Eating Disorders Counselling in Orpington

Photo of Sarah Maddocks, MBABCP, Psychotherapist
Sarah Maddocks
Psychotherapist, MBABCP
Verified Verified
1 Endorsed
Orpington BR6
Most recently I have been working with adults in the private sector and specialise in trauma, perinatal, eating disorders, OCD, depression and anxiety.
We all need to talk at times and sometimes we all need to take time out to work things through. This is a brave step, so it's important to know who I am and what I can offer; I am an experienced BABCP accredited CBT Psychotherapist and an EMDR Practitioner, I also interweave 3rd Wave CBT techniques including Compassion Focused Therapy (CFT) and Schema therapy into my clinical treatment. My background is mental health nursing and I'll always be a nurse at heart, believing that ultimately we are all human beings that feel pain and require compassion and non-judgemental support.
Most recently I have been working with adults in the private sector and specialise in trauma, perinatal, eating disorders, OCD, depression and anxiety.
We all need to talk at times and sometimes we all need to take time out to work things through. This is a brave step, so it's important to know who I am and what I can offer; I am an experienced BABCP accredited CBT Psychotherapist and an EMDR Practitioner, I also interweave 3rd Wave CBT techniques including Compassion Focused Therapy (CFT) and Schema therapy into my clinical treatment. My background is mental health nursing and I'll always be a nurse at heart, believing that ultimately we are all human beings that feel pain and require compassion and non-judgemental support.
020 8138 9233 View 020 8138 9233
Photo of Louise Prew - louiseprewcounselling.co.uk, MBACP, Counsellor
louiseprewcounselling.co.uk
Counsellor, MBACP
Verified Verified
Orpington BR5
Hello & welcome. I understand that there may be a part of yourself that feels uncomfortable, unmanageable & perhaps a bit scared today. But you are here & these are your first steps to recovery & true self-care. I want to speak from the ‘I’ position instead of saying ‘You’ because there is a good chance I have been where you are. Although everyone is unique in their experience – I have been in some dark emotional places & I also know that I can go there again because life is not an easy straight line of 'ok-ness'. Let us see if we can build on transparency & openness to allow vulnerability & realness together. Let's create change.
Hello & welcome. I understand that there may be a part of yourself that feels uncomfortable, unmanageable & perhaps a bit scared today. But you are here & these are your first steps to recovery & true self-care. I want to speak from the ‘I’ position instead of saying ‘You’ because there is a good chance I have been where you are. Although everyone is unique in their experience – I have been in some dark emotional places & I also know that I can go there again because life is not an easy straight line of 'ok-ness'. Let us see if we can build on transparency & openness to allow vulnerability & realness together. Let's create change.
01322 923423 View 01322 923423
Photo of Liz Pattinson (Counsellor), MA
Liz Pattinson (Counsellor)
MA
Verified Verified
Orpington BR5
Life is not always easy and there may be times when difficulties we are experiencing appear to be over-whelming and we may feel unable to share them with those closest to us. Our counselling relationship will be different to the type you have with friends, family or colleagues. It is secure and confidential, the focus being on your experiences of your problems. I will not give you advice, judge you or tell you what to do, but instead we will work collaboratively to explore & make sense of your thoughts, feelings & behaviours
Life is not always easy and there may be times when difficulties we are experiencing appear to be over-whelming and we may feel unable to share them with those closest to us. Our counselling relationship will be different to the type you have with friends, family or colleagues. It is secure and confidential, the focus being on your experiences of your problems. I will not give you advice, judge you or tell you what to do, but instead we will work collaboratively to explore & make sense of your thoughts, feelings & behaviours
01689 664484 View 01689 664484
Photo of Sally Edwards - Sally Edwards, MBACP Accred, Counsellor
Sally Edwards
Counsellor, MBACP Accred
Verified Verified
Orpington BR6
