Other Treatment in More detail
Family Therapy (FT): Family therapy can be used to treat eating disorders, however it should have an eating disorder focus instead of general family therapy. This should cover similar principles to FBT.
Adolescent Focused Therapy (AFT) or Adolescent Focused Psychotherapy for Anorexia Nervosa: This is an individual therapy. Although it is not the first line treatment for teenagers, which is usually FBT, it has been shown to be more effective than other individual therapies. This approach usually lasts 12- 18 months and focuses on similar 3 stages like FBT however, the adolescent is in control. Family members may be seen separately in order to support the young person’s recovery.
Cognitive Behavioural Therapy (CBT); It should be noted that if a person is receiving CBT for treatment of an eating disorder this should be eating disorder focused CBT and not generic CBT. CBT for eating disorders usually takes around 20-40 weeks. It is an individual treatment that focuses on thinking patterns and behaviours of the young person and how the eating disorder may affect them.
Individual Psychological Treatment: unless listed above such as AFT or CBT, no other individual approach is currently recommended for the treatment of eating disorders in young people, particularly whilst a young person is underweight or displays many eating disorder behaviours.
Maudsley Anorexia Nervosa Treatment for Adults (MANTRA) is for adults. It involves weekly sessions based and guided on the MANTRA workbook which encourages collaborative working between the person and their therapist. It involves education about nutrition, symptom and behaviour management, encouragement to explore identity out with an eating disorder and some family/carer involvement to assist them in supporting their loved one.
Specialist Supportive Clinical Management (SSCCM) is for adults. It involves weekly sessions working with the therapist to identify and assess key problems with the aim of restoring weight, recognising links between eating behaviours and symptoms and provides psychoeducational and nutritional advice.
Tier 4 Services, i.e.:
- Day Services
- Intensive Treatment/Home Treatment Services
The above are what you may have heard referred to as “Tier 4” services in a CAMHS setting. Clinical guidance recommends that young people with an eating disorder are treated in the community and remain at home, as much as possible, where and when it is possible and safe to do so. However, in the early stages of treatment, or when in crisis, the above services may be needed if there are physical or mental health risks. Tier 4 services may also be required when a person is unable to recover weight at home, which may be due to many reasons, or their mental health deteriorates to an extent that means they can’t keep themselves safe. Your local services should have a website where you can find out more information about the services provided there.