Research examining the treatment of eating disorders in people with obesity remains limited, with most studies focused on binge eating disorder (BED). This presentation will summarise the current evidence base for treating eating disorders in individuals with higher weight, highlighting key treatment approaches evaluated in the literature, including cognitive-behavioural therapy (CBT), interpersonal psychotherapy (IPT), and behavioural weight-loss interventions (BWLI). The session will describe the underlying formulation models, primary treatment targets, typical duration, and treatment outcomes.
Given the scarcity or research in this area, this presentation will draw on clinical experience and expert opinion to explore if, when, and how weight-loss interventions might be safely and effectively provided to individuals with concurrent eating disorders, acknowledging the tensions between weight-focused and weight-inclusive approaches. Practical guidance will be offered regarding identifying and accessing evidence-based eating disorder treatments in Australia.
The session will conclude by outlining key clinical and research gaps, including the need for appropriate screening and assessment tools, trials examining treatment adaptation and treatment integration/sequencing, better understanding of outcomes beyond weight or symptom reduction, and frameworks for co-produced, weight stigma-sensitive care to improve outcomes for people with higher weight and eating disorders.