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Family-Based Treatment (FBT) for Eating Disorders in New Zealand

Updated: Dec 19


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Family-Based Treatment (FBT) is an evidence-based approach for treating eating disorders, particularly in children and adolescents. At The Eat Clinic in Canterbury, NZ, we provide professional FBT guidance that empowers families to actively support recovery while working alongside healthcare professionals.

What is Family-Based Treatment (FBT)?

FBT involves parents or caregivers in the treatment process to help restore healthy eating and address disordered behaviours. Key principles include:

  • Parents temporarily take charge of meals to ensure nutritional recovery

  • Avoid blame or criticism; focus on support

  • Gradual transition of responsibility back to the child as recovery progresses

FBT is most effective for adolescents with anorexia or restrictive eating disorders but can also be adapted for other conditions.

Why FBT Works

  • Evidence shows higher remission rates compared to individual therapy alone

  • Engages the family as a resource rather than isolating the patient

  • Focuses on practical steps and structured support, not weight alone

  • Encourages positive family communication and problem-solving

Internal links:

What Families Can Expect

  • Initial assessment and education about the eating disorder

  • Guidance on meal planning, supervision, and support strategies

  • Ongoing coaching to manage anxiety, resistance, and conflict

  • Collaborative approach with dietitians, therapists, and medical providers

Common Misunderstandings

  • FBT is not blaming parents – it’s about empowerment, not fault

  • FBT is not rigid – it adapts to the child’s progress and family context

  • FBT is not quick – recovery timelines vary and require commitment

FAQs

Q: Is FBT only for teenagers?A: Mostly, yes, but some principles can support younger children or young adults under supervision.

Q: Can FBT be done remotely?A: Yes, with professional guidance, FBT can be adapted to telehealth when needed.

Q: What if my child refuses to eat?A: FBT provides structured strategies for this scenario, always under professional supervision.

Call to Action

If your child or adolescent is struggling with an eating disorder, contact The Eat Clinic to learn how Family-Based Treatment can support recovery. Our team in Canterbury, NZ, provides compassionate, evidence-based guidance for families.

 
 
 

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