TBT-S Training 2023

EDFA welcomes a return to face to face training in TBT-S

Level 1 Clinician Training

TBT-S Level 1 is a one-day introduction to this novel treatment. 

Level 2 Clinician Training

TBT-S Level 2 is a three-day training focusing on clinician practice and application of TBT-S tools. 

Half Day Workshop for Carers

This half-day training and discussion will introduce Carers  (Supports) to TBT-S tools, approaches and information to help their loved one with an eating disorder

Training delivered by internationally acclaimed clinicians Dr Laura Hill and Dr Stephanie Knatz-Peck

TBT-S is designed to build upon other Eating Disorder (ED) therapies, addressing neurobiological alterations, treating to the traits, and including Supports for clients of all ages.


Melbourne 1 Day Level 1 or 4 day Level 2 – Week of February 20, 2023

Brisbane – 1 Day Level 1 or 4 Day Level 2 – Week of February 27, 2023

Perth* – 1 day Level 1 or 4 Day Level 2 – Week of March 7, 2023

*Note, this is the same training as the Brisbane program but is not being managed by EDFA

Read feedback from our 2019 sessions here

More about TBT-S

TBT-S (Temperament Based Therapy with Supports) is eating disorder treatment for children, adolescents and adults. 

When working with children, TBT-S is applied with FBT as the backbone.  

When working with older adolescents and adults, TBTS builds on the  modalities;

temperament based therapy for anorexia in adults and adolescents
  • Integrated Cognitive Affective Therapy (ICAT)
  • Dialectical Behavioral Therapy (DBT),
  • Radically Open Dialectical Therapy RO-DBT
  • Enhanced Cognitive Behavioral Therapy (CBT-E)
  •  Family Based Therapy (FBT)
  • Interpersonal Therapy (IPT)
  • Acceptance and Commitment Therapy (ACT),  


TBT-S does this by addressing neurobiological alterations, treating to the traits, and including Supports.

Originally from the US, TBT-S recognises that family and carers are central to recovery, as this treatment acknowledges and embraces the family in the treatment process.  TBTS is now being applied in Australia, through Europe and in South America.

TBT-S uses experiential therapy to help the person with an eating disorder (and their support people) understand how their symptoms can be explained by their temperament – an umbrella term involving biology, brain functioning, genetics and personality traits’.

Currently there is no eating disorder treatment that specifically addresses the biological temperamental factors that are fundamental to eating disorders. 


There is no current eating disorders therapeutic approach that explains why these factors are expressed in a common way in those with eating disorders compared to those who do not have this illness.

In addition, just as it is easier to address one small problem at a time, it has been easier to treat one individual at a time.  However, since eating disorders have been proven to be a biologically based mental illness, the complexities of the illness require more specialized treatment and more persons present to manage and reshape the illness. 

Supports (family and/or friends) are critical in the treatment process of eating disorders, especially anorexia nervosa, for both adolescents and adults due to the usually present egosyntonicity and lack of motivation . Supports need to know the why, how, when and what of the illness, along with their loved ones, in order to know what to do and what not to do to work with these challenges. (See: Innovations in Family Therapy for Eating Disorders Novel Treatment Developments Patient Insights and the Role of Carers )

A new treatment approach has been developing over the past twelve years and tested in open trials over the last eight.  It is now available for clinicians.  The research findings have found significant acceptability and feasibility both at the end of treatment and follow up.

As of 2018 the new treatment has been named: Temperament Based Therapy with Supports (TBT-S).  This therapeutic approach addresses the temperamental contributing and maintaining factors of eating disorders which include genetic, neurobiological, character traits and other biological factors; and includes families/supports in the treatment process.  This treatment originated and was developed by Walter Kaye, MD, Stephanie Peck, PhD and Christina Wierenga, PhD at The Eating Disorders Center for Treatment and Research at UC San Diego and Laura Hill, PhD at The Center for Balanced Living in Columbus, Ohio, USA.   

The TBT-S Manual has been published; it contains four sections with 26 topics that discuss the topic and the learning outcomes the reader needs to achieve. 

Training Course Reference

The TBTS Manual will be the reference for the training.  Clinicians are required to have the book with them at the workshop. It is recommended Carers have the book with them at the workshop.

Registrants will receive a 20% discount code from Cambridge University Press for purchase of the TBT-S Manual – code details will be emailed after registration.

The book can be purchased at:

Cambridge University Press


TBT-S is unique in the following ways :

  • The way it uses neurobiological understandings to work therapeutically with the person with the eating disorder
  • Treating to traits
  • Upskills the persons support network to allow for them to proactively support recovery; and 
  • Brings together family/support units in a multi-family format to treat multiple persons at the same time while also drawing on the benefits of peer support and learning.

Find more information on the extensive research on TBT-S here.

How the training works

Drs Laura Hill and Stephanie Knatz-Peck have earnt reputations as outstanding presenters and trainers.  They have mastered the capacity to unpack complex concepts and deliver them in digestible and engaging ways.  Their sessions are highly interactive and experiential, creating the desired cognitive learning and affect to the paradigms needed to adapt the concepts of TBT-S into the clinical work and the support work.

These outstanding presenters are renowned for their warmth and humility with any group they have worked with.

 Learn more about Dr Laura Hill and Dr Stephanie Knatz-Peck


Those who complete day 1 will attain accreditation as TBT-S Introductory Level 1 Training.

This is a one-day introduction to the breadth and depths of TBT-S.

Those who complete the 4-day training will attain accreditation as TBT-S Intermediate Level 2 Training.

The additional three days involves practicing TBT-S clinical tools to apply in outpatient through residential levels of care.  It is open to clinicians only.  

Level 3 of TBT-S Training will be offered virtually as follow up to all interested who complete Level 2. It consists of 2-hour segments of supervision one time a month over four months. 


For details about the Program and to discuss suitability for you or your practice, contact EDFA’s TBT-S Team Leader, Don Irvine at don.irvine@edfa.org.au

For booking or administrative queries please contact tbt-s@edfa.org.au

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