Eating Disorders Counselling in Maidenhead

Photo of Craig Everard, MBACP, Counsellor
Craig Everard
Counsellor, MBACP
Verified Verified
Maidenhead SL6
Ranging from trauma, eating disorders, self harm and suicide ideation to weight management and sports performance and plenty of areas between those.
I am qualified TA Psychotherapeutic Counsellor with 3 years formal training in Transactional Analysis Psychotherapy. I have also worked for 3 years in a Psychiatric Intensive Care Unit working with individuals struggling with acute mental health conditions. Whether it’s wanting to understand yourself better or Life has thrown you one of its many curveballs, it’s okay to be overwhelmed by it. I hold the belief that everyone is OK and that the relationship built between Therapist and Client holds the key to creating change for the better. I want to help give you back your power to control and enjoy your life to its fullest.
Ranging from trauma, eating disorders, self harm and suicide ideation to weight management and sports performance and plenty of areas between those.
I am qualified TA Psychotherapeutic Counsellor with 3 years formal training in Transactional Analysis Psychotherapy. I have also worked for 3 years in a Psychiatric Intensive Care Unit working with individuals struggling with acute mental health conditions. Whether it’s wanting to understand yourself better or Life has thrown you one of its many curveballs, it’s okay to be overwhelmed by it. I hold the belief that everyone is OK and that the relationship built between Therapist and Client holds the key to creating change for the better. I want to help give you back your power to control and enjoy your life to its fullest.
01753 251599 View 01753 251599
Photo of Dr Claire Brown, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Claire Brown
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
Maidenhead SL6
My background is in specialist mental health services; predominantly CAMHS (child and adolescent mental health) and eating disorders.
Therapy can be different things to different people; it can be about focusing on changing a specific behaviour, learning to manage emotions or wanting a space to explore experiences, get understanding and make meaning. It can be all of these things or something completely different. My strength is in the less directive, exploration work; helping clients to understand their world and why they feel, think, behave the ways that they do. With this insight, I can help you to find ways to change old patterns and move forwards in a direction towards the life you want to live.
My background is in specialist mental health services; predominantly CAMHS (child and adolescent mental health) and eating disorders.
Therapy can be different things to different people; it can be about focusing on changing a specific behaviour, learning to manage emotions or wanting a space to explore experiences, get understanding and make meaning. It can be all of these things or something completely different. My strength is in the less directive, exploration work; helping clients to understand their world and why they feel, think, behave the ways that they do. With this insight, I can help you to find ways to change old patterns and move forwards in a direction towards the life you want to live.
01628 951245 View 01628 951245
Photo of Snjezana Snow Poljanec - The Harley Street Counselling Clinic, MBACP, Counsellor
The Harley Street Counselling Clinic
Counsellor, MBACP
Verified Verified
Maidenhead SL6
I also worked with food related issues ( bulimia, anorexia), marriage issues, domestic violence, managing anger, shock, money, trauma, self harm and sexual issues.
Feeling low, sad, anxious, isolated...relationship not working well? I help people just like you. Couples and individuals. Come and talk to me.
I also worked with food related issues ( bulimia, anorexia), marriage issues, domestic violence, managing anger, shock, money, trauma, self harm and sexual issues.
Feeling low, sad, anxious, isolated...relationship not working well? I help people just like you. Couples and individuals. Come and talk to me.
07905 928308 View 07905 928308
Photo of Valerie Manners, MBACP, Counsellor
Valerie Manners
Counsellor, MBACP
Verified Verified
Maidenhead SL6
Most common areas that I work with are: Generalised Anxiety Disorder; Social anxiety; Health anxiety; Depression; Feeling sad; Low self-esteem; Low self-confidence; Social media anxiety; Panic attacks; Relationship difficulties; Work stress; Low mood; Low motivation; Midlife crisis; Loss of a loved one; Retirement concerns; Eating disorders; LGBTQIA issues;.
