Eating Disorders Therapists in Seattle, WA

Photo of Natalie Remanier, PhD, Psychologist
Natalie Remanier
Psychologist, PhD
Verified Verified
Seattle, WA 98109
I am trained to provide individual and group therapy for a wide range of concerns, including anxiety, depression, trauma, eating disorders, and relationship issues.
Starting therapy can be an intimidating process. After all, most of us have spent the better part of our lives trying to figure it out on our own, and telling ourselves we “don’t have time” to get help. Yet therapy can be a wonderful place to find safety while healing; to learn new strategies for tackling life’s obstacles; and to talk through your choices with a caring advocate (that’s me!). You are the best judge of what’s right for you — your values, your dreams. My role is as a guide and a resource in helping your achieve those dreams.
I am trained to provide individual and group therapy for a wide range of concerns, including anxiety, depression, trauma, eating disorders, and relationship issues.
Starting therapy can be an intimidating process. After all, most of us have spent the better part of our lives trying to figure it out on our own, and telling ourselves we “don’t have time” to get help. Yet therapy can be a wonderful place to find safety while healing; to learn new strategies for tackling life’s obstacles; and to talk through your choices with a caring advocate (that’s me!). You are the best judge of what’s right for you — your values, your dreams. My role is as a guide and a resource in helping your achieve those dreams.
(425) 585-4914 View (425) 585-4914
Photo of Katie McKenna, MS, CN, LMHC, Counselor
Katie McKenna
Counselor, MS, CN, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98103  (Online Only)
I am a Licensed Mental Health Counselor, master’s level Nutritionist and EMDR practitioner. I offer integrative therapy for eating disorders, food and body related issues, anxiety and trauma. Integrative therapy is a holistic approach to counseling that very much includes the body, beyond traditional talk therapy. It is a unique, blended approach that fosters change on all levels: physical, emotional, mental and spiritual. I use EMDR as an embodied approach to re-wire new habits and let go of guilt, shame, fear and negative subconscious beliefs.
I am a Licensed Mental Health Counselor, master’s level Nutritionist and EMDR practitioner. I offer integrative therapy for eating disorders, food and body related issues, anxiety and trauma. Integrative therapy is a holistic approach to counseling that very much includes the body, beyond traditional talk therapy. It is a unique, blended approach that fosters change on all levels: physical, emotional, mental and spiritual. I use EMDR as an embodied approach to re-wire new habits and let go of guilt, shame, fear and negative subconscious beliefs.
(425) 358-4791 View (425) 358-4791
Photo of Katie Morse, MSW, LICSW, Clinical Social Work/Therapist
Katie Morse
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98121
I have an extensive background in the field of addiction, particularly eating disorders and drug and alcohol.
My approach to therapy is supportive and empathetic.I believe the most important element of therapy is the genuine connection between the client and therapist. Each client has unique needs and my goal is to meet each client where they are in their process of self awareness and healing. Therefore I utilize a variety of modalities such as CBT, ACT and Mindfulness. I see psychotherapy as a joint collaboration between therapist and client and strive to empower each client in their journey of inner exploration, mental, spiritual and physical healing.
I have an extensive background in the field of addiction, particularly eating disorders and drug and alcohol.
My approach to therapy is supportive and empathetic.I believe the most important element of therapy is the genuine connection between the client and therapist. Each client has unique needs and my goal is to meet each client where they are in their process of self awareness and healing. Therefore I utilize a variety of modalities such as CBT, ACT and Mindfulness. I see psychotherapy as a joint collaboration between therapist and client and strive to empower each client in their journey of inner exploration, mental, spiritual and physical healing.
(206) 504-3196 View (206) 504-3196
Photo of Jessica May Christie, MA, LMHC, Counselor
Jessica May Christie
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
I have extensive experience working with eating disorders.
At times in life we all get stuck and come to places where change is necessary. I aim to create with my clients a space where we listen to what your thoughts, feelings and symptoms are telling you about your story. I believe that we are built for relationship, that both our greatest wounds and deepest healing occur within relationship. Together we will explore the patterns that emerge in therapy, and how old ways of relating are being recreated in present day. I believe therapy in a mutual work and that the answers to your healing are within you and the relationship we build.
I have extensive experience working with eating disorders.
At times in life we all get stuck and come to places where change is necessary. I aim to create with my clients a space where we listen to what your thoughts, feelings and symptoms are telling you about your story. I believe that we are built for relationship, that both our greatest wounds and deepest healing occur within relationship. Together we will explore the patterns that emerge in therapy, and how old ways of relating are being recreated in present day. I believe therapy in a mutual work and that the answers to your healing are within you and the relationship we build.
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Photo of Sonya Couch, MS, LMFT, Marriage & Family Therapist
