Family-Based Treatment for Avoidant/Restrictive Food Intake Disorder  book cover
1st Edition

Family-Based Treatment for Avoidant/Restrictive Food Intake Disorder

ISBN 9780367486396
Published September 30, 2021 by Routledge
260 Pages 1 B/W Illustrations

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Book Description

This book describes the theoretical and clinical rationale for the use of Family-Based Treatment (FBT) for Avoidant/Restrictive Food Intake Disorder (ARFID).

Based on years of clinical care and systematic study of children and adolescents with ARFID using Family-Based Treatment for Avoidant/Restrictive Food Intake Disorder (FBT-ARFID), the manual provides guidance about assessment of ARFID. Topics covered include how to incorporate the medical, nutritional, and psychiatric problems that are common with this disorder and how to evaluate the principle maintaining behaviors related to lack of interest or appetite, extreme sensory sensitivities to food, and fear of physical repercussions of eating (e.g. pain, vomiting, allergic reactions). Step-by-step illustrations of the key interventions in FBT-ARFID are provided and detailed case discussions demonstrate how these are implemented in a range of cases.

Ideal for clinical practitioners who treat children and adolescents with eating disorders, specifically, psychologists, psychiatrists, social workers, and allied health practitioners.

Table of Contents


Chapter 1: What is Avoidant/Restrictive Food Intake Disorder?

Chapter 2: An Overview of Family-Based Treatment for Avoidant/Restrictive Food Intake Disorder

Chapter 3: Scientific Support for Family-Based Treatment for Avoidant/Restrictive Food Intake Disorder

Chapter 4: Challenges in Diagnosis and Assessment of Avoidant/Restrictive Food Intake Disorder

Chapter 5: Applying Family-Based Treatment for Avoidant/Restrictive Food Intake Disorder Through a Developmental Lens

Chapter 6: Managing Medical and Psychiatric Co-Morbidity in Family-Based Treatment for Avoidant/Restrictive Food Intake Disorder

Chapter 7: Empowering the Family for Change: Phase 1 of Family-Based Treatment for Avoidant/Restrictive Food Intake Disorder

Chapter 8: Changing Eating Behaviors in the Family and Social Context: Phase 2 of Family-Based Treatment for Avoidant/Restrictive Food Intake Disorder

Chapter 9: Returning to Developmental Norms: Phase 3 of Family-Based Treatment for Avoidant Restrictive Food Intake Disorder

Chapter 10: Family-Based Treatment for Low Interest Avoidant/Restrictive Food Intake Disorder (contributed by Nina Kirz, MD)

Chapter 11: Family-Based Treatment for Sensory Sensitivity Avoidant/Restrictive Food Intake Disorder (contributed by Danielle Colborn, PhD)

Chapter 12: Family-Based Treatment for Fear of Adverse Consequences Avoidant/Restrictive Food Intake Disorder (contributed by Shiri Sadeh-Sharvit, PhD)

Chapter 13: Where to from Here

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James D. Lock, MD, PhD, The Eric Rothenberg, MD, Professor of Psychiatry and Pediatrics, Stanford University School of Medicine.


"Professor Lock's wealth of clinical experience, wisdom, and skill, is deftly captured in this well-structured, clearly written book. It represents a significant step towards addressing current limitations in evidence-based guidance for clinicians working with families affected by ARFID. The welcome addition of three chapters illustrating the practical application of the material covered, and the emphasis on integrating developmental, physical, and mental health aspects of ARFID presentations in treatment, enhances its accessibility and relevance. A highly recommended volume."
Dr. Rachel Bryant-Waugh, consultant clinical psychologist, lead clinician ARFID Service, South London and Maudsley NHS Foundation Trust, National and Specialist CAMHS - Maudsley Centre for Child and Adolescent Eating Disorders (MCCAED)

"This book is a much-needed addition to the clinician’s armamentarium for treating children and adolescents with Avoidant/Restrictive Food Intake Disorder (ARFID). Dr. James Lock has eloquently summarized the research literature on the topic of Family-Based Treatment (FBT) for ARFID; subsequently taking the reader through a step-by-step application of this method. For those who are already familiar with FBT, the book clearly describes the differences between FBT for Anorexia Nervosa and Bulimia Nervosa compared to FBT for ARFID. One of the most useful aspects of this manual is a thorough description of ARFID subtypes and how FBT is modified for each. In addition, the developmental aspects of eating behaviour are clearly reviewed and carefully considered in the implementation of this treatment. This is an excellent resource for anyone working with children and adolescents with eating disorders, disordered eating or feeding issues."
Jennifer Couturier, MD, MSc, FRCPC, FAED, child and adolescent psychiatrist, medical co-director, Eating Disorders Program, McMaster Children's Hospital, associate professor, McMaster University, Ontario, Canada

"From one of the creators of Family-Based Treatment (FBT)—the leading evidence-based therapy for eating disorders in youth—comes an adaptation of FBT for avoidant/restrictive food intake disorder (ARFID) in young people. This engaging manual is well-written, sensible, and will feel like a familiar yet missing tool for clinicians caring preschoolers, school-age children, and teens with ARFID. Capitalizing on the family as a resource, FBT-ARFID empowers parents to use the skills they already have to help their children eat and thrive."
Jennifer J. Thomas, PhD, and Kamryn T. Eddy, PhD, co-directors, Eating Disorders Clinical and Research Program, Massachusetts GeneralHospital; associate professors of Psychology, Department of Psychiatry, Harvard Medical School; co-authors, Cognitive-Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder: Children, Adolescents, and Adults

"Demonstrating once again the potential of a well written treatment manual to transform both research and clinical care, Lock and colleagues have poured their clinical experience and scientific knowledge into this synthesis of the Family-Based Treatment approach to Avoidant/Restrictive Food Intake Disorder (ARFID). The crucial theoretical, developmental and scientific bedrock on which the approach is built is articulated in the opening chapters, delivered with accessible clarity and abounding with clinical experience. The treatment itself is outlined in three chapters, one for each phase, followed in subsequent chapters by detailed case examples addressing adaptations for each of the three main ARFID subtypes, low interest, sensory sensitivity and fear of adverse consequences. For experienced FBT therapists the style and structure will be familiar; the richness comes through the numerous vignettes and therapist dialogue scattered throughout, from which the authors’ experience of effectively supporting young people and parents shines through. This will become a standard text for any eating disorders therapist working with children and young people."
Dasha Nicholls, clinical reader in Child Psychiatry, Imperial College London & past president of the Academy for Eating Disorders