Welcome

This site is to inform professionals and families about Intensive Structural Therapy (IST), a powerful psychotherapy model that is extremely effective in dealing with eating disorders and in the treatment of troubled adolescents.

Context magazine cover

Whither family therapy:
the next 50 years

This article by Dr Charles Fishman was included in the 100th edition of Context magazine, published by The Association for Family Therapy and Systemic Practice in the UK.
More about Whither Family Therapy: the next 50 years

About Intensive Structural Therapy

IST is a therapeutic model that works with the consumer, their family, and its larger social context. The therapist pinpoints where the system is stuck by identifying and transforming forces that are acting as a homeostatic maintainer.
More about Intensive Structural Therapy.

Eating Disorders

The IST model of eating disorders works with the sufferer and her family context, addressing destructive patterns such as conflict avoidance, enmeshment, over protectiveness and rigidity. Dr Charles Fishman’s book ‘Enduring Change in Eating Disorders’ provides treatment principles and is documented with up to 20 years of qualitative data.
More about treating eating disorders.

Family Therapy

Intensive Structural Family Therapy is capable of dealing with the role outside institutions and their representatives play in the life of the family. Dysfunctional families are encouraged to become more adaptable and flexible, and to create appropriate boundaries between generations.
More about family therapy.

Adolescent Therapy

IST works with young persons and their pivotal contexts: family, peers, school, and community. Structural family therapy techniques can be successfully applied to delinquency, violence, suicide, runaways and incest.
More about adolescent therapy.

Training & Consultation

Dr. Fishman has extensive experience in developing training programs, supervising clinicians and establishing new treatment services. He has conducted hundreds of workshops and presentations across the United States and abroad.
More about training & consultation.

Charles Fishman’s latest book

Enduring Change in Eating Disorders - cover

Enduring Change in Eating Disorders - Interventions with long-term results

This book presents the powerful and proven effective model of Intensive Structural Family Therapy and its application to the treatment of eating disorders.

More about Enduring Change in Eating Disorders >>

RSS NZ Eating Disorder Specialists weblog

  • General Systems Theory and Eating Disorders. January 27, 2012
    General systems theory refers to the inter-connectivity of all things. This theory developed in the middle part of the last century; it states that everything is connected. Cause and effect are a circle. Each effect causes another cause which causes another effect and so on. Think about that in regards to your own life. A […]
  • Taking Care of Your Healthcare January 19, 2012
    There has been an increasing movement over the last few years of patients and families taking more control of their own health. For so many years the responsibility of a person’s health has been given to the healthcare provider. As such, much healthcare is long after prevention. Opportunities for prevention are lost and what is […]
  • Two Week Challenge January 12, 2012
    Change is difficult for everybody. Trying to change long term behavioural patterns, such as eating disorders, can seem impossible. The Two Week Challenge can help. Over a two week period, using the worksheet on this website, track your eating disorder symptoms and what is happening in your life when these symptoms or thoughts occur. Find […]