AMA training on eating disorders excludes mention of Maudsley
Does anyone else notice that the new
EPoCH CME: Screening and Managing Eating Disorders in Primary Practice
Training for primary care doctors doesn't list Family-Based Treatment (Maudsley) as an evidence-based approach for eating disorder treatment?
It lists CBT, and DBT (which hasn't been well-validated for use specifically with eating disorders), but not FBT.
Did it slip off the bottom of the slide?
Now that's something I could get behind protesting about! Is there anything we can do to get Maudsley/FBT added?ReplyDelete
I'm exploring that.
Fortunately, the resources links on the AMA website direct the reader to the NIMH's discussion of Maudsley/ FBT and also to the American Academy of Pediatrics statement by Rosen featuring M/FBT. I note that consultants to the AMA project include Mark Warren and Ellen Rome. Perhaps write to them? And to Ovidio?ReplyDelete
You are correct, Laura, that DBT has not been validated specifically for eating disorders. In fact, the originator of DBT, Marsha Linehan, wrote in one of her books that she does not recommend DBT for treatment of anorexia nervosa.
If help required to include this, then please shout as I'm feeling stunned by this and would be keen to understand what, if any response is available from the esteemed practitioner's exporting this and evolving M/FBT to the US. Interestingly, apart from the Maudsley in London, I don't see evidence of much FBT being used here in the UK.....Grrrrr...ReplyDelete
This is very discouraging news. What, if any response, do the very esteemed practitioner's from the Maudsley in the UK and those in the US actively providing effective training and practice of M/FBT respond to this?ReplyDelete
I've contacted the authors, as have others. I will be following up. I may be calling for help from the community soon. Stay posted!ReplyDelete
There is a place to share your comments/concerns with the AMA at the end of the CME survey.ReplyDelete
I encourage everyone to post their comments there, and have reason to believe action is under way to address the omission...ReplyDelete
I wish I HAD received CBT and DBT. Especially CBT. Maybe then I would not have become so sick from major depression three years after my so-called eating disorder 'treatment', which did nothing but fatten me up and leave me so traumatized by psychiatry that I refused to receive any help despite being actively suicidal.ReplyDelete
At least when I was anorexic I was a high functioning straight A+ student. Now 7+ years with severe depression I am unable to hold down a basic job let alone persue my beloved academics. Living with anorexia was better than the hell I have to live through now.
So please, when your child is recovered enough to think somewhat straight, give them the gift of proper therapy. Otherwise you may end up with a kid who wants to throw their fully weight-restored body in front of an oncoming train.
Funny, my eating disorder 'doctors' probably consider that a success.
I wish everyone had access to CBT and DBT as well. Recovering from an eating disorder shouldn't mean not treating co-morbid conditions. You should not, need not live in hell now -- please seek help. Please seek someone else in your life to assist you in getting help: depression can make both motivation and follow-through difficult. You are right: parents cannot stop at ED recovery if there are additional issues and there often are!