Why CBT for Eating Disorders Is Often the Treatment of Choice

CBT-E, enhanced cognitive behavioral therapy, is an evidence-based treatment for eating disorders. It’s based on the premise that eating disorders share common features such as the restrict/binge cycle which perpetuates disordered eating and over-evaluation of weight and shape. The enhanced portion of CBT for eating disorders focuses on low self esteem, relationship problems and clinical perfectionism. The development and research of CBT-E is done by Dr. Christopher Fairburn et al at Oxford University in England. See more about CBT-E here.

Is CBT Effective for Eating Disorders?

CBT focuses on the present, rather than past events and experiences. It is a therapy that helps us understand the connection between our thoughts, feelings and behaviors. When I use CBT in sessions with clients, I point out cognitive distortions, help them challenge and reframe thoughts — and confront negative core self beliefs. With eating disorders, we question the diet mindset, explore self beliefs about weight and shape, and change behaviors including practicing regular eating.

How CBT-E Helps Address Trauma, Depression, and Anxiety in Eating Disorder

Along with CBT-E, some clients may need to address trauma that began around the time of the eating disorder. Some clients also need help managing depression and/or anxiety symptoms along with the eating disorder. Exploring childhood trauma or early messages around body image and dieting can be beneficial to pinpointing the origin of the cognitive distortions.

We also explore depression symptoms such as low self esteem, low motivation and low mood. CBT is also effective in managing depression and anxiety by challenging negative thoughts, creating alternate, more helpful thoughts and changing a person’s mindset. To learn more about CBT-E for eating disorders, check out this study from the National Library of Medicine.

Ready to take the next step? Schedule your free and confidential consultation with me today.