Fig. 1

Example of personal formulation of an adolescent patient with an eating disorder highlighting how the effects of significantly low weight maintain the eating problem. 1, being underweight, strict dieting and excessive exercising are not seen as a problem but as achievements; 2, food concerns make the dieting even more extreme, rigid and difficult to modify; 3. feeling full in interpreted as having eaten too much and prompts intensification of dieting; 4, social isolation prevents experiences that can help reduce the importance attributed to shape, weight, and eating control