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Table 3 Narrative Synthesis: From onset to recovery

From: Exploring the effects of a family admissions program for adolescents with anorexia nervosa

Theme Experience
Progressive Intensification of AN Quick escalation of symptoms
Series of failed treatment attempts and/or hospital inpatient admissions
Unsuccessful engagement with FBT
Fracturing of the family unit Parents differing in opinion on severity, nature and appropriate treatment of illness
Family members each feel isolated
Family unit disconnected
Crisis point reached AN reaches extreme level
Family unit disconnected
Family at ‘rock-bottom’
FAP accepted as last-resort option
Participation in FAP Re-integration of family unit
Positive experience overcoming AN
Insight and motivation to fight AN
Ongoing process of recovery Re-engagement with FBT
Ongoing process of improvement from AN, with periods of relapses and remissions