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The website is operated by FBS markets inc.; registration no. 119717; FBS markets inc is regulated by IFSC, license IFSC/000102/124; address: 2118, guava street, belize belama phase 1, belize

The service is not provided in the following countries: japan, USA, canada, UK, myanmar, brazil, malaysia, israel and the islamic republic of iran

Payment transactions are managed by НDС technologies ltd.; registration no. HE 370778; address: arch. Makariou III & vyronos, P. Lordos center, block B, office 203

For cooperation, please contact us via support@fbs.Com or +35 7251 23212.

Risk warning: before you start trading, you should completely understand the risks involved with the currency market and trading on margin, and you should be aware of your level of experience.

Any copying, reproduction, republication, as well as on the internet resources of any materials from this website is possible only upon written permission.

Data collection notice

FBS maintains a record of your data to run this website. By pressing the “accept” button, you agree to our privacy policy.

Fasting blood sugar levels

Fasting, as the name suggests, means refraining from eating of drinking any liquids other than water for eight hours. It is used as a test for diabetes.

After fasting, a carbohydrate metabolism test is conducted which measures blood glucose levels.

Glucagon during fasting

When fasting the hormone glucagon is stimulated and this increases plasma glucose levels in the body.

If a patient doesn’t have diabetes, their body will produce insulin to rebalance the increased glucose levels.

However people with diabetes either don’t produce enough insulin to rebalance their blood sugar (typically in type 1 diabetes ) or their body is not able to use the insulin effectively enough (typical of type 2 diabetes).

Consequently when blood glucose levels are tested, people with diabetes will have blood sugar levels significantly higher than people who do not have diabetes.

What is the fasting blood sugar test used for?

The fasting blood sugar test is also used to test the effectiveness of different medication or dietary changes on people already diagnosed as diabetic

Fasting blood sugar levels are measured by taking a blood test after a period of fasting, usually of 8 hours without food. Typically, fasting blood glucose levels are taken in the morning before any breakfast is eaten. When having your fasting blood glucose levels take, you should not have any drinks apart from water during the period of fasting.

A fasting blood glucose test can be useful to see how well the body is able to manage blood sugar levels in the absence of food. When we do not eat for several hours, the body will release glucose into the blood via the liver and, following this, the body’s insulin should help to stabilise blood glucose levels.

A fasting blood glucose test therefore shows:

Whether the body is able to bring down the raise in blood glucose levels from the previous meal

How effectively the body copes with its own release of glucose

The target for fasting blood glucose levels are the same as the targets for before meal readings.

For adults with diabetes, the target level is between 4 and 7 mmol/l

For children with diabetes, the target level is between 4 and 8 mmol/l

However, some people may be set individual targets, by their doctor, that differ to the above levels.

Fasting blood glucose tests for people with type 2 diabetes are useful for showing how well your body’s insulin responds to periods without food, such as overnight.

In type 1 diabetes, fasting blood glucose levels help to show whether your long term insulin, also known as background insulin, is set at the right dose. If you are in any doubt, your healthcare team can help you to understand the levels you are getting and suggest any dosage changes.

Fasting blood sugar levels

Fasting, as the name suggests, means refraining from eating of drinking any liquids other than water for eight hours. It is used as a test for diabetes.

After fasting, a carbohydrate metabolism test is conducted which measures blood glucose levels.

Glucagon during fasting

When fasting the hormone glucagon is stimulated and this increases plasma glucose levels in the body.

If a patient doesn’t have diabetes, their body will produce insulin to rebalance the increased glucose levels.

Consequently when blood glucose levels are tested, people with diabetes will have blood sugar levels significantly higher than people who do not have diabetes.

What is the fasting blood sugar test used for?

The fasting blood sugar test is also used to test the effectiveness of different medication or dietary changes on people already diagnosed as diabetic

A fasting blood glucose test therefore shows:

Whether the body is able to bring down the raise in blood glucose levels from the previous meal

How effectively the body copes with its own release of glucose

The target for fasting blood glucose levels are the same as the targets for before meal readings.

For adults with diabetes, the target level is between 4 and 7 mmol/l

For children with diabetes, the target level is between 4 and 8 mmol/l

However, some people may be set individual targets, by their doctor, that differ to the above levels.

