Abstract
Body image disturbances play a central role in the development and maintenance of eating disorders and are maintained, in part, by body avoidance. Exposure-based strategies are effective in reducing the cognitive, affective, and behavioral features of body image disturbances. Mirror exposure is a body-focused treatment intervention that has amassed consistent empirical support in reducing body image distress. It is important to consider a number of factors when implementing mirror exposure, including the type of mirror exposure, how the patient should be dressed, and avoidance of excessive body checking. Functional assessment and collaboratively making decisions with the patient will address such issues in how to work with body avoidance (e.g., in relation to anxiety-provoking stimuli, such as mirrors and wearing “revealing” clothing items).
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