Eating Disorders (EDs), including problems e.g. Anorexia Nervosa, Bulimia Nervosa, and Binge-Eating Disorder, represent a significant global public health problem. They are most prevalent in Western countries and among young people, particularly among females. The evidence shows an increase in their incidence over the past few decades and a possible rise following the COVID-19 pandemic, with a consequent growing impact
on public health and society [1,2]. Furthermore, subclinical and undiagnosed cases – which are not included in official surveillance registries, when existing – appear to be common, suggesting that the problem isunderestimated.

The psychopathology of EDs is complex and deeply affects the Person who suffers from them, impairing health and quality of life.

As about the treatment, the NICE guidelines serve as the primary international reference for the treatment of ED. They recommend the use of CBT-ED (Cognitive Behavioral Therapy for Eating Disorders). Such approach includes so called CBT-E, which focuses on resolving a specific psychopathological core in order to restore balance to the self-perception domains of the Person, thereby overcoming an excessive preoccupation with weight, body shape, and food control. The therapeutic relationship is crucial: it requires mutual trust, empathy, and active listening.

In this clinical setting, it is important to assess both the therapeutic relational and bioethical implications of care, with a focus on the Person and respect for their identity, autonomy, freedom, and ontological dignity.

Keywords: Bioethics, Eating Disorders, Doctor-Patient relationship, Personalism, human dignity