Eating Disorders Counselling in Shipley

Photo of Keturah Leishman - Valued Voices Counselling, Counsellor, MBACP
Valued Voices Counselling
Counsellor, MBACP
Shipley BD18
Hi, I’m Keturah, a qualified children and young peoples counsellor and the heart behind Valued Voices Counselling. I’m passionate about creating a safe, welcoming space where every child and young person feels truly heard and understood. Through gentle, child-centered therapy, I help children and young people explore their feelings, build resilience, understand how to navigate through challenging times and develop healthy ways to express themselves. I use an integrative approach in working with children and young people that blends play, empathy, creativity, and evidence-based techniques to meet each child exactly where they are.
Hi, I’m Keturah, a qualified children and young peoples counsellor and the heart behind Valued Voices Counselling. I’m passionate about creating a safe, welcoming space where every child and young person feels truly heard and understood. Through gentle, child-centered therapy, I help children and young people explore their feelings, build resilience, understand how to navigate through challenging times and develop healthy ways to express themselves. I use an integrative approach in working with children and young people that blends play, empathy, creativity, and evidence-based techniques to meet each child exactly where they are.
01274 041260 View 01274 041260
Photo of Monika Madhas, Psychotherapist, MBABCP
Monika Madhas
Psychotherapist, MBABCP
Online Only
Hi, I'm Monika. Welcome to Prosperity Therapy. Well done, you've taken that first step in searching for support with whatever it is you're struggling with, and I'm here to help! I'm an accredited Cognitive Behavioural Psychotherapist with 16 years of NHS experience. I offer one to one therapy online to adults using CBT to help you to work towards your therapy goals and reduce symptoms. I specialise in supporting people struggling with anxiety and low self esteem. Functioning with anxiety and pushing through day to day can be exhausting and can often lead to burnout.
Hi, I'm Monika. Welcome to Prosperity Therapy. Well done, you've taken that first step in searching for support with whatever it is you're struggling with, and I'm here to help! I'm an accredited Cognitive Behavioural Psychotherapist with 16 years of NHS experience. I offer one to one therapy online to adults using CBT to help you to work towards your therapy goals and reduce symptoms. I specialise in supporting people struggling with anxiety and low self esteem. Functioning with anxiety and pushing through day to day can be exhausting and can often lead to burnout.
View
Photo of Carol Metcalfe, Counsellor, MNCPS Acc.
Carol Metcalfe
Counsellor, MNCPS Acc.
Shipley BD18
I am a fully qualified Counsellor, i am an accredited member of the National Counselling Psychotherapy Society. (NCPS) I have always had a passion for helping others, and I have experience working with anxiety, depression, loss, bereavement and domestic abuse. I work with adults (18+) and my aim is to help clients overcome their struggles and develop self-understanding to enjoy a meaningful healthier, and happier future. I endeavour to create a safe space for clients to feel comfortable to be able to share things with me that are preventing them from moving forward.
I am a fully qualified Counsellor, i am an accredited member of the National Counselling Psychotherapy Society. (NCPS) I have always had a passion for helping others, and I have experience working with anxiety, depression, loss, bereavement and domestic abuse. I work with adults (18+) and my aim is to help clients overcome their struggles and develop self-understanding to enjoy a meaningful healthier, and happier future. I endeavour to create a safe space for clients to feel comfortable to be able to share things with me that are preventing them from moving forward.
01274 003807 View 01274 003807
Photo of Anna Sewards - Anna - AS Holistic Counselling, Counsellor, MBACP
Anna - AS Holistic Counselling
Counsellor, MBACP
Shipley BD18
Hello, I’m Anna – a Person-Centred Counsellor. Thank you for visiting my profile – I’m truly glad you’re here. I’m deeply committed to understanding your unique story and supporting you as you find your way forward, at your own pace and in your own time. Are you feeling overwhelmed, stuck, or unsure where to turn? Life can throw challenges our way that leave us feeling isolated or confused—and talking to friends or family isn’t always easy. I offer a calm, confidential environment where you can talk freely, at your own pace, without fear of judgment.
