1-1 Specialist Eating disorders therapies and interventions I Offer

Cognitive Behavioural Therapy for Eating Disorders (CBT-E)

CBT-E is a structured, evidence-based therapy recommended as a first-line treatment for many eating disorders in adults.

This approach helps you to:

  • Understand the patterns that are maintaining your difficulties
  • Develop a more regular and balanced relationship with food
  • Reduce behaviours such as restriction, bingeing, or purging
  • Address unhelpful thoughts about weight, shape, and self-worth

CBT-E is collaborative and practical. We work together as a team, focusing on gradual, meaningful change that supports long-term recovery.

MANTRA (Maudsley Anorexia Nervosa Treatment for Adults)

MANTRA is a specialist therapy developed for adults experiencing anorexia.

It focuses on:

  • Understanding perfectionism, anxiety, and rigid thinking styles
  • Exploring identity and self-worth beyond the eating disorder
  • Increasing motivation and readiness for change
  • Developing emotional and interpersonal flexibility

This approach is reflective, supportive, and paced according to your needs.

SSCM (Specialist Supportive Clinical Management)

SSCM combines psychological support with practical guidance.

It focuses on:

  • Improving physical health and nutritional stability
  • Supporting regular eating patterns
  • Enhancing day-to-day wellbeing and functioning
  • Providing a consistent, supportive therapeutic relationship

SSCM is often helpful when a more flexible, supportive approach is needed.

CBT for ARFID

Psychological therapy for ARFID is not currently included in the NICE guidelines for eating disorders. ARFID is generally understood to have three key drivers: sensory sensitivity or sensory-based food avoidance, fear of adverse consequences such as choking or vomiting (fear-based avoidance), and a low interest in food or reduced appetite. Cognitive Behavioural Therapy (CBT) is the primary therapeutic approach used.

Cognitive Behavioural Therapy (CBT) can be beneficial for individuals with Avoidant/Restrictive Food Intake Disorder (ARFID) as it works to address the thoughts, emotions, and behaviours that maintain food avoidance. CBT for ARFID is typically adapted (often referred to as CBT-AR) because the difficulties involved are usually not related to body image or weight concerns. Instead, they often stem from factors such as sensory sensitivities, fears around choking or vomiting, or a consistently low interest in eating.

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CBT-T (Ten-Session Cognitive Behavioural Therapy)

CBT-T is a brief, structured form of cognitive behavioural therapy designed for people experiencing eating disorder difficulties, particularly when a shorter course of treatment is appropriate.

It is based on the same principles as CBT-E but delivered in a more focused, time-limited format.

What it focuses on:

CBT-T helps you to:

  • Understand the key patterns maintaining your eating difficulties
  • Begin to establish more regular and flexible eating habits
  • Reduce unhelpful behaviours such as restriction, bingeing, or purging
  • Challenge rigid rules around food, weight, and body image
  • Build practical coping strategies for difficult thoughts and emotions

Learn more about Evidence based therapies for eating disorders by following the link: http://www.nice.org.uk/guidance/ng69/chapter/Recommendations

Occupational Therapy with Eating Disorders

Occupational therapy in eating disorder treatment can be understood as both a therapeutic approach and a set of practical interventions. It focuses on helping individuals re-engage with everyday activities, supporting recovery by rebuilding daily routines, independence, and confidence in day-to-day life.

OT focuses on practical support such as:

  • Re-establishing regular eating, sleep, and daily structure
  • Supporting food-related skills like shopping, cooking, and eating in different environments
  • Gradually reducing avoidance of situations linked to anxiety or eating difficulties
  • Encouraging return to work, education, social life, and hobbies
  • Developing coping strategies to manage distress without using eating disorder behaviours
  • Supporting sensory needs that may affect eating experiences

Occupational therapy helps people move beyond the eating disorder by rebuilding daily functioning, routines, and meaningful activities, alongside psychological and medical treatment.

Learn More About Occupational Therapy >>

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Find out more about how I work. Get in touch to book a session. Learn more about therapy for eating disorders.

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