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Family-based treatment (FBT), often called the Maudsley approach, is the first-line treatment for adolescent anorexia nervosa. Parents are empowered to refeed their child while temporarily suspending blame. A 2019 randomized trial (Agras et al.) found FBT superior to individual adolescent-focused therapy at one-year follow-up. The rise of streaming services (Netflix, HBO, Apple
Some potential benefits of family therapy include: maps its structure
Minuchin focused on family organization: boundaries (clear, enmeshed, or disengaged), subsystems (parental, sibling), and hierarchy. Symptoms arise when boundaries are dysfunctional. The therapist actively joins the family, maps its structure, and enacts boundary-making interventions.