CBT-E (Enhanced Cognitive Behavior Therapy) is the leading individual treatment for adult eating disorders. At PPG, it's a core offering within our Center for Eating Disorder Recovery.
The four stages
- Stage 1 (weeks 1–4) — Engagement and stabilization. Twice-weekly sessions establish the working relationship, map the patterns sustaining the disorder, and introduce regular eating as the foundation for everything that follows.
- Stage 2 (week 5) — Review. A formal step-back to assess progress, identify barriers, and plan the rest of treatment.
- Stage 3 (weeks 6–18) — The maintaining mechanisms. The main work — addressing the over-evaluation of shape and weight, dietary restraint, event-driven changes in eating, and (in the enhanced version) any broader maintaining mechanisms.
- Stage 4 (weeks 19–20) — Maintaining gains. Building the plan for staying well after treatment ends.
Who CBT-E is for
CBT-E is the recommended evidence-based treatment for adults with most eating disorders — including bulimia nervosa, binge-eating disorder, OSFED, and (with adjustments) anorexia nervosa. We work most often with young adults navigating the college years, early careers, and the developmental tasks of leaving home.
How specialties work together at PPG
Because the Center for Eating Disorder Recovery sits inside a multi-specialty practice, your CBT-E therapist coordinates closely with any other care you're already in — a primary therapist working on trauma or mood, a neuropsych evaluator if attention or learning questions are part of the picture, a psychiatrist if medication is in play. You don't have to relay between providers; we do that work for you.
