Eating Disorders Therapists in Guelph, ON

Photo of Taylor Ashley, Registered Psychotherapist in Guelph, ON
Taylor Ashley
Registered Psychotherapist, RP, CCTP-II
Verified Verified
1 Endorsed
Guelph, ON N1H
Waitlist for new clients
My current passions are focused on helping people better understand and manage their ADHD, work through trauma at all levels, and navigate body image struggles as well as eating disorders. Her interest stems in part from her own journey of getting help for eating disorder treatment and ADHD. Taylor appreciates that although it can be difficult to reach out, she’s also personally experienced the relief and confidence that can be gained through a supportive therapeutic relationship. Taylor helps her clients not only feel heard and accepted, but also ensures they walk away with practical skills and strategies to help reduce anxiety.
My current passions are focused on helping people better understand and manage their ADHD, work through trauma at all levels, and navigate body image struggles as well as eating disorders. Her interest stems in part from her own journey of getting help for eating disorder treatment and ADHD. Taylor appreciates that although it can be difficult to reach out, she’s also personally experienced the relief and confidence that can be gained through a supportive therapeutic relationship. Taylor helps her clients not only feel heard and accepted, but also ensures they walk away with practical skills and strategies to help reduce anxiety.
(548) 488-3170 x128 View (548) 488-3170 x128
Photo of Sue Graham, Registered Social Worker in Guelph, ON
Sue Graham
Registered Social Worker, MSW, RSW
Verified Verified
Guelph, ON N1H
Hello my name is Sue Graham and I am a Registered Social Worker with over 25 years experience. I have been working with individuals to help them increase their self-awareness and make positive changes in their lives within an empowering and respectful therapeutic relationship. I specialize in treating clients with Eating Disorders, alcohol and drug addiction, mental health issues as well as survivors of abuse. I am a trauma informed therapist, certified in Trauma Informed Stabilization Treatment. I offer both evening and daytime appointments and look forward to speaking with you through a free telephone conversation.
Hello my name is Sue Graham and I am a Registered Social Worker with over 25 years experience. I have been working with individuals to help them increase their self-awareness and make positive changes in their lives within an empowering and respectful therapeutic relationship. I specialize in treating clients with Eating Disorders, alcohol and drug addiction, mental health issues as well as survivors of abuse. I am a trauma informed therapist, certified in Trauma Informed Stabilization Treatment. I offer both evening and daytime appointments and look forward to speaking with you through a free telephone conversation.
(226) 407-0483 View (226) 407-0483
Photo of Karen McGratten, Counsellor in Guelph, ON
Karen McGratten
Counsellor, MDiv, RP, RCC
Verified Verified
1 Endorsed
Guelph, ON N1H  (Online Only)
Specializing in the treatment of eating disorders and distorted eating, I also work with those struggling with body image issues, low self-esteem, life transitions, depression, anxiety, self-injury, boundaries and assertiveness.
I often tell my clients that what they hear from me will be counter cultural. It is counter cultural in the sense that I talk about self-acceptance and worth regardless of size. I believe hope exists even when you can't see it, that mental health issues are not a sign of weakness and that I practice in a way that believes in change.
Specializing in the treatment of eating disorders and distorted eating, I also work with those struggling with body image issues, low self-esteem, life transitions, depression, anxiety, self-injury, boundaries and assertiveness.
I often tell my clients that what they hear from me will be counter cultural. It is counter cultural in the sense that I talk about self-acceptance and worth regardless of size. I believe hope exists even when you can't see it, that mental health issues are not a sign of weakness and that I practice in a way that believes in change.
