A subgroup of eating-disordered patients have particular difficulty in tolerating negative mood states and existing interventions seem to be less effective when working with such cases. This clinical practice paper outlines a Cognitive–Emotional–Behavioural Therapy (CEBT). This intervention is aimed at enabling patients to challenge the basis of their emotional distress, and thus to reduce the need for the function of the associated eating behaviours. The intervention draws on range of models and techniques, including cognitive behavioural therapy, dialectical behavioural therapy, mindfulness training and experiential exercises. Copyright © 2006 John Wiley & Sons, Ltd and Eating Disorders Association.