Sonya Couch
Marriage & Family Therapist, MS, LMFT
Verified Verified
Seattle, WA 98103
I enjoy working with individuals as well as couples and families. I have a special focus on working with eating disorders, disordered eating and body image issues. I also see many clients for anxiety, depression and relationship issues. I offer a free 15 minute phone consultation as a chance for us to get to know each other and determine if we'll be a good fit to work together. I believe the relationship between therapist and client is very important and therefore I encourage this as a first step!
I enjoy working with individuals as well as couples and families. I have a special focus on working with eating disorders, disordered eating and body image issues. I also see many clients for anxiety, depression and relationship issues. I offer a free 15 minute phone consultation as a chance for us to get to know each other and determine if we'll be a good fit to work together. I believe the relationship between therapist and client is very important and therefore I encourage this as a first step!
(206) 673-5332 View (206) 673-5332
Photo of Emily Rich, MS, LMFT, MedFT, Marriage & Family Therapist
Emily Rich
Marriage & Family Therapist, MS, LMFT, MedFT
Verified Verified
10 Endorsed
Seattle, WA 98109  (Online Only)
I enjoy working with individuals, couples, and families affected by trauma, relationship challenges, and/or eating disorders/food and body issues. Many of my clients are looking for healing around stressful or traumatic life experiences that have led to brilliant but sometimes "stuck" survival strategies. Others are seeking to find peace and freedom with food and body struggles. Some may be struggling with relationships, communication, and boundaries. Though these are my areas of expertise, I work with a wide variety of clients and needs and am happy to explore if I am the right fit for you.
I enjoy working with individuals, couples, and families affected by trauma, relationship challenges, and/or eating disorders/food and body issues. Many of my clients are looking for healing around stressful or traumatic life experiences that have led to brilliant but sometimes "stuck" survival strategies. Others are seeking to find peace and freedom with food and body struggles. Some may be struggling with relationships, communication, and boundaries. Though these are my areas of expertise, I work with a wide variety of clients and needs and am happy to explore if I am the right fit for you.
(206) 488-0758 View (206) 488-0758
Photo of Kelsey M O'Neill, MA, LMHC, Counselor
Kelsey M O'Neill
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98136  (Online Only)
My specialty lies in working with teens (13+) and adults struggling with body image, eating disorders, depression, anxiety, perfectionism, life adjustments, and healing from trauma and burnout.
Many people seek therapy when they feel disconnected from themselves, their story, their body, or their community. As a therapist, I understand that being human can be complex, challenging, and even messy. However, it can also be beautiful and delightful, especially when on a healing journey. My goal as a therapist is to help my clients connect with their innate ability to heal and grow. I believe that my clients are the experts in their own lives and experiences, and my role is to support and empower them throughout the process.
My specialty lies in working with teens (13+) and adults struggling with body image, eating disorders, depression, anxiety, perfectionism, life adjustments, and healing from trauma and burnout.
Many people seek therapy when they feel disconnected from themselves, their story, their body, or their community. As a therapist, I understand that being human can be complex, challenging, and even messy. However, it can also be beautiful and delightful, especially when on a healing journey. My goal as a therapist is to help my clients connect with their innate ability to heal and grow. I believe that my clients are the experts in their own lives and experiences, and my role is to support and empower them throughout the process.
(425) 448-8982 View (425) 448-8982
Photo of Emily Ehrhart, MA, LMHC, Counselor
Emily Ehrhart
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98104  (Online Only)
Throughout my career, I have worked with diverse populations in various treatment settings. I have extensive experience treating anxiety, depression, eating disorders, relationship conflicts, and trauma. As a therapist, I strive to understand clients' unique needs and strengths. The therapeutic alliance I have with clients is foundational to our work together and in many ways guides the counseling process.
Throughout my career, I have worked with diverse populations in various treatment settings. I have extensive experience treating anxiety, depression, eating disorders, relationship conflicts, and trauma. As a therapist, I strive to understand clients' unique needs and strengths. The therapeutic alliance I have with clients is foundational to our work together and in many ways guides the counseling process.
(425) 385-0589 View (425) 385-0589
Photo of Bonnie Deopp Clinical Supervisor, LMHC, CN, Counselor
Bonnie Deopp Clinical Supervisor
Counselor, LMHC, CN
Verified Verified
Seattle, WA 98115  (Online Only)
Waitlist for new clients
Hello! And Welcome. We would be a good fit if you are interested in exploring the impact of past experiences on your here and now responses of body sensations, emotions, thoughts, and behaviors through a mind-body approach. My areas of clinical focus are: 1).Complex Trauma and resulting Panic/Anxiety, Mood Disorders, Dysfunctional Coping, and Chronic Illness. 2).Loss of control when eating in adults and adolescents including Binge Eating Disorder, Bulimia, and Emotional Eating. 3). LGBTQ+ including gender affirming transitions 4). Addiction Recovery and Chronic Relapses 5). Fertility Issues and PCOS.