On-line CBT Counselling Specialist, Therapeutic Coach and Face to Face Practitioner - MBACP. For 15 years I have been in private practice in Harley Street, London, Marlow in Bucks and Hove in Sussex. I have been offering video consultations via Zoom, WhatsApp and other platforms for many years. This has the advantage of being conducted at your convenience from your own front room. You can choose the platform that you are most familiar with e.g. Zoom, Facetime, WhatsApp or Skype. Cognitive behavioural therapy is proven to make a big difference to anxiety and depression and it is also approved by the NHS.
Most common areas that I work with are: Generalised Anxiety Disorder; Social anxiety; Health anxiety; Depression; Feeling sad; Low self-esteem; Low self-confidence; Social media anxiety; Panic attacks; Relationship difficulties; Work stress; Low mood; Low motivation; Midlife crisis; Loss of a loved one; Retirement concerns; Eating disorders; LGBTQIA issues;.
On-line CBT Counselling Specialist, Therapeutic Coach and Face to Face Practitioner - MBACP. For 15 years I have been in private practice in Harley Street, London, Marlow in Bucks and Hove in Sussex. I have been offering video consultations via Zoom, WhatsApp and other platforms for many years. This has the advantage of being conducted at your convenience from your own front room. You can choose the platform that you are most familiar with e.g. Zoom, Facetime, WhatsApp or Skype. Cognitive behavioural therapy is proven to make a big difference to anxiety and depression and it is also approved by the NHS.
01494 360824 View 01494 360824
Photo of Dr Jasmine Shingadia, DCounsPsych, HCPC - Couns. Psych., Psychologist
Dr Jasmine Shingadia
Psychologist, DCounsPsych, HCPC - Couns. Psych.
Verified Verified
1 Endorsed
Maidenhead SL6
Dr Jasmine Shingadia is an experienced Counselling Psychologist with a background working with adults, children and adolescents in a variety of settings, including the NHS and private sector. Her passion lies in helping people make sense of their themselves and their lives, whilst recognising their ability to grow and achieve one’s potential. Central to her approach is the therapeutic relationship based on respect and equality, prioritising empowered choices on your journey of healing and growth. Dr Shingadia focuses on creating a safe non-judgemental space, whilst offering evidence based interventions tailored to your needs.
Dr Jasmine Shingadia is an experienced Counselling Psychologist with a background working with adults, children and adolescents in a variety of settings, including the NHS and private sector. Her passion lies in helping people make sense of their themselves and their lives, whilst recognising their ability to grow and achieve one’s potential. Central to her approach is the therapeutic relationship based on respect and equality, prioritising empowered choices on your journey of healing and growth. Dr Shingadia focuses on creating a safe non-judgemental space, whilst offering evidence based interventions tailored to your needs.
01628 562803 View 01628 562803
Photo of Barbara Paczkowska, MSc, MBABCP, Psychotherapist
Barbara Paczkowska
Psychotherapist, MSc, MBABCP
Verified Verified
1 Endorsed
Maidenhead SL6
Valuing the importance of a therapeutic relationship, I base my relationships with clients on trust and partnership. Drawing on extensive experience I aim to provide a safe and non- judgmental environment where you the client feels acknowledged, listened to and supported. As we are all unique no one type of therapy 'fits' all and I therefore integrate the therapeutic models in which I have been trained to meet your particular individual needs.
Valuing the importance of a therapeutic relationship, I base my relationships with clients on trust and partnership. Drawing on extensive experience I aim to provide a safe and non- judgmental environment where you the client feels acknowledged, listened to and supported. As we are all unique no one type of therapy 'fits' all and I therefore integrate the therapeutic models in which I have been trained to meet your particular individual needs.
