The Maudsley Method
Maudsley family therapy
Maudsley family therapy also known as family-based treatment or Maudsley approach, is a family therapy for the treatment of anorexia nervosa devised by Christopher Dare and colleagues at the Maudsley Hospital in London. A comparison of family to individual therapy was conducted with eighty anorexia patients. The study showed family therapy to be the more effective approach in patients under 18 and …
What is the Maudsley Approach to treatment?
One promising model of treatment is The Maudsley Approach, and a version developed in the U.S. known as Family Based Treatment. These treatments share the view that the family is the most powerful resource for a young person’s treatment.
What is the Maudsley method for bulimia?
Uses of the Maudsley Method. The Maudsley Approach was specifically designed as a therapy method for the treatment of anorexia nervosa, though has since been adapted to treat multiple eating disorders, such as bulimia nervosa and binge eating.
How long does the Maudsley method take?
The method involves 3 phases that generally take one year for a patient and their family to complete. According to MaudsleyParents.org, the treatment involves parents playing “an active and positive role in order to:
What is the difference between Maudsley and Russell's approach?
Most important of these was that Russell and his colleagues, unlike Minuchin, encouraged parents to persist in their efforts until normal body weight had been achieved. In the Maudsley approach, general adolescent and family issues were deferred until the eating disorder behavior was under control.
How long does the Maudsley method take?
The Maudsley Approach proceeds through three clearly defined phases. The process is divided into 15–20 treatment sessions and takes about 12 months to complete.
How is the Maudsley approach different from other approaches?
The Maudsley Approach opposes the notion that families are pathological or should be blamed for the development of AN. On the contrary, the Maudsley Approach considers the parents as a resource and essential in successful treatment for AN.
What is the best kind of psychotherapy for patients with anorexia nervosa?
Family-based therapy is the most established treatment for youth with anorexia nervosa and may be efficacious for youth with bulimia nervosa; interpersonal psychotherapy for the prevention of excess weight gain may be efficacious for reducing loss of control eating and weight gain in overweight adolescents.
How long does FBT take?
How is family-based treatment structured? FBT generally involves roughly 20 weekly sessions, divided into three phases. Throughout all three phases, the clinician works primarily with the parents or caregivers, while being supportive of the adolescent who is in distress.
Who is the Maudsley approach intended for?
Goals of the Maudsley Method This treatment is focuses primarily on the young adult and those suffering with Bulimia Nervosa. This approach works on the more instilled disordered patterns of the illness. Its focus is to help the patients loved ones engage their own intrinsic motivation to change [5, 6].
What is FBT for anorexia?
Family-based treatment (FBT, also sometimes referred to as the Maudsley method) is a leading treatment for adolescent eating disorders including anorexia nervosa, bulimia nervosa, and other specified feeding or eating disorder (OSFED). It is a manualized treatment delivered by trained professionals.
What is the most successful treatment for anorexia?
In the majority of clinical trials, Enhanced Cognitive Behavioral Therapy (CBT-E) has been shown to be the most effective treatment for adult anorexia, bulimia and binge eating disorder.
How successful is treatment for anorexia?
Many Patients with Anorexia Nervosa Get Better, But Complete Recovery Elusive to Most. Three in four patients with anorexia nervosa – including many with challenging illness – make a partial recovery. But just 21 percent make a full recovery, a milestone that is most likely to signal permanent remission.
Which eating disorder is most likely to be helped by antidepressant medications?
Antidepressant medicines reduce binge eating and purging in up to 75% of people who have bulimia nervosa. Antidepressants regulate brain chemicals that control mood. Guilt, anxiety, and depression about binging usually lead to purging.
What are the disadvantages of family therapy?
Once family therapy begins, it can be difficult to see family situations as you used to and your perceptions may be altered- can lead to negative feelings, especially if others within your family are not willing to follow through with therapy or are in denial of unhealthy family patterns.
Does FBT work for ARFID?
Given family-based treatment (FBT) has demonstrated effectiveness with other pediatric eating disorders (anorexia nervosa, bulimia nervosa), a manualized version of FBT adapted for use with ARFID patients has been developed and is currently under study.
What is ARFID disorder?
Avoidant/restrictive food intake disorder (ARFID) is an eating disorder. Children with ARFID are extremely picky eaters and have little interest in eating food. They eat a limited variety of preferred foods, which can lead to poor growth and poor nutrition.
What is the Maudsley approach?
The Maudsley Approach is an evidence based treatment method specifically designed for adolescents who are showing early signs of an eating disorder. It was named after the Maudsley Hospital in London, UK where the treatment method was initially conceived.
What is the third phase of the Maudsley approach?
In the third phase, the adolescent is given increasing responsibility for maintaining good eating habits and re-establishing a new healthy identity. The Maudsley Approach does not necessarily address the underlying reasons behind the eating disorder.
How many sessions are there in the Maudsley method?
The Maudsley Method is a three-phase, protocol-based treatment that usually spans 20-24 sessions over the course of a year. 2 MFBT establishes the importance of family in both maintaining and resolving the eating disorder. 2 MFBT aids parents in the task of finding solutions for refeeding their child and helping the child recover and restore their weight. The therapist helps guide the parents through this process and provides support and suggestions for any issues that may arise during the process.
