Behavioral Integrative Treatment & Evaluation (BITE) is a new comprehensive behavioral approach to the treatment of anorexia nervosa in adolescents. We consider BITE “integrative” in three main respects: 1) BITE comprehensively integrates many behavioral treatments with novel interventions, 2) tailored evaluations of BITE-specific behavioral treatment targets are integrated with therapy, and 3) BITE is pragmatically designed for easy integration into your current practice. In short, BITE is quite true to its name! When administered in full, Comprehensive BITE includes family, group, and individual treatment modalities.
Introduction to BITE Family Therapy
BITE Family Therapy is conducted in two distinct stages. In stage 1, the parents take all control over preparing and serving food. The adolescent with the eating disorder is monitored during and after meals to ensure meal completion and retention. Once eating disorder symptoms have remitted, parents gradually and systematically give food responsibilities back to the adolescent, according to the therapist's strict recommendations.
How is BITE Family Therapy Different?
BITE Family Therapy is different from standard treatment for eating disorders in several key ways. First, with the use of BITE assessments, families and therapists have weekly check-ins on a standardized list of specific behaviors . Further, the way BITE is structured, parents have the experience of being verbally reinforced for engaging in adaptive behaviors during the family session. BITE offers an easy way to code both adaptive and maladaptive parental feeding practices.