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The model treats family support as the strongest resource, guiding parents to restore weight and reduce starvation, purging, and over-exercising. Treatment typically spans 6–12 months across three phases: re-feeding, returning control to the adolescent, and establishing a healthy adolescent identity with relapse prevention.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/family-based-treatment-fbt-information-for-young-people-and-families/638915/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/family-based-treatment-fbt-information-for-young-people-and-families/638915.png","ImageObject",300,407,{"name":92,"@type":93},"Angel","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-10-22",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does FBT aim to achieve for young people with anorexia nervosa or bulimia nervosa?","Question",{"text":112,"@type":113},"FBT supports parents/carers to restore the child’s weight back to a normal level or developmentally appropriate progress, then encourages typical adolescent development free of the eating disorder.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What happens in Phase I of FBT?",{"text":117,"@type":113},"Phase I focuses on re-feeding with weekly appointments. 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Phase III begins when the adolescent can maintain healthy weight independently and involves restoring normal adolescent identity and discussing relapse prevention and ending treatment.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},638915,1792789681,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},687207412472,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Family Based Treatment , FBT  \n(also known as the “Maudsley Approach”)  \nInformation for Young People and Families  \nFBT is a specific form of intensive , outpatient , family based intervention for the treatment of anorexia nervosa and bulimia nervosa in young people with recent onset (less than 3 years) . It is built around the principle that the family is the strongest resource in bringing children and young people back to full health. It is recommended by eating disorder guidance* (NICE, 2017) as having the strongest evidence base in adolescent anorexia nervosa and bulimia nervosa.  \nEating disorders are life-threatening illnesses. Anorexia nervosa has the highest mortality rate of any other mental health condition. Reversing the state of starvation andrenourishment is essential and FBT seeks to empower parents to support and insist their child does things they and the eating disorder find highly distressing, including eating regularly, reintroducing foods, being weighed and gaining weight.  \nIn most cases, the treatment has three phases over a period of 6-12 months, led by a family-based therapist, and involves the whole family (young person, parents/carers, siblings) in hour-long regular sessions. The parents/carers are coached in how to help their young person eat (and/or stop purging and over-exercising) and siblings are encouraged to be an ally with their sibling. Typically, there would also be initial dietetic appointments and regular medical monitoring alongside FBT.  \nWhat to expect during FBT?  \nThe treatment aims to support parents/carers to restore their child’s weight back to normal level or be on track developmentally before handing back age appropriate control of eating to the young person, and then encourage typical adolescent development free of their eating disorder. The young person is also seen briefly individually to be weighed at the start of each session. This weight is recorded and shared with the family in each session. FBT does not look for or place blame on any individual for the development of an eating disorder and tries to separate out the decisions, beliefs and behaviours of the eating disorder and the young person.  \nTreatment Phases  \nThe treatment is divided into three core phases:  \nPhase I: The Re-feeding phase: The first part of treatment starts with weekly appointmentsand aims to bring about renourishment and consequent reversal of the state of starvation. The re-feeding phase tasks parents to take full control and responsibility around what, when, and how much the young person eats. Young people need support and supervision at all eating times, as the eating disorder will make it exceptionally difficult for the young person to make the appropriate choices.  \nThe FBT clinician will support the family through increasing awareness and knowledge of eating disorders and to manage the distress caused by their illness.  \nSiblings can play an important supportive role that is not tied up with the task of refeeding. Phase I can be exceptionally difficult for all family members involved, and can sometimes require parents/carers having time off from work and young people time off from school.  \nPhase II: Returning control over eating to the adolescent: The second part of treatment commences when the parents have taken full control of all of the behaviours associated with the eating disorder, and their child’s weight has been restored sufficiently. This phase of treatment involves parents gradually encouraging the young person to take age appropriate control over their eating and activity. Appointments are less frequent and move to fortnightly.  \nPhase III: Establishing healthy adolescent identity: Phase III is initiated when the adolescent is able to maintain healthy weight on their own and self-starvation has completely ceased. The therapist and family work to restore normal (for that individual and family) and ageappropriate lifestyle and relations between family members. Relapse prevention and ","cbCaim54RhD0PBhn","https://ap.wps.com/l/cbCaim54RhD0PBhn","pdf",104840,"English","# What is FBT?\n## Treatment phases","[{\"question\":\"What does FBT aim to achieve for young people with anorexia nervosa or bulimia nervosa?\",\"answer\":\"FBT supports parents/carers to restore the child’s weight back to a normal level or developmentally appropriate progress, then encourages typical adolescent development free of the eating disorder.\"},{\"question\":\"What happens in Phase I of FBT?\",\"answer\":\"Phase I focuses on re-feeding with weekly appointments. Parents take full control and responsibility for what, when, and how much the young person eats, while the clinician helps the family manage distress linked to the illness.\"},{\"question\":\"How does FBT shift control in Phase II and what is addressed in Phase III?\",\"answer\":\"In Phase II, parents gradually encourage the young person to take age-appropriate control as weight is restored, with appointments becoming less frequent. Phase III begins when the adolescent can maintain healthy weight independently and involves restoring normal adolescent identity and discussing relapse prevention and ending treatment.\"}]","Family Based Treatment - FBT - Information for Young People and Families | PDF",1792700391]