01753 907660 View 01753 907660
Photo of Clare McLaughlin, MBACP, Counsellor
Clare McLaughlin
Counsellor, MBACP
Verified Verified
Maidenhead SL6
Welcome to my page. At times life can feel difficult and the feelings you experience can feel overwhelming. Counselling can offer a space for you to explore these difficulties and give some space for you to be able to work through these challenges to get a better understanding and sense of things. If you are here, you may be considering embarking on the journey of counselling. Taking the first steps towards therapy can feel daunting and you may have some feelings of uncertainty. I am here to help you through this. I provide a safe, confidential, and non-judgmental space where you can explore your thoughts and feelings.
Welcome to my page. At times life can feel difficult and the feelings you experience can feel overwhelming. Counselling can offer a space for you to explore these difficulties and give some space for you to be able to work through these challenges to get a better understanding and sense of things. If you are here, you may be considering embarking on the journey of counselling. Taking the first steps towards therapy can feel daunting and you may have some feelings of uncertainty. I am here to help you through this. I provide a safe, confidential, and non-judgmental space where you can explore your thoughts and feelings.
01753 309638 View 01753 309638
Photo of Claire Jones Reg (Accred) Emdr Practitioner Uk And Europe, MBACP, Psychotherapist
Claire Jones Reg (Accred) Emdr Practitioner Uk And Europe
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Maidenhead SL6
As an experienced integrative, psychotherapist & EMDR practitioner, my work supports adult, adolescent & child clients, from a diverse range of ethnic, social & cultural backgrounds. Valuing the relationship, my friendly approach is based on trust, where working collaboratively, will enable you to come to terms with issues you are experiencing, allowing for a better understanding. Working together at your pace, I will help you clarify your thoughts & feelings (for children I use creative play), enabling you to move confidently forward, away from unwanted patterns of behaviour, to find new ways of thinking & living a fulfilling life.
As an experienced integrative, psychotherapist & EMDR practitioner, my work supports adult, adolescent & child clients, from a diverse range of ethnic, social & cultural backgrounds. Valuing the relationship, my friendly approach is based on trust, where working collaboratively, will enable you to come to terms with issues you are experiencing, allowing for a better understanding. Working together at your pace, I will help you clarify your thoughts & feelings (for children I use creative play), enabling you to move confidently forward, away from unwanted patterns of behaviour, to find new ways of thinking & living a fulfilling life.
01753 944402 View 01753 944402
Photo of Lynn Turner - Soulworks Counselling Limited, MBACP, Counsellor
Soulworks Counselling Limited
Counsellor, MBACP
Verified Verified
Maidenhead SL6
Hello, my name is Lynn Turner. I have over 28 years counselling, therapy and life coaching experience, with expertise in addiction, codependency, complex and abusive relationships (including being in a relationship with a sociopath, narcissist, or someone with a mental health issue or a personality disorder). I specialise in, and have a Diploma in 'Dealing with Narcissism'. I provide a non-judgemental, safe, confidential and professional space for you to talk about, and work through, your problems. I believe the counselling relationship needs to be authentic, honest and safe in order for healthy change to happen.
Hello, my name is Lynn Turner. I have over 28 years counselling, therapy and life coaching experience, with expertise in addiction, codependency, complex and abusive relationships (including being in a relationship with a sociopath, narcissist, or someone with a mental health issue or a personality disorder). I specialise in, and have a Diploma in 'Dealing with Narcissism'. I provide a non-judgemental, safe, confidential and professional space for you to talk about, and work through, your problems. I believe the counselling relationship needs to be authentic, honest and safe in order for healthy change to happen.
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Photo of Amy Gower - Higher Vibes Corner
Higher Vibes Corner
Verified Verified
Maidenhead SL6
I have over 20 years personal experience of counselling and alternative therapy. Training professionally for over 8 years in energy medicine, including Reiki, Breath4LifeTM Breath Work Therapy and Shamanic Medicine Wheel & Healing Tools. I provide mental, emotional and spiritual support. I am a guide for your mind, body and spirit. To hold you through your growth, changes and healing.​ I'll work with you on a deep, holistic level, going deeper than the symptom, issue or diagnosis, and treat you as a whole. Guiding you to the root causes of your imbalances, on a deep sub-conscious level. Helping bring you back to centre.
