Table 1 Overview of binge eating etherapy session content
| Session | Focus | Key principles |
|---|---|---|
| Session 1 | Formulation and monitoring eating |
Psychoeducation about cognitive-behavioural therapy Introduction to self-monitoring of eating behaviours |
| Session 2 | Eating regularly and planning ahead |
Development of personalised case formulation Psychoeducation about the role of restricting food and starvation Regular eating |
| Session 3 | Addressing binges |
Key strategies and skills to overcome binge eating and cope with urges to binge The role of triggers in the Binge Eating Cycle |
| Session 4 | Problem solving and motivation |
Problem solving Motivational enhancement strategies: pros and cons of change |
| Session 5 | Understanding and noticing thoughts and feelings |
Psychoeducation about emotions and unhelpful thinking patterns Emotion regulation skills Introduction to self-monitoring of unhelpful thoughts |
| Session 6 | Coping with thoughts and feelings |
Mid-treatment reflection upon strengths and progress Thought challenging |
| Session 7 | Exposure challenges: Feared foods and food rules |
Introduction to feared foods and food rules Development of personalised exposure hierarchy How to challenge feared foods and food rules using ‘Exposure Tool’ |
| Session 8 | Exposure challenges: Body image |
Psychoeducation about body image Identification of exposure tasks to overcome checking and/or avoidance Urge surfing |
| Session 9 | Self-compassion and identifying values and strengths |
Strategies to foster greater self-compassion and body acceptance Identifying personal values and strengths external to eating, weight, and shape |
| Session 10 | Review and relapse prevention |
Relapse prevention strategies Reflection upon progress and changes in symptoms across treatment Discussion of other treatment options and support |