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The Use of the Plate-by-Plate Approach for Adolescents Undergoing Family-Based Treatment

Published:September 11, 2018DOI:https://doi.org/10.1016/j.jand.2018.06.011
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      Family-based treatment (FBT) is the leading outpatient treatment for adolescents with eating disorders, and an increasing number of research studies support its efficacy.
      • Lock J.
      • Le Grange D.
      Treatment Manual for Anorexia Nervosa: A Family-Based Approach.
      • Lock J.
      Evaluation of family treatment models for eating disorders.
      • Lock J.
      • Le Grange D.
      Family based treatment of eating disorders.
      • Eisler I.
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      • LeGrange D.
      • Dodge E.
      Family and individual therapy in anorexia nervosa: A five-year follow-up.
      • LeGrange D.
      • Lock J.
      • Agras W.S.
      • Bryson S.W.
      • Jo B.
      Randomized clinical trial of family-based treatment and cognitive-behavioral therapy for adolescent bulimia nervosa.
      • Doyle P.
      • LeGrange D.
      • Loeb K.
      • et al.
      Early response to family-based treatment for adolescent anorexia nervosa.
      • LeGrange D.
      • Lock J.
      • Agras W.S.
      • et al.
      Predictors of drop out and remission in FBT.
      • Society for Adolescent Health and Medicine
      • Golden N.H.
      • Katzman D.K.
      • Sawyer S.M.
      • et al.
      Position Paper of the Society for Adolescent Health and Medicine: Medical Management of Restrictive Eating Disorders in Adolescents and Young Adults.
      The goal of FBT is to effectively and efficiently establish weight restoration and the health of the adolescent. It does so in the least restrictive environment, while viewing the parents or primary caregivers as the best resource for feeding their child until the child is able to resume appropriate eating independently.
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      Linked Article

      • Considerations to Enhance the Plate-by-Plate Approach for Adolescents Undergoing Family-Based Treatment for Eating Disorders
        Journal of the Academy of Nutrition and DieteticsVol. 120Issue 1
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          We read with great interest the article published in the July 2019 issue of the Journal of the Academy of Nutrition and Dietetics on “The use of the plate-by-plate approach for adolescents undergoing family-based treatment.”1 We applaud the authors for making the point that registered dietitian nutritionists play a critical role in the treatment of eating disorders, particularly in a family-based treatment (FBT) framework. We have used methods similar to the plate-by-plate approach described in this article and have also found it helpful for parents to avoid the complications of counting calories, managing exchanges, and measuring portions.
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