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

  • From M on “Bulimic since 14″ to Sheryl June 28, 2009
    Hi Sheryl, You are not alone. I understand completely how you feel. I was anorexic at age 12-14 and then became bulimic and have lived with this ‘controlling’ disease for over 24 years. I, like you, am intelligent and energetic, once with a strong willpower but completely helpless to this disease. For years and years I have [...] […]
  • letter from Michelle February 3, 2009
    Hi I have been bulimic for over 14 years. I have tried counseling. I have been to group therapist. I have been in hospital twice. Once I almost lost my life. I know I have a serous problem but I can’t stop. I am a solo mum. I have suffered from clincal depresson and PTSD [...] […]
  • Dieting under stress December 9, 2008
    Perhaps this is the dieting breakthrough you’ve been waiting for? This diet is designed to help you cope with the stress that builds up during the day. BREAKFAST Half of a grapefruit 1 slice whole wheat toast, dry 8 oz. skim milk [...] […]