I am a fully qualified psychotherapist and trauma therapist. I offer in-person sessions at my private practice in Kent, and I also see clients in Central London. I can provide online therapy throughout the UK and internationally. I specialise in the impacts of trauma and PTSD, from childhood neglect, sexual abuse, assault, domestic violence, accidents, serious illness, workplace trauma and financial trauma. But I work with clients with many other challenges and emotional difficulties, such as depression, anxiety, stress, overwhelm, low self-esteem, relationship difficulties, life transitions, disordered eating and body image issues.
I am a fully qualified psychotherapist and trauma therapist. I offer in-person sessions at my private practice in Kent, and I also see clients in Central London. I can provide online therapy throughout the UK and internationally. I specialise in the impacts of trauma and PTSD, from childhood neglect, sexual abuse, assault, domestic violence, accidents, serious illness, workplace trauma and financial trauma. But I work with clients with many other challenges and emotional difficulties, such as depression, anxiety, stress, overwhelm, low self-esteem, relationship difficulties, life transitions, disordered eating and body image issues.
01689 661192 View 01689 661192
Photo of Vicky Tross, MBACP, Counsellor
Vicky Tross
Counsellor, MBACP
Verified Verified
Orpington BR6
Counselling changed my life 11 years ago and I believe it can change yours too. Life can feel really hard at times and sometimes we might feel guilty or unreasonable for feeling this way because of a belief that there are always other people in a worse postition. All people's problems and difficulties are extremely unique and personal to them and I am passionate about helping people to understand why they think, feel and behave the way they do. Armed with this knowledge, people are able to start to take back control of their thoughts, feelings and behaviours and in turn, lead a happier, more content life.
Counselling changed my life 11 years ago and I believe it can change yours too. Life can feel really hard at times and sometimes we might feel guilty or unreasonable for feeling this way because of a belief that there are always other people in a worse postition. All people's problems and difficulties are extremely unique and personal to them and I am passionate about helping people to understand why they think, feel and behave the way they do. Armed with this knowledge, people are able to start to take back control of their thoughts, feelings and behaviours and in turn, lead a happier, more content life.
01689 661727 View 01689 661727
Photo of Janice Graham, MBACP Accred, Counsellor
Janice Graham
Counsellor, MBACP Accred
Verified Verified
Orpington BR6
I am an experienced and BACP Accredited Counsellor and Supervisor. I work short or long term. I always work towards the clients goals. I am happy to look at past issues, problems just arising or future concerns. I work one to one in person when possible or by phone if the client prefers. I am very empathic. Many people are struggling with everyday life and have unresolved issues which are affecting them or their relationships. I find that many of my clients are able to resolve these issues and feel much happier as they move forward. You may phone or WhatsApp me. I am also able to offer 30 minute sessions at half the hourly rate
I am an experienced and BACP Accredited Counsellor and Supervisor. I work short or long term. I always work towards the clients goals. I am happy to look at past issues, problems just arising or future concerns. I work one to one in person when possible or by phone if the client prefers. I am very empathic. Many people are struggling with everyday life and have unresolved issues which are affecting them or their relationships. I find that many of my clients are able to resolve these issues and feel much happier as they move forward. You may phone or WhatsApp me. I am also able to offer 30 minute sessions at half the hourly rate
01689 661740 View 01689 661740
Photo of Marion Larcombe - Marion Larcombe, Counsellor
Marion Larcombe
Counsellor
Verified Verified
Orpington BR6
Hi I’m Marion. When consumed by stress, anxiety, fear or depression we often feel a sense of hopelessness. I am a qualified, accredited Integrative Counsellor, which means I work with you as an individual and use the most beneficial Counselling techniques for you to gain the happier life you are looking for. This can be by Psychotherapy or Cognitive Behavioural Therapy or a combination of techniques - whatever method is best for you! Together we will find solutions that will help you to be able to cope and have a happier life. I have overcome several challenges in my life and I believe no one should have to struggle alone.