Hello, I’m Anna – a Person-Centred Counsellor. Thank you for visiting my profile – I’m truly glad you’re here. I’m deeply committed to understanding your unique story and supporting you as you find your way forward, at your own pace and in your own time. Are you feeling overwhelmed, stuck, or unsure where to turn? Life can throw challenges our way that leave us feeling isolated or confused—and talking to friends or family isn’t always easy. I offer a calm, confidential environment where you can talk freely, at your own pace, without fear of judgment.
01274 015357 View 01274 015357
Photo of Robert Cavalleri - Gateway Counselling, Counsellor, MBACP
Gateway Counselling
Counsellor, MBACP
Serves Area
Whether you are finding it difficult to cope, would like support for a specific issue or are feeling stuck, therapy can offer you a safe, confidential space to explore difficulties with the help of a professional trained to listen and respond in an insightful, non-judgmental and caring way. You do not need to be in crisis to benefit from therapy, although it is fine if you are. Working together we can address the issue which you bring while gaining greater self-awareness and self-acceptance so you can make meaningful and enduring changes in your life. I offer counselling in Bingley and online.
Whether you are finding it difficult to cope, would like support for a specific issue or are feeling stuck, therapy can offer you a safe, confidential space to explore difficulties with the help of a professional trained to listen and respond in an insightful, non-judgmental and caring way. You do not need to be in crisis to benefit from therapy, although it is fine if you are. Working together we can address the issue which you bring while gaining greater self-awareness and self-acceptance so you can make meaningful and enduring changes in your life. I offer counselling in Bingley and online.
01274 019960 View 01274 019960
Photo of Sue Aspinall, Counsellor, MSc, MBACP Accred
Sue Aspinall
Counsellor, MSc, MBACP Accred
Serves Area
Hello. I am a fully qualified, EMDR therapist, psychotherapist/counsellor & supervisor. I work with a wide range of difficulties. My specialism is working Intensively with trauma - this means offering multiple EMDR sessions over a short time period, working through, what traditionally can take months of therapy, in a much shorter time. I've worked in the NHS & private practice for over 20 years. I'm qualified & trained in different models of therapy, meaning that I adapt the way I work to suit individual needs. I'm passionate about psychological therapy having seen personally and professionally how powerful it can be.
Hello. I am a fully qualified, EMDR therapist, psychotherapist/counsellor & supervisor. I work with a wide range of difficulties. My specialism is working Intensively with trauma - this means offering multiple EMDR sessions over a short time period, working through, what traditionally can take months of therapy, in a much shorter time. I've worked in the NHS & private practice for over 20 years. I'm qualified & trained in different models of therapy, meaning that I adapt the way I work to suit individual needs. I'm passionate about psychological therapy having seen personally and professionally how powerful it can be.
07421 327250 View 07421 327250
Photo of Cat Brown, Counsellor, DCounsPsych, MBACP
Cat Brown
Counsellor, DCounsPsych, MBACP
Serves Area
When it’s not always possible to chat to a friend or loved one about personal issues counselling can be really helpful. Using a warm and down to earth style my sessions will use techniques to help discover the underlying symptoms, using a non direct approach. This will allow us to explore any issues you have, develop ways to overcome them, and move forward positively at a pace that feels right for you. As a fully qualified therapist, I offer help if you suffer emotional from problems with low self esteem, relationships, work related stress, abuse, child related issues, abandonment, drug abuse and addiction, amongst many others.
When it’s not always possible to chat to a friend or loved one about personal issues counselling can be really helpful. Using a warm and down to earth style my sessions will use techniques to help discover the underlying symptoms, using a non direct approach. This will allow us to explore any issues you have, develop ways to overcome them, and move forward positively at a pace that feels right for you. As a fully qualified therapist, I offer help if you suffer emotional from problems with low self esteem, relationships, work related stress, abuse, child related issues, abandonment, drug abuse and addiction, amongst many others.
