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Introduction to Enhanced Cognitive Behaviour Therapy (CBT-E) for Eating Disorders
Introduction to Enhanced Cognitive Behaviour Therapy (CBT-E) for Eating Disorders
Introduction to Enhanced Cognitive Behaviour Therapy (CBT-E) for Eating Disorders

Introduction to Enhanced Cognitive Behaviour Therapy (CBT-E) for Eating Disorders

Dr. Rebecca Murphy

Introduction

On December 12th, 2023, Dr. Rebecca Murphy delivered a half-day workshop on enhanced cognitive behaviour therapy (CBT-E) for eating disorders. This on-demand workshop is a recording of that presentation.

Workshop Outline

CBT-E is the abbreviation for “enhanced cognitive behaviour therapy” and is one of the most effective treatments for the eating disorders. This is a one-to-one treatment that focuses on the characteristic disturbances in eating habits and attitudes to shape and weight. CBT-E is designed to be individualized to match the eating problem of the person receiving treatment. CBT-E was developed by Dr. Christopher Fairburn as a treatment for bulimia nervosa and in this form, it has been the subject of numerous clinical trials. It was the first psychological treatment (for any mental disorder) to be strongly endorsed by UK’s independent and highly regarded National Institute for Health and Care Excellence (NICE).

In the early 2000s the treatment was modified to make it suitable for all forms of eating disorder, including anorexia nervosa, bulimia nervosa, binge eating disorder and other similar states (Fairburn, Cooper and Shafran, 2003). In fact, it is the only treatment that has been shown to be suitable for all forms of eating disorder encountered in adults (Fairburn et al, 2009; Fairburn et al, 2013) and has been tested across the full range of eating disorders in studies emanating from the UK, Australia, Denmark, Italy and the USA. Although originally developed as an outpatient treatment for adults, it has also been adapted for use as an intensive version for day patients and inpatients and for younger people.

Content

This workshop will aim to provide an introduction to the main principles and goals of CBT-E to treat people with anorexia nervosa, bulimia nervosa, binge eating disorder and other related eating disorders. It will describe the adult outpatient version of CBT-E used with non-underweight patients (the core version of treatment, which can then be adapted for other patient groups), as well as highlighting other versions of the treatment. The workshop will introduce you to the theoretical cognitive-behavioural model of eating disorders and provide guidance on how to formulate your client’s difficulties using CBT-E. A central aspect of the workshop will be the description of the specific therapeutic skills and procedures used within CBT-E.

Learning Objectives

By the end of this workshop, participants will be able to: 

  • Articulate what CBT-E is, as well as the different versions of CBT-E

  • Formulate eating disorders using a CBT-E approach

  • Articulate each of the four stages of treatment and the therapeutic procedures used across these stages (including starting well, addressing body image, tackling dietary restraint, addressing event and mood triggered eating problems, and ending well)

  • Find further information on the different versions of CBT-E, including working with underweight patients, and to develop your skills beyond this introductory level

About the Presenter

Dr. Rebecca Murphy is a Senior Research Clinician at the University of Oxford, co-director of the Centre for Research on Eating Disorders at Oxford (CREDO), an NIHR Clinical Doctoral Research Fellow, and an Honorary Clinical Psychologist at Oxford Health NHS Foundation Trust. Her clinical and research specialism is enhanced CBT for eating disorders (CBT-E). She delivered CBT-E as a trial therapist for many years under the supervision of Drs. Christopher Fairburn and Zafra Cooper. More recently, her work has included helping to develop and evaluate an online training program for therapists learning CBT-E, which she continues to manage. Currently she is leading the development and evaluation of Digital CBTe, a digital self-help program for eating disorders characterized by binge eating. She is an Associate Editor of Behavioural and Cognitive Psychotherapy and an advisor to the Academy for Eating Disorders CBT-ED Special Interest Group.

Training Modalities

This workshop will include didactic content, reflective exercises, polls, Q&A.

Who should attend

This webinar is suitable for practitioners wishing to have an introduction to CBT-E and guidance on how to develop their skills further. It is also suitable for those who may have participated in CBT-E training in the past and would like a refresher or to review the basics again to maintain their skills.

Continuing Education (CE) Credits

Bespoke Mental Health Canada is approved by the Canadian Psychological Association to offer continuing education for psychologists. Bespoke Mental Health Canada maintains responsibility for the program. 
After viewing this workshop, participants have the option to complete an evaluation form and a workshop knowledge quiz in order to be eligible to receive a certificate confirming the number of credits awarded. This certificate will be sent via email.
Participants who complete this workshop, submit a completed evaluation form, and score a minimum of 8/10 on a content-related quiz are eligible to receive 2.75 CE credits

Fees

Professionals: $100 CAD + tax
Students*: $80 CAD + tax
* Proof of student status may be required in order to qualify for a student rate.

Key References

Bailey-Straebler S, Cooper Z, Dalle Grave R, Calugi S, Murphy R. Development of the CBT-E Components Checklist: A tool for measuring therapist self-rated adherence to CBT-E. IJEDO. 2022;4. doi: https://www.doi.org/10.32044/ijedo.2022.02  

Cooper, Z., & Murphy, R. (2021). Eating disorders: a transdiagnostic protocol. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: a step-by-step treatment (6th edition ed.). New York: Guilford.

Dalle Grave  R. Treatment of eating disorders in adults and adolescents: The advantages of a unified treatment. Psychology Today. Published online March 1, 2021

Murphy, R., Calugi, S., Cooper, Z., & Dalle Grave, R. (2020). Challenges and Opportunities for enhanced cognitive behaviour therapy (CBT-E) in light of COVID-19. The Cognitive Behaviour Therapist, 1-31. doi:10.1017/S1754470X20000161 

Fairburn, C. G., Bailey-Straebler, S., Basden, S., Doll, H. A., Jones, R., Murphy, R., … Cooper, Z. (2015). A transdiagnostic comparison of enhanced cognitive behaviour therapy (CBT-E) and interpersonal psychotherapy in the treatment of eating disorders. Behaviour Research and Therapy, 70, 64-71. doi:10.1016/j.brat.2015.04.010

Dalle Grave, R., Calugi, S., Doll, H. A., & Fairburn, C. G. (2013). Enhanced cognitive behaviour therapy for adolescents with anorexia nervosa: an alternative to family therapy? Behaviour Research and Therapy, 51(1), R9-r12. doi:10.1016/j.brat.2012.09.008

Fairburn, C. G., Cooper, Z., Doll, H. A., O’Connor, M. E., Palmer, R. L., & Dalle Grave, R. (2013). Enhanced cognitive behaviour therapy for adults with anorexia nervosa: a UK-Italy study. Behaviour Research and Therapy, 51(1), R2-8. doi:10.1016/j.brat.2012.09.010

Fairburn, C. G., Cooper, Z., Doll, H. A., O’Connor, M. E., Bohn, K., Hawker, D. M., . . . Palmer, R. L. (2009). Transdiagnostic cognitive-behavioral therapy for patients with eating disorders: a two-site trial with 60-week follow-up. American Journal of Psychiatry, 166(3), 311-319. doi:10.1176/appi.ajp.2008.08040608

Fairburn, C. G., Cooper, Z., & Shafran, R. (2003) Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment. Behaviour Research and Therapy, 41, 509-528.

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