MIRROR EXPOSURE THERAPY IN OCCUPATIONAL THERAPY: RESTORING FUNCTIONAL BODY IMAGE IN EATING DISORDERS

Abstract

Body image disturbance is a persistent and distressing feature of eating disorders that significantly affects individuals’ self-perception, emotional well-being, and participation in everyday life. People with anorexia nervosa, bulimia nervosa, and binge eating disorder frequently experience dissatisfaction with their appearance, leading to body checking, avoidance of mirrors or social situations, and distorted body-related thoughts. Mirror Exposure Therapy (MET) is a structured behavioural intervention grounded in exposure-based principles that has been shown to reduce body dissatisfaction, anxiety, and avoidance behaviors. Although MET originated within cognitive-behavioural and acceptance-based psychological treatments, its principles align closely with occupational therapy perspectives that emphasize lived experience, functional engagement, and meaningful participation in daily activities. This chapter examines the theoretical foundations of MET, reviews empirical research supporting its use in eating disorder treatment, and explores its integration into occupational therapy practice. Emphasis is placed on restoring functional body image and supporting individuals in rebuilding a healthier and more adaptive relationship with their bodies.