0113 487 2776 View 0113 487 2776
Photo of Gurchehn Singh, Psychotherapist, MA, MBACP
Gurchehn Singh
Psychotherapist, MA, MBACP
1 Endorsed
Serves Area
My name is Gurchehn, I am a Counsellor/Psychotherapist. I offer therapy for anxiety, depression, low mood and relationship issues. I believe life can be a rollercoaster but within the challenges we face, we can have the ability to grow and develop. My background - I was born and raised in a traditional Punjabi household and have an understanding of cultural limitations. I found my passion supporting and empowering others whilst working as a case worker to support carers. I believe life can be a rollercoaster but within the challenges we face, we can have the ability to grow and develop.
My name is Gurchehn, I am a Counsellor/Psychotherapist. I offer therapy for anxiety, depression, low mood and relationship issues. I believe life can be a rollercoaster but within the challenges we face, we can have the ability to grow and develop. My background - I was born and raised in a traditional Punjabi household and have an understanding of cultural limitations. I found my passion supporting and empowering others whilst working as a case worker to support carers. I believe life can be a rollercoaster but within the challenges we face, we can have the ability to grow and develop.
0113 519 5366 View 0113 519 5366

More Therapists Nearby

Photo of Ailsa Parsons, Psychotherapist, PhD, MBACP
Ailsa Parsons
Psychotherapist, PhD, MBACP
Serves Area
I specialise in trauma recovery, eating disorders, lifestyle difficulties, body-based concerns, creative/high-performance industries and neurodiversity‑affirming therapy.
Are you experiencing the effects of trauma, relational abuse, eating/body/lifestyle-related difficulties or neurodivergent overwhelm? These issues are my core specialisms, however I also support clients in creative and high‑pressure roles who are navigating burnout, identity shifts or chronic tension. Many clients come to me feeling stuck, burnt out or carrying long‑term stress as symptoms in their bodies. Some have tried to cope alone through research, journalling or self‑help but nothing has shifted enough. I offer a calm, grounded space where you can slow down, feel understood and begin to make sense of what is happening.
I specialise in trauma recovery, eating disorders, lifestyle difficulties, body-based concerns, creative/high-performance industries and neurodiversity‑affirming therapy.
Are you experiencing the effects of trauma, relational abuse, eating/body/lifestyle-related difficulties or neurodivergent overwhelm? These issues are my core specialisms, however I also support clients in creative and high‑pressure roles who are navigating burnout, identity shifts or chronic tension. Many clients come to me feeling stuck, burnt out or carrying long‑term stress as symptoms in their bodies. Some have tried to cope alone through research, journalling or self‑help but nothing has shifted enough. I offer a calm, grounded space where you can slow down, feel understood and begin to make sense of what is happening.
01663 790140 View 01663 790140
Photo of Olga Gajczyk, Counsellor, MA, MBACP
Olga Gajczyk
Counsellor, MA, MBACP
Online Only
Counsellor & Coach. On the outside, you navigate high-pressure environments with ease. On the inside, chronic stress has become a quiet storm, reshaping your relationship with food, work, and your own identity. Whether you are trapped in a cycle of emotional eating or utterly exhausted by professional burnout, you don’t need another checklist. You need a space to safely unravel the pressure. With 10+ years of experience, I provide a high-standard, trauma-informed space for individuals navigating a chaotic relationship with food, ongoing stress, and career burnout.
Counsellor & Coach. On the outside, you navigate high-pressure environments with ease. On the inside, chronic stress has become a quiet storm, reshaping your relationship with food, work, and your own identity. Whether you are trapped in a cycle of emotional eating or utterly exhausted by professional burnout, you don’t need another checklist. You need a space to safely unravel the pressure. With 10+ years of experience, I provide a high-standard, trauma-informed space for individuals navigating a chaotic relationship with food, ongoing stress, and career burnout.
