Research has indicated that individuals with obesity have neurocognitive deficits, especially in executive function, which may in turn impact on weight loss and maintenance. In this talk I will review the evidence of this relationship, highlighting some of the mechanisms, and limitations of the literature. I will then present data on our latest randomized controlled trial which examined efficacy of a manualized cognitive remediation therapy for obesity (CRT-O) in terms of improving executive function, reducing binge eating behaviour and helping with weight loss. 80 adults with obesity (body mass index >30 kg/m2), 70% binge eaters, received three weekly sessions of group Behavioral Weight Loss (BWL) and then were randomized to 8 sessions of individual CRT-O or to a no-treatment control group. Mixed-effects model analyses revealed that the CRT-O group had a significant improvement in executive function at post-treatment and 3-month follow-up compared to the control group (Cohen’s d = 0.96 to 2.1). 68% of those in the CRT-O group achieved a weight loss of 5% or more at follow-up compared to only 15% of the controls. Individuals in the CRT-O group lost on average 6.6% of the weight at 3 month follow up (Cohen’s d = 1.4). Changes in executive function predicted changes in weight (p< .05). Binge eating reduced in the CRT-O group compared to the control (Cohen’s d = 0.80). CRT-O seems to be a promising treatment for obesity and binge eating. CRT-O studies with longer follow-ups, pairing it with longer BWL programs and examining the mechanisms are currently underway in Australia and Germany.