Eating Disorders Counselling in North West London, London

Photo of Elizabeth Bergman, MA, BACP, Psychotherapist
Elizabeth Bergman
Psychotherapist, MA, BACP
Verified Verified
North West London, London NW4  (Online Only)
Elizabeth specialises in treating women's issues including eating disorders/body image concerns, anxiety and depression, and perinatal issues. Elizabeth also sees adolescent clients with anxiety, depression, and eating disorders/disordered eating. She uses many approaches in treatment including cognitive and dialectical behavior therapy, mindfulness and she integrates a holistic and strengths-based approach as well when treating clients in any area.
Elizabeth specialises in treating women's issues including eating disorders/body image concerns, anxiety and depression, and perinatal issues. Elizabeth also sees adolescent clients with anxiety, depression, and eating disorders/disordered eating. She uses many approaches in treatment including cognitive and dialectical behavior therapy, mindfulness and she integrates a holistic and strengths-based approach as well when treating clients in any area.
020 8103 5927 View 020 8103 5927
Photo of Jodi Mishcon, DCounsPsych, MBACP, Psychotherapist
Jodi Mishcon
Psychotherapist, DCounsPsych, MBACP
Verified Verified
1 Endorsed
North West London, London NW11
I have specialist training in working with eating disorders, group work and trauma informed therapy.
I offer warmth, openness and curiosity, providing a creative and flexible environment in which you can feel safe enough to explore all parts of yourself including those that might feel challenging or unacceptable. I hope that our work together will enable you to begin to heal and grow. At the core of my practice is my belief in the importance of seeing the individual in front of me and I aim to hear and learn to understand your needs in relation to you.
I have specialist training in working with eating disorders, group work and trauma informed therapy.
I offer warmth, openness and curiosity, providing a creative and flexible environment in which you can feel safe enough to explore all parts of yourself including those that might feel challenging or unacceptable. I hope that our work together will enable you to begin to heal and grow. At the core of my practice is my belief in the importance of seeing the individual in front of me and I aim to hear and learn to understand your needs in relation to you.
020 3835 4359 View 020 3835 4359
Photo of Billi Silverstein, MBACP Accred, Psychotherapist
Billi Silverstein
Psychotherapist, MBACP Accred
Verified Verified
North West London, London NW2
I am accredited as an experienced integrative Psychotherapist and Clinical Supervisor. I use my experience to help my clients expand and improve their emotional skills. I have spent several years working with addiction, especially food addiction, OCD (Obsessive Compulsive Disorder) and eating disorders. I have worked with dual diagnosis clients in both addiction and other mental health organisations. I am committed to providing counselling with the most up-to-date techniques to build a healing and therapeutic relationship with clients. More recently my client group has covered stress, anxiety, trauma and loss.
I am accredited as an experienced integrative Psychotherapist and Clinical Supervisor. I use my experience to help my clients expand and improve their emotional skills. I have spent several years working with addiction, especially food addiction, OCD (Obsessive Compulsive Disorder) and eating disorders. I have worked with dual diagnosis clients in both addiction and other mental health organisations. I am committed to providing counselling with the most up-to-date techniques to build a healing and therapeutic relationship with clients. More recently my client group has covered stress, anxiety, trauma and loss.
020 3962 0220 View 020 3962 0220
Photo of Sharmaline Attygalle, MBACP Accred, Psychotherapist
Sharmaline Attygalle
Psychotherapist, MBACP Accred
Verified Verified
North West London, London NW11
Your Eating Disorder may have been a significant part of your life for a long time. I understand that there may be ambivalence about change; a part of you welcomes the thought of a change and a part of you is concerned about it. You may be wondering "Who will I be without the Eating Disorder?" Together we can explore what is perpetuating your ED and focus on your needs and goals. I am a fully qualified BACP accredited Eating Disorders Therapist. I have extensive experience in working with clients living with disordered eating and Eating Disorders. Please visit my website www.yourhaven-counselling.co.uk for more information
Your Eating Disorder may have been a significant part of your life for a long time. I understand that there may be ambivalence about change; a part of you welcomes the thought of a change and a part of you is concerned about it. You may be wondering "Who will I be without the Eating Disorder?" Together we can explore what is perpetuating your ED and focus on your needs and goals. I am a fully qualified BACP accredited Eating Disorders Therapist. I have extensive experience in working with clients living with disordered eating and Eating Disorders. Please visit my website www.yourhaven-counselling.co.uk for more information
01353 880919 View 01353 880919
Photo of Amanda Greenlees, MA, MUKCP, Psychotherapist
Amanda Greenlees
Psychotherapist, MA, MUKCP
Verified Verified
North West London, London NW1  (Online Only)
Specialities include working with trauma and eating disorders.
