Can CBT for Eating Disorders Be HAES®-aligned?

CBT plus HAES for Eating Disorders [Image description: large bodied gender neutral person seated and facing a therapist whose back is to the camera]

Cognitive-Behavioral Therapy is the most effective approach for treating adults with eating disorders, including bulimia nervosa and binge eating disorder. The most recent and commonly taught and implemented version is an “enhanced” protocol, CBT-E (Fairburn, Christopher G., 2008). Unfortunately, Cognitive Behavioral Therapy (CBT) for eating disorders is not always employed in a weight neutral way, …

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Is Weight Suppression Driving Your Binge Eating?

Is Weight Suppression Driving Your Binge Eating?

If you have bulimia nervosa, did you know that being at a weight that is too low for your body could be a problem? And that it could be driving your binge eating and other behaviors? Many people are aware that patients with anorexia nervosa need to gain weight in order to recover, but few …

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Adults with ARFID

Adults with ARFID

Avoidant Restrictive Food Intake Disorder (ARFID) was only recognized as a disorder affecting those older than age 6 as recently as 2013. Treatment and recognition of this disorder are in their infancy. Thus, many people with ARFID have lived with it for years without any treatment. Many adults with ARFID have simply had to learn …

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Low-Cost Eating Disorder Psychotherapy Available

We are excited to announce our low-cost eating disorder therapy program. Via our designation as a practicum site, we are now able to train advanced graduate students in psychology in evidence-based treatment for eating disorders. This allows us to further our mission of helping to disseminate evidence-based treatments and to bring them to people in …

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Structuring Your Eating Disorder Recovery Environment

Structuring Your Eating Disorder Recovery Environment [Image description: hand visible writing in planner]

  Recovery is challenging! I am repeatedly moved and impressed by the courage of my patients as they work through recovery from an eating disorder. One strategy that can help support recovery is a careful ​structuring of one’s recovery environment. This applies to adults working individually in treatment as well as to families helping adolescents to recover. Most evidence-based …

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Adjunctive Therapies to FBT: What are the Additional Therapies That May be Added to FBT? And When Should They Be Added?

Image Description: Paper in window that reads "Mindfulness" Adjunctive therapies that go alongside FBT for Eating Disorders

In a previous post, I have discussed who is typically on an FBT team. In its traditional manualized form, the core team is a therapist, a medical doctor, and the parents. The team can also include a registered dietitian nutritionist (to guide the parents) and may include a psychiatrist. It is not uncommon for medical …

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Do I Need to Quit X to Stay in Recovery?

Do I need to quit X to stay in recovery?

By Carolyn Hersh, LCSW, CEDS-S Clinical Supervisor A difficult concept in recovery is knowing when to let go of an activity or even a job that could potentially re-ignite the eating disorder. As a therapist I find myself guiding my clients toward the realization that the sport or career path they had loved so much …

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Seven Reasons You Should Eat When You’re Not Hungry

7 Reasons to Eat When Not Hungry

One of the cardinal rules of dieting is “Eat only when you’re hungry.” I often find that the fear of eating when not hungry is one of the most difficult bits of dogma to overcome. People with eating disorders and good dieters everywhere have been taught that this is all that stands in the way …

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FBT Treatment Team Members

Family-Based Treatment Teams

Family-based treatment (FBT) is the leading evidence-based treatment for teens with anorexia nervosa and bulimia nervosa. While in an ideal world, every person with an eating disorder would have access to a full treatment team including a therapist, a dietitian, a medical doctor, and a psychiatrist, FBT calls only for a therapist to guide the …

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Sweatin’ for the Wedding: Say, “I don’t.”

Sweating for the Wedding? Say: I Don’t.

by Carolyn Comas, LCSW, CEDS-S In November 2018, my boyfriend proposed to me. It was one of the most exciting days of my life thus far. With a proposal comes the next exciting chapter: wedding planning. For many brides-to-be, this entails finding that perfect gown. Sadly, although not surprising, once I got on bridal mailing …

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