In my work supporting families navigating eating disorder treatment, I’ve seen how deeply family involvement can shape a person’s recovery, whether younger or older — for better or worse. And yet, too often, families are underused, misunderstood, or sidelined altogether.
Here’s what I wish every provider knew about bringing families into the fold more effectively — and why it matters:
1. Families Aren’t the Problem — They’re Part of the Solution
Yes, family dynamics can be complex. But excluding or minimizing the family’s role almost always leaves parents feeling helpless, anxious, or blamed — even when they’re trying their best. When given appropriate structure and education, families can become powerful recovery allies.
2. “Support” Doesn’t Mean “Fix It on Your Own”
Parents don’t need to become therapists. But they do need practical skills— how to respond to resistance, when to push versus back off, and how to stay grounded when fear takes over. Too often, families are told to “support” without being shown how. Learning the how is what makes the difference.
3. Family Involvement Should Be Part of Any Eating Disorder Treatment
Family-Based Treatment (FBT) is a highly recommended approach for children and adolescents — but family work shouldn’t stop there. Whether a child, of any age, is in individual therapy, group treatment, or a higher level of care, there are always meaningful ways for families to support their child.
Family collaboration can reduce treatment dropout, improve outcomes, and ease transitions. It’s not all-or-nothing. Even outside of FBT, providers can invite families into the process without losing clinical boundaries. Every treatment modality benefits when the family is part of the process. When providers create space for family voices, it strengthens the entire system of care.
4. Sometimes Families Need Their Own Consultant
Not every provider has the time, training, or capacity to guide families through the maze of treatment options, misaligned recommendations, or the emotional intensity of navigating an eating disorder. Parents often find themselves trying to decode conflicting advice while managing the very real fear of their child’s illness — including the manipulative, confusing voice of the eating disorder itself. Families often find it helpful to seek specialized consultation, as well as collaboration for treatment teams — to help ensure the right questions are being asked, the right care is being pursued, and the family’s voice remains strong and centered throughout the process.
If you’re a provider looking to support families more effectively — or you have a client whose parents are struggling to stay engaged — I’d love to work together. Helping families feel confident, informed, and empowered makes your work easier too.