(844) 402-4097 View (844) 402-4097
Photo of Tara Maggiacomo, Registered Psychotherapist (Qualifying) in Guelph, ON
Tara Maggiacomo
Registered Psychotherapist (Qualifying), MACP, BA
Verified Verified
1 Endorsed
Guelph, ON N1H  (Online Only)
I am passionate about helping adult survivors of childhood trauma navigate the complex journey towards healing. With a deep understanding of the profound impact trauma can have on one's life, I specialize in supporting individuals struggling with symptoms of PTSD, anxiety, depression, attachment issues, addictions, and eating disorders. Through collaborative exploration and insight-oriented therapy, I work alongside my clients to uncover the roots of their distress, develop healthier coping strategies, and cultivate a greater sense of self-awareness, self-worth, and resilience.
I am passionate about helping adult survivors of childhood trauma navigate the complex journey towards healing. With a deep understanding of the profound impact trauma can have on one's life, I specialize in supporting individuals struggling with symptoms of PTSD, anxiety, depression, attachment issues, addictions, and eating disorders. Through collaborative exploration and insight-oriented therapy, I work alongside my clients to uncover the roots of their distress, develop healthier coping strategies, and cultivate a greater sense of self-awareness, self-worth, and resilience.
(289) 272-6986 View (289) 272-6986
Photo of Pam Fanjoy, Registered Social Worker in Guelph, ON
Pam Fanjoy
Registered Social Worker, MSW, RSW
Verified Verified
Guelph, ON N1H
Specializing in LGBTQ2S+ issues, youth, parenting, and women undergoing major life transitions, including separation/divorce, Pam is a dynamic & creative social worker with over 30 years of clinical experience. Pam is best known for her compassionate, trauma-informed work with those who want to overcome depression, anxiety, eating disorders and/or complex relationship patterns. Also a Chef, Pam is the founder of the Fanjoy Culinary Therapy Programs where she works with youth, families, seniors & mental health agencies offering alternative solutions to traditional counselling. Now offering online sessions globally
Specializing in LGBTQ2S+ issues, youth, parenting, and women undergoing major life transitions, including separation/divorce, Pam is a dynamic & creative social worker with over 30 years of clinical experience. Pam is best known for her compassionate, trauma-informed work with those who want to overcome depression, anxiety, eating disorders and/or complex relationship patterns. Also a Chef, Pam is the founder of the Fanjoy Culinary Therapy Programs where she works with youth, families, seniors & mental health agencies offering alternative solutions to traditional counselling. Now offering online sessions globally
(226) 212-5216 View (226) 212-5216
Photo of Leanne Wagner, Psychological Associate in Guelph, ON
Leanne Wagner
Psychological Associate, MA, CPsych, Assoc
Verified Verified
1 Endorsed
Guelph, ON N1H
I work with a variety of clients including adolescents and adults in individual as well as couples formats. My areas of interest include anxiety, communication skills, relationship difficulties, parenting, depression, self esteem issues, eating disorders, trauma, post traumatic stress, and pain.
I work with a variety of clients including adolescents and adults in individual as well as couples formats. My areas of interest include anxiety, communication skills, relationship difficulties, parenting, depression, self esteem issues, eating disorders, trauma, post traumatic stress, and pain.
(226) 777-0409 View (226) 777-0409
Photo of VivelaVitaTherapies, Registered Social Worker in Guelph, ON
VivelaVitaTherapies
Registered Social Worker, BHSc, MSW, RSW
Verified Verified
Guelph, ON N1G
and I have expertise in mood, sleep and eating disorders, stress and emotion regulation and compassion fatigue.
Do you want to develop strategies to better manage the thoughts, feelings and relationships that are holding you back from a healthy and productive life? Are you struggling to find enjoyment in life, experiencing mental or physical illness, grief, and loss, stress in your job, relationships or as a caregiver or parent? There are steps you can take to improve your psychological well-being, strengthen your relationships and attachments and move towards personal healing and growth. I am here to help you break the cycle or negative thoughts, emotions and relationships and take steps to experience a more positive and fulfilling life.
and I have expertise in mood, sleep and eating disorders, stress and emotion regulation and compassion fatigue.
