
Is Standard CBT Enough for Severe Body Image Distress? A Clinical Reflection
When I first began specialising in body image treatment, initially in relation to eating disorders 25 years ago, the clinical
Body Dysmorphic Disorder (BDD) Treatment, Muscle Dysmorphia, Pre & Post-Surgery Distress, Body Image Issues, Eating Disorders (Anorexia, Bulimia, Binge Eating) & Disordered Eating.
It's not an overstatement to say working with Tom has fundamentally changed my life's path. He brings so much knowledge, compassion, creativity and at times humour to the table. He's caring and sometimes tough. Most importantly he stood by me and my family during one of my toughest times. Don't hesitate to work with him.
Tom has been instrumental in our daughter's recovery from an eating disorder, and is helping her navigate life since her ADHD diagnosis. Highly recommend.
Tom is absolutely brilliant and I couldn't recommend him more! I can say I feel like a totally different person from when I first saw Tom a few years back and he has been a fantastic support. Thank you Tom 🙂
Life changing and eye opening work. Working with Thomas has helped in my recovery immensely, he helped me understand myself and guided me in processing my past traumas. As a result I saw many positive shifts in my relationships and behavioural patterns. I am extremely grateful.
I worked with Tom during a 15 month period (age 27-28) during which he was endlessly patient and helpful in addressing issues I have developed and struggled with over 20+ years. I would highly recommend to anyone who has struggled to find success dealing with an eating disorder, body image issues or otherwise. Through working with Tom I have made more positive changes than I have ever been able to previously with any other clinician.
It's not an overstatement to say working with Tom has fundamentally changed my life's path. He brings so much knowledge, compassion, creativity and at times humour to the table. He's caring and sometimes tough. Most importantly he stood by me and my family during one of my toughest times. Don't hesitate to work with him.
Thomas is a wonderful Clinician. He has shared his expertise professionally but with a down to earth and personable nature. First class.
Tom is undoubtedly an expert in his field. I am fortunate enough to know Tom professionally and personally. Other reviews clearly describe how well he acts as a clinical expert, but also personally he is one of the nicest guys you could meet. If you are nervous about reaching out for treatment, please don't - you couldn't put yourself in better hands!
My experience of working with the team at The Body Image Treatment Clinic has been incredible. They are extremely knowledge, passionate and experienced in supporting clients with body image, eating disorders and other comorbidities. I couldn't recommend the team and their support highly enough.
A kind, smart, and serious therapist can completely change the trajectory of a life. Supremely grateful to have had the privilege of working with Thomas. His focus on results, all while giving me the space to learn and fail as I went on this journey, was transformational. Hope more people can have access to this quality of healthcare.
Thomas is a wonderful Clinician. He has shared his expertise professionally but with a down to earth and personable nature. First class.
Mr Thomas Midgley’s approach is absolutely outstanding. A perfect blend of professionalism, knowledge, understanding, compassion, empathy, humour and much more, was pivotal for recovery. I strongly recommend him to anyone seeking help and support for an eating disorder.
I reached out to Tom after reading about his profile, but it wasn’t until I actually started treatment with him that I realised he’s the BEST therapist in his field in all of London. His knowledge has helped me in an enormous and deeply meaningful way to move forward in life. Every single one of his sessions leaves you wanting to see the world differently and to challenge the way we perceive our body image. Thanks to Tom, I’m now in a much better mental place than I was before I met him. 🙌🏻
I contacted Thomas Midgley to ask if he had time to have a conversation with me about my PhD research which is focused around mid-life women and body image. Thomas was extremely gracious with his time and knowledge, and I was very grateful for this. Thank you and I look forward to chatting again in the future.
I couldn’t recommend the treatment at The Body Image clinic higher. I was fortunate enough to work with Tom for a year and during the year we worked together he completely changed my life. He has incredible knowledge, compassion and takes such a holistic approach to treatment recognising all the factors contributing to eating difficulties. He helped me in so many different ways not just with food. The best treatment I have ever had without a doubt- I recommend this service to everyone.
Tom has been instrumental in our daughter's recovery from an eating disorder, and is helping her navigate life since her ADHD diagnosis. Highly recommend.