It is human nature to fear change, even when we know that change is what we really need. We may try really hard to make these changes alone but still find ourselves slipping back into our old patterns. Even though some of us succeed temporarily, we eventually fall back into the same self-critical thoughts, the same types of relationships, the irritations, the injustices, the mood changes. As an experienced psychotherapist and coach, I can help you acquire the true understanding necessary tto help you move beyond unhelpful patterns and beliefs, thus allowing you to bring about real change in your life.
Specialities include working with trauma and eating disorders.
It is human nature to fear change, even when we know that change is what we really need. We may try really hard to make these changes alone but still find ourselves slipping back into our old patterns. Even though some of us succeed temporarily, we eventually fall back into the same self-critical thoughts, the same types of relationships, the irritations, the injustices, the mood changes. As an experienced psychotherapist and coach, I can help you acquire the true understanding necessary tto help you move beyond unhelpful patterns and beliefs, thus allowing you to bring about real change in your life.
020 4538 2504 View 020 4538 2504
Photo of undefined - Dr Lucia Giombini, PhD, HCPC - Clin. Psych., Psychologist
Dr Lucia Giombini
Psychologist, PhD, HCPC - Clin. Psych.
Verified Verified
North West London, London NW3  (Online Only)
I have dedicated the majority of my career as Clinical Psychologist thus far to helping people suffering from various forms of eating disorder, such anorexia nervosa, bulimia nervosa, binge eating disorder or emotional eating. By working with these conditions, I have developed a deeper understanding of the difficulties connected to them, such as different types of anxiety disorders and depression, perfectionism and obsessive-compulsive symptoms. I use different interventions deriving from a wide range of psychological theories, including motivational enhancement therapy, interpersonal therapy and cognitive behavioural therapy. Please, for more information visit my website: www.luciagiombini.com
I have dedicated the majority of my career as Clinical Psychologist thus far to helping people suffering from various forms of eating disorder, such anorexia nervosa, bulimia nervosa, binge eating disorder or emotional eating. By working with these conditions, I have developed a deeper understanding of the difficulties connected to them, such as different types of anxiety disorders and depression, perfectionism and obsessive-compulsive symptoms. I use different interventions deriving from a wide range of psychological theories, including motivational enhancement therapy, interpersonal therapy and cognitive behavioural therapy. Please, for more information visit my website: www.luciagiombini.com
020 3962 0172 View 020 3962 0172
Photo of Sophie Michele Demuth, MSc, MUKCP, Psychotherapist
Sophie Michele Demuth
Psychotherapist, MSc, MUKCP
Verified Verified
North West London, London NW6  (Online Only)
I specialise in Eating Disorders including binge-purge, restricting, weightloss, dysmorphia and associated depression and anxiety.
I am an Integrative Psychotherapist meaning I draw on a range of modalities to help my clients. I am interested in the relationship between thinking, emotions, past development, spiritual beliefs and lifestyle and how psychotherapy can help restore a natural balance between these processes. Many clients who present with anxiety, depression and other diagnoses experience confusion, hopelessness and loss of control. Exploring relationships, meaning, choices and connections can enhance their capacity for growth and development. Therapy can help clients experience powerful personal change in themselves and often in others around them.
I specialise in Eating Disorders including binge-purge, restricting, weightloss, dysmorphia and associated depression and anxiety.
I am an Integrative Psychotherapist meaning I draw on a range of modalities to help my clients. I am interested in the relationship between thinking, emotions, past development, spiritual beliefs and lifestyle and how psychotherapy can help restore a natural balance between these processes. Many clients who present with anxiety, depression and other diagnoses experience confusion, hopelessness and loss of control. Exploring relationships, meaning, choices and connections can enhance their capacity for growth and development. Therapy can help clients experience powerful personal change in themselves and often in others around them.
