The Full of Beans Podcast

Mentalisation-Based Treatment in Eating Disorders with Dr David Coyle


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In this week's episode, Han is joined by David Coyle. David is a Consultant Psychiatrist, and the Clinical Lead for Adult Eating Disorder Services across multiple Trusts in Northern Ireland. With a career spanning 18 years in mental health and 7 years specialising in eating disorders, David is dedicated to his clinical work, especially where he can be creative and innovative. He is also passionate about teaching and provides training for various healthcare disciplines in the region. One of his notable interests is the introduction of Mentalisation Based Treatment (MBT) as part of the treatment options available within his service, which focuses on severe and complex eating disorders.

  • The concept behind MBT and why this is useful for individuals with eating disorders.
  • How does MBT differ from other types of therapy models e.g. CBT, SSCM-ED, MANTRA.
  • What takes place in an MBT group session in David's service and the outcomes they have witnessed.
  • The importance of engaging loved ones in therapy to ensure holistic support and wrap-around care.
  • The impact of MBT on understanding one's own emotions and the impact that our emotions can have on others.
  • The importance of understanding emotions and the diversity each emotion has and can take shape.
  • How to navigate your recovery and therapy if others in your network don't want to engage in therapy or express emotions.
  • How services can introduce MBT into their practice.

Please note that this podcast explores topics some individuals may find difficult to hear and should not be used as a replacement for professional advice. If you need further support after this podcast, please consider talking to someone you trust. You may also wish to reach out to your GP or mental health professional.

We've included a list of additional support options in case you need them:

Samaritans are here for whatever you are going through. You can call free any time, from any phone, on 116 123.

FirstSteps Eating Disorders is an eating disorders charity for children and their families, young people, and adults affected by eating difficulties and disorders. You can call them on or email [email protected].

Beat Eating Disorders is an eating disorder charity offering support for those with or supporting someone with an eating disorder. You can call their helpline for free on 0808 801 0677 (England), 0808 801 0432 (Scotland), 0808 801 0433 (Wales), 0808 801 0434 (Northern Ireland).

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The Full of Beans PodcastBy Hannah Hickinbotham

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