Adapting CBT-E for the Middle East: addressing regional gaps in eating-disorder treatment
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By
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Carine El Khazen
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Maya Sidani
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Hala Abu Taha
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Bernou Melisse
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May 12, 2026
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Clinical Scorecard: Modifying CBT-E for the Middle Eastern Context: Bridging Treatment Gaps in Eating Disorders
At a Glance
| Category | Detail |
|---|
| Condition | Eating Disorders |
| Key Mechanisms | Enhanced Cognitive Behavioral Therapy (CBT-E) adapted for cultural and religious contexts. |
| Target Population | Adults and adolescents in the Middle East and North Africa (MENA) region. |
| Care Setting | Specialized outpatient eating-disorder programs. |
Key Highlights
- Eating disorders are prevalent in the MENA region, with a lifetime prevalence of 6.1%.
- CBT-E is the gold-standard treatment, adapted for cultural sensitivities in the UAE.
- Family involvement is emphasized, reflecting collectivist cultural norms.
- Cultural adaptations include addressing modesty norms and Ramadan fasting.
- Specialized services for eating disorders were established in the UAE in 2017.
Guideline-Based Recommendations
Diagnosis
- Recognize eating disorders in diverse populations, including those in MENA.
Management
- Implement culturally adapted CBT-E to enhance treatment engagement and effectiveness.
Monitoring & Follow-up
- Utilize structured training and ongoing supervision to maintain fidelity to CBT-E.
Risks
- Be aware of systemic barriers, stigma, and misdiagnosis in the region.
Patient & Prescribing Data
Individuals with eating disorders in the Middle East, particularly in the UAE.
Culturally tailored CBT-E can improve treatment acceptability and engagement.
Clinical Best Practices
- Incorporate cultural and religious considerations into treatment plans.
- Engage families in the treatment process to align with cultural norms.
- Ensure language accessibility by providing therapy in Arabic.
References
