration: This phase focuses on reaching a healthy weight and addressing malnutrition that resulted from disordered eating. In this stage, parents are controlling meal planning to ensure that it includes proper nutrition. There is a structure for regular eating, to help create a supportive environment. Parents learn to recognize and manage harmful eating behaviors.
  • Phase 2, Returning Control to the Adolescent: In this phase, parents gradually give control of eating back to the adolescent. This allows them to begin making healthy and independent choices regarding their eating behaviors. The role of parents in eating disorder treatment is active in monitoring meals, building trust, and using healthy communication patterns.
  • Phase 3, Establishing Normal Adolescent Behaviors: Adolescent will now be able to address the underlying developmental, emotional, and social challenges that were contributing to their disordered eating behaviors. There is a shift towards having a typical routine, including socializing and creating personal goals. This stage will include relapse prevention and long-term recovery strategies.

What do Parents do in Family-Based Treatment?

Family involvement in eating disorder recovery programs is active within family-based treatment. In the initial phase of treatment, parents learn to implement meal support approaches to prevent the disordered eating behaviors. Family members also receive psychoeducation for eating disorders so they know how to recognize triggers for eating disorders and how to respond appropriately.

Over time, the parents will gradually allow their child to begin making some of the decisions regarding their food intake. This is done slowly, and with supervision to ensure that they can take this step while implementing the healthy behaviors they have been engaging in. Parents may be encouraged to participate in family support groups for eating disorders so that they can feel supported during this active role in their child’s recovery.

Why is Family-Based Treatment for Eating Disorders Effective?

There has been a lot of research exploring the effectiveness of FBT therapy. This can be a challenging approach for families to use in the beginning stages, so it can be helpful to know that your efforts can make a difference. FBT is empowering families in eating disorder care, and working towards finding autonomy in recovery.

Studies done between 1994 and 2015 showed that in cases where FBT therapy was used, there was more weight gain and higher rates of partial and full remission. Family-based treatment can help adolescents and teens restore their physical health and improve their overall emotional well-being. This approach can help families feel connected during times of hardships, and help create a healthy home environment.

What is the Time Commitment for Family-Based Treatment?

Family-based treatment for eating disorders often takes place in outpatient treatment centers for long-term treatment. It is not uncommon for there to be challenges in implementing FBT practices initially, but families are encouraged to be consistent in their efforts. The time frame associated with FBT therapy typically falls between six months to one year.

In the beginning, FBT eating disorder treatment can include weekly therapy sessions. Over time, the frequency and intensity decreased to reflect the progress that is made in treatment. It is important that families allocate time in their routine for supervised meals, and for other therapy activities. There is a strong importance of family dynamics in recovery, and working to have a healthy and supportive environment. Time may be spent improving communication skills in family-based treatment sessions.

Types of Treatment Programs for FBT

FBT therapy may be available in a variety of treatment settings to address the varying severities of eating disorders. In some cases, those who are struggling with an active eating disorder require consistent medical care and monitoring to avoid potential health crises. Examples of treatment programs that can offer eating disorder treatment include:

Intensive Outpatient Program

Intensive outpatient programs are a treatment option within an outpatient healthcare facility. These programs have a strong focus on group therapy and family support, while allowing you to engage in your daily routine like work or school. This is an option for those who have completed higher levels of care, and can continue engaging in healthy eating behaviors.

Partial Hospitalization Program

Partial hospitalization programming, or day treatment programs, provide intensive care while allowing you to return home in the evenings. Treatment can include counseling and therapy services, meal support, and family sessions. This program can help bridge the gap for those who have completed residential care and are interested in routine outpatient treatment for continued support.

Residential Treatment

A residential mental health treatment center provides around the clock medical care and support. This is ideal for those struggling with moderate to severe eating disorders. Treatment focuses on stabilization and establishing healthy eating behaviors. Family involvement is commonly incorporated to help with long-term recovery at home.

Outpatient Program

Routine outpatient treatment can include weekly individual sessions for long-term, continued support. Sessions can focus on relapse prevention and skill-building. This can also include regular family therapy sessions. This is ideal for those who are in the later stages of recovery, who can navigate their recovery without intensive support.