020 8106 2977 View 020 8106 2977
Photo of undefined - The Fitzrovia Psychology Clinic, PsychD, HCPC - Clin. Psych., Psychologist
The Fitzrovia Psychology Clinic
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
North West London, London NW11
The Fitzrovia Psychology Clinic is an award-winning, independent private practice providing psychological help and services across London and Surrey. Our clinicians are hand-selected, highly skilled clinical and counselling psychologists, who have established academic backgrounds and NHS careers, in addition to their private work. We provide interventions for a wide variety of mental health conditions and difficulties including stress, anxiety, depression, personality disorders and eating disorders, all of which can have a hugely debilitating effect on our lives and the lives of people around us.
The Fitzrovia Psychology Clinic is an award-winning, independent private practice providing psychological help and services across London and Surrey. Our clinicians are hand-selected, highly skilled clinical and counselling psychologists, who have established academic backgrounds and NHS careers, in addition to their private work. We provide interventions for a wide variety of mental health conditions and difficulties including stress, anxiety, depression, personality disorders and eating disorders, all of which can have a hugely debilitating effect on our lives and the lives of people around us.
020 4538 4770 View 020 4538 4770
Photo of Carrie Beth Emery, DCounsPsych, HCPC - Couns. Psych., Psychologist
Carrie Beth Emery
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
North West London, London NW3
I have extensive experience working with Eating Disorders and have also worked with anxiety, depression, trauma, interpersonal difficulties, compulsions, infertility, life transitions.
I am passionate about empowering clients to develop or strengthen their own sense of agency in the world, so that they feel in control. In order to do this, I work collaboratively with clients rather than acting as an expert. I walk alongside my clients in their therapeutic journey, rather than taking the lead and instructing which can at times feel disempowering. Whilst I use my knowledge and expertise to help clients consider new ways of viewing the world and offer guidance on ways they may consider changing their behaviours to better suit their needs, I do not act as an "expert" as I believe each person knows themselves best.
I have extensive experience working with Eating Disorders and have also worked with anxiety, depression, trauma, interpersonal difficulties, compulsions, infertility, life transitions.
I am passionate about empowering clients to develop or strengthen their own sense of agency in the world, so that they feel in control. In order to do this, I work collaboratively with clients rather than acting as an expert. I walk alongside my clients in their therapeutic journey, rather than taking the lead and instructing which can at times feel disempowering. Whilst I use my knowledge and expertise to help clients consider new ways of viewing the world and offer guidance on ways they may consider changing their behaviours to better suit their needs, I do not act as an "expert" as I believe each person knows themselves best.
020 4538 2574 View 020 4538 2574
Photo of Eva Koumpli, Psychotherapist
Eva Koumpli
Psychotherapist
Verified Verified
North West London, London NW1
I have previously held leadership roles (Clinical Director at a leading Eating Disorders Clinic, and Clinical Manager at a Women's Counselling Service).
Are you experiencing sexuality or relationship challenges? Are you struggling with poor body image, an eating disorder or addiction? Do you need a highly experienced trauma-informed psychotherapist, who can help you in a safe and empathic way? Whether it’s trauma, anxiety, compulsive sexual behaviour, painful sex, unreliable erections, mismatched desire, infidelity, polyamory, gender identity, body image, loss, your relationship to food, or family/parenting difficulties, I'm here for you.
I have previously held leadership roles (Clinical Director at a leading Eating Disorders Clinic, and Clinical Manager at a Women's Counselling Service).
Are you experiencing sexuality or relationship challenges? Are you struggling with poor body image, an eating disorder or addiction? Do you need a highly experienced trauma-informed psychotherapist, who can help you in a safe and empathic way? Whether it’s trauma, anxiety, compulsive sexual behaviour, painful sex, unreliable erections, mismatched desire, infidelity, polyamory, gender identity, body image, loss, your relationship to food, or family/parenting difficulties, I'm here for you.
