Focuses on empowering parents to work together to nourish the young person. Due to
the physical impact of starvation on the brain, the young person is not able to make healthy and appropriate decisions regarding their eating at this time.
All meals are prepared and supervised by a parent and physical exercise is limited. This is
necessary because the eating disorder will make it difficult for a young person to willingly eat.
Parents foster a supervised, compassionate, persistent and firm expectation that the adolescent eat a sufficient (often large) amount of food to reverse the state of starvation.
The treatment team works with the family to discuss the impact of the illness, to provide
education about eating disorders, and to understand and manage the young person’s fear and distress during meal times.
Siblings provide a crucial role in supporting the young person – this can be as simple as offering a hug or watching TV together. Sibling relationships have often been disrupted by the illness and require some repair.
Phase 1 is typically the most challenging phase of treatment for the family.