Key points

The oversimplification of the complexities of eating disorders in treatment may contribute to poorer outcomes.

Manualized protocols have limitations and can hinder a nuanced understanding and more effective treatment.

Some manualized treatment programs and guidebooks are advancing with more integrative theory and methods.

Since the mid-1980s, I have had the privilege of treating eating disorders and earning recognition as an expert in the field. Over the years, the approach to treatment has evolved significantly, although some important aspects of theory and treatment have either remained consistent or stalled. We have seen advancements in evidence-based treatment modalities beyond Family-Based Therapy (FBT), Cognitive Behavioral Therapy (CBT), and Dialectical Behavior T

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