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Responding to events and moods without disrupting eating

Explore how one event or mood affected eating, and choose a practical response that supports your agreed eating plan.

Written by Tarun Vermani, Trainee Clinical Psychologist Last reviewed

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Plan this with your therapist before trying it independently. Choose an everyday situation; brief or spoken notes are enough. You can pause or leave it blank. A coping action must not delay eating, ignore hunger or replace your agreed eating plan. If a step did not happen, explore the obstacle without blame. Medical risk can occur at any weight. Ask your eating-disorder team about medical checks, or your GP if you have no team. For fainting or nearly fainting, a racing or irregular heartbeat, new confusion or severe weakness, contact your team or GP for urgent help the same day. Call 999 or go to A&E for chest pain, collapse or another emergency. This worksheet is for feelings you can manage. If you have urges to hurt yourself, or you feel unsafe, use your safety plan if you have one and tell your therapist. If you might act on the urges, call 999 or go to A&E. To talk to someone now, call Samaritans free on 116 123.

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One situation and a workable response

Practical help and social support can matter as much as changing your response to a feeling.

Try it here — nothing you type is saved. Sign up to assign it and let clients complete it on any device.

When to use ‘Responding to events and moods without disrupting eating’

‘Responding to events and moods without disrupting eating’ is an interactive cognitive behavioural therapy (CBT) worksheet, most often used in CBT for eating disorders.

It is designed to be used within therapy rather than as a standalone self-help tool: a therapist introduces it, works through it collaboratively, and helps make sense of what it surfaces. You can preview the full worksheet above, then assign it digitally for clients to complete between sessions on any device or download it as a print-ready PDF.

How it works

Most people work through it in around 10 minutes. It centres on one focused exercise:

  1. One situation and a workable response: Practical help and social support can matter as much as changing your response to a feeling.

Completed on the Formulate platform, your client's answers are saved automatically and shared straight back to you, so you can review them before the next session rather than waiting for a paper copy to come back.

The CBT approach behind it

In common with other CBT methods, ‘Responding to events and moods without disrupting eating’ works by noticing the links between situations, thoughts, feelings, physical sensations and behaviour and finding practical ways to change unhelpful patterns. The aim is not positive thinking but a clearer, shared understanding of what keeps a difficulty going and practical, testable ways to change it.

Because it is a CBT tool it stays focused on the here-and-now links between thoughts, feelings, the body and behaviour, and it works best as one part of a wider course of therapy rather than as advice or a diagnosis.

Evidence & sources

This worksheet is grounded in established cognitive behavioural therapy theory and practice. Key sources include:

  • Fairburn, C. G. (2008). Cognitive Behavior Therapy and Eating Disorders. Guilford Press.
  • Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: a 'transdiagnostic' theory and treatment. Behaviour Research and Therapy.
  • National Institute for Health and Care Excellence (2017). Eating disorders: recognition and treatment (NG69). NICE.

For use alongside professional support

Formulate provides educational CBT resources for use with a qualified therapist. They are not a substitute for professional assessment, diagnosis, or crisis care.

If you need urgent help now:

  • Emergency services: 999 — if you or someone else is in immediate danger
  • NHS 111 (NHS 24 in Scotland): 111 — choose the mental health option for urgent help, in England, Scotland and Wales (in Wales, press 2)
  • Lifeline: 0808 808 8000 — for urgent help in Northern Ireland, free, day or night
  • Samaritans: 116 123 — free, day or night, 365 days a year
  • Shout: 85258 — text SHOUT, free, day or night
  • SANEline: 0300 304 7000 — 4pm–10pm, every day

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Pick a strict eating rule, say what you think will happen if you break it, test it, and see what you learn. Based on Fairburn (2008): breaking a dietary rule as a planned experiment; belief ratings, a plan for urges to make up for it, a flexible guideline and next steps are added.

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