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A Weight-Inclusive CBT Model

CE Hours 1.5

About this course

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Cognitive Behavioral Therapy (CBT) is the leading treatment for adult eating disorders, including bulimia nervosa, binge-eating disorder, and atypical anorexia. It is an individualized, transdiagnostic, time-limited treatment focused on mechanisms that maintain ED symptoms. Though a significant body of evidence supports its use, no formal adaptations have been made to modify treatment components that may perpetuate weight stigma and cause iatrogenic harm. CBT-E's overall conceptual model involves reducing dietary rules and restriction. This aligns well with a weight-inclusive approach. However, CBT-E manuals and workbooks contain stigmatizing language and promote 'healthy weight loss' for individuals in larger bodies. Consequently, some providers and activists reject CBT-E and related approaches. Modification of CBT-E is critical both to mitigate harm and to increase its acceptability and implementation. We propose a revised version of CBT for Eating Disorders called CBT-Weight-Inclusive (CBT-WI). We modify the cognitive model to relocate the origin of the problem from the individual to the outside culture, rather than pathologizing the person. We reduce the emphasis on knowing one's weight and eliminate regular weighing. We remove stigmatizing language and interventions and include more diverse examples. We help people in all body sizes and with all eating disorders focus on eating enough.

   

CBT-e = Enhanced Cognitive Behavioral Therapy

CBT-ED = Cognitive Behavioral Therapy for Eating Disorders




Panel Outline 


A. CBT-WI overview (35 minutes)

1. Review of CBT for EDs and why aspects of traditional CBT are problematic

2. Introduce our revised version of CBT for Eating Disorders, called CBT-Weight-Inclusive (CBT-WI) 

B. Case vignette (15 minutes) 

1. Vignette is shared by presenters 

2. Participants individually practice writing a case formulation using CBT-WI worksheet (this helps both those familiar with traditional CBT-ED case formulations and those new to CBT) 

3. Presenters elicit what participants have included in their formulations in the big group 

C. Small group activity (20 minutes) 

1. Participants break into small groups and discuss the case vignette for whom they have completed the formulation. Participants identify and discuss weight neutral interventions/modifications to standard CBT protocols 

D. Groups come back together (20 minutes) 

1. Presenters lead an interactive discussion on adaptations of CBT for eating disorders (identified by participants in small groups) to promote inclusivity and minimize stigma 

2. Presenters take questions

Learning Objectives

  • Identify three aspects of CBT that can be harmful and stigmatizing to people in larger bodies.
  • Discuss three potential modifications to CBT interventions to make CBT weight-inclusive.
  • Explain how to modify the cognitive-model to align with a weight-inclusive social justice approach.

Learning Levels

  • All levels
  • Advanced

Course Instructor(s)

  • LAUREN MUHLHEIM, PSY.D., FAED, CEDS-C

    Lauren Muhlheim, Psy.D., FAED, CEDS-C is a psychologist, fellow of the Academy for Eating Disorders (AED), and certified eating disorder specialist (CEDS) and approved consultant (-C) for the International Association of Eating Disorder Professionals (IAEDP). She is certified in Family-Based Treatment (FBT) for adolescent eating disorders. She owns Eating Disorder Therapy LA, a group practice in Los Angeles, CA. Dr. Muhlheim is the author of When Your Teen Has an Eating Disorder (New Harbinger, 2019) and a co-author of The Weight-Inclusive CBT Workbook for Eating Disorders (2026). She specializes in providing weight-inclusive adaptations to evidence-based treatments including FBT, CBT-E, and CBT-AR. Dr. Muhlheim has held leadership roles in several professional organizations including the AED, IAEDP, and the Los Angeles County Psychological Association. She has previously been an IAEDP core course instructor and provides training on eating disorders to mental health providers internationally.

  • Jennifer Averyt, Ph.D., ABPP

    Jennifer Averyt, Ph.D., ABPP is a clinical health psychologist at the Phoenix VA Health Care System and Phoenix Health Psychology, PLLC. She completed her doctoral degree at Ohio University followed by an internship at the Phoenix VA and post-doctoral fellowship at Tripler Army Medical Center. She provides evidence-based, weight-inclusive care and training and supervision in eating disorder treatment for interns and post-doctoral residents.