Fasting blood glucose tests for people with type 2 diabetes are useful for showing how well your body’s insulin responds to periods without food, such as overnight.

About us

FBS – your reliable and honest broker

FBS is an international broker with more than 190 countries of presence and 11 years of expertise.

We are devoted to the FBS people and overjoyed to offer them possibilities for financial growth. FBS always shares knowledge via free seminars, special events, educational materials, and daily analytics. Moreover, 24/7 customer support quickly resolves incoming issues. Their incredible speed is fewer than 30 seconds per request.

Both newbies and professional traders benefit from cutting-edge trading tools and transparent conditions for joining the team. Once on board, clients can make deposits and withdrawals via the most popular payment systems, use various trading instruments, and enjoy a split-second execution of operations.

An award-winning broker with more than 40 international recognitions

Over 16 000 000 clients choose FBS as a reliable and secure broker

Why FBS is a smart choice

FBS is regulated by cysec license, 331/17

Negative balance protection with a margin call and stop out levels

24/7 client support on your language for solving all the questions

Big choice of advanced tools and features to control your account

We check the client’s level of forex experience and create an account type in accordance with their qualification.

Our achievements

Best international
forex broker

Most transparent
forex broker 2018

Best investor
education 2017

Best customer
service broker
asia 2016

Best forex brand,
asia 2015

Best forex trading
account 2018

Best forex
broker asia 2018

Safety of client
funds asia 2015

FBS was founded in 2009 and since then received numerous international awards:

Best FX broker indonesia

Best forex broker southeast asia

Best forex broker thailand

Best international forex broker

Best customer service broker asia 2016

Highly recommended broker insurance company in indonesia of the year

Best forex brand, asia 2015

Best safety of client funds asia 2015

Best broker in asia-pacific region 2015

Best broker in the middle east

Most transparent forex broker - 2018

Best forex trading account 2018

Best copy trading application global - 2018

FBS review

Finance brokerage services

FBS are forex brokers. FBS offers the metatrader 4, metatrader 5, and MT mobile forex online trading top platforms. FBS.Com offers over 30 forex pairs, stocks, gold, silver, other metals, and cfds for your personal investment and trading options.

Related websites of this company include F-B-S.Com, hotoption.Com and https://fbs.Ae/.

February 2011: the website appears to be blocked in the USA.

Other websites of this company include fibexch.Com, fbs.Ae, fbs.Id, fbsforex.Com, fbs.Cn, jpfbs.Com, esfbs.Com, ptfbs.Com, fbs.Ae, vnfbs.Com etc.

Broker details

Video

Live discussion

Join live discussion of FBS.Com on our forum

FBS.Com profile provided by regina FBS, sep 5, 2019

FBS is an international broker with more than 190 countries of presence. 13 000 000 traders and 370 000 partners have already chosen FBS as their preferred forex company. We work since 2009 and provide fast and honest services.

Working with us is easy, convenient and, most of all, profitable. We are happy to offer exclusive terms unprecedented in the forex market.

To provide the best customer experience we organize seminars and special events, providing our clients with training materials, cutting-edge trading technologies and the latest strategies on the forex market. Both newbie and professional traders will find these sessions useful.

If you prefer to choose the best for yourself, FBS is just right for you. We even launched a COPYTRADE app which allows you to earn money both by copying a successful trader and by having people invest in your trading.

Once a client of FBS – always a client of FBS.
Www.Fbs.Com

Unique trading conditions for traders:
• minimal deposit of $1
• spread starting from -1 pip
• leverage up to 1:3000
• 35 currency pairs, 4 metals, 3 CFD
• split-second execution
• no requotes
• minimal order volume of 0.01 lot
• quotes precision of 0.00001
• trade with any advisors or strategies
• customer support in 15 languages
• deposits and withdrawals via visa/mastercard, wire transfer, neteller, skrill, perfect money, fasapay; local indonesian banks: bank central asia, mandiri, bank negara indonesia, bank rakyat indonesia, OCBC NISP; thai banks: krungthai bank, krungsri bank, siam commercial bank, kasikorn bank, bangkok bank; vietnamese bank: vietcombank. Lots of exchangers in different countries