020 3962 0058 View 020 3962 0058
Photo of undefined - Orri, MBACP, Psychotherapist
Orri
Psychotherapist, MBACP
Verified Verified
North West London, London NW1
Orri is an online and in person Specialist Treatment Service for individuals aged 16 and over who are looking for support with eating disorders and co-occurring conditions (such as depression, anxiety, trauma, personality disorders, etc). We offer a programme package which includes a blend of daily group therapy, mealtime support, individual weekly therapy, dietetic support and occupational therapy support. We take a personalised, stepped approach to treatment so that every person’s programme is appropriate to their individual needs and evolves with them over time.
Orri is an online and in person Specialist Treatment Service for individuals aged 16 and over who are looking for support with eating disorders and co-occurring conditions (such as depression, anxiety, trauma, personality disorders, etc). We offer a programme package which includes a blend of daily group therapy, mealtime support, individual weekly therapy, dietetic support and occupational therapy support. We take a personalised, stepped approach to treatment so that every person’s programme is appropriate to their individual needs and evolves with them over time.
020 3917 4529 View 020 3917 4529
Photo of Ban Hass, MA, MBACP, Psychotherapist
Ban Hass
Psychotherapist, MA, MBACP
Verified Verified
North West London, London NW3
 I also have extensive experience of working with issues related to body-image, eating disorders (anorexia, bulimia, binge eating disorder, orthorexia) & disordered eating.
I am an Integrative psychotherapist (MBACP) based in South West London, Fulham. I have a Masters in Integrative Psychotherapy & Counselling and I offer sessions both in-person in Fulham and via zoom. I would describe my practice as combining warmth with appropriate challenge. At times, I may do more than sit back and nod; I am not a blank slate or a traditional therapist. I believe in a therapeutic relationship that is genuine and in open and honest conversations.
 I also have extensive experience of working with issues related to body-image, eating disorders (anorexia, bulimia, binge eating disorder, orthorexia) & disordered eating.
I am an Integrative psychotherapist (MBACP) based in South West London, Fulham. I have a Masters in Integrative Psychotherapy & Counselling and I offer sessions both in-person in Fulham and via zoom. I would describe my practice as combining warmth with appropriate challenge. At times, I may do more than sit back and nod; I am not a blank slate or a traditional therapist. I believe in a therapeutic relationship that is genuine and in open and honest conversations.
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Photo of Samantha Bottrill, HCPC - Clin. Psych., Psychologist
Samantha Bottrill
Psychologist, HCPC - Clin. Psych.
Verified Verified
North West London, London NW3
Dr Sam Bottrill spent almost a decade working at the world renowned Maudsley Hospital Child & Adolescent Eating Disorder Service supporting teenagers and their families through recovery from Anorexia and Bulimia. Sam has worked privately with clients since 2012, working with adolescents, adults and families with a wide range of difficulties, including anxiety, stress, depression, eating disorders, and trauma. Sam also specialises in couples therapy.
Dr Sam Bottrill spent almost a decade working at the world renowned Maudsley Hospital Child & Adolescent Eating Disorder Service supporting teenagers and their families through recovery from Anorexia and Bulimia. Sam has worked privately with clients since 2012, working with adolescents, adults and families with a wide range of difficulties, including anxiety, stress, depression, eating disorders, and trauma. Sam also specialises in couples therapy.
020 3870 4206 View 020 3870 4206
Photo of Dr Katie Kalinowski, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Katie Kalinowski
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
North West London, London NW3
My practice focuses on treating eating disorders, stress, anxiety, depression and trauma.
Most people want to feel good within themselves and within their lives. I don’t think this is too much to ask! If obstacles have previously prevented this, it does not mean the future need be the same. Change is always possible and often we need a helping hand. I am passionate about collaboration as the most empowering route on a therapeutic journey. You have the strength and the answers and together we can make sense of any hurt, obstacle or fear.
My practice focuses on treating eating disorders, stress, anxiety, depression and trauma.
Most people want to feel good within themselves and within their lives. I don’t think this is too much to ask! If obstacles have previously prevented this, it does not mean the future need be the same. Change is always possible and often we need a helping hand. I am passionate about collaboration as the most empowering route on a therapeutic journey. You have the strength and the answers and together we can make sense of any hurt, obstacle or fear.
