Cognitive Behavioural Therapy Clinic (CBT)

CBT Clinic

20 Molesworth Street
Dublin 2

Penrose Wharf

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Eating Disorders

Eating Disorders are complex, affecting a person's emotional, psychological and physical well-being.

The prevalence of eating disorders is increasing in all major socio-economic and ethnic groups, including children and younger adults between 25 and 44.

Assessment is carried out by a psychiatrist and involves a range of medical and psychological factors (outlined in DSMIV).

The most common types of eating disorders are:


Core symptoms can include: Denial of disorder, Excessive dieting, food control or fasting, Depressive symptoms, Preoccupations with food and weight, Obsessive-Compulsive features, both related and unrelated to food, Food rituals, Excessive exercise, Fear of fatness, Sleep disruptions, Excessive loss of weight, Feelings of ineffectiveness, worthlessness and low self-esteem, Inflexible thinking, Monthly periods stop (females)


The core symptoms of bulimia are recurrent binge eating, a phobia of becoming fat, vomiting or laxative abuse, a grossly disordered relationship with food.


Obesity is a condition in which there is excess body fat. Obesity is usually defined by body mass index (BMI), also known as Quetelet's Index.

This is calculated as follows:
BMI = Weight (Kg) / Height x Height (m)

In order to make BMI measurements more easily understood, a grading system has been developed. This system links increases in BMI to health risks.

Body Mass Index )Kg/m2 WHO Classification
< 18.5 Underweight
18.5 - 24.9 Healthy weight
25.0 - 29.9 Grade 1 obesity (Overweight)
30.0 - 39.9 Grade 2 obesity (Obesity)
> 40.0 Grade 3 obesity (Morbid obesity)

Eating disorders are treatable, and people do recover from them. Recovery can be a difficult process that can take several months or even years.

Treatment involves: