Eating Disorders Counselling in Gateshead

Photo of Jennifer Cottam - Talk Works, Psychologist, HCPC - Clin. Psych.
Talk Works
Psychologist, HCPC - Clin. Psych.
Life is hard. Talking helps. Talk Works deliver counselling, CBT, EMDR and psychology to individuals who require mental health support. Therapy offers you a safe, confidential place to talk about your life and anything that may be distressing. Whenever we get people talking, great things happen.
Life is hard. Talking helps. Talk Works deliver counselling, CBT, EMDR and psychology to individuals who require mental health support. Therapy offers you a safe, confidential place to talk about your life and anything that may be distressing. Whenever we get people talking, great things happen.
0191 743 4109 View 0191 743 4109
Photo of Julie Campbell - North East Counselling Services, Counsellor, MBACP
North East Counselling Services provide counselling to anyone aged 4+ using our team of experienced counsellors. We provide counselling for couples in addition to individuals. We believe that getting you the right counsellor is important to your progress which is why we carry out an assessment then allocate you to the most appropriate counsellor, not just whoever is available. We've got a team of around 50 counsellors and 98% of our clients have said that our counselling helped them.
North East Counselling Services provide counselling to anyone aged 4+ using our team of experienced counsellors. We provide counselling for couples in addition to individuals. We believe that getting you the right counsellor is important to your progress which is why we carry out an assessment then allocate you to the most appropriate counsellor, not just whoever is available. We've got a team of around 50 counsellors and 98% of our clients have said that our counselling helped them.
01757 605682 View 01757 605682
Photo of Val Adlparvar - Jesmond Therapy Centre, Counsellor, MA, MBACP Accred
Jesmond Therapy Centre
Counsellor, MA, MBACP Accred
Serves Area
We welcome you to a safe space....Coming for therapy can help you to identify what the issues are so that you can feel better about yourself, your relationships, your work and your life. All of our therapists are independent private practitioners with a great deal of experience of working with a vast range of issues in a variety of settings. We offer a wide range of daytime, late evening & Saturday appointments to fit around your busy schedule . If you're coming to us by car, we have free on-street parking and we are a few minutes walk from the nearest bus stop & metro stations.
We welcome you to a safe space....Coming for therapy can help you to identify what the issues are so that you can feel better about yourself, your relationships, your work and your life. All of our therapists are independent private practitioners with a great deal of experience of working with a vast range of issues in a variety of settings. We offer a wide range of daytime, late evening & Saturday appointments to fit around your busy schedule . If you're coming to us by car, we have free on-street parking and we are a few minutes walk from the nearest bus stop & metro stations.
0191 743 1447 View 0191 743 1447
Photo of Dr Christine Price, Psychologist, PsychD, HCPC - Clin. Psych.
Dr Christine Price
Psychologist, PsychD, HCPC - Clin. Psych.
Serves Area
With over 25 years of qualified experience as a Clinical Psychologist, I have treated a wide range of difficulties. Whether you're dealing with professional burn out or mental health issues, my career has been about helping people with all kinds of challenges. These include anxiety and panic; depression; health anxiety; intrusive thoughts, obsessive compulsive disorder; work stress/burn out; personal stress; adjustment to life transitions; coping with chronic illness; relationship issues; bereavement and loss; emotional regulation, self-esteem issues as well as others.
With over 25 years of qualified experience as a Clinical Psychologist, I have treated a wide range of difficulties. Whether you're dealing with professional burn out or mental health issues, my career has been about helping people with all kinds of challenges. These include anxiety and panic; depression; health anxiety; intrusive thoughts, obsessive compulsive disorder; work stress/burn out; personal stress; adjustment to life transitions; coping with chronic illness; relationship issues; bereavement and loss; emotional regulation, self-esteem issues as well as others.
