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One More Bite: Wisdom from the Kitchen Table

Posted Oct 21 2008 8:26pm

Welcome to One More Bite. This blog is dedicated to all of those who lives have been touched by an eating disorder—to those who have eating disorders, their parents, siblings, therapists, and all of those who care about them.

I spend my days providing family based treatment (aka “Maudsley therapy”) for eating disorders. This is grueling work for all involved but its effectiveness can be astonishing when witnessed first hand and it continually keeps me coming back for more.

“One more bite” in the language of Maudsley family- based treatment is the measure of a successful meal. It means that the individual with an eating disorder, with the love and support of family, has accomplished a remarkable achievement—eating just one more bite than the eating disorder would have allowed him or her to eat alone. If you have ever witnessed such an event, and the tears and struggle that come with it, you will see the pain of an eating disorder at its most basic level. You will also see the triumph that comes with wrestling it down and making it go away, hopefully forever.

In addition, this blog is an opportunity for us all to get (metaphorically, that is) "one more bite"--reflecting on what happens in the therapy by allowing us to explore thoughts that evolve and simmer over time. One More Bite is a forum for you—whether you have an eating disorder, have a child, sibling, or other loved who struggles, or are a therapist providing guidance to these heroic individuals and families.

We will chronicle the triumphs and disappointments that occur day by day, meal by meal, therapy session by therapy session, in the process of helping a loved one (or oneself) recover from an eating disorder. This blog will also explore the very real challenges of weight maintenance and psychological recovery once weight restoration has occurred and the struggles that families, patients, and therapists face in confronting the eating disorder head on.

If you are not familiar with Maudsley therapy, excellent resources and references are available online . I will refer you to them rather than replicate this work.

Since this is your forum, I ask you to please email me topics that you would like to see discussed. I encourage everyone--patients, siblings, parents and therapists-- to chime in.  Please write to me at:

Thanks for coming and until later, be well.

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