Do you want to develop strategies to better manage the thoughts, feelings and relationships that are holding you back from a healthy and productive life? Are you struggling to find enjoyment in life, experiencing mental or physical illness, grief, and loss, stress in your job, relationships or as a caregiver or parent? There are steps you can take to improve your psychological well-being, strengthen your relationships and attachments and move towards personal healing and growth. I am here to help you break the cycle or negative thoughts, emotions and relationships and take steps to experience a more positive and fulfilling life.
(226) 400-1912 View (226) 400-1912
Photo of Steff Armstrong, Registered Social Worker in Guelph, ON
Steff Armstrong
Registered Social Worker, BA, BSW, MSW, RSW
Verified Verified
1 Endorsed
Guelph, ON N0B  (Online Only)
Areas of experience include; 2SLGBTQ+ youth, substance use, sexuality, sexual health, depression, anxiety, families, HIV, self-esteem, eating disorders, & diabetes.
Welcome! I am a queer and gender queer person who is committed to personal growth & continuous learning both in my professional & personal life. I aim to bring an intersectional, anti-oppressive, & harm reduction lens to my practice. This includes an understanding of how systemic power & privilege impact our lives, our experiences, how we see the world & how the world sees us. I want to work with you to address your needs & concerns so that you are able to create goals, achieve personal growth & work towards mental wellness. This may include working through anxiety, depression, work stressors, & family issues.
Areas of experience include; 2SLGBTQ+ youth, substance use, sexuality, sexual health, depression, anxiety, families, HIV, self-esteem, eating disorders, & diabetes.
Welcome! I am a queer and gender queer person who is committed to personal growth & continuous learning both in my professional & personal life. I aim to bring an intersectional, anti-oppressive, & harm reduction lens to my practice. This includes an understanding of how systemic power & privilege impact our lives, our experiences, how we see the world & how the world sees us. I want to work with you to address your needs & concerns so that you are able to create goals, achieve personal growth & work towards mental wellness. This may include working through anxiety, depression, work stressors, & family issues.
(226) 909-2274 View (226) 909-2274
Photo of Cheryl Laird, Registered Psychotherapist in Guelph, ON
Cheryl Laird
Registered Psychotherapist, BA, MA, RP
Verified Verified
1 Endorsed
Guelph, ON N1E
Immediate Availability! Welcome to Laird Counselling Services. We are professional mental health counsellors dedicated to supporting you through life's ups and downs. If you have been dealing with a problem for some time, you might not see how it can change. With over 35 years' combined experience, we have been helping people make sense of what they feel, see new opportunities, and work on their critical inner voice. We are here to support you through difficult life transitions, body image and disordered eating, relationship problems, addictions, and more with compassion and caring.
Immediate Availability! Welcome to Laird Counselling Services. We are professional mental health counsellors dedicated to supporting you through life's ups and downs. If you have been dealing with a problem for some time, you might not see how it can change. With over 35 years' combined experience, we have been helping people make sense of what they feel, see new opportunities, and work on their critical inner voice. We are here to support you through difficult life transitions, body image and disordered eating, relationship problems, addictions, and more with compassion and caring.
(226) 777-6663 View (226) 777-6663
Photo of Flourish Psychotherapy Services, Registered Psychotherapist in Guelph, ON
Flourish Psychotherapy Services
Registered Psychotherapist, RP
Verified Verified
1 Endorsed
Guelph, ON N1H  (Online Only)
If you're feeling anxious, afraid or overwhelmed, you're not alone. These are some of the most common uncomfortable feelings people experience today. As a result, you may feel like you've lost your motivation or find yourself making excuses to avoid social situations. Perhaps you're experiencing conflict in your relationships or your negative self-talk is preventing you from moving forward. Perhaps you're one of many exhausted caregivers needing support. Regardless of your situation, learning to cope with difficult emotions can be hard. You need some relief but don't know where to start. I can help.