Hello! And Welcome. We would be a good fit if you are interested in exploring the impact of past experiences on your here and now responses of body sensations, emotions, thoughts, and behaviors through a mind-body approach. My areas of clinical focus are: 1).Complex Trauma and resulting Panic/Anxiety, Mood Disorders, Dysfunctional Coping, and Chronic Illness. 2).Loss of control when eating in adults and adolescents including Binge Eating Disorder, Bulimia, and Emotional Eating. 3). LGBTQ+ including gender affirming transitions 4). Addiction Recovery and Chronic Relapses 5). Fertility Issues and PCOS.
(206) 202-7076 View (206) 202-7076
Photo of Ashlee Knight - Ashlee Knight Therapy Co., MA, LMHC, Counselor
Ashlee Knight Therapy Co.
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98104  (Online Only)
I specialize in the following: women with ADHD, relationship issues, managing anxiety & depression, couples therapy, grief & loss, life transitions, eating disorders/disordered eating, and co-dependency.
Navigating the messy, painful, hopeful, and confusing parts of our life is so hard to do on our own. We may feel lost, alone, or like we will never have the kind of life we want to have. What seems to come easily for others may feel crushingly hard for us to get for ourselves. Therapy offers us the space to be witnessed in our pain and struggle while also digger deeper into the honest truths and hopes of our life. I deeply believe that we heal in community, and therapy is the perfect place to begin to allow ourself to be seen, heard, and understood in a totally safe and consistent environment.
I specialize in the following: women with ADHD, relationship issues, managing anxiety & depression, couples therapy, grief & loss, life transitions, eating disorders/disordered eating, and co-dependency.
Navigating the messy, painful, hopeful, and confusing parts of our life is so hard to do on our own. We may feel lost, alone, or like we will never have the kind of life we want to have. What seems to come easily for others may feel crushingly hard for us to get for ourselves. Therapy offers us the space to be witnessed in our pain and struggle while also digger deeper into the honest truths and hopes of our life. I deeply believe that we heal in community, and therapy is the perfect place to begin to allow ourself to be seen, heard, and understood in a totally safe and consistent environment.
(206) 408-1097 View (206) 408-1097
Photo of Dawn Kenner, MA, LCPC, Counselor
Dawn Kenner
Counselor, MA, LCPC
Verified Verified
2 Endorsed
Seattle, WA 98107  (Online Only)
Kenner has worked in a variety of clinical settings including The Renfrew Center and Cornell University and has been an honorary international speaker on the topic of eating disorders.
Dawn Kenner provides comprehensive psychotherapy services to adults, children, and families struggling with emotional and psychological problems. She offers multiple treatment modalities to assist with the unique needs of clients and their concerns. Her approach is warm, genuine, and collaborative, creating a safe and supportive environment to assist an individual with their needs and treatment goals. Treatment goals are created to offer you guidance and support as you identify and resolve problems, improve relationships, and gain an increased feeling of empowerment.
Kenner has worked in a variety of clinical settings including The Renfrew Center and Cornell University and has been an honorary international speaker on the topic of eating disorders.
Dawn Kenner provides comprehensive psychotherapy services to adults, children, and families struggling with emotional and psychological problems. She offers multiple treatment modalities to assist with the unique needs of clients and their concerns. Her approach is warm, genuine, and collaborative, creating a safe and supportive environment to assist an individual with their needs and treatment goals. Treatment goals are created to offer you guidance and support as you identify and resolve problems, improve relationships, and gain an increased feeling of empowerment.
(206) 203-1771 View (206) 203-1771
Jessica C. Morgan Integrative Therapies LLC
Counselor, MD, LMHC, NBC-HWC
Verified Verified
Seattle, WA 98112  (Online Only)
Though I treat all mood disorders, including the many faces of anxiety, I have had specialized training treating patient’s struggling with eating disorders, young adults transitioning their gender, OCD and in helping patients work on stress-reduction, insomnia, focus on self-care, and re-design lifestyles to prevent or improve chronic illness.
I work alongside my clients, as they bravely take the risks involved in introspection. I believe in meeting each client where they are and moving at a pace that each person feels comfortable with. I want to guide you as you explore and overcome the obstacles disrupting your functioning or behavior; I want to support you as you explore feelings of stress, trauma, sadness, confusion, worry, anger, pressure… I don’t see clients as diagnoses: I see them as complex people experiencing emotional crises who will show me how to give them the help they need getting through it.
Though I treat all mood disorders, including the many faces of anxiety, I have had specialized training treating patient’s struggling with eating disorders, young adults transitioning their gender, OCD and in helping patients work on stress-reduction, insomnia, focus on self-care, and re-design lifestyles to prevent or improve chronic illness.
I work alongside my clients, as they bravely take the risks involved in introspection. I believe in meeting each client where they are and moving at a pace that each person feels comfortable with. I want to guide you as you explore and overcome the obstacles disrupting your functioning or behavior; I want to support you as you explore feelings of stress, trauma, sadness, confusion, worry, anger, pressure… I don’t see clients as diagnoses: I see them as complex people experiencing emotional crises who will show me how to give them the help they need getting through it.
