What is Integrative Modalities Therapy (IMT)?
IMT is a comprehensive collection of evidence-based interventions for eating disorders in adolescents.
IMT includes the following:
Structured family sessions that include the use of IMT handouts (e.g. a list of treatment rules, suggestions for ways to manage difficult behavior, how to shape recovery behavior etc.)
A simple way to code both adaptive & unhelpful parental behavior during in session family meals or snacks
Guidelines on sharing that feedback with parents to promote adaptive meal-time behavior
Weekly evaluations that assess the frequency of IMT-specific behavioral treatment targets for both the patient (e.g. eating disorder behavior, recovery behavior, skill usage, etc.) and parent
Easy-to-use food and behavior logs for the parent to complete
Clearly written IMT Handouts on "Earned Freedoms," or food responsibilities a patient may earn over time
A systematized protocol for giving responsibilities back to the adolescent once weight is restored
Adolescent friendly group exercises aimed at accepting parental control over food
Adolescent friendly group exercises that encourage recovery-oriented behavior in early treatment
Adolescent friendly CBT group exercises that teach patients to identify & dispute eating disordered thoughts
Adolescent friendly CBT group exercises aimed at coping with fat talk and thin ideal messages
Individual session guidelines to giving patients a replacement behavior to the restriction and avoidance of food: regular and appetitive eating (RAE), the practice of eating three square meals per day (with snacks)and according to one's own hunger and fullness cues
A focus on body acceptance and exposure (BAE) exercises conducted once the patient is weight restored & equipped with skills
And a lot more!
Even further, the IMT Clinican’s Manual includes:
A guide to selecting the most appropriate IMT interventions
A guide, based on patient's progress in treatment, for graduating a patient to different IMT interventions
A guide on how to administer both IMT handouts and IMT Measures
Sample IMT Material: