Eating disorders do not always fit neatly into one diagnostic box.
Someone may begin with severe food restriction and later experience binge eating. Another person may move between binge eating, compensatory behaviors, rigid dieting, and periods of restriction. The diagnosis can change while many of the thoughts and behaviors keeping the eating disorder alive remain remarkably similar.
This is one reason Enhanced Cognitive Behavioral Therapy, or CBT-E, is such an important treatment for eating disorders.
CBT-E was developed specifically for eating disorders and is based on a transdiagnostic model. Rather than requiring an entirely different therapy for every eating disorder diagnosis, CBT-E identifies and treats many of the psychological processes that maintain eating disorders across diagnoses.
At Healing Stones Therapy, we use evidence-based eating disorder treatment to help individuals struggling with anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), OSFED, and other forms of disordered eating.
CBT-E stands for Enhanced Cognitive Behavioral Therapy.
Although it developed from cognitive behavioral treatments for bulimia nervosa, CBT-E was designed as a broader treatment capable of addressing eating-disorder psychopathology across diagnostic categories.
The treatment looks beyond food alone.
Eating disorders can become maintained through interconnected patterns involving eating behaviors, thoughts, emotions, body image, self-evaluation, rules surrounding food, and attempts to control weight or shape.
CBT-E helps the client and therapist identify the individual mechanisms keeping those patterns going—and systematically work to change them.
One of the most important features of CBT-E is its transdiagnostic model. Transdiagnostic means that treatment is not limited to one specific eating disorder diagnosis.
Instead, CBT-E recognizes that anorexia nervosa, bulimia nervosa, binge eating disorder, OSFED, and other eating-disorder presentations can share important psychological and behavioral mechanisms.
A person might experience:
The exact behaviors may look different from one person to another, but the processes maintaining the eating disorder can overlap.
That is the power of the transdiagnostic model. We treat the person and the mechanisms maintaining the eating disorder—not simply the diagnostic label.
CBT-E can be used in the treatment of anorexia nervosa, particularly with adults and older adolescents when clinically appropriate.
Treatment may address restrictive eating, rigid food rules, fear surrounding eating or weight change, body checking, avoidance, and the ways shape, weight, and eating become tied to self-worth.
For individuals who are underweight or medically compromised, psychological treatment cannot occur in isolation. Medical monitoring and appropriate nutritional support are essential components of safe eating-disorder treatment.
At Healing Stones Therapy, eating-disorder care may involve collaboration between psychotherapy, nutrition professionals, and medical providers depending on the client's needs.
Yes. Cognitive behavioral approaches have an especially strong history in the treatment of bulimia nervosa. CBT-E helps identify and interrupt the patterns that can perpetuate the binge-purge cycle.
For many people, restriction and rigid dietary rules actually increase vulnerability to binge eating. A binge may then lead to guilt, shame, compensatory behaviors, or renewed restriction—beginning the cycle again.
Treatment works toward breaking this pattern rather than simply asking someone to “stop” bingeing or purging.
CBT-E can also be used to treat binge eating disorder (BED). Treatment may focus on establishing more consistent eating patterns, reducing dietary restraint, identifying triggers and maintaining mechanisms, challenging rigid beliefs surrounding food and body image, and developing different responses to difficult emotions or situations.
Importantly, treating binge eating is not simply about weight loss. Effective eating-disorder treatment addresses the psychological and behavioral relationship with food rather than reinforcing the dieting and restriction cycle that can contribute to continued binge eating.
Traditional CBT examines connections between thoughts, emotions, and behaviors. CBT-E builds on those principles but was developed specifically around the psychopathology of eating disorders.
Treatment is highly individualized. Instead of applying the same worksheet or strategy to every client, the therapist develops an individualized understanding—or formulation—of what is maintaining that person's eating disorder. That formulation guides treatment.
For one person, rigid restriction may be central.
For another, binge eating and body dissatisfaction may dominate.
Another person may struggle with perfectionism, low self-esteem, difficulty tolerating emotions, or interpersonal problems that intensify eating-disorder behaviors.
CBT-E allows treatment to address these differences while remaining structured and evidence-based.
One of the damaging misconceptions surrounding eating disorders is that someone has to look a certain way before they deserve treatment. Eating disorders occur across body sizes, ages, backgrounds, and athletic abilities. A person's appearance cannot tell us how much psychological distress they are experiencing or whether their eating behaviors are dangerous. You also do not need to wait until an eating disorder becomes severe before asking for help. Early intervention matters.
