What is CBT-E (Enhanced CBT)?


Enhanced cognitive behaviour therapy (CBT-E) is a version of the standard CBT (Cognitive Behavioural Therapy) specific for the effective treatment for eating disorders. It is a transdiagnostic model, meaning it is designed to treat a range of different eating disorders including anorexia nervosa, bulimia nervosa, binge eating disorder and other patterns of disordered eating​. Whilst these conditions are very different and distinct from one another, they share many of the same core features. These include an exaggerated concern over body weight and shape which can result in different eating disorder behaviours such as restricting, purging, or over-eating.

CBT-E is a highly individualised treatment whereby your therapist will create a specific version of Enhanced CBT to match your exact eating problem. Here at Counselling Psychology Online, we are trained in CBT-E counselling. We are based in Surrey, Somerset, Kent and Stoke, and offer online Enhanced CBT remotely to individuals across the UK.

How does the CBT-E Treatment Work?

There are four stages to Enhanced CBT:

  • Stage One: Gaining a shared understanding of your eating problem and helping you to modify and stabilise your eating patterns. There is also emphasis on personalised education and the addressing of concerns about weight. It is best if these initial sessions are twice a week.
  • Stage Two: In the brief second stage, progress is reviewed and plans are made for the main body of treatment (Stage Three).
  • Stage Three: Involves weekly sessions focusing on what may be maintaining your eating problems. Usually this involves addressing concerns about body image and eating; enhancing your ability to deal with day-to-day events and moods; and addressing dietary restraint if present.
  • Stage Four:  Focus more onto the future, including maintaining progress made and managing setbacks.

A follow up, review session may be suggested for some months after treatment has ended. This can helpfully provide an opportunity to review progress and address any problems that have remained or emerged.

The treatment is accessible at varying levels of severity of disordered eating, and for both adults and children. When working with people who are not significantly underweight, CBT-E generally involves an initial assessment appointment followed by 20 treatment sessions over 20 weeks, lasting 50-minutes each.

The duration of therapy may need to be longer for those who are underweight, or have more complex difficulties, for example 40 sessions over 40 weeks. In this version of CBT-E, weight regain is integrated with addressing eating disorder related beliefs. Before starting weight regain, you and your therapist will spend time during the first weeks carefully considering the advantages and disadvantages of regaining weight, as we would like you to make this decision, rather than have it forced upon you.


Do you have questions?

It's not unusual to have questions about what type(s) of therapy may be suitable for you.

We're here to help. Please don't hesitate to get in touch so we can discuss what might help you.


We get asked a lot of questions regarding our CBT-E therapy, so we thought we would answer those most frequently asked questions below. Please email admin@counsellingpsychologyonline.com or telephone 07584 328192 for any other questions, or to begin your CBT-E therapy today.

What is CBT-E an abbreviation of?

CBT-E stands for Enhanced Cognitive Behavioural Therapy. It is a version of the more standard CBT (or Cognitive Behavioural Therapy) designed to treat eating disorders.

How do I know if CBT E is right for me?

CBT-E (or Enhanced Cognitive Behavioural Therapy) can be very effective in the treatment of eating disorders for many individuals. It is a “transdiagnostic” treatment, meaning it can be used for many different forms of eating disorders, however it will not be suited to everyone suffering from an eating disorder. Before any therapy plan begins, a free 15-minute consultation will be provided by Counselling Psychology Online where we will assess if CBT-E is the right treatment for you.

How do I begin my Enhanced Cognitive Behavioural Therapy?

Get in touch with Counselling Psychology Online by emailing admin@counsellingpsychologyonline.com or calling 07584 328192. We will then book you in for a free consultation, where we will determine if CBT-E is the right treatment for you, or if we believe another will be more effective, we will suggest alternatives. We will then put together a personalised treatment plan for you and the therapy can begin.

What do I need to start my CBT-E therapy?

Most of our counselling is remote and so, access to a device where we can connect to you is important. This could be a phone, computer, laptop or tablet – and it has to be connected to the internet with a video program such as Microsoft Teams, Zoom, Skype or Vsee. It is important that you undertake your CBT-E sessions in a safe environment in private and you can decide whether you want your video on or off.

Who is Enhanced CBT for?

CBT-E is a version of CBT designed for treating a range of eating disorders. As each individual situation is different, we would always recommend that a therapist determines the best therapy for everyone.

Does Enhanced Cognitive Behavioural Therapy work?

Enhanced Cognitive Behavioural Therapy has been proved to be a highly effective therapy for the treatment of eating disorders including anorexia and bulimia. The CBT-E treatment plan will be highly personalised to individuals to match the exact requirements of those receiving the therapy do there is a high potential of success. However, no counselling will work without effort and commitment from the patient and willingness to change behaviour.

CBT-E with Counselling Psychology Online


We provide bespoke online CBT-E therapy for adults and children.

Please contact us  for any further information or to begin Enchanced CBT Therapy. Answers to our most commonly asked questions about Counselling Psychology Online can be found on our FAQ page.