(206) 736-3922 View (206) 736-3922
Photo of Katia Marynevich, MA, LMHCA, Counselor
Katia Marynevich
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Seattle, WA 98104  (Online Only)
My work incorporates psychodynamic theory, Lifespan Integration (a gentle, body-based therapeutic method which deals with trauma), CBT-E (one of the leading evidence-based treatments for eating disorders), and meditation.
No one should face difficult times alone. Are you feeling lost, hurt from past trauma, worried about the future, ashamed of your eating habits, insecure about your body, or feeling out of place while adapting to a new culture? There’s hope for you. I believe in healing. I believe in relationship restoration. I believe in new beginnings. Whether you were hurt by your family, partner, system, church, diet culture, or military conflict, there’s hope for you.
My work incorporates psychodynamic theory, Lifespan Integration (a gentle, body-based therapeutic method which deals with trauma), CBT-E (one of the leading evidence-based treatments for eating disorders), and meditation.
No one should face difficult times alone. Are you feeling lost, hurt from past trauma, worried about the future, ashamed of your eating habits, insecure about your body, or feeling out of place while adapting to a new culture? There’s hope for you. I believe in healing. I believe in relationship restoration. I believe in new beginnings. Whether you were hurt by your family, partner, system, church, diet culture, or military conflict, there’s hope for you.
(206) 759-8187 View (206) 759-8187
Photo of Tess Flaherty, MA, LMHCA, MHP, Counselor
Tess Flaherty
Counselor, MA, LMHCA, MHP
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
I specialize in working with individuals recovering from anxiety, depression, trauma, relationship conflicts, substance use, and eating disorders.
Welcome! Reaching out for help can feel difficult. The stress of everyday life- work, school, family, finances, relationships, etc. can feel difficult to manage. I find it is important to build a strong therapeutic relationship built upon trust, empathy, and compassion. I am here to offer an inclusive, non-judgmental, safe space where you feel comfortable to explore areas of your life that feel complex or troubling.
I specialize in working with individuals recovering from anxiety, depression, trauma, relationship conflicts, substance use, and eating disorders.
Welcome! Reaching out for help can feel difficult. The stress of everyday life- work, school, family, finances, relationships, etc. can feel difficult to manage. I find it is important to build a strong therapeutic relationship built upon trust, empathy, and compassion. I am here to offer an inclusive, non-judgmental, safe space where you feel comfortable to explore areas of your life that feel complex or troubling.
(206) 752-4154 View (206) 752-4154
Photo of Julie DeBoer, MA, LMHC, Counselor
Julie DeBoer
Counselor, MA, LMHC
Verified Verified
6 Endorsed
Seattle, WA 98125  (Online Only)
I also have a significant background in working with individuals with eating disorders and general food and body issues, and I am passionate about helping all of my clients come to feel more at home in their bodies.
I believe that often, our deepest experiences of harm and trauma take place within relationships, and the ways that others relate to us has an enormous impact on the ways we learn to relate to ourselves. My work with clients often centers around exploring and integrating past experiences of harm, and through this, inviting clients to new ways of relating to themselves in the present. I am passionate about helping clients grow in self-awareness, courage, and self-compassion.
I also have a significant background in working with individuals with eating disorders and general food and body issues, and I am passionate about helping all of my clients come to feel more at home in their bodies.
I believe that often, our deepest experiences of harm and trauma take place within relationships, and the ways that others relate to us has an enormous impact on the ways we learn to relate to ourselves. My work with clients often centers around exploring and integrating past experiences of harm, and through this, inviting clients to new ways of relating to themselves in the present. I am passionate about helping clients grow in self-awareness, courage, and self-compassion.
(206) 737-0935 View (206) 737-0935
Photo of Francis Iacobucci, LCSW, LICSW, LCSW-C, Clinical Social Work/Therapist
Francis Iacobucci
Clinical Social Work/Therapist, LCSW, LICSW, LCSW-C
Verified Verified
Seattle, WA 98112  (Online Only)
If you are someone who desires change and a deeper understanding of the aspects of your life to help ease emotional patterns and relieve symptoms, psychotherapy can help facilitate these goals. Developing understanding during treatment can lead to changes in behaviors, relationships, and sense of self. Through a compassionate and gentle approach, and with a HAES and body neutral lens, I aim to create an environment where individuals of all identities, abilities, and body size feel heard, safe, and connected. I work with individuals experiencing anxiety, depression, emotional distress, eating disorders, and body image concerns.
If you are someone who desires change and a deeper understanding of the aspects of your life to help ease emotional patterns and relieve symptoms, psychotherapy can help facilitate these goals. Developing understanding during treatment can lead to changes in behaviors, relationships, and sense of self. Through a compassionate and gentle approach, and with a HAES and body neutral lens, I aim to create an environment where individuals of all identities, abilities, and body size feel heard, safe, and connected. I work with individuals experiencing anxiety, depression, emotional distress, eating disorders, and body image concerns.