01992 927945 View 01992 927945
Photo of Dr Simone Harding, DCounsPsych, MBACP, Psychotherapist
Dr Simone Harding
Psychotherapist, DCounsPsych, MBACP
Verified Verified
North West London, London NW3
Waitlist for new clients
My specialities are relational trauma, body, c-ptsd, eating, relationships and eating disorders.
Are you looking for the kind of therapy that explores relational trauma and how this is embodied, and affects our relationships with others, food, body and self? If you've found yourself querying your childhood, or wondering why you can't seem to feel ok, or why your relationships seem dissatisfying, or why you feel like you are not able to care for yourself or cope well, come on in. This is a queer friendly space and politically liberatory practice.
My specialities are relational trauma, body, c-ptsd, eating, relationships and eating disorders.
Are you looking for the kind of therapy that explores relational trauma and how this is embodied, and affects our relationships with others, food, body and self? If you've found yourself querying your childhood, or wondering why you can't seem to feel ok, or why your relationships seem dissatisfying, or why you feel like you are not able to care for yourself or cope well, come on in. This is a queer friendly space and politically liberatory practice.
07723 497599 View 07723 497599
Photo of Rebecca Oehrle, DCounsPsych, MBACP, Psychotherapist
Rebecca Oehrle
Psychotherapist, DCounsPsych, MBACP
Verified Verified
North West London, London NW5
As a BACP registered psychodynamic psychotherapist/counsellor, I have experience of working with adults whose issues include anxiety, depression, low self-esteem, gender identity, addiction, bereavement, eating disorders and relationship issues I can work with you on either a long-term, ongoing basis or we can agree to a short-term contract.
If you’re reading this, it’s likely that you’re feeling out of sorts and would like some help and support to feel better. Sometimes life can throw us a curve ball that leaves us feeling overwhelmed or maybe you’ve had enough of feeling depressed and anxious, angry or sad. Perhaps you’re tired of repeating certain patterns of behaviour or relationships that leave you feeling empty and disappointed. I recognise it takes a lot of courage to seek help. My role is to help you understand better why you sometimes feel, think, or behave the way you do. With that knowledge in hand, you can begin to make positive changes in your life.
As a BACP registered psychodynamic psychotherapist/counsellor, I have experience of working with adults whose issues include anxiety, depression, low self-esteem, gender identity, addiction, bereavement, eating disorders and relationship issues I can work with you on either a long-term, ongoing basis or we can agree to a short-term contract.
If you’re reading this, it’s likely that you’re feeling out of sorts and would like some help and support to feel better. Sometimes life can throw us a curve ball that leaves us feeling overwhelmed or maybe you’ve had enough of feeling depressed and anxious, angry or sad. Perhaps you’re tired of repeating certain patterns of behaviour or relationships that leave you feeling empty and disappointed. I recognise it takes a lot of courage to seek help. My role is to help you understand better why you sometimes feel, think, or behave the way you do. With that knowledge in hand, you can begin to make positive changes in your life.
020 4538 9465 View 020 4538 9465
Photo of Kostana Banjac, Counsellor
Kostana Banjac
Counsellor
Verified Verified
1 Endorsed
North West London, London NW1
My clinical work includes sex & relationship issues, unreliable erection, ejaculation difficulties, reducing anxiety around sex, intimacy, gender and body image issues, trauma, eating disorders, sexual abuse or assault, sexual health issues, compulsive sexual behaviours, vulval pain, vaginismus, dyspareunia, orgasmic issues, sexual phobias, traumas, PSSD.
I work pluralistically from a contemporary biopsychosocial framework that incorporates all aspects of self and I believe that you have many of the answers you are seeking within yourself. My objective is to build a safe and holding space for a trusting relationship where you can explore and share your thoughts, feelings, behaviours, and problems/difficulties. Clients often seek therapy because of symptoms affecting their everyday life. However, they are often unaware of the root cause of their self-sabotaging behaviours, relationship issues, and emotional numbness. I also provide a more focused work as a single-session therapy (SST)
My clinical work includes sex & relationship issues, unreliable erection, ejaculation difficulties, reducing anxiety around sex, intimacy, gender and body image issues, trauma, eating disorders, sexual abuse or assault, sexual health issues, compulsive sexual behaviours, vulval pain, vaginismus, dyspareunia, orgasmic issues, sexual phobias, traumas, PSSD.
