Emotions and emotion regulation constitute essential constituents of parenting. This chapter assesses central features of parenting through the lens of emotions and emotion regulation. Substantive topics include relations between emotions and emotion regulation in parenting, principles of parenting and emotion regulation, parenting direct and indirect effects in emotion regulation, determinants of emotion regulation in parents (and children), and supports for parent and child emotion regulation.

The YA Behavioral Agreement is collaboratively written by the YA and parents addressing criteria that meet their unique concerns.

The Behavioral Agreement for severe-and-enduring clients with anorexia nervosa and its preparatory worksheets provide a structured-strategic plan of action for adult clients to practice collaboratively with their Support(s). It incorporates client and Support traits to determine what is realistic and unrealistic for long-term change.

Clinicians are recommended to introduce clients to the need for Supports during session 1 when the opportunity is ripe to actualize interdependency, consistency, and biological information inside and outside of treatment. One or more Supports are identified in the first few sessions of treatment, to learn neurobiological information, and participate in treatment goals and skills development to promote consistency outside of treatment.

Treat to the traits with Supports for clients of all ages to manage anorexia nervosa symptoms.

The TBT-S Behavioral Agreement is a framework for action that incorporates client temperament and identified strategies (actions that detail how) to reach their intended goals with their Supports.

Entry into and exit out of TBT-S programs are similar to other transfers from one treatment level of care to another, with additional recommended phone sessions scheduled for questions and answers with clients and Supports. The more detailed the planning and passing of the baton, from a TBT-S program to ongoing ED treatment settings, the more seamless the care reducing vulnerabilities for relapse. The Behavioral Agreement, Trait Profile Checklist, and Toolbox are examples of TBT-S documents sent to ongoing treatment settings to ensure continuity of care and adult clients’ goals of who does what, when, and how for the following weeks and months.

TBT-S utilizes multiple intervention strategies to apply TBT-S principles. These strategies have been developed and adapted over a 10-year period through iteratively integrating client and Support feedback with research findings in the treatment development process to increase accuracy and acceptability. The interventions are (1) neurobiological psychoeducation, (2)experiential learning addressing AN neurobiology and traits for problem-solving activities for clients and Supports, (4) client and Support skills training, (5) meal coaching, and (6) The TBT-S Behavioral Agreement.