If you're feeling anxious, afraid or overwhelmed, you're not alone. These are some of the most common uncomfortable feelings people experience today. As a result, you may feel like you've lost your motivation or find yourself making excuses to avoid social situations. Perhaps you're experiencing conflict in your relationships or your negative self-talk is preventing you from moving forward. Perhaps you're one of many exhausted caregivers needing support. Regardless of your situation, learning to cope with difficult emotions can be hard. You need some relief but don't know where to start. I can help.
(226) 773-9142 View (226) 773-9142
Photo of Amy Smith, Registered Psychotherapist in Guelph, ON
Amy Smith
Registered Psychotherapist, BSc, MA
Verified Verified
Guelph, ON N1H
Have you exhausted yourself trying to find a way out of your anxiety, depression, or eating disorder, only to find that you continue to struggle? Are you looking to make genuine and lasting change but haven't found a "how" that works for you? Getting better is not meant to be so complicated. I guide you through a healing process that does not rely on using willpower, difficult techniques or superficial quick fixes. Having gone through this process myself, I am compassionate to your struggle.
Have you exhausted yourself trying to find a way out of your anxiety, depression, or eating disorder, only to find that you continue to struggle? Are you looking to make genuine and lasting change but haven't found a "how" that works for you? Getting better is not meant to be so complicated. I guide you through a healing process that does not rely on using willpower, difficult techniques or superficial quick fixes. Having gone through this process myself, I am compassionate to your struggle.
(844) 332-2873 View (844) 332-2873
Photo of Stephanie Cordes in Guelph, ON
Stephanie Cordes
ND
Verified Verified
Guelph, ON N1H
I support people to find peace and stability in their lives by looking at factors that may be contributing to anxiety, depression, and mood dysregulation. Digestive issues, stress, hormonal imbalances, sleep difficulties, neurotransmitter imbalances, lifestyle, genetics, and environment all have profound effects on mood and psychological health.
I support people to find peace and stability in their lives by looking at factors that may be contributing to anxiety, depression, and mood dysregulation. Digestive issues, stress, hormonal imbalances, sleep difficulties, neurotransmitter imbalances, lifestyle, genetics, and environment all have profound effects on mood and psychological health.
(548) 900-9464 View (548) 900-9464
Photo of Kelly Alexander, Registered Psychotherapist in Guelph, ON
Kelly Alexander
Registered Psychotherapist, BA, BEd, RP(Qua)
Verified Verified
Guelph, ON N1H  (Online Only)
If you're trying to figure out how to heal from issues with relationships, self-worth, body image, weight stigma, illness, pain, anxiety or relationship with food, I believe you've come to the right place. I even have a couple of current openings in my practice. Together, we can explore when & where certain feelings/parts started & gently get to know them to slowly build to a more loving & self-accepting existence as you are now. I have a deep & personal understanding of these issue. My practice focus is: mindfulness, IFS/parts work, self-compassion, women's work, body issues, anxiety, pain, disordered eating, IE & psychedelic work.
If you're trying to figure out how to heal from issues with relationships, self-worth, body image, weight stigma, illness, pain, anxiety or relationship with food, I believe you've come to the right place. I even have a couple of current openings in my practice. Together, we can explore when & where certain feelings/parts started & gently get to know them to slowly build to a more loving & self-accepting existence as you are now. I have a deep & personal understanding of these issue. My practice focus is: mindfulness, IFS/parts work, self-compassion, women's work, body issues, anxiety, pain, disordered eating, IE & psychedelic work.
(226) 780-8871 View (226) 780-8871
Photo of Jocelyn Hansen, Registered Psychotherapist in Guelph, ON
Jocelyn Hansen
Registered Psychotherapist, MA, RP
Verified Verified
1 Endorsed
Guelph, ON N1H
Do you live with the painful belief that you are not enough, despite your best efforts? Feeling stuck in a pattern of behaviours that do not align with what your values or goals? Do you struggle to show yourself the same kindness you may have for others? If any of these experiences resonates with you, I want you to know that you are not alone and that change is possible. It can be difficult to understand the impact our early experiences have had on our mind, emotions, body, and behaviours and I am here to help you make sense of it.
