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Early and effective treatment is crucial to prevent long-lasting and potentially devastating adverse effects. The National Institute for Health and Care Excellence has recommended cognitive behaviour therapy (CBT) for eating disorders in adolescents when family therapy is unacceptable, contraindicated, or ineffective. This recommendation was primarily based on the review of promising results from the enhanced version of CBT (CBT-E) adapted for adolescents with eating disorders aged between 12 and 19\u00a0years. A non-randomized effectiveness trial has also shown that CBT-E achieved a similar outcome to family-based treatment (FBT) at 6- and 12-months. CBT-E has several advantages. It is acceptable to young people, and its collaborative nature suits ambivalent young patients who may be particularly concerned about control issues. The transdiagnostic scope of the treatment is an advantage as it can treat the full range of disorders that occur in adolescent patients. It is an individual one-on-one treatment that does not necessitate the full involvement of the family. This approach is particularly beneficial for families that can only provide limited support. Future challenges include clarifying the relative efficacy of CBT-E and family therapy for the treatment of adolescent patients with eating disorders in a randomized control trial and increasing its effectiveness, identifying the reasons for the lack of response, and modifying the treatment accordingly.<\/jats:p>","DOI":"10.1186\/s13030-024-00315-7","type":"journal-article","created":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T00:02:37Z","timestamp":1725408157000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Enhanced cognitive behaviour therapy for adolescents with eating disorders: development, effectiveness, and future challenges"],"prefix":"10.1186","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9796-3721","authenticated-orcid":false,"given":"Riccardo","family":"Dalle Grave","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4028-1877","authenticated-orcid":false,"given":"Simona","family":"Calugi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,9,4]]},"reference":[{"issue":"3","key":"315_CR1","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1002\/erv.2797","volume":"29","author":"M Flynn","year":"2021","unstructured":"Flynn M, Austin A, Lang K, Allen K, Bassi R, Brady G, et al. Assessing the impact of first episode rapid early intervention for eating disorders on duration of untreated eating disorder: a multi-centre quasi-experimental study. Eur Eat Disord Rev. 2021;29(3):458\u201371. https:\/\/doi.org\/10.1002\/erv.2797.","journal-title":"Eur Eat Disord Rev"},{"key":"315_CR2","unstructured":"National Guideline Alliance. Eating disorders: recognition and treatment. London: National Institute for Health and Care Excellence (UK); 2017. (NICE Guideline, No. 69.). London: 2017."},{"key":"315_CR3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.32044\/ijedo.2021.01","volume":"3","author":"R Dalle Grave","year":"2021","unstructured":"Dalle Grave R, Conti M, Sartirana M, Sermattei S, Calugi S. Enhanced cognitive behaviour therapy for adolescents with eating disorders: A systematic review of current status and future perspectives. 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