Hi I’m Marion. When consumed by stress, anxiety, fear or depression we often feel a sense of hopelessness. I am a qualified, accredited Integrative Counsellor, which means I work with you as an individual and use the most beneficial Counselling techniques for you to gain the happier life you are looking for. This can be by Psychotherapy or Cognitive Behavioural Therapy or a combination of techniques - whatever method is best for you! Together we will find solutions that will help you to be able to cope and have a happier life. I have overcome several challenges in my life and I believe no one should have to struggle alone.
01689 661708 View 01689 661708
Photo of Hanna Rebrova, MA, BACP, Psychotherapist
Hanna Rebrova
Psychotherapist, MA, BACP
Verified Verified
Orpington BR5  (Online Only)
Waitlist for new clients
Привет! Меня зовут Анна, мне 47 лет, мама двух взрослых сыновей. Я психотерапевт, диетолог. Руководствуюсь правилом «Чтоб быть кому-то полезным, сначала надо быть полезным себе». Посещаю множество конференций, продолжаю обучение и самопознание в сфере здоровья души и тела для гармоничной счастливой жизни.
Привет! Меня зовут Анна, мне 47 лет, мама двух взрослых сыновей. Я психотерапевт, диетолог. Руководствуюсь правилом «Чтоб быть кому-то полезным, сначала надо быть полезным себе». Посещаю множество конференций, продолжаю обучение и самопознание в сфере здоровья души и тела для гармоничной счастливой жизни.
01689 664481 View 01689 664481
Sally Scofield
Counsellor, MBACP
Verified Verified
1 Endorsed
Orpington BR5
Do you always feel anxious or overwhelmed? Are you feeling unheard or misunderstood? Are you repeating negative patterns in your life but do not know why? I offer a confidential, non judgement, safe therapeutic environment to work through the curve balls that life can sometimes throw at us, leaving us unable to move forward. We will work together to explore and process the challenges and emotions you are facing all at your own pace in your own time. I am passionate about supporting people to help make sense of their lives, relationships and understanding who they are.
Do you always feel anxious or overwhelmed? Are you feeling unheard or misunderstood? Are you repeating negative patterns in your life but do not know why? I offer a confidential, non judgement, safe therapeutic environment to work through the curve balls that life can sometimes throw at us, leaving us unable to move forward. We will work together to explore and process the challenges and emotions you are facing all at your own pace in your own time. I am passionate about supporting people to help make sense of their lives, relationships and understanding who they are.
020 4538 5746 View 020 4538 5746
Photo of Mariam Nouruzi Shadanlou, MBACP Accred, Counsellor
Mariam Nouruzi Shadanlou
Counsellor, MBACP Accred
Verified Verified
Orpington BR5
Hi, I am Mariam, a senior psychotherapist, supervisor and clinical Hypnotherapist, in my experience clients come to therapy because they are either overwhelmed due to recent events in their lives or have been carrying unresolved conscious or unconscious ordeals or traumas. The goal of therapy should always include self-knowledge and self-healing. coming closer to self will help us to come closer to others. As part of this, it is important for all of us to have empathy towards ourselves. So the ultimate goal of therapy should be to gain self-love.
Hi, I am Mariam, a senior psychotherapist, supervisor and clinical Hypnotherapist, in my experience clients come to therapy because they are either overwhelmed due to recent events in their lives or have been carrying unresolved conscious or unconscious ordeals or traumas. The goal of therapy should always include self-knowledge and self-healing. coming closer to self will help us to come closer to others. As part of this, it is important for all of us to have empathy towards ourselves. So the ultimate goal of therapy should be to gain self-love.
01959 580744 View 01959 580744
Photo of Amanda Jane Morris. Counsellor Supervisor- Bacp Accred, DCounsPsych, MBACP, Psychotherapist
Amanda Jane Morris. Counsellor Supervisor- Bacp Accred
Psychotherapist, DCounsPsych, MBACP
Verified Verified
1 Endorsed
Orpington BR6  (Online Only)
