Murphy R, Bailey-Straebler S, Dalle Grave R, Calugi S, Osborne EL, Cooper Z.
Abstract
Drawing on extensive experience in training and supervising clinicians in enhanced cognitive behaviour therapy (CBT-E), we have identified ten prevalent misconceptions and communication gaps. These misunderstandings can impact the implementation of CBT-E and may potentially reduce its effectiveness. They include misconceptions regarding CBT-E’s flexibility, suitability for certain patient groups, real-world applicability, and alignment with anti-weight stigma principles. Such misunderstandings may make clinicians hesitant to recommend or deliver CBT-E appropriately. In the present paper, we address these misconceptions and gaps in communication and provide evidence-based guidance on CBT-E practice. We aim to enhance clinicians’ confidence in using CBT-E flexibly and appropriately, with the hope that this will improve its effectiveness.
Key learning aims
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(1) Recognise common misconceptions and communication gaps about enhanced cognitive behaviour therapy (CBT-E) for eating disorders.
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(2) Develop an understanding of how CBT-E can be implemented across diverse clinical settings and patient populations.
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(3) Strengthen therapists’ confidence in delivering CBT-E flexibly while maintaining fidelity to its evidence-based framework.
Murphy R, Bailey-Straebler S, Dalle Grave R, Calugi S, Osborne EL, Cooper Z. Evolving perspectives on CBT-E for eating disorders: clarifying ten key points – misconceptions and communication gaps explored. The Cognitive Behaviour Therapist. 2025;18. doi: 10.1017/s1754470x25100299. Full Text