If food, exercise, weight, body image, binge eating, restriction, purging, or fear surrounding eating is consuming significant mental energy or interfering with your life, it is worth talking with an eating-disorder professional.
Healing Stones Therapy provides specialized treatment for eating disorders and disordered eating using evidence-based and individualized approaches.
Our work may include psychotherapy, nutritional support, medical collaboration, and other appropriate members of the client's treatment team.
We work with individuals experiencing:
Anorexia Nervosa (AN)
Bulimia Nervosa (BN)
Binge Eating Disorder (BED)
OSFED and other eating-disorder presentations
Chronic dieting and restrictive eating
Binge eating and feeling out of control around food
Body image distress
Fear of weight gain
Food guilt and anxiety surrounding eating
Healing Stones Therapy provides in-person eating-disorder treatment in Laramie, Wyoming, along with virtual therapy in Utah, Montana, Nevada and Oklahoma. We provide Registered Dietitians.
Food behaviors are important, but lasting eating-disorder recovery involves much more. Recovery can mean being able to eat without spending the rest of the day analyzing it. It can mean attending dinner without calculating how you will compensate afterward. It can mean exercising because movement adds something to your life rather than because missing a workout feels unbearable. It can mean having mental space for relationships, athletics, school, work, creativity, and the parts of yourself that existed before the eating disorder began taking up so much room.
CBT-E provides a structured way to understand what keeps an eating disorder going and begin changing those patterns one step at a time.
If you or someone you care about is struggling with anorexia, bulimia, binge eating, restrictive eating, chronic dieting, or another eating disorder, you do not need to determine the perfect diagnostic label before reaching out.
At Healing Stones Therapy, we begin by understanding what you are experiencing and determining what level and type of support may be appropriate.
Schedule a free consultation with Healing Stones Therapy to learn more about CBT-E and our eating-disorder treatment options.
Healing from an eating disorder takes more than willpower, it takes understanding, structure, and compassionate support. At Healing Stones Therapy, we specialize in helping individuals find freedom from emotional eating, binge eating, and feeling out of control with food.
We know that recovery can be a long and painful process when faced alone. That’s why we walk beside you, offering collaborative, evidence-based outpatient treatment that helps you reconnect with your body, rebuild your relationship with food, and rediscover hope.
CBT-E (Enhanced Cognitive Behavioral Therapy) is the gold standard psychological treatment for eating disorders. It’s a structured, evidence-based approach designed to help people understand and change the patterns of thinking and behavior that keep eating difficulties in place.
At Healing Stones Therapy, our clinicians use CBT-E to help you:
CBT-E empowers you to become your own therapist over time, learning lifelong tools for balance, nourishment, and emotional regulation.
We believe healing doesn’t happen in isolation. Our collaborative outpatient treatment team brings together professionals from multiple disciplines to create a holistic and supportive experience:
Together, we create a safe space for transformation, where every part of you is supported in recovery.
At Healing Stones Therapy, we understand that healing from an eating disorder is deeply personal. Everyone’s story is different, and every recovery path looks unique. That’s why we design individualized treatment plans that align with your current needs, goals, and readiness for change.
You don’t have to face recovery alone. We are here to hold your hand through each step, providing empathy, structure, and a nonjudgmental space to grow.
Healing does not come from pressure or harshness, it grows from compassion, acceptance, and hope.
Many of our clients struggle with emotional eating, binge eating, or feeling out of control around food. These patterns often arise as a way to cope with stress, anxiety, or unmet emotional needs.
Through gentle therapeutic exploration and CBT-E strategies, we help you:
Our goal is not perfection, it’s progress toward peace, balance, and self-kindness.
Recovery from an eating disorder is a journey of courage and patience. At Healing Stones Therapy, we provide the supportive outpatient environment you need to heal, body, mind, and spirit.
Let us help you move toward freedom, nourishment, and self-acceptance.
Learn more about our CBT-E outpatient treatment and compassionate care approach on our website.
Achieving peak athletic performance requires both physical conditioning and a strong mental game. You may be searching for sports psychology near me to help enhance your focus, confidence, and mental resilience during competitions. Healing Stones Therapy offers tailored sports psychology programs designed to support athletes across Wyoming, Utah, Nevada, and Oklahoma. Whether you train in person in Laramie or prefer virtual sessions, our comprehensive approach integrates cognitive behavioral techniques, nutritional guidance, and personal training to help you perform at your best.