As a Senior Accredited Integrative Psychotherapist /Supervisor with over 10 years experience working with young people and adults. I offer a safe, confidential, collaborative space , (either online (GDPR safe) or face 2 face, for us to work together and find a way forward. I specialise in working with children and teenagers also SEN, often holding the sessions in their home environment as this enables them to relax more. Trained in CBT, Person-Centred and Psycho-dynamic, working with a range of issues such as stress, depression, anxiety, self harm, intrusive/suicidal thoughts, panic attacks, OCD, bereavement and more.
As a Senior Accredited Integrative Psychotherapist /Supervisor with over 10 years experience working with young people and adults. I offer a safe, confidential, collaborative space , (either online (GDPR safe) or face 2 face, for us to work together and find a way forward. I specialise in working with children and teenagers also SEN, often holding the sessions in their home environment as this enables them to relax more. Trained in CBT, Person-Centred and Psycho-dynamic, working with a range of issues such as stress, depression, anxiety, self harm, intrusive/suicidal thoughts, panic attacks, OCD, bereavement and more.
07723 492342 View 07723 492342
Photo of Simone Sheikh, MSc, MBACP, Psychotherapist
Simone Sheikh
Psychotherapist, MSc, MBACP
Verified Verified
Orpington BR5  (Online Only)
People usually seek therapy because they have reached a crisis point in their life and are struggling to cope alone. This can lead to feeling stuck or creating unhelpful behaviour patterns to cope which present them from living life to their full potential. We often feel confused, anxious, depressed, emotionally numb or trapped in our past without clear goals in life or clear identity. I can offer you a safe space to explore better internal understanding which promotes self awareness, personal growth and inner peace which enables you to feel full of hope and clarity to achieve personal success.
People usually seek therapy because they have reached a crisis point in their life and are struggling to cope alone. This can lead to feeling stuck or creating unhelpful behaviour patterns to cope which present them from living life to their full potential. We often feel confused, anxious, depressed, emotionally numb or trapped in our past without clear goals in life or clear identity. I can offer you a safe space to explore better internal understanding which promotes self awareness, personal growth and inner peace which enables you to feel full of hope and clarity to achieve personal success.
07480 533783 View 07480 533783
Photo of Claire Golding, MBACP, Counsellor
Claire Golding
Counsellor, MBACP
Verified Verified
1 Endorsed
Orpington BR5
I consider myself to be highly empathic, intuitive and compassionate, I try to fully understand what my client is experiencing and feeling. My aim as your counsellor is to give you a "safe" space to talk openly and honestly with out fear of judgement. I specialise in bereavement and loss, I'm confident working with clients who have depression or low moods, and anxiety. I have had specific training to work with client's who self harm, suffer with addiction and those who have suicidal thoughts or intrusive thoughts.
I consider myself to be highly empathic, intuitive and compassionate, I try to fully understand what my client is experiencing and feeling. My aim as your counsellor is to give you a "safe" space to talk openly and honestly with out fear of judgement. I specialise in bereavement and loss, I'm confident working with clients who have depression or low moods, and anxiety. I have had specific training to work with client's who self harm, suffer with addiction and those who have suicidal thoughts or intrusive thoughts.
020 3984 9222 View 020 3984 9222
Photo of Joanna Hogan Mbabcp Isst, MBABCP, Psychotherapist
Joanna Hogan Mbabcp Isst
Psychotherapist, MBABCP
Verified Verified
Orpington BR5
Joanna is a BABCP-accredited Cognitive Behavioural Therapist and advanced Schema Therapist.  She uses  tried and tested methods in her practice, including cognitive behavioural therapy (CBT), CBT-I (CBT for insomnia), acceptance and commitment therapy (ACT) and for more complex issues, schema therapy & EMDR. Jo sees adults with anxiety, OCD, insomnia, nightmares, post-traumatic stress disorder, post-natal depression, work stress, health anxiety (hypochondria) , performance anxiety, panic attacks, agoraphobia, phobias, social anxiety and shyness, low self-esteem and confidence issues and personality-level issues.
