Episode 60: Temperament-Based Therapy with Supports (TBT-S) with Dr. Laura Hill

Peace Meal

Episode description: Dr. Laura Hill is an international eating disorder consultant focusing on brain-based eating disorder treatment approaches. She is an Adjunct Associate Professor of Psychiatry and Behavioral Health at The Ohio State University and Assistant Clinical Professor in the Department of Psychiatry at The University of California, San Diego. She is one of the original founders of the Academy for Eating Disorders and the Director of the organization now known as NEDA from 1990 to 1994. In addition, Dr. Hill is the founder and former President and Chief Executive Officer of The Center for Balanced Living. In this episode of Peace Meal, Dr. Hill introduces an emerging brain-based treatment called Temperament-Based Therapy with Supports (TBT-S). TBT-S helps people with eating disorders understand their unique temperament so that they can use it as a tool for recovery. Distinguishing between traits and symptoms, Dr. Hill explains that temperament includes traits like impulsivity, introversion, and determination, while symptoms include eating disorder behaviors, thoughts, and emotions. She emphasizes that temperament traits are neither good nor bad; what’s important is how they are applied. TBT-S helps people with eating disorders and their support people use their traits more productively to aid in recovery. Dr. Hill also talks about the importance of support in treatment and recovery. In the end, she addresses how providers can use TBT-S to complement other treatment approaches. We cover: The basics of Temperament-Based Therapy with Supports (TBT-S) How TBT-S is supported by brain research How people with eating disorders can use TBT-S to express their traits more productively and aid in their recovery The role of support people in the TBT-S model How TBT-S differs from and complements other treatment modalities In Dr. Hill’s words: On the traits we’re all given: “Traits are genetically endowed. You don’t get to choose your trait, you just try to make them better.” On the importance of temperament to eating disorder treatment: “What we are finding is that eating disorders have a huge relapse… Our theory is that the relapses are due to us not addressing the traits enough.” On the difficulty of imagining life without an eating disorder: “When clients say, ‘I can’t imagine my life without ED,’ they were telling us the truth. I can’t imagine my life without my traits because it’s who I am.” Learn more about The Emily Program online or by calling 1-888-364-5977. — About the podcast: Peace Meal is a podcast hosted by The Emily Program and Veritas Collaborative that covers topics related to eating disorders, body image, and how society may influence our thinking. You can find Peace Meal on Apple Podcasts, Spotify, or Google Podcasts. If you enjoy our show, please rate, review, subscribe, and tell your friends! Are you interested in being a guest on Peace Meal? Email [e-mail] for more information.