01226 695974 View 01226 695974
Photo of Dr Netalie Shloim, Psychotherapist, PhD, MUKCP
Dr Netalie Shloim
Psychotherapist, PhD, MUKCP
Leeds LS17
With over 25 years of experience, my clinical work focuses on eating disorders and body image, trauma, attachment, neurodiversity (including ADHD), and complex emotional difficulties.
I specialise in supporting people who suffer with Eating Disorders, Depression and Anxiety, Childhood Trauma, , Addictions, Learning Disabilities, Sexual Assault and Personality disorders. I diagnose ADHD and work with a team to offer tailored support for ADHD and Autism.
With over 25 years of experience, my clinical work focuses on eating disorders and body image, trauma, attachment, neurodiversity (including ADHD), and complex emotional difficulties.
I specialise in supporting people who suffer with Eating Disorders, Depression and Anxiety, Childhood Trauma, , Addictions, Learning Disabilities, Sexual Assault and Personality disorders. I diagnose ADHD and work with a team to offer tailored support for ADHD and Autism.
0113 487 2909 View 0113 487 2909
Photo of Dr Emma Salazar, Psychotherapist, PhD, MBACP
Dr Emma Salazar
Psychotherapist, PhD, MBACP
Glossop SK13
Waitlist for new clients
As a Doctor of Psychological Therapies with lived experience of ADHD and eating disorder recovery, I weave together authentic human realness and clinical excellence.
I'm not a blank-slate therapist - I show up as my genuine, authentic self so you feel safe to do the same. So we can really deep dive and get to the root of matters together, I'll ask questions with curiosity and challenge you thoughtfully. My goal is to hold space where you can feel truly seen/heard, be honest/unmask, and are empowered to care for yourself.
As a Doctor of Psychological Therapies with lived experience of ADHD and eating disorder recovery, I weave together authentic human realness and clinical excellence.
I'm not a blank-slate therapist - I show up as my genuine, authentic self so you feel safe to do the same. So we can really deep dive and get to the root of matters together, I'll ask questions with curiosity and challenge you thoughtfully. My goal is to hold space where you can feel truly seen/heard, be honest/unmask, and are empowered to care for yourself.
01457 601394 View 01457 601394
Photo of Jen Davies-Owen, Counsellor, MBACP
Jen Davies-Owen
Counsellor, MBACP
Online Only
Are you struggling with disordered eating or an eating disorder?
I am a trained integrative psychotherapist and a qualified coach. I offer a personalised approach tailored to you. I often work creatively and may share psychoeducation depending on your needs and preferences. I offer a weight neutral and neuro-affirmative approach.
Are you struggling with disordered eating or an eating disorder?
I am a trained integrative psychotherapist and a qualified coach. I offer a personalised approach tailored to you. I often work creatively and may share psychoeducation depending on your needs and preferences. I offer a weight neutral and neuro-affirmative approach.
01244 667214 View 01244 667214
Photo of Kat Hurst - Kat Hurst Counselling and Psychotherapy Practice, Psychotherapist, MBACP Accred
Kat Hurst Counselling and Psychotherapy Practice
Psychotherapist, MBACP Accred
3 Endorsed
Waitlist for new clients
In addition, I have comprehensive experience working with individuals struggling with eating disorders, offering tailored support to address the emotional and psychological aspects of their challenges.
Hello, my name is Kat and I am an anxiety and trauma focused therapist and clinical supervisor. I support clients who have experienced any kind of anxiety such as generalized anxiety disorder, social anxiety, PTSD, low self-esteem, depression and/or any kind of trauma or abuse, such as physical, sexual, psychological, neglect, etc. I work from a gendered perspective with women and girls and those who identify as female only from the age of 14 and above. I work in an integrative way with clients using a phased approach to recovery. I will offer you the space to talk and be truly heard about matters that are causing you distress.
