Adapting eating disorder focused family therapy for Autistic children and young people with anorexia nervosa: evidence informed, co-produced clinical guidelines

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Duffy, F., Baldoza, S., Baudinet, J., Birch, I., Broadhurst, E., Dimitropoulos, G., Ellison, C., Gillespie‐Smith, K., Loomes, R., Malik, U., Maloney, E., Small, L., Tchanturia, K., Yates, I. T., Nash, F., & Austin, A. (2026). Adapting eating disorder focused family therapy for Autistic children and young people with anorexia nervosa: evidence informed, co-produced clinical guidelines. Eating Disorders, 1-17. https://doi.org/10.1080/10640266.2026.2709604

Publication date: 29 Jul 2026 Added to AutiHub: 5 Aug 2026 Type: Article Article language: English
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Authors

Publication authors
16
Publication authors identified as autistic
1 / 16 (6.2%)
  1. Fiona Duffy
  2. Saffron Baldoza
  3. Julian Baudinet
  4. Ian Birch
  5. Emma Broadhurst
  6. Gina Dimitropoulos
  1. Clare Ellison
  2. Karri Gillespie‐Smith
  3. Rachel Loomes
  4. Umairah Malik
  5. Ellen Maloney *
  6. Lorraine Small
  1. Kate Tchanturia
  2. Iona Thomas Yates
  3. Freya Nash
  4. Amelia Austin

Abstract

Autistic children and young people receiving eating disorder focused family therapy (FT-ED) for anorexia nervosa (AN) are more likely than their non-Autistic peers to require longer and more intensive treatment. Qualitative evidence suggests that Autistic young people and their parents struggle with a perceived inflexible delivery of FT-ED that can be mis-attuned to autistic needs. Clinicians delivering this care report a lack of confidence when adapting FT-ED to this population, and there is limited guidance on how to do this. This paper describes evidence‑informed and coproduced guidelines, developed via a series of workshops with Autistic people with lived experience of an eating disorder, parents and carers, clinicians, researchers, and third‑sector representatives. The intention of these guidelines is to support clinicians in the adaptation of FT-ED for Autistic young people with AN and their families, with the aim of delivering more appropriate and effective care. Young people and their parents or carers may also find these guidelines helpful when advocating for autism-affirming care within FT-ED.

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Cited references
76
Total cited references integrated for this publication.
Cited references with an identified autistic author
6 / 76 (7.9%)
Cited author occurrences identified as autistic
7 / 482 (1.5%)
Among occurrences linked to AutiHub author records: 7 / 139 (5.0%). Distinct cited authors identified as autistic: 4 / 359 (1.1%).
Cited author occurrences linked to AutiHub author records
139 / 482 (28.8%)
Distinct linked cited authors: 72 / 359 (20.1%)
Linked cited-author occurrences not identified as autistic
132 / 139 (95.0%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 132 / 482 (27.4%). Distinct linked cited authors not identified as autistic: 68 / 72 (94.4%).
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