

Eating Disorders Diagnosis and Treatment
Eating disorders are often spoken about through food, weight, or appearance, but in therapy, it rarely stays at that surface level for very long. Very quickly, we begin to see that the relationship with food has usually become tied into something much wider. Control, shame, self criticism, emotional overwhelm, fear of being seen, fear of losing oneself, sometimes even a way of surviving experiences that once felt unmanageable.
So I do not approach eating disorders as simply a set of behaviours that need correcting. What I am usually trying to understand first is what the eating disorder has come to represent or protect within that person’s life.
For some people, the struggle feels harsh and relentless, with food, body image, and self worth becoming intertwined to the point where everyday life starts shrinking around them. For others, it can look quieter from the outside, while internally there is constant exhaustion, guilt, secrecy, or a feeling of never being “good enough”.
My approach involves building a fuller picture of the person’s emotional world alongside the eating difficulties themselves. This includes looking at patterns in relationships, identity, perfectionism, emotional regulation, trauma, self image, and the pressures the person has learned to carry over time.
Depending on the person’s needs, therapy may draw from CBT E, DBT, psychodynamic thinking, and other evidence based approaches. But I try not to force people into a rigid treatment process. Therapy works best when the work feels connected to the person’s actual experience, rather than becoming another set of rules they feel they are failing at.
Where needed, I also work closely with GPs, dietitians, psychiatrists, and family members so that both the psychological and physical aspects of recovery are supported together.
Recovery is rarely about achieving a perfect relationship with food. More often, it involves helping a person build a different relationship with themselves, one where eating no longer has to carry the weight of everything that could not previously be spoken, processed, or felt.
















