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Treatment

FREED

FREED is First Episode Rapid Early Intervention for Eating Disorders. It helps young people who are 18 to 25 years old who have had an eating disorder for three years or less.

You are given rapid access to specialised treatment which gives special attention to challenges we know young people face in the early stages of an eating disorder.

MANTRA

The Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA) is a talking therapy for adults with anorexia nervosa that includes support for carers.

MANTRA addresses things that can maintain anorexic symptoms such as anxiety, being a perfectionist and a tendency to avoid emotional experiences.

Your strengths, resources, goals and values will be explored to create a 'plan' of your illness which will help guide your treatment. This can include changing your behaviour patterns and helping you develop new skills which can lead to changes in your eating behaviour.

CBT-E

Cognitive-behavioural therapy (CBT) is a talking therapy that can help you manage your problems by changing the way you think and behave. It works on how the following 5 areas are connected and can affect each other: situations, thoughts, emotions, physical feelings, and behaviours.

CBT-E is 'enhanced cognitive behaviour therapy' and is one of the most effective treatments for eating disorders. It can be used for all forms of eating disorder and generally involves an initial assessment appointment followed by 20 treatment sessions. CBT-E is a highly personalised treatment that goes through four stages: formulation and stabilising eating, review, addressing the maintenance factors of your illness and relapse management planning.

CBT-T

CBT-T is a time-limited talking therapy lasting ten sessions - the ‘T’ stands for ten.

It starts by addressing safety issues before helping to change your eating behaviour, beliefs about food and body image. It also helps to manage your anxiety or other emotional concerns.

We hope to see positive changes early in the process of this treatment and progress is reviewed at session 4. CBT-T has been shown to help people suffering from bulimia nervosa or very similar disorders.

Specialist Supportive Clinical Management

This is a treatment for Anorexia Nervosa that combines clinical management and supportive psychotherapy. It is designed to be supportive and theraputic, helping to motivate you to change your eating behaviours and establish, re-establish or maintain a healthy weight.

You will receive elements of therapy and education to learn about eating disorders, nutritional advice and support in making changes. SSCM is flexible to your needs so that any further issues affecting your eating can be dealt with as they arise.

Working to Overcome Eating Difficulties (WTOED)

This is an eight-week guided self-help programme, based on principles of CBT, DBT and Mindfulness.

The programme addresses the thoughts and behaviours associated with your eating disorder and supports you to challenge your behaviours such as purging by vomiting, using laxatives or slimming aids and over-exercising.

The course will also help you re-establish a healthy balanced, regular eating pattern.

ECCEED: Exploring Compensatory Compulsive Exercising in Eating Disorders

ECCEED is a group or individual programme that promotes healthy exercise beliefs and behaviours, positive body image and self-esteem and appropriate levels of physical activity.

You will have an initial assessment session and 7 x 1 hour online treatment sessions using education, guided reflection, cognitive restructuring and relapse prevention.

Anxiety Management

Anxiety Management can help you if you are experiencing anxiety and receiving treatment at Evolve.

The sessions focus on helping you understand what anxiety is and how it is maintained through unhelpful thinking styles and behaviours. We teach you to manage your anxiety through breathing techniques, distraction, cognitive behavioural therapy (CBT) and distress tolerance skills.

Self-Esteem

If you have little or no self-esteem and are receiving eating disorder treatment at Evolve, we can help.

The self-esteem programme gives you information about low self-esteem, how it is developed and maintained and how to address your low self-esteem. It also encourages you to challenge elements of low esteem using thought diaries and behavioural experiments.

Assertiveness

If you are struggling to communicate assertively and are receiving treatment at Evolve, these sessions explore the effects of various communication styles including passive and aggressive and assertive.

We will help you to increase in confidence and improve your assertive communication skills while recognising passive and aggresive communication.

WRAP (Wellness Recovery Action Plan)

WRAP is suitable when you are coming towards the end of your treatment at Evolve.

It is a one-to-one treatment that encourages you to identify your eating disorder triggers and early warning signs of relapse. You will develop an action plan to aid your recovery journey once you're discharged from Evolve. You will also be encouraged to identify support networks that you can access for help.

Coping with Festivals

If you are worried about or struggle with festivals or celebrations such as Christmas, birthdays, Easter, holidays, graduations or any other celebratory event which is often associated with food, this can help.

It focuses on triggers, worries and concerns and supports you to develop an action plan including coping strategies and distraction techniques to help manage.

B+ body acceptance group

If you are approaching your weight restoration goal,  this covers body acceptance and positivity themes which can support your long-term eating disorder recovery.

BE Free group

This 6-week programme is designed to target binge eating disorder and combines CBT, compassion-focussed, mindfulness, nutrition and psychoeducation, and body image treatments.

You will complete food-mood journals to enable greater insights of your binge eating behaviour and develop healthy coping strategies for your emotions. Through reflective exercises and peer support, you can combat guilty feelings that are often associated with the illness.

Nutrition and Psychoeducation

A seven-week group to improve your knowledge and understanding of nutrition, balanced diet, and the importance of regular eating. It also explores the effect eating disorders have on physical health, psychological and social wellbeing. This is an informative and interactive group.

Food for thought

If you are experiencing an eating disorder and want to improve your knowledge of nutritional health and understand more about the effect an eating disorder can have on your body, this can help.

You will be given to links to 6 videos, each focusing on a different area of nutrition and health. The videos are presented by our specialist eating disorder dietitian and delivered in an informative webinar style.

What’s a portion?

If you are experiencing an eating disorder and want to improve your knowledge and understanding of a balanced diet and portion sizes, this can help.

You will receive a video link which provides information around the five main food groups needed to support a healthy balanced diet and offers a visual demonstration of the average portion sizes recommended for each of the main food groups. The videos are presented by our specialist eating disorder dietitian and delivered in an informative webinar style.

Let’s Get Started (LGS): Evolve Motivational Support

LGS can be delivered as a group or an individual. You will explore your reasons and motivation for change.

OBED Overcoming Binge Eating Disorder

OBED is a CBT based therapy and uses guided self-help to support you if you are experiencing symptoms of a binge eating disorder. The number of sessions may vary according to your need, but is usually up to 8 sessions.

Carers' information session

A one-off session for carers and supporters, providing education on eating disorders and offering guidance on how to support someone with an eating disorder. These sessions are held monthly.

Family Meetings

If needed, we can offer family treatment. We have clinicians trained in FT-AN (Family Therapy Anorexia Nervosa) and Multi Family Therapy.