I have over 20 years personal experience of counselling and alternative therapy. Training professionally for over 8 years in energy medicine, including Reiki, Breath4LifeTM Breath Work Therapy and Shamanic Medicine Wheel & Healing Tools. I provide mental, emotional and spiritual support. I am a guide for your mind, body and spirit. To hold you through your growth, changes and healing.​ I'll work with you on a deep, holistic level, going deeper than the symptom, issue or diagnosis, and treat you as a whole. Guiding you to the root causes of your imbalances, on a deep sub-conscious level. Helping bring you back to centre.
01895 545621 View 01895 545621
Photo of Yasmin Genevieve Watson, BACP, Counsellor
Yasmin Genevieve Watson
Counsellor, BACP
Verified Verified
Maidenhead SL6
If a young person in your family is feeling down, anxious or worried, coming to play and arts therapy can make all the difference. This mode of therapy is ideal for children and young people, a safe space for them to explore their emotions and to develop key skills to help them feel happy and confident. I have had many years of experience working with children both in schools and privately and especially children with Autism and ADHD.
If a young person in your family is feeling down, anxious or worried, coming to play and arts therapy can make all the difference. This mode of therapy is ideal for children and young people, a safe space for them to explore their emotions and to develop key skills to help them feel happy and confident. I have had many years of experience working with children both in schools and privately and especially children with Autism and ADHD.
01586 805832 View 01586 805832
Photo of Julia Hudson, MBABCP, Psychotherapist
Julia Hudson
Psychotherapist, MBABCP
Verified Verified
Maidenhead SL6
Feeling stuck in your emotional life? Your tried and tested strategies for coping aren't working? Or has there been a significant life event that has caused distress or made you re-evaluate where you are and where you are going? Has your doctor recommended Cognitive Behavioural Therapy? Talking through your difficulties with an Accredited CBT Therapist can help to reduce emotional distress by developing alternative thoughts, behaviours and feelings. By developing flexible attitudes and behaviours you can cope more effectively now and in the future. These skills build resilience to manage challenges. They are transferrable.
Feeling stuck in your emotional life? Your tried and tested strategies for coping aren't working? Or has there been a significant life event that has caused distress or made you re-evaluate where you are and where you are going? Has your doctor recommended Cognitive Behavioural Therapy? Talking through your difficulties with an Accredited CBT Therapist can help to reduce emotional distress by developing alternative thoughts, behaviours and feelings. By developing flexible attitudes and behaviours you can cope more effectively now and in the future. These skills build resilience to manage challenges. They are transferrable.
01494 416591 View 01494 416591
Photo of Kavita Deepak-Knights, PsychD, HCPC - Clin. Psych., Psychologist
Kavita Deepak-Knights
Psychologist, PsychD, HCPC - Clin. Psych.
Verified Verified
1 Endorsed
Maidenhead SL6
Hello, I am Dr Kavita Deepak-Knights. I am a Chartered Clinical Psychologist and I work with adults over the age of 18, specialising in a number of therapies, including: Cognitive Behavioural Therapy (CBT), Dialectical Behavioural Therapy (DBT), Eye-Movement Desensitisation and Reprocessing (EMDR) and Acceptance and Commitment Therapy (ACT). I work with wide-ranging adult and older adult mental health issues, such as: anxiety, depression, addictions, low self esteem, personality disorders, adjustment issues, grief, loss and bereavement, relationship difficulties, childhood trauma, post-traumatic stress disorder - just to name a few!