Focusing on factors within your control is a fundamental part of mental preparation. Cognitive Behavioral Therapy (CBT) techniques can teach you how to shift attention away from unproductive worries toward actionable elements of your performance. You will learn strategies to break down overwhelming challenges into manageable tasks, which builds confidence gradually. These techniques help reformulate negative thought patterns by focusing on positive, controllable aspects. Over time, this strengthens your mindset and improves your ability to handle pressure in competitive situations.
Through a customized program, you can develop a clearer understanding of the mental processes affecting your performance. The goal is to increase your confidence by consistently reinforcing successful behaviors and thought patterns. Healing Stones Therapy provides tools to help you stay present, set realistic goals, and remain adaptable during both practice and competition. You’ll gain an empowering perspective that enhances mental toughness, creating a foundation for sustained athletic progress.
By working closely with you to apply CBT-based methods, the program supports lasting mental skill development. Confidence built on practical, controllable elements translates directly into improved focus and performance outcomes. This evidence-based approach ensures that you’re making steady progress in mastering your mind as a vital component of your athletic success.
Negative self-talk can undermine even the most talented athlete’s confidence and focus. Recognizing and addressing these unhelpful internal dialogues is essential for optimal performance. Healing Stones Therapy guides you through identifying anxious thoughts and fears that distract or sabotage your efforts. Once these are understood, tailored interventions help manage and transform them into constructive narratives. This process reduces performance anxiety and fosters calmness during high-stakes situations.
Anxiety and fear often manifest as physical symptoms that drain energy and concentration. Through mental skills training combined with relaxation techniques, you can learn to control physiological responses to stress. Controlling breathing, muscle relaxation, and mindfulness practices complement the psychological work by bringing your body into harmony with your mental state. This holistic approach ensures that anxiety does not interfere with your ability to execute skills under pressure.
Dealing directly with fears around failure or judgment enables you to regain control and maintain focus on your goals. The supportive environment encourages honest exploration of these feelings without judgment and builds resilience to setbacks. Addressing these mental barriers reconstructs your self-belief and keeps you mentally prepared for competition demands.
Optimal mental performance is closely linked to physical health and nutrition. Healing Stones Therapy integrates nutritional support designed to fuel your body and mind effectively for training and competition. You’ll receive guidance tailored to your specific sport, level, and energy needs to enhance endurance and recovery. Proper nutrition supports cognitive function, mood stability, and overall well-being, all of which improve mental sharpness and performance consistency.
Personal training within the program focuses on aligning physical conditioning with your athletic objectives. Coordinated exercise plans work in tandem with mental training to develop both the physical and psychological skills needed for success. This integration ensures that your workout routines not only build strength and stamina but also promote mental resilience when facing challenges. Consistent training routines, coupled with nutrition, create a comprehensive support system for your competitive efforts.
By connecting dietary habits and physical training with your mental strategies, Healing Stones Therapy offers a synergistic approach. This combination allows you to reach your performance potential more reliably and sustainably. The holistic design ensures that all facets of your athletic development reinforce each other.
Convenient access to sports psychology services is important for ongoing progress and consistency. Healing Stones Therapy provides both in-person and virtual options to meet your needs across several locations. You can benefit from expert support whether you’re training near Reno, Cheyenne, St. George, or Stillwater. This flexibility enables you to integrate mental skills coaching seamlessly with your physical training schedule.
Local availability means you can develop a direct, personal relationship with your therapist or coach when in person. For those who prefer or require remote sessions, virtual consultations maintain the same level of personalized care and tailored planning. Accessibility across multiple states ensures that athletes from youth to professionals can access specialized support regardless of geographic challenges.
The ability to combine face-to-face and online services offers adaptability to meet your evolving circumstances or travel commitments. Healing Stones Therapy prioritizes your convenience to support consistent engagement, which is critical for sustained performance improvements. Each location serves as a hub for advancing mental performance strategies alongside your physical preparation.
Enhancing your mental game through sports psychology is a critical step toward unlocking your full athletic potential. Whether your goal is to build confidence, manage anxiety, improve nutrition, or integrate personal training with mental skills, Healing Stones Therapy provides a comprehensive, evidence-based approach. You are invited to book a consultation online or by phone to start a program tailored specifically to your needs. Taking this step puts you on the path to developing the mental resilience and peak performance you seek in your athletic endeavors.