0191 917 4404 View 0191 917 4404
Photo of Georgia Giannopoulou, Psychotherapist, DCounsPsych, MUKCP
Georgia Giannopoulou
Psychotherapist, DCounsPsych, MUKCP
Serves Area
I am an experienced Integrative Psychotherapist with Transactional Analysis as my core model working with individuals and couples across genders and orientations. I practice in English and Greek. I work with a range of issues including trauma, stress, sex and sexuality, existential issues, cultural issues and immigration mid-life transitions, separation/divorce, menopause, parenthood, career changes, eating and body image issues, relationship difficulties, domestic abuse and explorations of identity and self-actualisation. I am existentially minded and use a range of approaches tailored to the individual in support of their goals.
I am an experienced Integrative Psychotherapist with Transactional Analysis as my core model working with individuals and couples across genders and orientations. I practice in English and Greek. I work with a range of issues including trauma, stress, sex and sexuality, existential issues, cultural issues and immigration mid-life transitions, separation/divorce, menopause, parenthood, career changes, eating and body image issues, relationship difficulties, domestic abuse and explorations of identity and self-actualisation. I am existentially minded and use a range of approaches tailored to the individual in support of their goals.
0191 743 1169 View 0191 743 1169
Photo of Karen Ambelez Counsellor Clinical Supervisor, Counsellor, MBACP
Karen Ambelez Counsellor Clinical Supervisor
Counsellor, MBACP
Serves Area
Struggling to cope with negative emotions can feel very isolating and, by the nature of some problems, guilt and shame can make us feel stigmatised and prevent us reaching out for support even when its not our fault. People come to counselling for all kinds of reasons from childhood trauma to life events as adults such as divorce, bereavement and stress and what they all have in common is a desire to feel better and begin to enjoy life. Some people find they use alcohol or drugs in an attempt to cope with their feelings but inventively this creates more problems
Struggling to cope with negative emotions can feel very isolating and, by the nature of some problems, guilt and shame can make us feel stigmatised and prevent us reaching out for support even when its not our fault. People come to counselling for all kinds of reasons from childhood trauma to life events as adults such as divorce, bereavement and stress and what they all have in common is a desire to feel better and begin to enjoy life. Some people find they use alcohol or drugs in an attempt to cope with their feelings but inventively this creates more problems
07480 535288 View 07480 535288
Photo of Peter Robinson-Vernon, Counsellor, MBACP
Peter Robinson-Vernon
Counsellor, MBACP
Serves Area
I have a wide range of experience in clinical issues, I have worked with a range of ages from three years to sixty six year old clients. Specialising in anger management, bereavement, loss, stress, anxiety and depression, relationships and men's issues. All mental health issues can be talked about in person or via cyber counselling. I also offer experienced clinical supervision for counsellors, feel free to contact me for more information
I have a wide range of experience in clinical issues, I have worked with a range of ages from three years to sixty six year old clients. Specialising in anger management, bereavement, loss, stress, anxiety and depression, relationships and men's issues. All mental health issues can be talked about in person or via cyber counselling. I also offer experienced clinical supervision for counsellors, feel free to contact me for more information
0191 917 9619 View 0191 917 9619
Photo of Kate Fitzgibbon, Counsellor, MA
Kate Fitzgibbon
Counsellor, MA
Serves Area
I have over 30 years experience, working privately, within the NHS, relate couples counselling, drug & alcohol services, refugee & disability agencies & as a coach. Confidentiality guaranteed. Free telephone consultation. I work face to face, video & telephone calls locally & internationally.
I have over 30 years experience, working privately, within the NHS, relate couples counselling, drug & alcohol services, refugee & disability agencies & as a coach. Confidentiality guaranteed. Free telephone consultation. I work face to face, video & telephone calls locally & internationally.
0191 743 2830 View 0191 743 2830