Types of Therapy and Counseling for Family-Based Treatment

Family-based treatment can incorporate a variety of therapeutic approaches to address the root cause for disordered eating. The therapies below target specific aspects of eating disorders promoting emotional, cognitive, and behavioral healing. Continue reading for an introduction to some therapies you may encounter in treatment.

Family Therapy

Family therapy can be incorporated into FBT treatment to help improve communication and work towards building trust. Your sessions can also address unresolved conflicts that have a continued presence. Together, you and your loved ones can learn to create a supportive and healthy environment for all.

Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT) focuses on improving emotion regulation and distress tolerance skills. This can be helpful for those who are struggling with eating disorders and dual diagnosis conditions. These skills can make intense emotional experiences easier to cope with and navigate.

Cognitive-Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) can help you learn to recognize unhealthy or distorted thoughts about food, weight, and body image. You will learn to challenge these automatic thoughts and replace them with healthier alternatives. CBT can also address underlying cognitive distortions driving your eating disorder.

Group Therapy

Group therapy may be used in recovery centers to encourage connection with others who have similar challenges and experiences as you. This can provide you with a safe and non-judgmental place to discuss your challenges and receive helpful feedback and guidance. Group therapy can also decrease isolation and avoidance behaviors.

Music and Art Therapy

Music and art therapies are creative therapies that can be introduced as a new way to express your thoughts and emotions. They can also introduce you to new activities and hobbies that can be used to reduce stress and facilitate self-expression. This can be impactful for those who have difficulty verbalizing their thoughts, emotions, and experiences.

EMDR Therapy

EMDR is an approach that may be used to address underlying traumas contributing to disordered eating behaviors. EMDR focuses on reprocessing one distressing or traumatic memory at a time, to reduce the intensity of the emotional response to the memory. This approach can decrease triggers related to your disordered eating.

Find Eating Disorder Treatment Programs

A Mission For Michael (AMFM) provides treatment for adults experiencing various conditions. Eating Disorder support is a phone call away – call 866-478-4383 to learn about our current treatment options.

See our residences in Southern California’s Orange County & San Diego County.

Take a look at our homes on the east side of the Metro area in Washington County.

View our facilities in Fairfax County, VA within the DC metro area.

Does Insurance Cover FBT for Eating Disorders?

There are some health insurance companies that offer coverage for family-based therapy sessions. These treatment options often fall under your behavioral health benefits. Coverage rates are dependent on your specific carrier and the details of your policy. Your plan may have set limitations or exclusions regarding the use of in-network treatment providers.

We encourage you to complete our insurance verification form to learn about the scope of your insurance. This can include how it applies to family-based treatment, family therapy, and eating disorder treatments. 

How Much Does FBT for Eating Disorders Cost With Health Insurance Coverage?

The cost of family-based treatments for eating disorders can vary among different treatment providers, different programs, and in varying locations within the United States. Residential treatment centers typically have higher costs due to the intensive care they provide. You can expect to pay between $500 and $2,000 per day. This is an estimate, and your actual price can fluctuate.

Outpatient treatment centers often have more affordable prices. Individual therapy sessions can cost between $100 and $200 per session. Family sessions tend to have higher expenses, whereas group therapy can have lower costs. Those who receive intensive outpatient care can have higher treatment expenses than other outpatient treatment options due to the intensity and frequency of treatment. We encourage you to contact AMFM today to explore payment options and how to pay for treatment. 

Which Health Insurance Providers Cover FBT for Eating Disorders?

Some of the main insurance providers offering insurance coverage for eating disorder treatment include Blue Cross Blue ShieldAetnaCignaMagellanUnitedHealth Care, and Kaiser Permanente. Coverage rates are dependent on your plan and state, which is why we encourage you to verify your coverage.

Contact AMFM Mental Health Treatment Centers today to receive support in verifying your insurance coverage.

See If Treatment Is Covered

Insurance can be complicated but we are here to help. AMFM has over a decade of experience in the mental health field and is in-network with many large insurance providers.

By using our form, we can quickly determine if you are in-network at one of our facilities. Insurance benefits vary greatly depending on the policy you have, so we obtain a detailed quote of your coverage.

It usually takes between sixty to ninety minutes depending on the time of day.