Permanent promotions:
• $100 bonus - work out for more
• 100% bonus on each deposit
• cashback up to $7 per 1 lot

Loyalty program:
• VPS service
• guaranteed lucky T-shirt for a deposit of $500 or more
• guaranteed iphone X gift for a deposit of $5000 and 500 traded lots
• mercedes S-class for platinum status
• VIP membership

Partner program:
• $10 commission on EUR/USD
• monthly partner bonus up to $3000
• 3 levels of payments (15% from 2nd level partners and 5% from 3rd level partners)

Awards:
• best FX broker vietnam 2019
• most progressive broker europe 2019
• best FX broker europe 2019
• most promising broker 2018
• best forex broker asia 2018
• best investor education 2017
• best FX IB program

FBS review

Review

FBS is a cypriot forex broker owned and operated by tradestone LTD headquartered in limassol, cyprus. The brokerage was founded in 2009 and is regulated by the cyprus securities and exchange commission (cysec), license number 331/17. Since its inception, FBS has received over 40 international recognitions and awards and is home to over 13,000,000 clients. According to the broker, 7,000 new accounts are opened every day and FBS receives and processes one withdrawal request every 20 seconds. 80% of FBS clients remain loyal to the broker and 48% list trading revenues generated at FBS as their prime source of income. As a truly global forex broker, FBS serves clients in 190 countries and expands its market share on a daily basis. The 24/7 customer service team usually responds to requests in less than 30 seconds and speaks multiple languages. Negative balance protection offers another layer of security and protects traders against critical market developments and volatile price swings.

Regulation and security

Tradestone LTD is an investment firm registered in cyprus (company registration number 353534) and is regulated by the cyprus securities and exchange commission (cysec license number 331/17). Cyprus is part of the european union and offers a great mix of regulation and freedom to operate as a global financial firm. Prior to acquiring the cysec license, the firm was offering its services from its belize registered subsidiary and was well known for its aggressive market expansion. Since the acquisition of the license, traders can rest assured that their funds are safe and that the regulator ensures that FBS will comply with the directives of the legislative and regulatory framework.

Since cyprus is a member of the EU, FBS is under the regulatory framework as set out in the markets in financial instruments directive (2004/39/EC) or mifiid. It has been in effect since november of 2007 and aims to create and maintain a high degree of harmonized protection for investors in financial instruments. Mifid II came into effect in january of 2018 and was designed to further strengthen investor protection and increase transparency.

In june of 2015 the EU released its 4 th anti-money laundering directive which represents the most stringent AML legislation across europe. All EU member states have been complicit since june of 2017 and FBS adheres to the rules as outlined in the directive. In addition, FBS is a member of the investor compensation fund (ICF) which ensures eligible retail clients will get reimbursed if their broker fails to comply due to financial difficulties as outlined in the fund.

FBS generates its revenue primarily from spreads which is the difference between bid and ask prices as well as swap rates charged on holding positions overnight. FBS doesn’t offer ECN accounts and therefore is not charging trading commissions. Spreads start as low as 1.0 pip and increase depending on the liquidity of the currency pair. The broker offers “swap free islamic accounts” accounts in order to offer their services to muslim traders who are prohibited by their faith to accept or be charged interest.

Forex traders may activate this type of account while other traders can check the exact swap rates from inside their MT4 platform by following these steps:

1. Right-click on the desires symbol in the “market watch” window and select “symbols”.

2. Select the desired currency and then click on “properties” located on the right side.

3. Scroll down until you see “swap long” and “swap short”

In addition, forex traders can use the FBS trading calculator to get full information on a trade before entering it.

According to FBS, it doesn’t charge traders for deposits or withdrawals which represents an added service to forex traders and reduces the overall cost per trade. This will have a big impact for frequent retail traders as well as professional outlets where costs play an important role.

What can I trade

FBS offers a rather limited selection of assets with only 28 currency pairs and two metals. The contract specification differs for their standard account and their cent account. The overall selection should be viewed as bare minimum and is not adequate for professional clients.

