Objective: The coronavirus pandemic has led to a dramatically different way of working for many therapists working with eating disorders, where telehealth has suddenly become the norm. However, many clinicians feel ill equipped to deliver therapy via telehealth, while adhering to evidence-based interventions. This article draws together clinician experiences of the issues that should be attended to, and how to address them within a telehealth framework.Method: Seventy clinical colleagues of the authors were emailed and invited to share their concerns online about how to deliver cognitive-behavioral therapy for eating disorders (CBT-ED) via telehealth, and how to adapt clinical practice to deal with the problems that they and others had encountered. After 96 hr, all the suggestions that had been shared by 22 clinicians were collated to provide timely advice for other clinicians.Results: A range of themes emerged from the online discussion. A large proportion were general clinical and practical domains (patient and therapist concerns about telehealth; technical issues in implementing telehealth; changes in the environment), but there were also specific considerations and clinical recommendations about the delivery of CBT-ED methods.Discussion: Through interaction and sharing of ideas, clinicians across the world produced a substantial number of recommendations about how to use telehealth to work with people with eating disorders while remaining on track with evidencebased practice. These are shared to assist clinicians over the period of changed practice.

Early change in treatment is encouraged to achieve the best possible prognosis in CBT-E. Those who did not achieve rapid response still had an overall significant improvement in symptoms from pretreatment to post-treatment, but a lower rate of full remission. Nonrapid responders are an important group of patients to study because they offer researchers an opportunity to improve clinical decision-making and treatment outcomes for patients who are at risk of suboptimal response.

Background The coronavirus pandemic (COVID‐19) has required telehealth to be integrated into the delivery of evidence‐based treatments for eating disorders in many services, but the impact of this on patient outcomes is unknown. Objective The present study examined the impact of the first wave of COVID‐19 and rapid transition to telehealth on eating disorder symptoms in a routine clinical setting. Method Participants were 25 patients with a confirmed eating disorder diagnosis who had commenced face‐to‐face treatment and rapidly switched to telehealth during the first wave of COVID‐19 in Western Australia. Eating disorder symptoms, clinical impairment and mood were measured prospectively before and during lockdowns imposed due to COVID‐19. Hypotheses We predicted that patients would experience poorer treatment outcomes during COVID‐19 and would perceive poorer therapeutic alliance and poorer quality of treatment compared to face‐to‐face therapy. Results Our hypotheses were not supported. On average, patients achieved large improvements in eating disorder symptoms and mood, and the magnitude of improvement in eating disorder symptoms was comparable to historical benchmarks at the same clinic. Patients rated the quality of treatment and therapeutic alliance highly. Discussion Providing evidence‐based treatment for eating disorders via telehealth during COVID‐19 lockdown is acceptable to patients and associated with positive treatment outcomes.

In this sample, MFT + CBT-E was not associated with superior treatment outcome when compared with CBT-E as usual.