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Cognitive Behavioural Therapy - Enhanced for Eating Disorders (CBT-E)

The National Institute of Health and Care Excellence (NICE, 2017) guidelines recommend Cognitive Behavioural Therapy - Enhanced for eating disorders (CBT-E) as the leading treatment for eating disorders.

What is CBT-E?

CBT-E is a specialised type of CBT tailored for eating disorders including but not limited to anorexia, bulimia and binge eating. It is based upon the premise that an individual’s thoughts, behaviours, and feelings are all connected and influence one another. Eating disorders are typically characterised by over-valued beliefs about shape and weight and self-critical thoughts. This often results in unhealthy behaviours around food (including food restriction, binge eating and/or purging). In turn, this influences an individual’s emotions, and can lead to feelings of anxiety, shame, and/or low mood. The aim of CBT-E is to identify and address any unhelpful thought patterns/beliefs and behaviours around food and body image, in order to increase feelings of contentment, self-worth, and happiness. We offer a private CBT-E service from our London clinic, run by experienced professionals who run video calls with clients located around the country.

CBT-E for Anorexia

We adapt our cognitive behavioural therapy to work with the specific needs of people with anorexia. Our therapists use behaviour-based strategies to help clients begin the process of establishing regular eating patterns, and slowly increase exposure to problem foods. With a compassionate and person-centred approach, we help clients to improve their relationship with their body, and find the motivation they need to make lasting changes.

CBT-E for Binge Eating 

Cognitive behavioural therapy – enhanced is the leading evidence-based treatment for binge eating disorders. The therapists at our London clinic work with clients to identify emotional and physiological triggers, and develop new behaviours in response to binge urges to establish positive changes. We help clients find alternative ways to manage difficult emotions, and to develop a healthier relationship with food. 

CBT-E for Bulimia

Our team in London work together with clients to interrupt binge-purge cycles, progressing at the individual’s pace to replace this with healthy behaviours around food and body image. With specialised CBT for bulimia, we help clients to understand the root causes of bulimia and associated behaviours. This helps us to find the best way forward in a way that is tailored to each person’s individual needs. 

What does private CBT-E involve?

  • Co-developing an understanding of what may have led to eating or body image difficulties and what may be keeping these difficulties going.

  • Recording food intake to observe any patterns or triggers to disordered eating behaviours.

  • Psychoeducation and nutritional advice regarding the effects of food restriction on the body and the importance of eating enough and a variety of foods.

  • Adopting regular eating habits.

  • Reintroducing avoided or feared foods.

  • Learning healthy ways to manage difficult emotions.

  • Learning tools to improve body image and increase self-esteem.

  • When a regular pattern of eating has been established, working towards a sustainable healthy relationship with food by listening to internal hunger fullness signals (also known as "intuitive eating").

To book your free 10-15 minute phone consultation with one of our private CBT practitioners in London, please complete the contact form below, with information about what you would like to work on during treatment. 

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