Contract specifications forex standard account

Contract specifications metal standard account

Contract specifications forex cent account

Contract specifications metal standard account

The lack of more currency pairs as well as metals is unfortunate, FBS also lacks CFD’s on equity and indexes as well as cryptocurrencies. While it provides the basics for a forex trading account, true diversification cannot be achieved which makes it unsuitable for traders who seek cross-asset trading opportunities.

Account types

FBS extends its limitations to trading accounts where it offers two types, a standard account and a cent account. The main difference between both is the minimum deposit which starts at $/€10 for cent accounts and at $/€100. The minimum spread in both is a floating one which starts at 1.0 pip and the maximum leverage is 1:30. The cent account also comes with a maximum order volume of 5 standard lots (1 standard lot is equal to 100,000 units) where the standard account sees this limit increased to 500 standard lots. The maximum amount of open/pending positions is set at 200 with a starting execution speed of 0.3 seconds.

The cent account is basically an entry level account for new forex traders to get started with micro deposits and best suitable to create and test new strategies, but fairly irrelevant as the standard account has a very small minimum deposit requirement. FBS doesn’t offer special trading conditions to traders with higher balances or more frequent trading activity, a feature which is another unfortunate miss for this forex broker.

Trading platforms

FBS extends its limitation to just the MT4 trading platform for windows, apple macos, android, apple ios and FBS webtrader. While MT4 remains the most used trading platform for forex traders, FBS makes no effort to offer traders something which is not included with the standard operating license for the MT4 trading platform. Many forex brokers don’t even pay for the full license and can obtain their trading platform under a white label partnership through another forex broker at a fraction of the cost.

Popular choices, especially for new traders, such as social trading or copy trading remain absent as FBS once again sticks to its minimalistic approach and offer the bare minimum in order to operate as a forex broker. Features listed are part of the MT4 trading platform and should not be credited to what FBS offers.

Unique features

During the course of this FBS review we found that there were few unique features available to the brokerage’s traders. FBS does very little outside normal operating procedures, but it does those things rather well as evident by the awards the brokerage received.

Research and education

It is nice to note that FBS does offer a range of research, analytics and educational aspects which are beneficial to new traders. The market analytics section is broken down into three parts: forex news, daily market analysis and forex TV. The educational section comes divided into five categories: forex guidebook, tips for traders, webinars, video lessons and glossary.

Forex news

Traders get access to forex news and have the option to filter the articles by commodities, currencies, stocks and economy. Since FBS doesn’t offer CFD trading, the stocks sections appear out of place and more for marketing purposes and SEO than for the benefit of its trader base.

Daily market analysis

The FBS daily market analysis is broken down into technical analysis and fundamental analysis and may offer the best feature this broker offers. Forex traders can easily navigate the research, but the extent of each analysis is rather limited and refined to a few basic aspects of technical analysis summed up in one paragraph. The fundamental analysis is a bit more detailed and offer forex traders basic coverage of key topics.

The forex TV section is broken down into weekly insights, daily trading plans and webinars and FBS has spent the most attention on this part. It is a great feature and offers forex traders the best service. The weekly insights section may be the most relevant which walks traders through important events as marked in the economic calendar. New traders may find the daily trading plans to be useful, especially if they don’t have their own trading strategy developed yet. It would be nice to see FBS expand their current approach and make better use of technology in order to allow traders to act on what they view.

Forex guidebook

The forex guidebook is filled with educational content and covers the entire spectrum of technical as well as fundamental analysis. New traders will find this course very useful and it is broken down into four sections: beginner, elementary, intermediate and experienced. This may be the most beneficial feature to new traders which is offered by FBS and the perfect starting point for those who are serious about learning how to trade. It is easy to navigate and filled with examples which makes it easy to understand.

Tips for traders

This section is for more advanced forex traders who are in the process of developing their own trading strategy or trying to decide which trading strategy to follow. It is filled with different trading strategies with quick explanations of how to deploy them. FBS could spend a bit more time and effort to describe the strategies more in depth, especially for new traders to get a better picture of what each strategy is about.

Forex webinars

Webinars have gained in popularity and more forex brokers are using them in order to engage with their traders. FBS offers free webinars, but registration is required in order to participate. It appears that FBS attempts to how one webinar every two weeks, but this could be subject to change at the discretion of the broker.