In addition, I have comprehensive experience working with individuals struggling with eating disorders, offering tailored support to address the emotional and psychological aspects of their challenges.
Hello, my name is Kat and I am an anxiety and trauma focused therapist and clinical supervisor. I support clients who have experienced any kind of anxiety such as generalized anxiety disorder, social anxiety, PTSD, low self-esteem, depression and/or any kind of trauma or abuse, such as physical, sexual, psychological, neglect, etc. I work from a gendered perspective with women and girls and those who identify as female only from the age of 14 and above. I work in an integrative way with clients using a phased approach to recovery. I will offer you the space to talk and be truly heard about matters that are causing you distress.
01924 975598 View 01924 975598
Photo of Rebecca Dawn Richardson - Rebecca's Counselling Solutions , Counsellor, MBACP
Rebecca's Counselling Solutions
Counsellor, MBACP
1 Endorsed
There are lots of reasons why someone may come for counselling. It may be that they are trying to come to terms with a loss or are finding it difficult to cope with the stresses of everyday life. It could be their past is affecting daily life. You may be experiencing difficulties in your relationships or having sexual problems. This could be erectile dysfunction or premature ejaculation, vaginismus, painful sex or loss of desire. I am Kink-friendly and aware. As a skilled integrative Therapist, I offer a safe, supportive and non-judgmental space to explore difficulties in a confidential environment.
There are lots of reasons why someone may come for counselling. It may be that they are trying to come to terms with a loss or are finding it difficult to cope with the stresses of everyday life. It could be their past is affecting daily life. You may be experiencing difficulties in your relationships or having sexual problems. This could be erectile dysfunction or premature ejaculation, vaginismus, painful sex or loss of desire. I am Kink-friendly and aware. As a skilled integrative Therapist, I offer a safe, supportive and non-judgmental space to explore difficulties in a confidential environment.
01226 445300 View 01226 445300
Photo of Holly Underwood, Psychotherapist, MSc, UKCP Trainee
Holly Underwood
Psychotherapist, MSc, UKCP Trainee
York YO24
Often people come to therapy assuming there is something wrong with them. I am a firm believer that this is not true; there is not something wrong with you, there is just something wrong. It's okay to have doubts, it’s okay if life doesn’t make sense, it’s okay to not be sure who you are, at any age or stage. Often these thoughts are the ones that lead to the biggest growth. I know not everyone comes to therapy to change; sometimes it’s a tool to make sense of yourself, your past and hopes for the future, or sometimes it’s just a chance to have someone truly listen to you, perhaps for the first time.
Often people come to therapy assuming there is something wrong with them. I am a firm believer that this is not true; there is not something wrong with you, there is just something wrong. It's okay to have doubts, it’s okay if life doesn’t make sense, it’s okay to not be sure who you are, at any age or stage. Often these thoughts are the ones that lead to the biggest growth. I know not everyone comes to therapy to change; sometimes it’s a tool to make sense of yourself, your past and hopes for the future, or sometimes it’s just a chance to have someone truly listen to you, perhaps for the first time.
020 3835 5728 View 020 3835 5728
Photo of Gill Sweeting, Psychotherapist, MBACP Accred
Gill Sweeting
Psychotherapist, MBACP Accred
1 Endorsed
Serves Area
My main areas of specialism are relationship and sexual issues, disordered eating, and recovery from adverse experiences, at any age, including sexual abuse.
Sometimes the difficulties you have in the present are influenced by how things have been for you in the past. How you have coped with the tough experiences, the beliefs you have developed about yourself and the world, your habitual responses. You want to improve things for yourself but you can't see a way through. Maybe you have tried other ways of getting better, maybe with some success, but the underlying problems just turn up in different ways. You are here because you know that you are not out of options. Psychotherapy has helped many people like you. And with me, you are in a safe pair of hands. EMDR is an option for you too.
My main areas of specialism are relationship and sexual issues, disordered eating, and recovery from adverse experiences, at any age, including sexual abuse.