(564) 225-2483 View (564) 225-2483
Photo of John A. DeNinno, Psychologist
John A. DeNinno
Psychologist
Verified Verified
Seattle, WA 98133
In psychotherapy much depends upon the rapport. You must feel comfortable with the therapist and hopeful about the therapy. When you feel this way, therapy is more likely to be helpful to you. I have been practicing clinical psychology since 1977. I focus on the interplay between our internal world and our relations with others. Not restricted to one approach, I integrate a range of useful change strategies including interpersonal and cognitive-behavioral. Psychotherapy is both an educational process and an interpersonal process. Each person’s experience is unique. I have special interest in eating disorders, relationship disturbances, depression, and stress.
In psychotherapy much depends upon the rapport. You must feel comfortable with the therapist and hopeful about the therapy. When you feel this way, therapy is more likely to be helpful to you. I have been practicing clinical psychology since 1977. I focus on the interplay between our internal world and our relations with others. Not restricted to one approach, I integrate a range of useful change strategies including interpersonal and cognitive-behavioral. Psychotherapy is both an educational process and an interpersonal process. Each person’s experience is unique. I have special interest in eating disorders, relationship disturbances, depression, and stress.
(253) 220-6257 View (253) 220-6257
Photo of Shannon Goodwin, MA, LMHC, CMHS, Counselor
Shannon Goodwin
Counselor, MA, LMHC, CMHS
Verified Verified
7 Endorsed
Seattle, WA 98103  (Online Only)
My areas of focus includes working individuals who struggle with eating disorders & disordered eating (such as bulimia, anorexia, and binge eating), as well as trauma/PTSD, anxiety disorders, and life transitions (going to college, graduating, getting married, and adjusting to life in Seattle).
I am excited to work with you to find more effective ways of coping with personal struggles and give you the tools to thrive. You can expect me to be actively engaged and taking a collaborative approach when working together. I typically see clients who are motivated and eager to make changes in their lives.
My areas of focus includes working individuals who struggle with eating disorders & disordered eating (such as bulimia, anorexia, and binge eating), as well as trauma/PTSD, anxiety disorders, and life transitions (going to college, graduating, getting married, and adjusting to life in Seattle).
I am excited to work with you to find more effective ways of coping with personal struggles and give you the tools to thrive. You can expect me to be actively engaged and taking a collaborative approach when working together. I typically see clients who are motivated and eager to make changes in their lives.
(206) 736-3912 x455 View (206) 736-3912 x455
Photo of Rebecca Bates, MEd, LMHC, Counselor
Rebecca Bates
Counselor, MEd, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98105  (Online Only)
Hello and welcome! I believe that we are all capable and worthy of building and living meaningful lives - and therapy can be a catalyst in bringing us closer to living our best lives. I provide mental health counseling to individuals in Washington state, and primarily work with people around issues such as anxiety, depression, recovery from eating disorders, and life transitions. I frequently work with young adults and students in college settings. My hours are Mon/Thurs: 9am-1pm, Tues/Wed: 9am-3pm.
Hello and welcome! I believe that we are all capable and worthy of building and living meaningful lives - and therapy can be a catalyst in bringing us closer to living our best lives. I provide mental health counseling to individuals in Washington state, and primarily work with people around issues such as anxiety, depression, recovery from eating disorders, and life transitions. I frequently work with young adults and students in college settings. My hours are Mon/Thurs: 9am-1pm, Tues/Wed: 9am-3pm.
(206) 717-8828 View (206) 717-8828
Photo of Alison Fasolino, MA, LMHCA, Counselor
Alison Fasolino
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98109  (Online Only)
Hi! The first step is acknowledging that you need more support & I am proud of your bravery. Are you looking for a therapist that will treat you with respect, listen with compassion, & always have your back? I will do this for you every time! I offer a safe & non-judgmental space that will allow you to feel secure, heard, & supported. I will not shy away from asking you the tough questions & being honest with what I observe. You deserve to heal & I promise to help you do just that. I specialize in anxiety, eating disorders, depression, and pregnancy but I work with a variety of concerns! I support children, adolescents, and adults.
Hi! The first step is acknowledging that you need more support & I am proud of your bravery. Are you looking for a therapist that will treat you with respect, listen with compassion, & always have your back? I will do this for you every time! I offer a safe & non-judgmental space that will allow you to feel secure, heard, & supported. I will not shy away from asking you the tough questions & being honest with what I observe. You deserve to heal & I promise to help you do just that. I specialize in anxiety, eating disorders, depression, and pregnancy but I work with a variety of concerns! I support children, adolescents, and adults.
(425) 541-8575 View (425) 541-8575
Eating Disorders Therapists