Video lessons

FBS has made an effort to create interesting video lessons which are broken down into different categories. The lessons can be multi-part and are divided in FBS related topics such as account opening tutorials, general forex topics which touch on basic aspects of trading and MT4 tutorials. Overall this is a rather well-rounded offer to forex traders and was a welcome find during this FBS review.

A glossary can be accessed from the FBS website and while some trader may revert to it in order to get clarity on certain terms, most traders are unlikely to use it as they find their information online and faster.

Customer support

Customer service is not something most traders will ever use, but FBS has a multi-lingual support staff available 24/7. Since the forex market is closed on weekends, it is unclear why support staff would be available or if it indeed is. E-mail support certainly remains available at all times.

Bonuses and promotions

The cysec regulated branch of FBS doesn’t offer any special bonuses or promotions to traders in keeping with regulatory policy.

Opening an account

Forex traders should be able to open an account online in a few simple steps which has become the norm in today’s forex industry. The regular verification documents are required and FBS needs to satisfy AML and KYC requirements as mandated by its regulator cysec. The registration part should only require a few moments before traders can access their back-office from where further documents can be uploaded.

Deposits and withdrawals

When it comes to deposit and withdrawal options, once again FBS sticks to the basics. Forex traders have the choice of credit cards, bank wires and skrill or neteller which are both regulated in the EU. All deposit fees are waived which is standard industry practice and the deposit time is listed as instant with the exception of wire transfers.

Withdrawal options are the same as deposit options and forex traders are required to request a withdrawal with the same method the deposit was conducted. This is also common practice in the forex market. The positive for FBS is that they also waive all withdrawal fees, but forex traders may still face charged by the payment processor. Withdrawal requests for credit cards are handled the same business day, bank wires within 48 hours and skrill or neteller requests between 15-20 minutes with a maximum of 48 hours.

Python and qt:
simplified!

Python and qt are great for writing cross-platform desktop apps.
But packaging, code signing, installers and automatic updates are a pain.
Fbs solves these problems and saves you months of development.

Python qt GUI

Fbs is the fastest way to create a python GUI. It solves common pain points such as packaging and deployment. Based on python and qt, fbs is a lightweight alternative to electron.

Easy packaging

Unlike other solutions, fbs makes packaging easy. Create an installer for your app in seconds and distribute it to your users – on windows, mac and linux!

Open source

Fbs's source code is available on github. You can use it for free in open source projects licensed under the GPL. Commercial licenses are also offered. More information below.

Battle-tested

Applications built with fbs have been installed on tens of thousands of machines. It encapsulates years of experience. This ensures your app runs on your users' computers.

Get started

The best place to get started with fbs is the tutorial. All you need is a text editor and python 3. In 15 minutes, you will create a simple app and an installer. Everybody who takes the tutorial says it's a breeze!

Licensing

You can use fbs for free in open source projects that are licensed under the GPL. If you don't want to open your code up to the public, you can purchase a commercial license for EUR 449 per developer:

If you have questions about licensing fbs, please contact .

When using fbs, there are two other projects whose licensing terms you need to obey: qt and one of its python bindings. Qt can typically be used for free under the terms of the LGPL. On the other hand, the pyqt python binding is only available under the GPL. To comply with its license, you need to open source your application itself under the GPL, or buy a commercial pyqt license. You can avoid this by using pyside2 instead of pyqt, but support for it in fbs is not yet as mature as for pyqt.

Under the hood

Instead of reinventing the wheel, fbs builds on well-tested solutions: pyqt to use qt from python, pyinstaller for packaging, NSIS for windows installers, .Deb files on ubuntu. With fbs, you don't have to spend weeks integrating these technologies. It addresses common tasks such as shipping resource files and accessing them from within your application. Finally, it solves edge cases that only occur on some users' systems and would take time to figure out yourself.

Background

Fbs open sources solutions that were originally implemented for the cross-platform file manager fman. Months of fman's development went into creating installers for the various operating systems, code signing and automatic updates. Fbs gives you the same results in minutes instead of months.

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FBS review

Finance brokerage services

Related websites of this company include F-B-S.Com, hotoption.Com and https://fbs.Ae/.

