Problem Area: Anorexia Nervosa

EST Status: Strong Research SupportStrong: Support from two well-designed studies conducted by independent investigators.

Modest: Support from one well-designed study or several adequately designed studies.

Controversial: Conflicting results, or claims regarding mechanisms are unsupported.

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Brief Summary

  • Basic premise: Active and structured family involvement in the treatment of adolescents suffering from anorexia nervosa significantly increases the likelihood of positive treatment outcomes.
  • Essence of therapy: Family-Based Treatment (FBT) for anorexia nervosa is an outpatient intervention for adolescents who are medically stable, and consists of three phases: (1) parents take charge of the process of nutritional rehabilitation and weight restoration with the help of the therapist; (2) control over eating is returned to the adolescent in an age appropriate fashion; (3) issues of psychosocial development in the absence of an eating disorder are addressed. FBT also aims to correct misperceptions and misattributions of blame for the patient’s illness. That is, neither the parents nor the adolescent is responsible for the eating disorder. Therefore, FBT takes a theoretically agnostic approach to the etiology of this disorder. [Note: Family therapy for adolescents with anorexia nervosa (AN) was developed at the Maudsley Hospital in London, United Kingdom, in the 1980’s by a team of clinicians lead by Ivan Eisler, PhD, and Christopher Dare, MD. Family-based treatment (FBT) for adolescents with AN is an adaptation of this London-based approach. It was through the collective work of Daniel Le Grange, PhD, a psychologist who trained with the Maudsley team in the 1980’s, and then moved to The University of Chicago, and James Lock, MD, PhD, a Stanford University Child and Adolescent Psychiatrist, that a clinician’s manual of FBT was written. FBT is not the same as family therapy for adolescents with AN, but is a very close ‘relative’, and has now been utilized in several randomized clinical trials.]
  • Length: Approximately 15-20 sessions conducted over 6-12 months


Treatment Resources

Editors: David Albert, PhD; Alexandra Greenfield, MS

Note: The resources provided below are intended to supplement not replace foundational training in mental health treatment and evidence-based practice

Treatment Manuals / Outlines

Books Available for Purchase Through External Sites

Training Materials and Workshops

Video Descriptions

Video Repository
  • Family-Based Treatment for Anorexia Nervosa: The Maudsley Approach (
  • Family-Based Treatment for Young Adults with Anorexia Nervosa (
  • The Role of Siblings in Family-Based Treatment (

Clinical Trials

Meta-analyses and Systematic Reviews

Other Treatment Resources