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In this case report, the online psychotherapy and supervision process of a 27-year-old male client, who was worried that he would lose his appetite and not be able to eat, was described using the Cognitive Behavioral Therapy approach. In the first part, the main problems of the client, the development process of these problems and the client's life history are discussed. The results of the psychological tests applied for clinical evaluation are included, and the clinical follow-up and therapy process are explained. The problem areas addressed in each session and the applied cognitive behavioral therapy techniques were discussed in detail. Within the scope of the intervention applied, situations that trigger the thought that the client cannot eat, evidence-counter-evidence analysis, alternative thoughts created, examples of cognitive distortions, and case-level cognitive formulation were included. In this direction, along with anxiety, the client's perfectionist style and predominantly cognitive distortions are emphasized. As a result of the therapy, the client's anxiety level and experiences of loss of appetite and inability to eat decreased. The results of this study shed light on both the effects of online therapy and how cognitive behavioral therapy can be applied on problem areas such as loss of appetite, malnutrition, and perfectionism. The results and limitations of this therapy application are detailed in the light of the literature.