Hello, I am Dr Kavita Deepak-Knights. I am a Chartered Clinical Psychologist and I work with adults over the age of 18, specialising in a number of therapies, including: Cognitive Behavioural Therapy (CBT), Dialectical Behavioural Therapy (DBT), Eye-Movement Desensitisation and Reprocessing (EMDR) and Acceptance and Commitment Therapy (ACT). I work with wide-ranging adult and older adult mental health issues, such as: anxiety, depression, addictions, low self esteem, personality disorders, adjustment issues, grief, loss and bereavement, relationship difficulties, childhood trauma, post-traumatic stress disorder - just to name a few!
01753 309904 View 01753 309904
Photo of Sophie Horrox, MBACP Accred, Counsellor
Sophie Horrox
Counsellor, MBACP Accred
Verified Verified
Maidenhead SL6
Finding the right therapist can feel challenging, which is why I offer a free 20 minute consultation, to give us an opportunity talk about what it is that you are looking to gain from counselling and discuss how the process works. Entering counselling can feel like a daunting process but at this very moment you are taking the first steps towards creating the changes you wish to see in your life whether you are looking for help with a specific issue, or for personal growth. Counselling offers you the opportunity to break down walls, un-bottle hidden emotions and make sense of feelings and experiences that are troubling you.
Finding the right therapist can feel challenging, which is why I offer a free 20 minute consultation, to give us an opportunity talk about what it is that you are looking to gain from counselling and discuss how the process works. Entering counselling can feel like a daunting process but at this very moment you are taking the first steps towards creating the changes you wish to see in your life whether you are looking for help with a specific issue, or for personal growth. Counselling offers you the opportunity to break down walls, un-bottle hidden emotions and make sense of feelings and experiences that are troubling you.
0118 230 6990 View 0118 230 6990
Photo of Suzanne Skrimshire, MA, BPC, Psychotherapist
Suzanne Skrimshire
Psychotherapist, MA, BPC
Verified Verified
Maidenhead SL6
I am a psychodynamic psychotherapist based in Wokingham. My approach is psychoanalytic - this kind of therapy is based on the idea that what we experience as a difficulty in the present may point to an unconscious problem with roots in the past. You may find you are struggling with depression, anxiety, stress, low self-esteem, self-destructive behaviour or difficulties in relationships and want to have a better understanding of what underpins these issues.
I am a psychodynamic psychotherapist based in Wokingham. My approach is psychoanalytic - this kind of therapy is based on the idea that what we experience as a difficulty in the present may point to an unconscious problem with roots in the past. You may find you are struggling with depression, anxiety, stress, low self-esteem, self-destructive behaviour or difficulties in relationships and want to have a better understanding of what underpins these issues.
01344 596303 View 01344 596303
Photo of Will Midlane, BACP, Counsellor
Will Midlane
Counsellor, BACP
Verified Verified
1 Endorsed
Maidenhead SL6
I am a qualified and experienced psychotherapeutic counsellor working in private practice with individuals, groups, and couples. I have worked in several settings including the NHS, Palliative Care, and the Ministry of Justice. People seek out psychotherapy for many different reasons, often though to find some relief from an emotional pain. Psychotherapy and counselling are methods of talking therapies that are useful in understanding difficulties in how you think and feel in relation to yourself, the world, and others.
I am a qualified and experienced psychotherapeutic counsellor working in private practice with individuals, groups, and couples. I have worked in several settings including the NHS, Palliative Care, and the Ministry of Justice. People seek out psychotherapy for many different reasons, often though to find some relief from an emotional pain. Psychotherapy and counselling are methods of talking therapies that are useful in understanding difficulties in how you think and feel in relation to yourself, the world, and others.
