MANTRA (Maudsley Model of Anorexia Nervosa Treatment for Adults) is an evidence-based therapy designed specifically for adults with anorexia nervosa. It focuses on understanding the deeper emotional, cognitive, and relational factors that keep the eating disorder going, while building motivation and supporting meaningful, lasting change. Treatment is collaborative and individualized, often guided by a workbook that helps clients develop insight, self-compassion, and a stronger sense of identity beyond the eating disorder.

A central tool in MANTRA is the “vicious flower” formulation, which maps out the key factors (or “petals”) maintaining anorexia. These often include:

• Rigid or perfectionistic thinking styles

• Difficulties with emotions and relationships

• Positive beliefs about anorexia (e.g., safety, control, identity)

• Unhelpful responses from others that may unintentionally reinforce symptoms

By identifying these patterns, therapy helps clients gently “untangle” the cycles that keep them stuck and develop more flexible thinking, healthier coping strategies, and supportive connections. Treatment typically lasts 20–40 sessions and ends with relapse prevention planning to support ongoing recovery.