Joanna is a BABCP-accredited Cognitive Behavioural Therapist and advanced Schema Therapist.  She uses  tried and tested methods in her practice, including cognitive behavioural therapy (CBT), CBT-I (CBT for insomnia), acceptance and commitment therapy (ACT) and for more complex issues, schema therapy & EMDR. Jo sees adults with anxiety, OCD, insomnia, nightmares, post-traumatic stress disorder, post-natal depression, work stress, health anxiety (hypochondria) , performance anxiety, panic attacks, agoraphobia, phobias, social anxiety and shyness, low self-esteem and confidence issues and personality-level issues.
07480 538363 View 07480 538363
Photo of Margaret Mary Bell - Maggie Bell, Counsellor, Hypnotherapist & EMDR, MBACP Accred, Counsellor
Maggie Bell, Counsellor, Hypnotherapist & EMDR
Counsellor, MBACP Accred
Verified Verified
Orpington BR6
BACP Accredited Counsellor, Registered GHR Master Hypnotherapist, Eye Movement Desensitisation and Reprocessing with Neuro-Linguistic Programming and Internal Parts Therapy. Over 25 years NHS experience; inpatient, outpatient, community and Private Practice. Complimentary telephone consultation to discuss your therapeutic pathway forward. An integrative therapist with multi-modalities; extensive qualifications, specialisms and experience working with you with all issues. More information can be found on my website; an evolution of many many years.
BACP Accredited Counsellor, Registered GHR Master Hypnotherapist, Eye Movement Desensitisation and Reprocessing with Neuro-Linguistic Programming and Internal Parts Therapy. Over 25 years NHS experience; inpatient, outpatient, community and Private Practice. Complimentary telephone consultation to discuss your therapeutic pathway forward. An integrative therapist with multi-modalities; extensive qualifications, specialisms and experience working with you with all issues. More information can be found on my website; an evolution of many many years.
020 4538 9918 View 020 4538 9918
Photo of Sally Smith - Revive Therapy, MBACP, Psychotherapist
Revive Therapy
Psychotherapist, MBACP
Verified Verified
Orpington BR5
Are you struggling with anxiety, depression, trauma, grief/loss or relationship difficulties? At Revive Therapy we provide a warm and inviting space for you to explore your challenges and changes that you want to make in your life. Our sessions are non-judgmental, where you are free to be yourself and to discover your potential. We understand that life can be challenging at times and that we all go through periods of difficulty. Whatever the issue that you are facing, you are not alone. Revive Therapy is experienced in supporting our clients to make that transformational change.
Are you struggling with anxiety, depression, trauma, grief/loss or relationship difficulties? At Revive Therapy we provide a warm and inviting space for you to explore your challenges and changes that you want to make in your life. Our sessions are non-judgmental, where you are free to be yourself and to discover your potential. We understand that life can be challenging at times and that we all go through periods of difficulty. Whatever the issue that you are facing, you are not alone. Revive Therapy is experienced in supporting our clients to make that transformational change.
020 4538 6940 View 020 4538 6940
Photo of Monika Wieliczko, HCPC - Clin. Psych., Psychologist
Monika Wieliczko
Psychologist, HCPC - Clin. Psych.
Verified Verified
Orpington BR5
You have been feeling tense and overwhelmed for no apparent reason, although everything ‘seems fine’ on the surface and people often tell you that you were lucky in life. It might be that you don’t quite know where your emotional and physical reactions are coming from. As if your mind and body have a life of their own. It might seem you have it together all the time but it takes so much energy to keep things going. This never-ending sense of internal pressure feels exhausting but you are not quite sure how to get out of the cycle. You might be confused about who you really are, what is your true self.
You have been feeling tense and overwhelmed for no apparent reason, although everything ‘seems fine’ on the surface and people often tell you that you were lucky in life. It might be that you don’t quite know where your emotional and physical reactions are coming from. As if your mind and body have a life of their own. It might seem you have it together all the time but it takes so much energy to keep things going. This never-ending sense of internal pressure feels exhausting but you are not quite sure how to get out of the cycle. You might be confused about who you really are, what is your true self.
07450 088466 View 07450 088466

