About this course

Learning Objectives

• Differentiate between 2 key FBT concepts and 2 key CBT-E concepts.
• Become familiar with barriers to FBT accessibility, and identify ways to problem solve barriers to FBT accessibility prior to recommending CBT-E treatment. is difficult vs when FBT is inaccessible, leading to a potential recommendation for CBT-E
• Demonstrate an understanding of treatment outcome differences between FBT and CBT-E to appropriatley provide informed consent of services to clients.

Learning Levels

• Beginner

Course Instructor(s)

• Elise Finney

  Program Therapist II

  Elise Finney (she/her), M.Ed., LPCC, is an Adolescent Intensive Outpatient Program Therapist at The Emily Program location in Cleveland, Ohio. She has been working in the field of eating disorder treatment since 2021. Elise has experience in providing individual therapy and group therapy in both outpatient and higher level of care settings. Elise has a bachelor's degree in Human Development and Family Studies with a Concentration in Child and Youth Development and an additional certification in Disability Studies from Kent State University. Elise worked for the Office of Student Accessibility Services at Kent State University while completing her graduate education in Clinical Mental Health Counseling. Following a clinical internship at Cleveland Clinic Foundation - Adolescent Behavioral Health, Elise began her role at TEP and has been a consistent advocate for evidenced based treatment in adolescent care. Elise Finney (she/her), M.Ed., LPCC, is an Adolescent Intensive Outpatient Program Therapist at The Emily Program location in Cleveland, Ohio. She has been working in the field of eating disorder treatment since 2021. Elise has experience in providing individual therapy and group therapy in both outpatient and higher level of care settings. Elise has a bachelor's degree in Human Development and Family Studies with a Concentration in Child and Youth Development and an additional certification in Disability Studies from Kent State University. Elise worked for the Office of Student Accessibility Services at Kent State University while completing her graduate education in Clinical Mental Health Counseling. Following a clinical internship at Cleveland Clinic Foundation - Adolescent Behavioral Health, Elise began her role at TEP and has been a consistent advocate for evidenced based treatment in adolescent care. Elise completed Oxford University's Web-Centered Training in Enhanced Cognitive Behaviour Therapy (CBT-E) for Eating Disorders in January of 2026.

References

• Wilson DR, Withington T, Dalle Grave R, Dalton M. CBT-E following discontinued FBT for adolescents with eating disorders: time for a more individual approach? The Cognitive Behaviour Therapist. 2025;18:e1. doi:10.1017/S1754470X24000400
• Hambleton, A., Le Grange, D., Touyz, S., & Maguire, S. (2025). Advancements in Family-Based Treatment of Adolescent Anorexia Nervosa: A Review of Access Barriers and Telehealth Solutions. Nutrients, 17(13), 2160. https://doi.org/10.3390/nu17132160
• Egbert, A.H., Irizarry, B., Lualdi, E. et al. A qualitative assessment of provider-perceived barriers to implementing family-based treatment for anorexia nervosa in low-income community settings. J Eat Disord 12, 51 (2024). https://doi.org/10.1186/s40337-024-01008-w
• Dalle Grave, R., Calugi, S. Enhanced cognitive behaviour therapy for adolescents with eating disorders: development, effectiveness, and future challenges. BioPsychoSocial Med 18, 18 (2024). https://doi.org/10.1186/s13030-024-00315-7
• Wilson D, Calligeros R, Reavley R, et al. Delivering enhanced cognitive behaviour therapy among adolescents who have previously engaged in family-based treatment – helping the transition from the disease model to the psychological model. The Cognitive Behaviour Therapist. 2025;18:e42. doi:10.1017/S1754470X25100251
• Le Grange, D., Eckhardt, S., Dalle Grave, R., Crosby, R. D., Peterson, C. B., Keery, H., Lesser, J., Martell, C. (2020). Enhanced cognitive-behavior therapy and family-based treatment for adolescents with an eating disorder: a non-randomized effectiveness trial. Psychological Medicine, 1-11. doi:10.1017/s0033291720004407
• Fairburn, C. G., Cooper, Z., Doll, H. A., O’Connor, M. E., Palmer, R. L., & Dalle Grave, R. (2013). Enhanced cognitive behaviour therapy for adults with anorexia nervosa: A UK-Italy study. Behaviour Research and Therapy, 51(1), R2–R8. https://doi.org/10.1016/j.brat.2012.09.010
• Dalle Grave R, Eckhardt S, Calugi S, Le Grange D. A conceptual comparison of family-based treatment and enhanced cognitive behavior therapy in the treatment of adolescents with eating disorders. J Eat Disord. 2019 Dec 31;7:42. doi: 10.1186/s40337-019-0275-x. PMID: 31893120; PMCID: PMC6937631.
• Lock J, Le Grange D, Agras WS, Moye A, Bryson SW, Jo B. Randomized Clinical Trial Comparing Family-Based Treatment With Adolescent-Focused Individual Therapy for Adolescents With Anorexia Nervosa. Arch Gen Psychiatry. 2010;67(10):1025–1032. doi:10.1001/archgenpsychiatry.2010.128
• Couturier, J., Kimber, M. and Szatmari, P. (2013), Efficacy of family-based treatment for adolescents with eating disorders: A systematic review and meta-analysis. Int. J. Eat. Disord., 46: 3-11. https://doi.org/10.1002/eat.22042