February 2011: the website appears to be blocked in the USA.

Other websites of this company include fibexch.Com, fbs.Ae, fbs.Id, fbsforex.Com, fbs.Cn, jpfbs.Com, esfbs.Com, ptfbs.Com, fbs.Ae, vnfbs.Com etc.

Broker details

Video

Live discussion

Join live discussion of FBS.Com on our forum

FBS.Com profile provided by regina FBS, sep 5, 2019

Working with us is easy, convenient and, most of all, profitable. We are happy to offer exclusive terms unprecedented in the forex market.

Once a client of FBS – always a client of FBS.
Www.Fbs.Com

Permanent promotions:
• $100 bonus - work out for more
• 100% bonus on each deposit
• cashback up to $7 per 1 lot

Partner program:
• $10 commission on EUR/USD
• monthly partner bonus up to $3000
• 3 levels of payments (15% from 2nd level partners and 5% from 3rd level partners)

Family-based treatment (FBT) for eating disorders

Will it work for my family member?

Rachel goldman, phd FTOS is a licensed psychologist, clinical assistant professor, speaker, wellness expert specializing in weight management and eating behaviors.

Todd warnock / getty images

Family-based treatment (FBT, also sometimes referred to as the maudsley method) is a leading treatment for adolescent eating disorders including anorexia nervosa, bulimia nervosa, and other specified feeding or eating disorder (OSFED).

It is a manualized treatment delivered by trained professionals. It is primarily delivered in outpatient settings, although there are some residential and partial hospitalization (PHP) programs that incorporate FBT.

While FBT may not be for every family, research shows that it is highly effective and faster to act than many other treatments.

It should therefore usually be considered as a first-line approach to treatment for children, adolescents, and some young adults with eating disorders.

Alternative approach

FBT represents a radical departure from more traditional treatments. Older theories about anorexia and eating disorders, advanced by hilde bruch and others, ascribed their onset to family enmeshment or other dysfunction within the family. Mothers were believed to be the primary cause of the eating disorders of their children, as they were in the case of schizophrenia and autism.

The typical treatment instructed parents to step aside and turn their children with anorexia over to individual treatment or residential treatment centers—an approach we now know to have been, in many cases, detrimental to both the families and the patients.

Recent research has debunked the theory of parental causation of eating disorders, just as it has for schizophrenia and autism.

Genetic studies indicate that approximately 50% to 80% of a person's risk of an eating disorder is due to genetic factors.

Research

The literature has rediscovered older starvation studies demonstrating that a number of characteristic behaviors of anorexia are actually the result of malnutrition that accompanies anorexia.

It is also believed that many clinicians made a basic selection bias error: observing the dynamics of families as they were seeking treatment, clinicians naturally saw families locked in a life-and-death struggle over food. This struggle is, however, a symptom of the disorder, not a cause—in the years preceding the eating disorder, their dynamics likely looked no different than other families.

Acknowledging that the weight of evidence had shifted, in 2010, the academy for eating disorders published a position paper specifically refuting the idea that family factors are a primary mechanism in the development of an eating disorder. this is a positive shift because it has resulted in the greater inclusion of parents in treatment in general and greater acceptance of and demand for FBT.

FBT vs. Family therapy

FBT should not be confused with the similarly-named but potentially fundamentally different approaches under the umbrella of family therapy. Traditional family therapy often takes the view that the child with an eating disorder is expressing a family problem.

It focuses on identifying and solving that problem in order to cure the eating disorder. This approach has not been supported by research and is challenged by the AED position paper.

In the 1970s and early 1980s, the clinicians at the maudsley hospital in london, england, conceived a very different form of family therapy, treating parents as a resource, not a source of harm. The maudsley team has continued to develop and teach the approach, which they do not refer to as the maudsley approach, but as anorexia-focused family therapy.

Meanwhile drs. Daniel le grange and james lock further developed the model in a manual (published in 2002 and updated in 2013), naming their manualized version family-based treatment (FBT).

The FBT approach is rooted in aspects of behavioral therapy, narrative therapy, and structural family therapy. Lock and le grange have established the training institute for child and adolescent eating disorders, an organization that trains therapists in this treatment and maintains a list of certified therapists and therapists in training.

