ABSTRACT

In Chapter 6, the remainder of Phase I of FBT is outlined with the aim of facilitating focus in session while allowing for flexibility to address varied family challenges. We emphasize the principles of parental alignment, and some of the difficulties that arise in helping parents work together. Parents and clinicians may have difficulty keeping a focus on weight restoration and interruption of eating disorder behaviors; thus strategies for managing these distractions are discussed. Other common concerns families face during Phase I as they strive to interrupt ED behaviors include the emergence of new and high-risk behaviors, disagreements on weight goals and whether to weigh the patient. We also review what to do when Phase I continues for many months with little progress, discussing some of the most common reasons this occurs. We include a brief summary of the fidelity checklist for the remainder of Phase I, which can also be found in the appendix.