Common Misunderstandings About CBT-E for Eating Disorders

"CBT-E is an evidence-based psychological treatment designed specifically for eating disorders. Unlike therapies tied to a single diagnosis, it takes a "transdiagnostic" approach, meaning it works across anorexia nervosa, bulimia nervosa, binge eating disorder, and related conditions. Rather than being a rigid manual, CBT-E is guided by a formulation-a personalized diagram of the psychological mechanisms that keep the eating disorder going. Therapists and patients use this map to identify and address maintaining mechanisms, replacing them with healthier, more flexible ways of thinking, coping, and eating."

"Eating disorders are among the most misunderstood mental health conditions. Despite decades of research and advancements in treatment, myths persist in shaping care and influencing patients' experiences. I am a coauthor of a new paper in The Cognitive Behaviour Therapist that sheds light on enhanced cognitive behavior therapy (CBT-E), one of the most effective therapies for eating disorders. It explores the misconceptions that hinder its wider use."

"The authors highlight 10 common misunderstandings about CBT-E. Their aim is not to criticize clinicians or patients but to encourage open conversations, flexibility, and confidence in a therapy that has helped many people recover. What is CBT-E? CBT-E is an evidence-based psychological treatment designed specifically for eating disorders. Unlike therapies tied to a single diagnosis, it takes a "transdiagnostic" approach, meaning it works across anorexia nervosa, bulimia nervosa, binge eating disorder, and related conditions."

Enhanced cognitive behavior therapy (CBT-E) is an evidence-based, transdiagnostic treatment for eating disorders including anorexia, bulimia, and binge-eating. CBT-E uses individualized formulation maps to identify and address psychological mechanisms maintaining disordered eating, replacing them with flexible thinking, coping, and eating patterns. The therapy targets thoughts, feelings, and behaviors rather than focusing solely on eating habits. CBT-E is adaptable across ages, body sizes, and treatment settings and has proven effectiveness. Ten common misconceptions about CBT-E can discourage clinicians from offering it or make patients less likely to start treatment.

Read at Psychology Today