Principles of FBT

FBT takes an agnostic view of the eating disorder, meaning therapists do not try to analyze why the eating disorder developed. FBT does not blame families for the disorder. On the contrary, it presumes the powerful bond between parents and children and empowers the parents to use their love to help their child.

In FBT, parents are viewed as experts on their child, an essential part of the solution, and members of the treatment team.

In FBT, the eating disorder is viewed as an external force that is possessing the child. Parents are asked to join with the healthy part of the child against the eating disorder which is threatening to take their child away. Full nutrition is viewed as a critical first step in recovery; the role of parents is to provide this nutrition by actively feeding their child.

FBT sessions usually involve the entire family and include at least one family meal in the therapist’s office. This gives the therapist an opportunity to observe the behaviors of different family members during a meal and to coach the parents to help their child eat.

Because patients with eating disorders may present with medical complications, they should be monitored by a physician during the course of treatment.

Three phases of FBT

Phase 1: full parental control. Parents are usually in complete charge of meals as they help their child to reestablish regular patterns of eating and interrupt problematic eating disorder behaviors such as bingeing, purging, and overexercise. If weight gain is indicated, the goal is 1 to 2 pounds per week. The therapist works to empower the parents to take on these tasks and helps the parents learn to manage the child at mealtimes.

Phase 2: A gradual return of control to the adolescent. This phase typically begins once weight is mostly restored, when meals are going more smoothly, and when behaviors are more under control. Control is gradually handed back to the adolescent in an age-appropriate manner: for example, the child may start to have some meals or snacks away from the parent. There can be backsliding and parents may have to reassert control from time to time until the adolescent is fully ready; this is part of the process.

Phase 3: establishing healthy independence. When the adolescent is able to eat with an age-appropriate level of independence and does not exhibit eating disorder behaviors, the focus of treatment shifts to helping them develop a healthy identity and catch up on other developmental issues. Other comorbid problems may be addressed. The family is helped to reorganize now that the child is healthier.

Advantages of FBT

Brain starvation can cause anosognosia, a lack of awareness that one is ill. As a result, there can be a long time lag before the minds of adolescents in recovery are capable of the motivation or insight to maintain their own recovery.

FBT assigns the work of behavioral change and full nutrition to the parents and gives them skills and coaching to meet these goals. As a result, it helps the child to recover even before they have the capacity to do so on their own.

Because it tends to work faster than other treatments, FBT reduces medical repercussions and increases the chances of a complete recovery. It allows the child to remain at home with their parents and is often more cost-effective than residential treatment.

Research on FBT

Research has shown that adolescents who receive FBT recover at higher rates than adolescents who receive individual therapy:

A study out of the university of chicago and stanford shows that at the end of a course of FBT, two-thirds of adolescents with anorexia nervosa have recovered; 75 percent to 90 percent are weight-recovered at a five-year follow-up.

A recent study compared FBT for bulimia nervosa with CBT for bulimia nervosa. The findings indicated that FBT led to faster and sustained abstinence rates for teens.

Preliminary research and case studies also indicate that FBT is an acceptable approach for young adults.

FBT appears to be most effective for families in which the length of illness is less than three years. An early positive response to the treatment (commonly by week four) is prognostic of a long-term successful outcome.

FBT is not for every family

Parents often believe that FBT will not work for them. “my child is too old.” “my child is too independent.” “I’m not strong enough.” “we are too busy.” yet none of these issues have shown to necessarily be a barrier for a successful FBT treatment execution. Research and clinical experience demonstrate that many diverse families are able to successfully implement FBT.

However, it is not for every family. It is rigorous and requires a strong commitment by the family members. It is not recommended for families in which the parents are physically or sexually abusive or are abusing substances.

FBT may not be recommended for families in which the parents are overly critical.

For families where parents tend to be critical, a variation of FBT, called separated FBT, can be a great option. in this approach, the therapist meets only with the parents while the child's weight is monitored by medical personnel.

A word from verywell

The above exceptions represent only a minority of cases. Families who have used this approach are generally very enthusiastic and grateful to have been a part of the solution. Helping to play an active role in your child's recovery can be a very rewarding experience.

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