More Therapists Nearby

Photo of Jennie Larsson, Psychologist, PsychD, HCPC - Clin. Psych.
Jennie Larsson
Psychologist, PsychD, HCPC - Clin. Psych.
I have over 12 years experience working with adults within the NHS across a wide range of difficulties including anxiety, depression, grief, stress, relationship struggles and emotional difficulties, and a specialist interest in eating disorders.
Many people struggle with mental health difficulties at different times in their lives and can feel like it’s hard to make sense of this. I am a qualified Cognitive Analytic Therapist (CAT) and love working with CAT to help people gain an understanding of the way they relate to themselves and those around them and why they may struggle with this at times. I enjoy helping people to explore patterns that they may feel stuck with, and to learn how to make changes to these and find alternate ways of approaching different situations.
I have over 12 years experience working with adults within the NHS across a wide range of difficulties including anxiety, depression, grief, stress, relationship struggles and emotional difficulties, and a specialist interest in eating disorders.
Many people struggle with mental health difficulties at different times in their lives and can feel like it’s hard to make sense of this. I am a qualified Cognitive Analytic Therapist (CAT) and love working with CAT to help people gain an understanding of the way they relate to themselves and those around them and why they may struggle with this at times. I enjoy helping people to explore patterns that they may feel stuck with, and to learn how to make changes to these and find alternate ways of approaching different situations.
0191 743 4604 View 0191 743 4604
Photo of Craig Lee - Craig Lee - Eating Disorder Therapist , Counsellor, MSc
Craig Lee - Eating Disorder Therapist
Counsellor, MSc
3 Endorsed
Online Only
I offer online therapy specialising in eating disorders, body image difficulties, and related issues.
As a therapist with 20 years' experience in behaviour change and mental health services as well as specialised eating disorder training, I can support you to recover. I can help with eating disorders such as anorexia, bulimia, ARFID, binge eating disorder, orthorexia, OSFED, or food issues without a diagnosis.
I offer online therapy specialising in eating disorders, body image difficulties, and related issues.
As a therapist with 20 years' experience in behaviour change and mental health services as well as specialised eating disorder training, I can support you to recover. I can help with eating disorders such as anorexia, bulimia, ARFID, binge eating disorder, orthorexia, OSFED, or food issues without a diagnosis.
01325 523238 View 01325 523238
Photo of Jim Lee Palmer - JP Psychotherapy, Psychotherapist, MUKCP
JP Psychotherapy
Psychotherapist, MUKCP
1 Endorsed
My main areas of support are with stress, anxiety, depression, trauma, complex trauma, loss and bereavement, autism, ADHD, AuDHD, sexual abuse, domestic abuse, addictions, eating disorders, young people, adults, relationships, low self-worth low self-esteem self-harm and suicidal ideation.
Empathy, warmth, and curiosity are human qualities I dearly value. They inform our therapy together, enabling us to build strong therapeutic relationships in a safe, confidential space where you can feel understood and supported. I work collaboratively with my you, helping you gain deeper understanding of your experiences, difficulties and processes. Together we can facilitate an authentic engagement with the process of growth and meaningful change. In recognition that your lived experience is unique, I seek to maintain an open and curious attitude, not guided by assumptions. For your free 20-30 minute chat call 07527248911
My main areas of support are with stress, anxiety, depression, trauma, complex trauma, loss and bereavement, autism, ADHD, AuDHD, sexual abuse, domestic abuse, addictions, eating disorders, young people, adults, relationships, low self-worth low self-esteem self-harm and suicidal ideation.
Empathy, warmth, and curiosity are human qualities I dearly value. They inform our therapy together, enabling us to build strong therapeutic relationships in a safe, confidential space where you can feel understood and supported. I work collaboratively with my you, helping you gain deeper understanding of your experiences, difficulties and processes. Together we can facilitate an authentic engagement with the process of growth and meaningful change. In recognition that your lived experience is unique, I seek to maintain an open and curious attitude, not guided by assumptions. For your free 20-30 minute chat call 07527248911
0191 743 1030 View 0191 743 1030
Photo of Gabrielle Victoria Christie, Psychotherapist, MSc, MBABCP
Gabrielle Victoria Christie
Psychotherapist, MSc, MBABCP
1 Endorsed
Online Only
I offer treatment to a wide range of anxiety disorders, including PTSD, Social Anxiety, Phobia's, Health and Generalised Anxiety, Panic and Agoraphobia, eating disorders, BDD and depression.
Hello, I'm Gabrielle, a dedicated Cognitive Behavioural Therapist (CBT), Registered Mental Health Nurse, EMDR Practitioner, Course lead and Senior Lecturer, with a passion for helping others. I believe that therapy is a collaborative journey where we work together to understand what you are going through.
I offer treatment to a wide range of anxiety disorders, including PTSD, Social Anxiety, Phobia's, Health and Generalised Anxiety, Panic and Agoraphobia, eating disorders, BDD and depression.
Hello, I'm Gabrielle, a dedicated Cognitive Behavioural Therapist (CBT), Registered Mental Health Nurse, EMDR Practitioner, Course lead and Senior Lecturer, with a passion for helping others. I believe that therapy is a collaborative journey where we work together to understand what you are going through.
0191 743 2242 View 0191 743 2242
Photo of Genevieve Theresa Buée, Counsellor, MA, MBACP
Genevieve Theresa Buée
Counsellor, MA, MBACP
I work with a range of issues for example: Eating disorders, Self-harm, Abuse, Anxiety, Bereavement, Depression, Loss, Post-traumatic stress, Trauma, Asperger syndrome, Disability, Health related issues, Identity issues, Self esteem, Sexual identity, Spirituality, Women's issues, Infertility/Pregnancy, Narcissism and family dynamics, including estrangement.