I work pluralistically from a contemporary biopsychosocial framework that incorporates all aspects of self and I believe that you have many of the answers you are seeking within yourself. My objective is to build a safe and holding space for a trusting relationship where you can explore and share your thoughts, feelings, behaviours, and problems/difficulties. Clients often seek therapy because of symptoms affecting their everyday life. However, they are often unaware of the root cause of their self-sabotaging behaviours, relationship issues, and emotional numbness. I also provide a more focused work as a single-session therapy (SST)
020 3835 5391 View 020 3835 5391
Photo of Sinem Uyanik, MBACP Accred, Psychotherapist
Sinem Uyanik
Psychotherapist, MBACP Accred
Verified Verified
North West London, London NW5  (Online Only)
I specialize in working with depression, anxiety, relationship problems and break-down, major life changes, life crisis, eating disorders, trauma, PTSD, OCD, Borderline Personality Disorder, bereavement, managing stress relating to chronic illness and medical crisis.
Life can become overwhelming, confusing, and difficult to manage. Experiences such as loss, bereavement and major life changes like a medical crisis can make us lose our sense of self and purpose. Depression, anxiety and personality disorders can distort our sense of self, rob us off our full personal potential and quality of life leaving us feeling depleted. Therapy is a place to regain and restore your sense of self and purpose and to help you turn these experiences to an opportunity to grow.
I specialize in working with depression, anxiety, relationship problems and break-down, major life changes, life crisis, eating disorders, trauma, PTSD, OCD, Borderline Personality Disorder, bereavement, managing stress relating to chronic illness and medical crisis.
Life can become overwhelming, confusing, and difficult to manage. Experiences such as loss, bereavement and major life changes like a medical crisis can make us lose our sense of self and purpose. Depression, anxiety and personality disorders can distort our sense of self, rob us off our full personal potential and quality of life leaving us feeling depleted. Therapy is a place to regain and restore your sense of self and purpose and to help you turn these experiences to an opportunity to grow.
01792 720572 View 01792 720572
Photo of Dr Lara Zibarras, PhD, AFBPSsS, Psychologist
Dr Lara Zibarras
Psychologist, PhD, AFBPSsS
Verified Verified
North West London, London NW2  (Online Only)
I'm Lara and I specialise in helping people with eating disorders, disordered eating and body image issues. Whether you have been struggling with emotional or binge eating, purging, restricting, or negative body image, we will work together to rebuild a positive relationship with you, food and your body. As your coach, I'll help you understand what is keeping you stuck in your relationship with food & body image, uncover your underlying patterns and create a personalised plan for recovery.
I'm Lara and I specialise in helping people with eating disorders, disordered eating and body image issues. Whether you have been struggling with emotional or binge eating, purging, restricting, or negative body image, we will work together to rebuild a positive relationship with you, food and your body. As your coach, I'll help you understand what is keeping you stuck in your relationship with food & body image, uncover your underlying patterns and create a personalised plan for recovery.
020 3910 2853 View 020 3910 2853
Photo of Hadar Thomas, MBACP, Psychotherapist
Hadar Thomas
Psychotherapist, MBACP
Verified Verified
North West London, London NW10
My work covers; depression, anxiety, abuse, ADHD, Addictions, phobias, bereavement, eating disorders, sexual abuse, self harm.
I am a warm, empathic, qualified Person-Centred counsellor and psychotherapist and NLP Practitioner. I offer a non-judgemental, open and genuine environment, where a client can feel at ease, to learn about themselves. I aim to understand the client's experience from their perspective.
My work covers; depression, anxiety, abuse, ADHD, Addictions, phobias, bereavement, eating disorders, sexual abuse, self harm.
I am a warm, empathic, qualified Person-Centred counsellor and psychotherapist and NLP Practitioner. I offer a non-judgemental, open and genuine environment, where a client can feel at ease, to learn about themselves. I aim to understand the client's experience from their perspective.
020 4530 8410 View 020 4530 8410

See more therapy options for North West London, London

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.