FBT for CYP AN — MRCPsych Paper B MCQ

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EasyEating DisordersFBT for CYP ANMRCPsych Paper B

A 16-year-old with newly diagnosed anorexia nervosa is medically stable and is being treated by a specialist community eating-disorder service. Family involvement is appropriate and acceptable. Which psychological treatment should be considered first?

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Correct answer: D — Anorexia-nervosa-focused family therapy (FT-AN)

The correct answer is D. NICE recommends considering anorexia-nervosa-focused family therapy (FT-AN) for children and young people with anorexia nervosa, provided family involvement is acceptable and appropriate. Treatment initially supports parents or carers to take a central, temporary role in helping the young person manage eating, before developmentally appropriate independence is restored. Individual CBT-ED is an alternative when FT-AN is unacceptable, contraindicated or ineffective, rather than the preferred initial option in this scenario. MANTRA and SSCM are principally recommended psychological treatments for adults with anorexia nervosa. Guided self-help is used in conditions such as binge-eating disorder and bulimia nervosa and is not a recommended treatment for anorexia nervosa in children and young people.

Reference: NICE. Eating disorders: recognition and treatment (NG69), recommendations 1.3.10–1.3.15. Published 2017; updated 2020. https://www.nice.org.uk/guidance/NG69/chapter/recommendations