More Therapists Nearby

Photo of Joanna Cole Dip.Couns, MBACP, Counsellor
Joanna Cole Dip.Couns
Counsellor, MBACP
Verified Verified
Bromley BR2  (Online Only)
I am a qualified Understanding Your Eating Practitioner with expertise in working with eating disorders.
I have extensive experience working with both adults and children, providing support to individuals facing various emotional challenges. I have helped clients with relationship difficulties, anxiety, depression, self-esteem issues, phobias, self-harm, sexuality, autism, ADHD, exam stress, bereavement, addiction, anger management, eating disorders, and more. I am also experienced in domestic abuse and trauma counselling, supporting clients who have experienced different forms of abuse. Additionally, I have provided guidance to individuals participating in 12-step programs like Alcoholics Anonymous and Cocaine Anonymous.
I am a qualified Understanding Your Eating Practitioner with expertise in working with eating disorders.
I have extensive experience working with both adults and children, providing support to individuals facing various emotional challenges. I have helped clients with relationship difficulties, anxiety, depression, self-esteem issues, phobias, self-harm, sexuality, autism, ADHD, exam stress, bereavement, addiction, anger management, eating disorders, and more. I am also experienced in domestic abuse and trauma counselling, supporting clients who have experienced different forms of abuse. Additionally, I have provided guidance to individuals participating in 12-step programs like Alcoholics Anonymous and Cocaine Anonymous.
07401 763994 View 07401 763994
Photo of Louis Carruthers, MBACP, Counsellor
Louis Carruthers
Counsellor, MBACP
Verified Verified
Sidcup DA15
I am experienced working with depression, anxiety, eating disorders, and family issues.
I am an Integrative Counsellor (MBACP) and I work with adults both in-person and online on a wide range of behavioural, emotional, and relationship issues. I am here to provide a safe and non-judgmental space for individuals to explore their thoughts and feelings and facilitate self-awareness and movement towards healing and growth. I have been trained in a number of modalities including person-centred, psychodynamic, existential, cognitive, and relational approaches. My practice also draws on embodied/somatic approaches to trauma. My approach is tailored to the client and what works best for each individual.​
I am experienced working with depression, anxiety, eating disorders, and family issues.
I am an Integrative Counsellor (MBACP) and I work with adults both in-person and online on a wide range of behavioural, emotional, and relationship issues. I am here to provide a safe and non-judgmental space for individuals to explore their thoughts and feelings and facilitate self-awareness and movement towards healing and growth. I have been trained in a number of modalities including person-centred, psychodynamic, existential, cognitive, and relational approaches. My practice also draws on embodied/somatic approaches to trauma. My approach is tailored to the client and what works best for each individual.​
020 3949 7725 View 020 3949 7725
Photo of Patience Destiny, MBACP, Psychotherapist
Patience Destiny
Psychotherapist, MBACP
Verified Verified
1 Endorsed
Bromley BR2  (Online Only)
I’m a qualified Psychotherapist / Integrative Counsellor with over 13years’ experience. I offer short & long-term therapy. I work with your whole-being towards your wellness; exploring your lived experiences & current issues, towards your desired goal. I’m curious about your creative interests & incorporate them into your therapeutic experience.
I’m a qualified Psychotherapist / Integrative Counsellor with over 13years’ experience. I offer short & long-term therapy. I work with your whole-being towards your wellness; exploring your lived experiences & current issues, towards your desired goal. I’m curious about your creative interests & incorporate them into your therapeutic experience.
020 4538 7648 View 020 4538 7648

See more therapy options for Orpington

Eating Disorders Counsellors

What happens in therapy for eating disorders?

In therapy for eating disorders, patients typically describe their eating and exercise behaviours, their patterns of eating in relation to stress, their beliefs about their body, the ways their eating behaviour affects their relationships, and their desire (or lack of it) to change. Such information helps the therapist understand the origins of the disorder and the role it plays in the patient’s life, important for guiding treatment. Attitudes and feelings about food and eating, body weight, and physical appearance are common topics of discussion throughout treatment.

What therapy types help with eating disorders?

Once any acute medical or psychiatric emergency is resolved, psychoactive medication is often prescribed, requiring the supervision of a psychiatrist. In addition, patients receive some form of nutritional counselling along with one or more forms of psychotherapy. For adolescents, family-based treatment is empirically validated and considered the first line of treatment; parents and their children meet weekly with a clinician as the adults are coached on how to nourish and psychologically support the young patient. Adults typically receive some form of individual psychotherapy, intended to resolve the cognitive and behavioural disturbances that underlie the disorder and to relieve the mood disturbances that accompany it. In addition, patients may also be helped by group therapy.

What is the goal of therapy for eating disorders?

The most immediate goal of treatment for eating disorders is to save the life of people who are on a path of starving themselves to death or engaging in eating patterns that are doing irreparable physical harm to their body. Once the acute medical danger is past, therapy is required to understand the nature of the disordered eating and/or exercise patterns, establish healthy eating behaviour, and to tackle the many erroneous beliefs and distorted self-perceptions that underlie eating disorders and continue to pose a threat to health and life. Therapy also addresses the impaired mood that not only accompanies eating disorders but intensifies the danger to health and life.

What are the limitations of therapy for eating disorders?

Therapy can be very helpful for eating disorders—but that can happen only after people recognise they have a condition that must be treated. Especially with anorexia, the distortions in self-image that accompany the disorder can keep people from acknowledging they have a problem. Individuals may in fact see their eating disorder as a badge of self-control. Those with binge-eating disorder may feel too ashamed to seek help. Therapy cannot help those who do not avail themselves of it.

How long does therapy last for eating disorders?

Because of their complexity, recovery from eating disorders is usually a long-term process—measured in months and years— often marked by setbacks and relapse. Some form of help, such as individual or group therapy, may be advisable for much of that time. It is a general rule of thumb that the longer the illness has endured and the dysregulated eating behaviour has taken root, the longer treatment is likely to be needed.