Do you live with the painful belief that you are not enough, despite your best efforts? Feeling stuck in a pattern of behaviours that do not align with what your values or goals? Do you struggle to show yourself the same kindness you may have for others? If any of these experiences resonates with you, I want you to know that you are not alone and that change is possible. It can be difficult to understand the impact our early experiences have had on our mind, emotions, body, and behaviours and I am here to help you make sense of it.
(548) 483-6368 View (548) 483-6368
Photo of Paula Shepard, Registered Social Worker in Guelph, ON
Paula Shepard
Registered Social Worker, MSW, RSW
Verified Verified
2 Endorsed
Guelph, ON N1H  (Online Only)
Change is hard and becoming a parent is perhaps one of the most transformative life transitions of all. Each stage we go through from conception to empty nesting comes with its joys and challenges. I have experience walking alongside people as they navigate change in their lives. It is my intention to support you so you feel safe to open up and explore yourself. As I’ve learned, parenting is tough and it is common to feel lost. There is such value in creating connection with others, as well as ourselves. Change may also be embracing opportunities to focus on one's well-being and goals, in a way that brings balance.
Change is hard and becoming a parent is perhaps one of the most transformative life transitions of all. Each stage we go through from conception to empty nesting comes with its joys and challenges. I have experience walking alongside people as they navigate change in their lives. It is my intention to support you so you feel safe to open up and explore yourself. As I’ve learned, parenting is tough and it is common to feel lost. There is such value in creating connection with others, as well as ourselves. Change may also be embracing opportunities to focus on one's well-being and goals, in a way that brings balance.
(548) 490-6754 View (548) 490-6754
Photo of Jun Qi, Psychologist in Guelph, ON
Jun Qi
Psychologist, MEd, CPsych, RPsych
Verified Verified
Guelph, ON N0B  (Online Only)
I appreciate that seeking help can be intimidating. Many people feel that they suffer alone. People do not realize how common it is to suffer from mental health-related issues. In North America, one in five adults suffer from distress, such as depression, anxiety, and interpersonal problems. Psychotherapy is extremely effective at treating a wide variety of psychological issues. I provide evidence-based, individualized, and collaborative treatment to ensure the quality of care. My approach to psychotherapy incorporates cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and emotion-focused therapy (EFT).
I appreciate that seeking help can be intimidating. Many people feel that they suffer alone. People do not realize how common it is to suffer from mental health-related issues. In North America, one in five adults suffer from distress, such as depression, anxiety, and interpersonal problems. Psychotherapy is extremely effective at treating a wide variety of psychological issues. I provide evidence-based, individualized, and collaborative treatment to ensure the quality of care. My approach to psychotherapy incorporates cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), and emotion-focused therapy (EFT).
(226) 350-7286 View (226) 350-7286
Photo of Natalie Florence, Registered Social Worker in Guelph, ON
Natalie Florence
Registered Social Worker, MSW, RSW
Verified Verified
Guelph, ON N1H
I am not accepting new clients at this time. Please check back in late Spring 2024. Thank you for taking the first step and reaching out. Making change can be hard and many times we cannot do it alone. I support adults looking for support with their mental health or addiction concerns. Some key groups I support including perinatal mental health, those living with trauma, and specialize in the area of emotion dyregulation concerns, including Borderline Personality Disorder. I have a particular interest in helping other helpers, including First Responders, medical professionals, and fellow mental health workers.
I am not accepting new clients at this time. Please check back in late Spring 2024. Thank you for taking the first step and reaching out. Making change can be hard and many times we cannot do it alone. I support adults looking for support with their mental health or addiction concerns. Some key groups I support including perinatal mental health, those living with trauma, and specialize in the area of emotion dyregulation concerns, including Borderline Personality Disorder. I have a particular interest in helping other helpers, including First Responders, medical professionals, and fellow mental health workers.
