Family Therapy for Bulimia Nervosa (FT-BN)
Family Therapy for Bulimia Nervosa (FT-BN), sometimes referred to as the Maudsley Family Based Approach, is a specialist, evidence-based approach designed to support recovery from bulimia nervosa through compassionate family involvement. Family therapy for bulimia nervosa helps families work together with expert guidance toward recovery. It is currently the leading evidence based approach for young people and recommended by NICE as the first line treatment for adolescents and young people.
Family Therapy for anorexia EXPLAINED
What Is Family Therapy for Bulimia Nervosa (FT-BN)?
FT-BN is a structured adaptation of Family Based Treatment (FBT) for eating disorders, specifically designed to address bulimia nervosa. It supports families to play an active, guided role in recovery while addressing bingeing and compensatory behaviours, the emotional distress that often accompanies these symptoms, and the psychological underpinnings and consequences of bulimia.
The approach is collaborative and non-blaming, recognising that bulimia can be deeply distressing and difficult to talk about. Families are supported to understand patterns of behaviour and emotional triggers, while the young person is treated with respect, care, and compassion.
1.25M
people living with an eating disorder
FT-BN provides clear structure and reassurance, helping families feel more confident and less alone.
46%
of Adults feel unhappy about their appearance
Understanding Bulimia Nervosa
Bulimia nervosa is an eating disorder characterised by cycles of binge eating and compensatory behaviours such as self induced vomiting, laxative use, compulsive exercise or fasting. Bulimia is often accompanied by intense shame, secrecy, and emotional distress. Although weight may appear within a typical range, bulimia can have serious physical and psychological consequences. Early, specialist, family-supported intervention can help reduce risk, interrupt harmful cycles, and support more sustainable recovery, particularly during adolescence.
How FT-BN Works in Practice
FT-BN is delivered through structured family sessions with a specialist clinician. Families are supported to understand binge–purge cycles and the emotional factors that maintain them, while receiving guidance on how to respond in ways that prioritise safety and recovery.
The approach is collaborative and phased. Initially, therapy focuses on stabilising behaviours and reducing immediate risk, while supporting emotional regulation. As recovery progresses, responsibility is gradually and thoughtfully handed back to the young person, with continued family support. Alongside behavioural change, FT-BN helps address the psychological processes that maintain bulimia nervosa, supporting the young person to develop healthier coping strategies and to resolve any difficulties that have contributed to the onset of the bulimic symptoms. Throughout treatment, the pace and focus are adapted to individual needs, strengths, and circumstances.
FT-BN at The London Centre for Eating Disorders and Body Image
At The London Centre, FT-BN is delivered by clinicians with extensive specialist experience in treating bulimia nervosa within a family context. Care is embedded within a multidisciplinary framework, ensuring attention to both physical health and psychological wellbeing.
Our approach to family based treatment for bulimia nervosa is tailored and responsive rather than rigid. We work collaboratively with families, providing clear guidance while remaining sensitive to the complexities of bulimia, including shame, secrecy, and emotional distress.
The Maudsley Family-Based Approach for Bulimia as a part of full MDT treatment
FT-BN, or the Maudsley family-based approach, can be offered as part of full MTD treatment. It is often combined with specialist dietetic support and 1 -1 therapy. Individual therapy for the young person may be offered from the start, or brought in when appropriate during the course of treatment. This ensures the young person and the family have maximum support in overcoming the eating disorder.
Benefits of Family Therapy for Bulimia
Family Therapy for Bulimia Nervosa offers a range of benefits, including reducing binge–purge behaviours, improving emotional regulation, and strengthening family communication. It helps families feel more confident and less fearful, while supporting recovery in everyday life. By addressing both behaviour and emotional wellbeing, FT-BN promotes more sustainable, long-term recovery.
Is FT-BN Right for Our Family?
Families often worry about confrontation, saying the wrong thing, or making behaviours worse. A specialist assessment helps determine whether FT-BN is the most appropriate approach and how it should be adapted to your family’s situation. Support is guided and collaborative, ensuring families are not left to manage recovery alone.
Start your journey
Take the Next Step
Bulimia nervosa can feel isolating and overwhelming, but families do not have to navigate it alone. With specialist guidance, recovery can feel more achievable and less frightening. Our team is here to support you in exploring Family Therapy for Bulimia Nervosa and understanding the next steps toward care.
Contact us today to speak with our team or book an assessment.