Hello, I am an experienced therapist offering counselling sessions for adults and young people aged 14 and over. I provide professional insight and perspectives in approaching problems to enhance well being and create an overall positive change in understanding. This helps make meaning out of life in the "here and now" and also provides support with ongoing benefits in making life choices for the future. When situations or context do not have solutions, supporting the process of emotional healing is the focus of therapy.
I work with a range of issues for example: Eating disorders, Self-harm, Abuse, Anxiety, Bereavement, Depression, Loss, Post-traumatic stress, Trauma, Asperger syndrome, Disability, Health related issues, Identity issues, Self esteem, Sexual identity, Spirituality, Women's issues, Infertility/Pregnancy, Narcissism and family dynamics, including estrangement.
Hello, I am an experienced therapist offering counselling sessions for adults and young people aged 14 and over. I provide professional insight and perspectives in approaching problems to enhance well being and create an overall positive change in understanding. This helps make meaning out of life in the "here and now" and also provides support with ongoing benefits in making life choices for the future. When situations or context do not have solutions, supporting the process of emotional healing is the focus of therapy.
0191 917 9391 View 0191 917 9391
Photo of Natalie Holmes, Counsellor, MBACP
Natalie Holmes
Counsellor, MBACP
2 Endorsed
I have experience of working with autism, ADHD, abuse, anxiety, bereavement, depression, domestic violence, eating disorders, OCD, PTSD, relationship issues, self-harm, stress, trauma and dissociation.
I specialise in neurodiversity and I have additional training in autism, ADHD, and neuroscience. I offer a variety of methods of counselling and coaching, including online and telephone sessions, face to face counselling in our lovely therapy room, and a walk and talk option for those who might not feel comfortable in a traditional counselling environment.
I have experience of working with autism, ADHD, abuse, anxiety, bereavement, depression, domestic violence, eating disorders, OCD, PTSD, relationship issues, self-harm, stress, trauma and dissociation.
I specialise in neurodiversity and I have additional training in autism, ADHD, and neuroscience. I offer a variety of methods of counselling and coaching, including online and telephone sessions, face to face counselling in our lovely therapy room, and a walk and talk option for those who might not feel comfortable in a traditional counselling environment.
0191 743 9237 View 0191 743 9237
Photo of Jackie Walton, Psychotherapist, MA, MUKCP
Jackie Walton
Psychotherapist, MA, MUKCP
Durham DH1
I also have experience in working with a range of mental health problems (depression/anxiety/phobias/OCD/ eating disorders); bereavement and loss associated with chronic illness and disability.
Many people who seek counselling and psychotherapy are uncertain about how these services may be able to help them. I offer an initial free telephone consultation to find out more about you and the difficulties you are experiencing to help you decide whether I am the right person to help you. My therapeutic approach is to work collaboratively with you to help you reach a better understanding of the problems you are experiencing and to identify possible ways forward. I have a professional background in mental health nursing and social work with children and families. I currently work as a psychotherapist with adult clients only.
I also have experience in working with a range of mental health problems (depression/anxiety/phobias/OCD/ eating disorders); bereavement and loss associated with chronic illness and disability.
Many people who seek counselling and psychotherapy are uncertain about how these services may be able to help them. I offer an initial free telephone consultation to find out more about you and the difficulties you are experiencing to help you decide whether I am the right person to help you. My therapeutic approach is to work collaboratively with you to help you reach a better understanding of the problems you are experiencing and to identify possible ways forward. I have a professional background in mental health nursing and social work with children and families. I currently work as a psychotherapist with adult clients only.
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Photo of Beverley Ann D'Arcy - Changing Minds Psychotherapy, Psychotherapist, MA, MUKCP
Changing Minds Psychotherapy
Psychotherapist, MA, MUKCP
Serves Area
I offer therapy for anxiety, eating disorders, relationship problems, emotionally unstable moods, phobias, obsessive compulsive disorder, depression, addictions, PTSD, complex PTSD, trauma, body image issues, bereavement and loss, chronic stress, work issues, social phobia, health issues, self-harm, emotional and sexual abuse.
17 years as a psychotherapist providing therapy to people with complex and enduring mental health problems (mainly NHS) and clients with mild to moderate mental health issues referred by organisations. I carry out in depth assessments, quickly identify key issues and tailor therapy according to client need. I offer a confidential setting where clients are free to talk without fear of rejection, criticism of blame. I aim to provide someone with resources they can draw on to manage current and future anxiety, stresses, disabling symptoms and unstable moods.
I offer therapy for anxiety, eating disorders, relationship problems, emotionally unstable moods, phobias, obsessive compulsive disorder, depression, addictions, PTSD, complex PTSD, trauma, body image issues, bereavement and loss, chronic stress, work issues, social phobia, health issues, self-harm, emotional and sexual abuse.
