el Khazen, C., Calugi, S., Abu Taha, H., & Dalle Grave, R. (2026)
Abstract
Enhanced Cognitive Behaviour Therapy (CBT-E) was originally developed as a single-therapist intervention; however, clinical experience in real-world settings suggests that certain patients may benefit from the additional involvement of a dietitian specifically trained in CBT-E. This paper examines the role of the CBT-E dietitian within a non-eclectic multidisciplinary framework, describing clinical indications for involvement, therapeutic style, and contributions to nutritional rehabilitation, and behavioural change. The CBT-E dietitian operates collaboratively within the patient’s shared formulation, supporting regular eating, weight regain when indicated, reduction of dietary restraint, and increased dietary flexibility. Particular emphasis is placed on multidisciplinary collaboration, consistent therapeutic messaging, clearly defined professional boundaries, and the maintenance of CBT-E fidelity in treatment. Challenges, including limited access to trained dietitians and the risk of inconsistent interventions, are also discussed.
el Khazen, C., Calugi, S., Abu Taha, H., & Dalle Grave, R. (2026). The Role of the Dietitian in CBT-E for Eating Disorders. IJEDO, 8, 43–46. https://doi.org/10.32044/ijedo.2026.07