Life changing and eye opening work. Working with Thomas has helped in my recovery immensely, he helped me understand myself and guided me in processing my past traumas. As a result I saw many positive shifts in my relationships and behavioural patterns. I am extremely grateful.
I contacted Thomas Midgley to ask if he had time to have a conversation with me about my PhD research which is focused around mid-life women and body image. Thomas was extremely gracious with his time and knowledge, and I was very grateful for this. Thank you and I look forward to chatting again in the future.
I have suffered with BDD for over 30 years. I had exhausted every form of therapy with no results and this was literally a last resort. Well, the best was most definitely last as the therapist I was put in touch with has worked miracles with me. I'm in a place mentally that I'd never thought I'd be in. This clinic is nothing short of fantastic and I cannot thank them enough. I would thoroughly recommend this place to anyone.
Tom is undoubtedly an expert in his field. I am fortunate enough to know Tom professionally and personally. Other reviews clearly describe how well he acts as a clinical expert, but also personally he is one of the nicest guys you could meet. If you are nervous about reaching out for treatment, please don't - you couldn't put yourself in better hands!
A kind, smart, and serious therapist can completely change the trajectory of a life. Supremely grateful to have had the privilege of working with Thomas. His focus on results, all while giving me the space to learn and fail as I went on this journey, was transformational. Hope more people can have access to this quality of healthcare.
At The Body Image Treatment Clinic, Harley Street, London, we have experience in treating most psychological presentations but we have a special interest in presentations where our mind impacts our relationship with our bodies as well as when our bodies, due to appearance, function, illness or injury impacts our minds.
Presentations such as: eating disorders (binge eating, bulimia, anorexia nervosa), body dysmorphic disorders, gender transition, LGBTQ+, low body confidence, intimacy issues & sexual dysfunction, addictions, trauma (physical, emotional or sexual), neurodiversity (In particular ADHD, & ASD), self-criticism and low self-esteem, anxiety, depression, skin and sweat conditions, medical conditions, physical injury or changes in physical presentations or abilities, body dissatisfaction, pre and post-surgery support.
We believe that everyone has the right to feel confident and secure in who they are, how they are and what they do.
We work with our clients either in person at our clinic at 127 Harley street, London or via secure videocall if this is more convenient.
Our psychological and dietetic specialists pride themselves on the sensitive and empathic manner with which we assess and understand our clients’ requirements.
This enables us to offer both evidence based and evidence informed treatments that can be curated for individualised needs.
Through our targeted psychological treatments, we enable clients to feel empowered and develop a more robust sense of worth in both body and mind.
We are not all equal.
"The mental health inequalities created by our individual experiences mean some of us will at some point lose or never come to know the sense of worth and value that form the backbone of self-esteem and confidence. I set up The Body Image Treatment Clinic to help people overcome the impact of their adverse experiences as well as their own inner demons
to build confidence and feel empowered from the inside, out".
Tom Midgley BSc, RD, PGDip, CBT.
Company Director at The Body Image Treatment Clinic, Harley Street, London.
At The Body Image Treatment Clinic, we offer a variety of different psychological and dietetic services specialising in the treatment of conditions that effect both body and mind.
We understand that eating disorders are distressing and anorexia can look and feel very different from one patient to the next. Anorexia is not simply about food. At The Body Image Treatment Clinic, we personalise your eating disorder treatment to meet your needs, concerns and hopes for recovery.
Binge eating disorder is an eating disorder which causes people to eat a large amount of food uncontrollably (also known as binge eating), in a short period of time usually followed by feels of shame and guilt. For some periods of food restriction follow. However, binge eating disorder is not simply about food and weight.
Bulimia is not simply about food and weight. It may have occurred to navigate challenging life events or cope with difficult emotions and now behaviours have become ritualistic and feel unavoidable. At The Body Image Treatment Clinic, we personalise your bulimia treatment to meet your needs, concerns and hopes for recovery.
The Body Image Treatment Clinic Articles

When I first began specialising in body image treatment, initially in relation to eating disorders 25 years ago, the clinical

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Most people want to grow – to break free from habits that hold them back, take on new challenges, and
THE BODY IMAGE TREATMENT CLINIC
127 HARLEY STREET
LONDON
W1G 7JS