The experience of siblings attending multi-family therapy for adolescent eating disorders is a complex, often overlooked aspect of treatment for such challenging conditions. Adolescent eating disorders, which include anorexia nervosa, bulimia nervosa, and binge-eating disorder, do not only affect the individuals diagnosed but also have far-reaching effects on their families. The study conducted by Funderud et al. delves into the profound and often unspoken experiences of siblings who engage in multi-family therapy tailored for adolescents battling these disorders. Understanding their perspective is crucial for developing holistic treatment approaches aimed not only at the individual but at strengthening family dynamics and support systems.
Through a mixed-methods approach, this research reveals the intricate emotional tapestry that siblings navigate while attending these therapy sessions. Multi-family therapy, designed to involve several families in a shared therapeutic setting, serves to address the eating disorder’s impact comprehensively. While the primary focus often rests on the adolescent, this research shifts the lens to the siblings, capturing their feelings, thoughts, and the very essence of their experiences in a therapeutic space often fraught with tension and vulnerability.
As the study unfolds, it paints a vivid picture of the myriad reactions siblings face while supporting their affected brothers and sisters. Feelings of jealousy, confusion, anger, and protectiveness can swirl together, creating an emotional storm that is challenging to navigate. Many siblings may feel overshadowed by their sibling’s needs, grappling with their own feelings of neglect or guilt about their frustrations. By articulating these emotions within the therapeutic context, they find validation and support, essential for their emotional health.
Importantly, sibling participation in multi-family therapy empowers them to voice their own experiences and needs in the recovery process. The family dynamic often shifts when one member faces an eating disorder, and revealing the emotional burden that siblings carry can illuminate the path toward healing for everyone involved. Therapy sessions foster an environment where siblings can openly discuss their fears and feelings of inadequacy, thereby promoting empathy and understanding not only toward the afflicted sibling but also within the broader family context.
The support that siblings provide during treatment, as illuminated in this study, proves invaluable. They often become informal caregivers, navigating their own feelings while simultaneously attempting to be a rock for their sibling. Experiences shared during therapy sessions allow for a collective understanding of their roles and encourage siblings to articulate boundaries, which can be both a source of comfort and a protective measure. This empowerment is crucial; by fostering their own identities separate from the eating disorder, siblings learn essential skills for resilience.
Additionally, the inclusion of siblings in therapy alters the trajectory of recovery for the adolescent. Having a broader support system in the therapeutic landscape aids in reinforcing positive behaviors and encouraging recovery outside of formal treatment sessions. A collaborative focus on mutual understanding fosters collaborative recovery efforts, potentially leading to better outcomes for the individual struggling with the eating disorder.
While the therapeutic journey is laden with challenges, it is also a space ripe for growth. The siblings participating in multi-family therapy often share stories of transformation — not only in their relationship with their affected sibling but also in their self-perception. They report gaining insights into their own emotional responses and fostering a sense of agency that empowers them to navigate their personal hurdles alongside supporting their sibling. This insight can transcend the immediate context, equipping siblings with lifelong skills and perspectives.
The narrative of healing moves beyond the confines of individual family units, reflecting broader societal implications. Communities can rally to support affected families, promoting awareness around eating disorders and their ramifications. Engaging in dialogue not only normalizes the experience but builds a support network that frees siblings from the isolated struggles traditionally tied to familial mental health challenges. The study emphasizes the importance of awareness, encouraging communities to engage and support families as they navigate the murky waters of adolescent eating disorders.
As the findings encourage wider conversations about the needs of siblings, they also highlight the gaps in current therapeutic practices. Traditional therapeutic models often overlook the significant role siblings play, focusing predominantly on the individual in crisis. Integrating siblings into treatment plans not only caters to their needs but reshapes how recovery is conceptualized within family therapy. Expanded therapeutic frameworks could position siblings as crucial allies rather than sidelined supports, enriching the recovery process for all involved.
The study conducted by Funderud et al. serves as a reminder that mental health treatment for adolescents encompasses the entire family system, not just the individual. It challenges clinicians to reconsider their approaches and integrate siblings as key players in the recovery narrative. By recognizing the collective effort necessary for healing, it is possible to cultivate a more comprehensive, effective treatment milieu that addresses the needs and experiences of all family members.
As more families engage in multi-family therapy, the recognition of the sibling experience can lead to future advancements in therapeutic practice. This ongoing conversation fosters an environment in which the experiences of siblings are validated and acknowledged, ultimately enriching the discourse on adolescent eating disorder treatment. Continued research will be critical in shaping the future of care, as understanding the sibling experience becomes central to helping families navigate and overcome the challenges associated with these disorders.
In conclusion, the revelations unearthed in this study illuminate the profound impact that siblings experience when engaged in multi-family therapy for eating disorders. The emotional landscape navigated by siblings merits attention in its own right and demonstrates how vital they are in the recovery journey. As society continues to grapple with the nuances surrounding eating disorders, the sibling narrative provides an essential lens through which to view family therapy. By embracing this perspective, clinicians can foster a more inclusive, supportive recovery environment that enriches the lives of all family members while addressing the complexities of adolescent mental health.
Subject of Research: Sibling experiences in multi-family therapy for adolescent eating disorders.
Article Title: The experience of siblings attending multi-family therapy for adolescent eating disorders: a mixed-methods study.
Article References:
Funderud, I., Hage, T.W., Skjønhaug, J. et al. The experience of siblings attending multi-family therapy for adolescent eating disorders: a mixed-methods study.
J Eat Disord (2025). https://doi.org/10.1186/s40337-025-01502-9
Image Credits: AI Generated
DOI: 10.1186/s40337-025-01502-9
Keywords: Siblings, multi-family therapy, adolescent eating disorders, mixed-methods study, family dynamics, emotional support.

