Session 1

The main priority of Session 1 of cognitive behaviour therapy (CBT) for binge-eating disorder (BED) is continuing to bolster patient engagement. The session starts by initiating collaborative weighing and providing personalized information about weight and weighing, including weight regulation and interpretation. The second major goal of Session 1 is to assess and reinforce real-time self-monitoring by focusing mainly on the process (i.e., how the patient feels about monitoring and using the procedure) rather than on its content, which will be analyzed in detail over subsequent sessions. Afterwards, the Eating Problem Checklist (EPCL) for BED is introduced. This 15-item self-report measurement tool is designed to assess eating-disorder behaviours and psychopathology in patients with BED. From this point on, it should be completed once a week after a joint review of the monitoring records. Then, the session will focus on addressing low physical activity levels. The last part of the session will be dedicated to assessing the patient’s attitudes towards treatment, and reviewing the personal formulation.