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A formulation based on Fairburn's enhanced cognitive-behavioural model — mapping over-evaluation of eating, shape, and weight alongside maintaining mechanisms.
The core CBT-E self-monitoring tool — record what you eat, when, where, and how you felt, including any binge/purge episodes and triggers.
Plan and track a pattern of regular eating — three meals and two to three snacks — to establish a predictable structure that reduces binge urges.
Examine what determines your self-worth — and how much is dominated by eating, shape, and weight compared to other life domains.
Track body checking and body avoidance behaviours, their triggers, and function.
Identify rigid dietary rules and design experiments to test what happens when you break them.
Track weekly weight to observe natural fluctuation and reduce the power of daily weighing.
Test specific predictions about the consequences of changes in shape, weight, or eating.
Explore clinical perfectionism as a maintaining mechanism — mapping the cycle and testing perfectionist rules.
Explore how difficulty tolerating emotions drives eating disorder behaviours — and develop alternative ways to manage intense feelings.
Track daily body image fluctuations alongside mood, context, and eating — to show that body image feelings change and are influenced by mood, not just body size.