Why is Maudsley therapy criticized?
Maudsley therapy has been criticized for failing to address body-image issues and perfectionistic tendencies associated with AN, and oftentimes the patient needs to seek further treatment once weight has been restored to work through these other problem areas .
What Is the Maudsley Approach to Family-Based Treatment?
The Maudsley approach is a family-based treatment that supports the family in refeeding the adolescent with anorexia and helping the patient and family recover. MFBT posits that because the patient is unable to function normally, it is the duty of family members to develop solutions on how they will work together to manage anorexia. 1
How does MFBT work?
MFBT empowers caregivers to take on the task of “saving” their loved one from AN by refeeding and stabilizing their weight, and then working to return the responsibility of eating to the adolescent and returning the family to appropriate boundaries, addressing age-appropriate issues with the adolescent.
What is phase 1 of a child's refeeding program?
Phase 1: Weight Restoration . The goal of phase one is to complete the initial evaluation, set up treatment, help the parents identify and develop ways to effectively refeed and weight restore their child. From the point of initial contact (the phone call to set up the appointment), the therapist acknowledges the seriousness ...
Why is the first session important?
The first session is very important, as it sets the tone for the treatment. In the first session, Dr. M began by weighing Sally, then met the Smith family and expressed to the family the grave crisis they are in. He tasked the family with saving Sally’s life by encouraging the parents to take a drastic stand against the illness and refeed their daughter.
How long does MFBT treatment last?
MFBT consists of three phases of treatment that span 6 to 12 months. 3 MFBT helps to empower parents to help their child recover by tasking the parents with refeeding their starving child in the first phase, then in phase two returning the responsibility of feeding back to the child or adolescent. In the third phase, therapy focuses on the patient’s development of a healthy identity, the patient’s age-appropriate autonomy, and the reestablishing of family boundaries, as well as encouraging parents to refocus on their relationship, which may have suffered during the course of their child’s treatment and recovery.
What is the Maudsley approach?
The Maudsley Approach opposes the notion that families are pathological or should be blamed for the development of AN. On the contrary, the Maudsley Approach considers the parents as a resource and essential in successful treatment for AN. Phase I: Weight restoration.
What is Maudsley treatment?
The Maudsley approach can mostly be construed as an intensive outpatient treatment where parents play an active and positive role in order to : Help restore their child’s weight to normal levels expected given their adolescent’s age and height; hand the control over eating back to the adolescent, and; encourage normal adolescent development through an in-depth discussion of these crucial developmental issues as they pertain to their child.
What is the role of a therapist in the Maudsley approach?
Throughout, the role of the therapist is to model to the parents an uncritical stance toward the adolescent – the Maudsley Approach adheres to the tenet that the adolescent is not to blame for the challenging eating disorder behaviors, but rather that these symptoms are mostly outside of the adolescent’s control (externalizing the illness). At no point should this phase of treatment be interpreted as a ‘green light’ for parents to be critical of their child. Quite the contrary, the therapist will work hard to address any parental criticism or hostility toward the adolescent.
Where was the Maudsley approach developed?
This treatment was conceived by a team of child and adolescent psychiatrists and psychologists at the Maudsley Hospital in London and has come to be known as the Maudsley Approach or Family-based Treatment (FBT) for AN.
Which university has shown promising results in their FBT studies?
Clinical and research endeavors by The University of Chicago and Stanford University have shown promising results in their FBT studies, which are comparable to the positive outcomes that were initially established in the Maudsley studies.
Why do therapists observe family eating patterns?
It allows the therapist to observe the family’s typical interaction patterns around eating, and it provides the therapist with an opportunity to assist the parents in their endeavor to encourage their adolescent to eat a little more than she was prepared to.
What is Maudsley's process?
Maudsley is an intricate and intimate process, based on unconditional love and trust in each other as a family unit. What results is far more than recovery—it is a closeness and richness in relationships that becomes a gift, the silver lining of a very dark cloud. My family and I are all better people because we shared this process together.
What is family based treatment?
Editor’s note: Family Based Treatment (FBT) is one of many effective, evidence-based treatments for eating disorders. Treatment is not a one-size-fits-all approach; it should be tailored to the individual and will vary according to both the severities of the disorder and the patient’s particular problems, needs, and strengths. Click here to learn more about the various levels of care and methodologies.
What Is The Maudsley Method?
- The Maudsley Method, also known as Family-Based Treatment, can be characterized by an intensive outpatient treatment where parents are integrated as an active and positive role. The primary purposes of including parents in this approach are to incorporate and encourage partici…
Application of The Maudsley Method
- The Maudsley Family Approach can be applied to the following: 1. Anorexia Nervosa 2. Bulimia Nervosa 3. Binge Eating 4. Childhood Obesity 5. Adolescents 6. Older Patients
Phases of The Maudsley Method
- The Three Phases of the Maudsley Family Approach are as follows: 1. Phase I – Weight Restoration: In Phase I, a professionally trained therapist concentrates on the various effects associated with anorexia nervosa, particularly physiological, cognitive, and emotional. A major focus of this phase is the restoration of the patient’s weight and the “re-feeding” component. A c…