What happens in therapy for eating disorders?

In therapy for eating disorders, patients typically describe their eating and exercise behaviors, their patterns of eating in relation to stress, their beliefs about their body, the ways their eating behavior affects their relationships, and their desire (or lack of it) to change. Such information helps the therapist understand the origins of the disorder and the role it plays in the patient’s life, important for guiding treatment. Attitudes and feelings about food and eating, body weight, and physical appearance are common topics of discussion throughout treatment.

What therapy types help with eating disorders?

Once any acute medical or psychiatric emergency is resolved, psychoactive medication is often prescribed, requiring the supervision of a psychiatrist. In addition, patients receive some form of nutritional counseling along with one or more forms of psychotherapy. For adolescents, family-based treatment is empirically validated and considered the first line of treatment; parents and their children meet weekly with a clinician as the adults are coached on how to nourish and psychologically support the young patient. Adults typically receive some form of individual psychotherapy, intended to resolve the cognitive and behavioral disturbances that underlie the disorder and to relieve the mood disturbances that accompany it. In addition, patients may also be helped by group therapy.

What is the goal of therapy for eating disorders?

The most immediate goal of treatment for eating disorders is to save the life of people who are on a path of starving themselves to death or engaging in eating patterns that are doing irreparable physical harm to their body. Once the acute medical danger is past, therapy is required to understand the nature of the disordered eating and/or exercise patterns, establish healthy eating behavior, and to tackle the many erroneous beliefs and distorted self-perceptions that underlie eating disorders and continue to pose a threat to health and life. Therapy also addresses the impaired mood that not only accompanies eating disorders but intensifies the danger to health and life.

What are the limitations of therapy for eating disorders?

Therapy can be very helpful for eating disorders—but that can happen only after people recognize they have a condition that must be treated. Especially with anorexia, the distortions in self-image that accompany the disorder can keep people from acknowledging they have a problem. Individuals may in fact see their eating disorder as a badge of self-control. Those with binge-eating disorder may feel too ashamed to seek help. Therapy cannot help those who do not avail themselves of it.

How long does therapy last for eating disorders?

Because of their complexity, recovery from eating disorders is usually a long-term process—measured in months and years— often marked by setbacks and relapse. Some form of help, such as individual or group therapy, may be advisable for much of that time. It is a general rule of thumb that the longer the illness has endured and the dysregulated eating behavior has taken root, the longer treatment is likely to be needed.