17 years as a psychotherapist providing therapy to people with complex and enduring mental health problems (mainly NHS) and clients with mild to moderate mental health issues referred by organisations. I carry out in depth assessments, quickly identify key issues and tailor therapy according to client need. I offer a confidential setting where clients are free to talk without fear of rejection, criticism of blame. I aim to provide someone with resources they can draw on to manage current and future anxiety, stresses, disabling symptoms and unstable moods.
01969 607005 View 01969 607005
Photo of Anne Vanthoff, Counsellor, MA, MUKCP
Anne Vanthoff
Counsellor, MA, MUKCP
Serves Area
I work with bereavement, stress, anxiety, work related issues, relationship problems, eating disorders, addictions, abuse, trauma, social isolation, depression and many more mental health challenges.
I am an experienced and UKCP accredited counsellor and also a registered practitioner of the Institute of Brain Working Recursive Therapy. I work integratively with both talking therapy and BWRT as appropriate to help you deal with a range of mental health issues and things that are holding you back or that you want to change. Although we may be working with serious issues, my approach is always warm, friendly and welcoming. You will soon feel at ease. I aim to help you make a positive difference to your life, allowing you to overcome issues that affect your personal well-being and happiness.
I work with bereavement, stress, anxiety, work related issues, relationship problems, eating disorders, addictions, abuse, trauma, social isolation, depression and many more mental health challenges.
I am an experienced and UKCP accredited counsellor and also a registered practitioner of the Institute of Brain Working Recursive Therapy. I work integratively with both talking therapy and BWRT as appropriate to help you deal with a range of mental health issues and things that are holding you back or that you want to change. Although we may be working with serious issues, my approach is always warm, friendly and welcoming. You will soon feel at ease. I aim to help you make a positive difference to your life, allowing you to overcome issues that affect your personal well-being and happiness.
01665 252043 View 01665 252043
Photo of Lisa Anne Tomlinson, Psychologist, HCPC - Clin. Psych.
Lisa Anne Tomlinson
Psychologist, HCPC - Clin. Psych.
I treat people with a wide variety of issues, such as depression, anxiety (all types), relational difficulties, trauma, eating disorders, & addictions.
I enjoy working with a variety of clients with a range of difficulties. However, I practically find it meaningful to work with early childhood trauma and to help clients be able to heal from those early emotional wounds that have impacted on their lives in a variety of ways, I find that many issues link to early childhood, even when clients describe their childhood as a good one with healthy relationships. However, I am open to working with clients in the way that feels most comfortable to them, and can be flexible and listen to their feedback on this.
I treat people with a wide variety of issues, such as depression, anxiety (all types), relational difficulties, trauma, eating disorders, & addictions.
I enjoy working with a variety of clients with a range of difficulties. However, I practically find it meaningful to work with early childhood trauma and to help clients be able to heal from those early emotional wounds that have impacted on their lives in a variety of ways, I find that many issues link to early childhood, even when clients describe their childhood as a good one with healthy relationships. However, I am open to working with clients in the way that feels most comfortable to them, and can be flexible and listen to their feedback on this.
01642 053687 View 01642 053687
Photo of Sian Barnard Masters Is Cbt - Sian Barnard Psychotherapist , MSc
I offer a safe and non-judgemental enviroment where I help people solve the problems that they are dealing with. I want my clients to walk away from our time together with the tools to maintain the changes they have worked for and a new found or rediscovered confidence in themselves and life. My therapy is practical, straight forward and it works. Cognitive behaviour therapy was designed for anxiety related issues from panic to OCD. It is perfect for depression or anger issues. As a qualified hypnotherapist I also teach relaxation and mindfillness meditation to those who want that extra dimension to their therapy.
I offer a safe and non-judgemental enviroment where I help people solve the problems that they are dealing with. I want my clients to walk away from our time together with the tools to maintain the changes they have worked for and a new found or rediscovered confidence in themselves and life. My therapy is practical, straight forward and it works. Cognitive behaviour therapy was designed for anxiety related issues from panic to OCD. It is perfect for depression or anger issues. As a qualified hypnotherapist I also teach relaxation and mindfillness meditation to those who want that extra dimension to their therapy.
0191 743 0131 View 0191 743 0131
Photo of Sean Mellor, Psychotherapist, MBABCP
Sean Mellor
Psychotherapist, MBABCP
Online Only
Waitlist for new clients
As a dedicated CBT and EMDR therapist, I am committed to helping my clients. Through evidence-based therapeutic techniques and a compassionate, non-judgmental approach, I work collaboratively with clients to empower them to create positive change in their lives. I help clients identify and challenge negative thought patterns and beliefs that contribute to anxiety, depression, and other mental health difficulties. By teaching clients effective coping strategies and skills, I empower them to manage their emotions and behaviours in a healthier way.
As a dedicated CBT and EMDR therapist, I am committed to helping my clients. Through evidence-based therapeutic techniques and a compassionate, non-judgmental approach, I work collaboratively with clients to empower them to create positive change in their lives. I help clients identify and challenge negative thought patterns and beliefs that contribute to anxiety, depression, and other mental health difficulties. By teaching clients effective coping strategies and skills, I empower them to manage their emotions and behaviours in a healthier way.
01388 217366 View 01388 217366
Eating Disorders Counsellors

