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Phase 1: Reestablishing healthy eating. Treatment
aims at empowering parents to disrupt binge eating, purging, restrictive
dieting, and any other pathological weight-control behaviors. It
also aims to externalize and separate the disordered behaviors from
the affected adolescent to promote parental action and decrease adolescent
resistance to their assistance.
Phase 2: Helping the adolescent eat independently. Once
abstinence from disordered eating and related behaviors has been
achieved, the second stage of treatment begins when parents transition
control over eating and weight-related issues back to the adolescent
under their supervision.
Phase 3: Adolescent developmental issues. The
focus here is on ways the family can help address the effects of
bulimia nervosa on adolescent developmental processes, both on the
adolescent and the family as a whole.