Our team will check insurance coverage and determine the benefits available to you for mental health services.

We also have private pay options available.

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How To Start Family Based Treatment for Eating Disorders at AMFM

The admission process for A Mission For Michael mental health treatment centers can have slight variations. However, there are several shared characteristics and components in our admission process. This allows us to efficiently and effectively evaluate your needs, and determine the best course of action. Here is a general overview of what you can expect:

The first step is to reach out for help. Our admission counselors will ask for a brief overview of your symptoms as well as your contact information.

The next step is to complete an intake form, which provides us with important information for the admission process.

Next, we will schedule you for your evaluation. This can include the use of a disinhibited social engagement disorder assessment, which helps us better understand your symptoms and overall level of distress.

Our clinical team will take the information they learned and developed your personalized disinhibited social engagement disorder treatment plan. This will be used to guide your treatment in our treatment program.

Next we will verify your coverage so that you can make an informed decision about treatment while understanding your financial responsibilities.

We will then ensure that the necessary steps have been completed so that you can seamlessly begin engaging in treatment.

Depending on your treatment needs, we may provide your family with an orientation and overview of what to expect while you’re engaging in DSED treatment.

After your admission, we will provide you with a structured treatment schedule. You can then begin attending treatment as scheduled, and working towards the goals on your DSED treatment plan.

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Alternative Ways to Find FBT Near Me

If you’re looking for family-based treatment for you or a loved one, there are several steps you should follow. To help you in your search, we have outlined a list of tips and tricks that you can use. Continue reading for more details on how to find FBT therapy near you: 

  • Online Search Engines: Begin with a search on popular sites like Google, Bing, or Yahoo. Enter keywords like “Family Therapy for eating disorders in Orange County,” “FBT near me,” or “FBT eating disorder programs in Seattle.”
  • Local Directories: Review online local directories like Yelp, Yellow Pages, or the Better Business Bureau. They may have listings for family-based anorexia nervosa treatment near you.
  • Healthcare Provider Websites: Look through the websites of major healthcare providers, hospitals, and medical centers in your area. They generally provide information regarding available mental health services within their medical treatment center.
  • Insurance Provider’s Directory: Your insurance provider may have a local directory list for in-network providers treating bulimia nervosa with family therapy. You can also call them and ask for a list of in-network providers.
  • State and Local Government Resources: Check your state and local government websites and mental health agencies for information regarding counseling services for eating disorders in your area.
  • Mental Health Organizations: Spend time reading the websites of mental health organizations or associations. These resources often provide information regarding mental health services and facilities in specific cities.
  • Ask for Referrals: You can speak with your primary care physician, therapist, or mental health professional about your current symptoms and concerns. They may know of reputable eating disorder treatment programs nearby.
  • Support Groups: You may be able to get recommendations from other members in local support groups for eating disorders.
  • Read Reviews and Ratings: When you have narrowed down your list to a few providers, spend time looking through their online reviews and ratings. This can provide you with insight into the care that others received from these providers.
  • Studies have indicated that family-based treatment increases the risk of full remission at their six month and one year follow up. Success rates are higher when compared to adolescent-focused therapy.
  • FBT has led to higher remission outcomes for adolescents struggling with eating disorders like anorexia nervosa, bulimia nervosa, and avoidant restrictive food intake disorder.
  • FBT is currently viewed as the first line treatment for adolescents who are struggling with eating disorders, and are stable enough to engage in outpatient treatment. 
  • Studies have shown that approximately 50–70% of adolescents struggling with anorexia nervosa returning to a healthy weight by the end of FBT therapy.
  • Eating disorders are a complex mental health treatment condition, with about half of those living with anorexia nervosa living with an additional mental health condition.

At AMFM, we strive to provide the most up-to-date and accurate medical information based on current best practices, evolving information, and our team’s approach to care. Our aim is that our readers can make informed decisions about their healthcare.

Our reviewers are credentialed medical providers specializing and practicing behavioral healthcare. We follow strict guidelines when fact-checking information and only use credible sources when citing statistics and medical information. Look for the medically reviewed badge on our articles for the most up-to-date and accurate information.

If you feel that any of our content is inaccurate or out of date, please let us know at info@amfmhealthcare.com