What happens in therapy for eating disorders?

In therapy for eating disorders, patients typically describe their eating and exercise behaviours, their patterns of eating in relation to stress, their beliefs about their body, the ways their eating behaviour affects their relationships, and their desire (or lack of it) to change. Such information helps the therapist understand the origins of the disorder and the role it plays in the patient’s life, important for guiding treatment. Attitudes and feelings about food and eating, body weight, and physical appearance are common topics of discussion throughout treatment.

What therapy types help with eating disorders?

Once any acute medical or psychiatric emergency is resolved, psychoactive medication is often prescribed, requiring the supervision of a psychiatrist. In addition, patients receive some form of nutritional counselling along with one or more forms of psychotherapy. For adolescents, family-based treatment is empirically validated and considered the first line of treatment; parents and their children meet weekly with a clinician as the adults are coached on how to nourish and psychologically support the young patient. Adults typically receive some form of individual psychotherapy, intended to resolve the cognitive and behavioural disturbances that underlie the disorder and to relieve the mood disturbances that accompany it. In addition, patients may also be helped by group therapy.

What is the goal of therapy for eating disorders?

The most immediate goal of treatment for eating disorders is to save the life of people who are on a path of starving themselves to death or engaging in eating patterns that are doing irreparable physical harm to their body. Once the acute medical danger is past, therapy is required to understand the nature of the disordered eating and/or exercise patterns, establish healthy eating behaviour, and to tackle the many erroneous beliefs and distorted self-perceptions that underlie eating disorders and continue to pose a threat to health and life. Therapy also addresses the impaired mood that not only accompanies eating disorders but intensifies the danger to health and life.

What are the limitations of therapy for eating disorders?

Therapy can be very helpful for eating disorders—but that can happen only after people recognise they have a condition that must be treated. Especially with anorexia, the distortions in self-image that accompany the disorder can keep people from acknowledging they have a problem. Individuals may in fact see their eating disorder as a badge of self-control. Those with binge-eating disorder may feel too ashamed to seek help. Therapy cannot help those who do not avail themselves of it.

How long does therapy last for eating disorders?

Because of their complexity, recovery from eating disorders is usually a long-term process—measured in months and years— often marked by setbacks and relapse. Some form of help, such as individual or group therapy, may be advisable for much of that time. It is a general rule of thumb that the longer the illness has endured and the dysregulated eating behaviour has taken root, the longer treatment is likely to be needed.