TABLE 4

Principles of Family-Based Treatment of EDs and Role of the Pediatrician

Principles of treatment
 • Parents are not to blame
 • Parents are vital to therapeutic success
 • Parents are responsible for weight restoration
 • Separate the child from the illness
 • Nonauthoritarian approach
Three phases of treatment
 • Phase 1: parents restore patient’s weight
 • Phase 2: control transferred back to the child or adolescent
 • Phase 3: focuses on adolescent developmental issues and termination of treatment
Examples of the role the pediatrician can play
 • Act as a consultant to the parents and therapist
 • Explain the medical seriousness of the ED
 • Monitor and manage the medical status of the adolescent
 • Empower the parents in decision-making
 • Communicate with the patient, family, and therapist