Who says so?

Let's say your doctor takes a dim view of "patients who google" and you are worried about being seen as a loon when you ask about Family-Based Maudsley therapy.

To save you That Look and help you "be a good patient" I have compiled a list of creditable organizations that describe and recommend FBT/M for use with children and adolescents:

Who Says So?

(I welcome more suggestions for this list!)


  1. It's one thing to talk to a doctor with your mind already made up (like the patient in the link) and another to ask, and expect reasonable answers to, challenging questions. I think we should all strive for the latter, not the former!
    Regarding other professional organizations that have recognized an important role for FBT/M

    Society for Adolescent Medicine www.adolescenthealth.org
    In its Position Paper on Eating Disorders in Adolescents (available on their website)the Society says: "Evidence-based research supports family-based treatment for adolescents and a manual has been published describing one of the treatment methods. [citing Lock, et. Treatment Manual, etc. 2001]"

    American College of Sports Medicine www.acsm.org
    Position Stand on the Female Athlete Triad (2007)(available on ACSM website)
    The Position Stand says that "valuable members" of the "support team" in recovery include parents, and that the "first aim of treatment" is "to increase energy availability by increasing energy intake and/or reducing exercise energy expenditure."

    Is anyone out there aware of a respected professional organization that recommends against FBT/M? I'm not aware of one.
    a concerned dad

  2. cd,

    This is OUTSTANDING. Thank you. Will add to the page.

    I don't know of any recommendations NOT to use FBT, but it is conspicuously ABSENT from recommendations and often the recommendation is for "family therapy" without specifying what kind. Family-based therapy is a whole another animal than "family therapy" and the only way to tell is to look at the paper they reference when they say "family therapy."

    The fact is, we need clear statements on what DOESN'T have support. We need them to come out and say "psychoanalysis and equine therapy and insight-oriented therapy have not been shown to have efficacy."

  3. The doctor's attitude in the Time article seems so old school. He obviously had his mind made up about this woman before he even really heard what her problem was...

    Doctors and patients need to see each other as partners working together to figure out problems. This rolling of the eyes stuff when confronted with a patient with questions about current research really doesn't help people.

  4. SAM's position paper includes "Family-based treatment should be considered an important part of treatment for most adolescents with eating disorders."
    It's in point #4 of their paper which is linked at the Maudsley Parents website Quick Reference page under "Treatment Guidelines".

  5. anonymous - I'm not finding it - what is SAM?

  6. SAM="Society for Adolescent Medicine"

    I think.

    I've been doing too much research lately (not ED related, but still...)

    Looking forward to tomorrow!

  7. Carrie is correct about SAM! I am not aware of any professional organizations as a whole that are anti-Maudsley. I find that lack of information or having too much inaccurate info about this approach is what tends to bias anyone!

  8. Score one for Carrie!

  9. Not sure if your collecting statements from hospitals but at Westmead Children's they acknowledge in the "Fact sheet for Parents"....
    "First step is to regain health weight. "Outpatient treatment is most successful if the family is involved, including brothers and sisters. Maudsley Family Based Treatment is offered upon discharge from inpatient services".

  10. Hey Laura, I wrote what was kind of an important 'document' for me, anyway, on my "Bridge" blog today.

    Thought I'd let you know to make sure you got to see it. I'm pretty sure it's a major turning point. ok, so it IS a major turning point.

  11. Perhaps this woman was a "pain" or a "hypochondriac". But, I also felt that this doctor was particularly judgmental in tone--from criticizing her parenting, to judging her trying to be an informed consumer as a 'googler' in harsh tones, to his condescending assumption as he sized her up that "she ...(was) suspicious and distrustful, (with) pressured sentences burst(ing) with misused, mispronounced words and half-baked ideas...I couldn't dance with this one. I couldn't even get a word in edgewise. So, I cut her off. I punted. I told her there was nothing I could do differently than her last three orthopedists, but I could refer her to another who might be able to help." How does he know that if he hadn't been honest and to the point that she might not have risen to the occasion? He didn't give her a chance. To my way of thinking, this is exactly what people complain about when they say doctors have no "bedside manners".


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