01628 969909 View 01628 969909
Photo of Juliet Louise Lethbridge - Juliet Lethbridge Counselling, MBACP, Counsellor
Juliet Lethbridge Counselling
Counsellor, MBACP
Verified Verified
Maidenhead SL6
We come to therapy for a myriad of reasons some of which may be; Anxiety, depression, stress, grief, relationship issues, low confidence, low self-esteem, bullying in the work place and there are many more. Whatever your reason for seeking therapy simply talking can be tremendously helpful. If you have never experienced counselling or psychotherapy before, you may not be aware of the positive effect talking to someone who is trained and experienced in listening attentively and responding effectively can have. I can offer this to you in a safe, comfortable and confidential space.
We come to therapy for a myriad of reasons some of which may be; Anxiety, depression, stress, grief, relationship issues, low confidence, low self-esteem, bullying in the work place and there are many more. Whatever your reason for seeking therapy simply talking can be tremendously helpful. If you have never experienced counselling or psychotherapy before, you may not be aware of the positive effect talking to someone who is trained and experienced in listening attentively and responding effectively can have. I can offer this to you in a safe, comfortable and confidential space.
01494 360822 View 01494 360822
Photo of Mark Anderson, MSc, MBACP, Psychotherapist
Mark Anderson
Psychotherapist, MSc, MBACP
Verified Verified
Maidenhead SL6
I am a psychodynamic psychotherapist (BACP) and psychodynamic counsellor (BPC), qualified to Master of Science level (Birkbeck, University of London). Having worked in a London-based GP practice on a pro bono basis for several years, I have helped patients from many backgrounds, nationalities, ethnicities, religions, genders, and sexual orientations with the internal, and often, unconscious conflicts that have negatively impacted their emotional and mental well-being and that prevented them from living their everyday life to the fullest.
I am a psychodynamic psychotherapist (BACP) and psychodynamic counsellor (BPC), qualified to Master of Science level (Birkbeck, University of London). Having worked in a London-based GP practice on a pro bono basis for several years, I have helped patients from many backgrounds, nationalities, ethnicities, religions, genders, and sexual orientations with the internal, and often, unconscious conflicts that have negatively impacted their emotional and mental well-being and that prevented them from living their everyday life to the fullest.
01494 977455 View 01494 977455
Photo of Holly Jordan, MBACP, Counsellor
Holly Jordan
Counsellor, MBACP
Verified Verified
Maidenhead SL6  (Online Only)
Entering counselling for the first time can fill you with worries and anxiety. It is important for me to create a setting so anxiety begins to ease, enabling exploration to occur. I would like to offer you a safe, warm, non judgemental space to provide security that is needed for exploration that we can take together. To have a trusting relationship between therapist and client is fundamental to bring about positive change and to be understood is to gain a deeper understanding of yourself, your relationships and your past experiences.
Entering counselling for the first time can fill you with worries and anxiety. It is important for me to create a setting so anxiety begins to ease, enabling exploration to occur. I would like to offer you a safe, warm, non judgemental space to provide security that is needed for exploration that we can take together. To have a trusting relationship between therapist and client is fundamental to bring about positive change and to be understood is to gain a deeper understanding of yourself, your relationships and your past experiences.
01628 965507 View 01628 965507
Photo of Claudia Meresca, MSc, MUKCP, Psychotherapist
Claudia Meresca
Psychotherapist, MSc, MUKCP
Verified Verified
Maidenhead SL6
I am experienced Psychologist, Counsellor and Psychotherapist, fully registered and acccredited by UKCP (UK Council for Psychotherapy). As we all know, life is certainly a journey that is not always easy to travel on alone. Most of my clients describe me as being warm and empathic and consider that the process of therapy and my non-judgemental attitude has helped them get a deeper understanding of themselves and their experiences.
I am experienced Psychologist, Counsellor and Psychotherapist, fully registered and acccredited by UKCP (UK Council for Psychotherapy). As we all know, life is certainly a journey that is not always easy to travel on alone. Most of my clients describe me as being warm and empathic and consider that the process of therapy and my non-judgemental attitude has helped them get a deeper understanding of themselves and their experiences.
01753 396287 View 01753 396287

See more therapy options for Maidenhead

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.