  • Shannon Patterson, M.Ed, PhD.

    Dr. Shannon Patterson (she/her) is a licensed psychologist who specializes in eating disorder treatment, health psychology, and interprofessional collaboration. She provides training and supervision in evidence-based psychotherapies to medical and mental health professionals across the United States. In her clinical work, Shannon helps individuals of all ages navigate recovery from eating disorders and health-related challenges with compassion and evidence-based care. She is the co-author of the forthcoming Weight-Inclusive CBT Workbook for Eating Disorders and serves as an ad hoc clinical reviewer for the International Journal of Eating Disorders

References

  • Byrne, S. M., & Fursland, A. (2024). New understandings meet old treatments: putting a contemporary face on established protocols. Journal of Eating Disorders, 12(1), 26. https://doi.org/10.1186/s40337-024-00983-4
  • McEntee, M. L., Philip, S. R., & Phelan, S. M. (2023). Dismantling weight stigma in eating disorder treatment: Next steps for the field. Frontiers in psychiatry, 14, 1157594. doi: 10.3389/fpsyt.2023.1157594
  • Mensinger, J. L., Shepherd, B. F., Schapiro, S., Aware, Y., Brochu, P. M., Calogero, R. M., & Tylka, T. L. (2023). Mediating effects of a weight-inclusive health promotion program on maladaptive eating in women with high body mass index. Eating Behaviors, 49, 101730. https://doi.org/10.1016/j.eatbeh.2023.101730

CE Process Info

Content

  • Recording
    2 parts
    • A Weight-Inclusive CBT Model
    • A Weight-Inclusive CBT Model
  • Joint Accreditation

    Joint Accreditation (JA)

    In support of improving patient care, CE Learning Systems is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

  • Interprofessional Continuing Education (IPCE)

    This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credits for learning and change.

  • New York Education Department's State Board for Social Work (NYEDSW)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers. #0060.

  • National Board of Certified Counselors (NBCC)

    iaedp™ is approved by the National Board of Certified Counselors (NBCC), provider number 5912.

  • New York Education Department Board of Creative Arts Therapy (NYSEDCAT)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board of Creative Arts Therapy as an approved provider of continuing education for licensed creative arts therapists. #CAT-0008

  • New York Education Department for Licensed Mental Health Counselors (NYSEDLMHC)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0072.

  • New York Education Department Board for Licensed Psychoanalysts (NYSEDLP)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Psychoanalysts as an approved provider of continuing education for licensed psychoanalysts. #P-0031.

  • New York State Education Department's State Board for Psychology (NYEDPSY)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Psychology as an approved provider of continuing education for licensed psychologists. #PSY-0016.

  • New York Education Department's State Board for Marriage and Family Therapy (NYEDMFT)

    CE Learning Systems, LLC  (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Marriage and Family Therapy as an approved provider of continuing education for licensed marriage and family therapists. #MFT-0045.

  • Commission on Dietetic Registration

    Commission on Dietetic Registration (CDR)

    Completion of this RD/DTR profession-specific or IPCE activity awards CPEUs (1 IPCE credits = 1 CPEU). If the activity is dietetics related but not targeted to RDs or DTRs, CPEUs may be claimed which are commensurate with participation in contact hours (1 hour/60 minutes = 1 CPEU). RDs and DTRs are to select activity type 102 in their Activity Logs. Performance Indicator selection is at the learner’s discretion.

  • Physicians (ACCME) Credit Designation Statement (ACCME)

    CE Learning Systems designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • Nurses (ANCC) Credit Designation Statement (ANCC)

    Successful completion of this program qualifies for up to 1.5 contact hours for nurses.

  • American Psychological Association

    American Psychological Association (APA)

    Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP office maintains responsibility for the content of the programs.

  • Association of Social Work Boards (ASWB)

    As a Jointly Accredited Organization, CE Learning Systems is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive up to 1.5 clinical continuing education credits.

FAQs

A Weight-Inclusive CBT Model
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  • CE Hours
    1.5
  • Type
    Self-Paced
  • Publication Date
    Feb 15th, 2026
  • Expires on
    January 31st, 2027

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