Which eating disorders do you specialise in and what kind of process do you follow in sessions?

What Does Working with Me for an Eating Disorder Look Like?

I recently had a great client enquiry with some thoughtful questions, and I realised it might be helpful to share my answers here too. You’ll also be able to find this in the FAQ section of my website.

I work with all types of eating disorders, but the areas I specialise in most are:

• Binge Eating, especially when it co-occurs with ADHD

• ARFID (Avoidant/Restrictive Food Intake Disorder) when there’s a traumatic component – for example, emetophobia (fear of vomiting) or other health-related fears.

  
  

Before moving into private practice, I worked in an NHS Adult Eating Disorders Service, where I supported people with moderate to severe eating disorders—including situations where someone’s physical health was at serious risk. I’m trained in CBT-E, CBT-T, and MANTRA, and I’ve worked with a full range of eating disorders: Anorexia, Bulimia, Binge Eating, OSFED, and ARFID.

Although I carried out ARFID assessments in the NHS, like many services, it wasn't funded to treat ARFID—something I’m passionate about changing. Since then, I’ve done a deep dive into ARFID support, trained in CBT-AR, and integrated EMDR to support people with trauma-related components of ARFID.

I’m always learning and developing, and I’m especially interested in bringing in more sensory and somatic (body-based) work over time. I'm also a qualified Yoga Teacher, Personal Trainer, and former Mental Health Nurse—which means I take a very holistic and person-centred approach. I look at the biological, psychological, and social elements of what might be going on for you.

How I Work

Even though I’ve trained in multiple models, I don’t believe in a one-size-fits-all approach. From my own lived experience—having journeyed through Anorexia, Bulimia, and Binge Eating Disorder over 30 years—I know that eating disorders are deeply personal and complex. What works for one person might not work for another.

So therapy with me is tailored to you.

For example, if traditional exposure therapy for ARFID feels too intense or rigid, we might focus first on your sensory needs, or work gently with the underlying trauma—like a fear of vomiting—using EMDR. It’s always collaborative, paced carefully, and focused on what’s meaningful to you.

A Typical Therapy Process Might Look Like:

🌀 1–2 sessions for assessment

We’ll explore your mental health and eating patterns in detail, so I can get a full picture of what’s going on for you.

🎯 1–2 sessions on goal setting

Together, we’ll create clear, meaningful goals that feel right for you. This helps us stay focused and make sure therapy is heading in a direction that feels useful.

🍽️ Understanding eating rules and dissociation

We’ll explore any rules you hold around food and eating, and I also assess for dissociation (feeling disconnected or “zoned out”)—something that’s often missed but really important to address.

📅 Next 4–6 sessions: Building regular eating patterns

We’ll work on creating a more regular eating routine, which is a key part of recovery. This isn’t about perfection—it’s about taking small steps, adjusting as we go.

🧠 Then: thoughts, emotions, trauma, and inner critic work

Once eating is more stable, we’ll look deeper into what’s going on underneath—like beliefs about food and body, perfectionism, trauma, or a harsh inner critic. This might include using EMDR if it feels right.

💛 Emotional regulation and adapting goals

As you move away from restrictive or chaotic eating patterns, feelings might come up more strongly. That’s normal—and we’ll work on how to regulate emotions and reassess where you are and where you want to go.

That said, this process isn’t rigid. Therapy with me is flexible, relational, and always responsive to where you are. We’re not aiming for a perfect outcome—we’re supporting a process of healing, curiosity, and growth.

If this sounds like the kind of support you're looking for, you're very welcome to book a free 20-minute video call with me to see if we’re a good fit.

Warmly,

Becky Grace