This talk offers a focused exploration of Phases 2 and 3 of Enhanced Cognitive Behavioural Therapy for Eating Disorders (CBT-E), with an emphasis on working with body image concerns. These phases are essential for consolidating early progress and targeting the core psychopathology that underpins most eating disorders: the over-evaluation of shape and weight.
In Phase 2, practitioners learn how to review client progress, identify new barriers, and build upon foundational gains. Phase 3 then moves into the emotionally significant domain of body image work—addressing behaviours such as body checking, avoidance, appearance-based comparisons, and the distressing experience of “feeling fat.”
The talk introduces a range of practical strategies, including psychoeducation, behavioural experiments, mirror exposure, and cognitive restructuring. These interventions help clients broaden their self-worth beyond appearance, reduce anxiety, and establish a more compassionate, sustainable relationship with their bodies.
Learning Outcomes
By the end of this talk, participants will be able to:
Describe the goals and structure of Phases 2 and 3 in CBT-E.
Identify and respond to common barriers to change that emerge mid-treatment.
Understand the role of over-evaluation of shape and weight in maintaining eating disorders.
Apply body image-focused interventions such as mirror exposure and cognitive restructuring.
Support clients in expanding their self-evaluation system and reducing appearance-based distress.