(226) 455-7190 View (226) 455-7190
Photo of Building Bridges Psychotherapy, Registered Psychotherapist in Guelph, ON
Building Bridges Psychotherapy
Registered Psychotherapist, RP, MSc, MA
Verified Verified
Guelph, ON N1H
Accepting New Clients: In-Person & Phone/Video. We believe that there is good in every person, and hope in every situation. We have helped individuals, couples, and families heal, grow, and connect. As relational therapists, we appreciate the impact that our relationships have on our well-being. We do not see clients as having something wrong with their minds that necessarily needs to be fixed. Rather, we see our clients as unique individuals, each with their own stories and perspectives, embedded in important relationships and contexts that impact them. We see strengths and we see hope, even when it feels like there is none.
Accepting New Clients: In-Person & Phone/Video. We believe that there is good in every person, and hope in every situation. We have helped individuals, couples, and families heal, grow, and connect. As relational therapists, we appreciate the impact that our relationships have on our well-being. We do not see clients as having something wrong with their minds that necessarily needs to be fixed. Rather, we see our clients as unique individuals, each with their own stories and perspectives, embedded in important relationships and contexts that impact them. We see strengths and we see hope, even when it feels like there is none.
(226) 702-8590 View (226) 702-8590
Photo of Elizabeth Granby, Registered Psychotherapist (Qualifying) in Guelph, ON
Elizabeth Granby
Registered Psychotherapist (Qualifying), RP-Q
Verified Verified
1 Endorsed
Guelph, ON N1G
I can help clients with various different life challenges. I have a background in disability support. I have a sibling with autism and I am his primary support. I have worked in the field of autism support for the past 13 years. I have insight into caregiver burnout and stress. I am also able to support with anxiety, depression, work-life balance, social skills and interpersonal effectiveness. I have a personal connection to bariatric surgery and disordered eating and would love to help others going through the same journey. I can help with managing major life changes and challenges. I love to help people reach their personal goals.
I can help clients with various different life challenges. I have a background in disability support. I have a sibling with autism and I am his primary support. I have worked in the field of autism support for the past 13 years. I have insight into caregiver burnout and stress. I am also able to support with anxiety, depression, work-life balance, social skills and interpersonal effectiveness. I have a personal connection to bariatric surgery and disordered eating and would love to help others going through the same journey. I can help with managing major life changes and challenges. I love to help people reach their personal goals.
(226) 799-0451 View (226) 799-0451
Photo of Marinela Trickett, Registered Psychotherapist in Guelph, ON
Marinela Trickett
Registered Psychotherapist, MACP, RP
Verified Verified
1 Endorsed
Guelph, ON N1G
I have been working with people suffering from BPD and difficulties regulating emotions in clinical settings and private practice for over a decade now. I have also worked extensively with poly-substance and behavioural addictions, clients from diverse cultural backgrounds, age, and socioeconomic status, complex PTSD, Anxiety, Depression, LGBTQ, and Sex Addiction. I have worked closely with Veterans, struggling with decades of combat trauma, victims of human trafficking, loss and grief. I have acquired this experience not only in individual and group setting, but also working with couples in outpatient and inpatient setting.
I have been working with people suffering from BPD and difficulties regulating emotions in clinical settings and private practice for over a decade now. I have also worked extensively with poly-substance and behavioural addictions, clients from diverse cultural backgrounds, age, and socioeconomic status, complex PTSD, Anxiety, Depression, LGBTQ, and Sex Addiction. I have worked closely with Veterans, struggling with decades of combat trauma, victims of human trafficking, loss and grief. I have acquired this experience not only in individual and group setting, but also working with couples in outpatient and inpatient setting.
(416) 732-3277 View (416) 732-3277

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Eating Disorders Counsellors

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.