National Eating Disorders Association

3 posts / 0 new
Last post
Do we need more than FBT?

We are following the FBT program with the guidance of a therapist; this follows a hospital stay for my son this past summer. We routinely reach an in-range weight and then encounter a relapse, weight loss and observe renewed eating disorder behavior. I wonder if the FBT should be supplemented with some other type of therapy to identify the triggers or underlying cause of the ED. I worry there is something else happening and that we just don't know.

Hi Ozark,

Thank you for posting here on the NEDA Forums!

This is a great question, and one that should be answered by a professional. None of us here on the forums can give professional advice, so my recommendation would be that you talk with the therapist or other members of your son's treatment team to see what they might recommend. As far as I understand, FBT is often an effective course of treatment, but every case is different as every individual and every family is different. What works for one person may not work for another. There may be another way to go that would work better for the particular circumstances at hand. That being said, relapse is (unfortunately) very common with EDs. Please know that you aren't alone in this; there are people out there who relate to what you're going through. Again, I'm not a professional but one thought that comes to mind is whether or not your son has any other disorders; mood and anxiety disorders (e.g., depression, generalized anxiety disorder) commonly co-occur with EDs and can make treatment more complicated. Perhaps this is the case with your son? Please don't give up; there are many different methods and levels of treatment. It's natural to be frustrated at this point. I would definitely recommend speaking with some professionals who know your family and your son's case and see what they would suggest.

Here are some NEDA resources that may be of use to you:

Please keep us updated! We wish you and your family the best.

more than FBT

Hello Ozark,
My 14 year old daughter is currently enrolled in a PHP program of FBT in a local hospital and has been there for just over a week after a 6 week hospital stay. We're finding success so far - she's in Stage 1 at the moment. Is your son in a program or is the FBT therapy only at home? Is he attending school? I certainly can't give you any advice as we've just started FBT ourselves but wanted to offer you some support. The relapse and weight loss, is he not completing meals with you? We had to stay up quite late with her - meals taking over 2 hours to complete and wouldn't let up until she completed even if it was past her bedtime. She's also sleeping with me as we're trying to also prevent purging and has to sing to us everytime she's in the bathroom etc. until she comes out. I just want to be able to help you in any way that i can as this disorder is so isolating because no one understands unless they're going through it or has been through it themselves.