Sometimes the difficulties you have in the present are influenced by how things have been for you in the past. How you have coped with the tough experiences, the beliefs you have developed about yourself and the world, your habitual responses. You want to improve things for yourself but you can't see a way through. Maybe you have tried other ways of getting better, maybe with some success, but the underlying problems just turn up in different ways. You are here because you know that you are not out of options. Psychotherapy has helped many people like you. And with me, you are in a safe pair of hands. EMDR is an option for you too.
01298 608404 View 01298 608404
Photo of Dr Ria Talwar, Psychologist, DCounsPsych, HCPC - Couns. Psych.
Dr Ria Talwar
Psychologist, DCounsPsych, HCPC - Couns. Psych.
1 Endorsed
Leeds LS7
Over the years, I have gathered specialist expertise working within eating disorders and body image related difficulties, women’s health and fertility, loss and bereavement and navigating relationships and interpersonal difficulties.
Starting therapy can sometimes be a daunting experience. Our first session will be an opportunity for us to get to know each other. You can consider whether I am the right fit for you, and we can explore your goals and motivations for therapy, creating a collaborative plan for potentially working together. With lots of space for any questions you may have! I hold a strong desire to create space for individuals to share their voices, to feel seen and to be heard. Alongside my professional knowledge, I hope to draw from my personal journey to inspire warmth, authenticity, and connection within the therapeutic relationship we build.
Over the years, I have gathered specialist expertise working within eating disorders and body image related difficulties, women’s health and fertility, loss and bereavement and navigating relationships and interpersonal difficulties.
Starting therapy can sometimes be a daunting experience. Our first session will be an opportunity for us to get to know each other. You can consider whether I am the right fit for you, and we can explore your goals and motivations for therapy, creating a collaborative plan for potentially working together. With lots of space for any questions you may have! I hold a strong desire to create space for individuals to share their voices, to feel seen and to be heard. Alongside my professional knowledge, I hope to draw from my personal journey to inspire warmth, authenticity, and connection within the therapeutic relationship we build.
020 4572 2323 View 020 4572 2323
Photo of Clare Buchanan, Counsellor, MBACP
Clare Buchanan
Counsellor, MBACP
1 Endorsed
Online Only
I am experienced in working with anxiety, depression, eating disorders, self esteem and body image.
I am an LGBTQ+ affirmative counsellor, and I have worked with young people for over 25 years. I am trained to work with Eating Disorders, including restrictive eating, living in larger bodies and other disordered eating patterns. I am also a committed Christian, although accepting of all faiths and none.
I am experienced in working with anxiety, depression, eating disorders, self esteem and body image.
I am an LGBTQ+ affirmative counsellor, and I have worked with young people for over 25 years. I am trained to work with Eating Disorders, including restrictive eating, living in larger bodies and other disordered eating patterns. I am also a committed Christian, although accepting of all faiths and none.
View
Photo of Karen Butterworth, Counsellor, MBACP
Karen Butterworth
Counsellor, MBACP
Totnes TQ9
I love working with people of all ages - from 11 years old into retirement. Young people often come to counselling because they are experiencing difficulties. Together we'll try to understand these more fully and develop skills to manage them and the associated feelings. This process often helps the young person learn more about themselves and what they want. Adult clients often come because they are stuck in unhelpful patterns. Together we'll look under surface at the feelings, beliefs and behaviours that may be causing the stuck-ness. Looking at aspects of ourselves that aren't usually seen often encourages self growth.
I love working with people of all ages - from 11 years old into retirement. Young people often come to counselling because they are experiencing difficulties. Together we'll try to understand these more fully and develop skills to manage them and the associated feelings. This process often helps the young person learn more about themselves and what they want. Adult clients often come because they are stuck in unhelpful patterns. Together we'll look under surface at the feelings, beliefs and behaviours that may be causing the stuck-ness. Looking at aspects of ourselves that aren't usually seen often encourages self growth.
View
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.