Eating Disorders Therapists in Delta County, CO

Photo of Danielle R Kemper, MSW, LCSW, Clinical Social Work/Therapist
Danielle R Kemper
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Hotchkiss, CO 81419  (Online Only)
Do you want something more from the life you are presently living? Do you believe there are parts of your world that could use a touch-up, or even a complete make-over? While there might be some things beyond your control, you CAN work on yourself and gain the insight and skill needed to live a more balanced, connected, and rich life. As a licensed psychotherapist with 28 years of helping people thrive, I know therapy can be a rewarding and life-changing process. We will use a collaborative approach to help you identify your strengths, become aware of your patterns, and move toward a healthier and more integrated sense of self.
Do you want something more from the life you are presently living? Do you believe there are parts of your world that could use a touch-up, or even a complete make-over? While there might be some things beyond your control, you CAN work on yourself and gain the insight and skill needed to live a more balanced, connected, and rich life. As a licensed psychotherapist with 28 years of helping people thrive, I know therapy can be a rewarding and life-changing process. We will use a collaborative approach to help you identify your strengths, become aware of your patterns, and move toward a healthier and more integrated sense of self.
(970) 579-0936 View (970) 579-0936
Photo of Travis Wernet, BA, Pre-Licensed Professional
Travis Wernet
Pre-Licensed Professional, BA
Verified Verified
1 Endorsed
Cedaredge, CO 81413
On the many paths we walk in experiencing our lives, we encounter difficulties and challenges. "In a dark time, the eye begins to see", Theodore Roethke. We may be tempted to avoid or run from these challenges, however, when we can learn to be with them, we learn that these are moments in which a deeper sense of being is trying to emerge. When we work with and move through life's conflicts, we contact and may draw upon a vast reservoir of resources within and without that serve to clarify our sense of value and purpose, aiding ourselves and others by underlining our own unique gifts and skills.
On the many paths we walk in experiencing our lives, we encounter difficulties and challenges. "In a dark time, the eye begins to see", Theodore Roethke. We may be tempted to avoid or run from these challenges, however, when we can learn to be with them, we learn that these are moments in which a deeper sense of being is trying to emerge. When we work with and move through life's conflicts, we contact and may draw upon a vast reservoir of resources within and without that serve to clarify our sense of value and purpose, aiding ourselves and others by underlining our own unique gifts and skills.
(970) 373-2006 View (970) 373-2006
Photo of Mardi Storm Clewett Von Ronne, MA, LPCC, Counselor
Mardi Storm Clewett Von Ronne
Counselor, MA, LPCC
Verified Verified
Cedaredge, CO 81413  (Online Only)
"Out beyond ideas of wrongdoing and rightdoing there is a field. I’ll meet you there." - Rumi. It's by looking at what is behind our emotions and choices, that leads to freedom. When we understand what drives us in unhelpful ways, we have a choice. By engaging our lives in meaningful ways through self-expression and creativity, we find our voice and authenticity. We'll unpack those unhealed places so they no longer control our actions and beliefs. Together we can help you feel seen, valued, heard, and accepted, which is so often at the heart of inner and outer conflict.
"Out beyond ideas of wrongdoing and rightdoing there is a field. I’ll meet you there." - Rumi. It's by looking at what is behind our emotions and choices, that leads to freedom. When we understand what drives us in unhelpful ways, we have a choice. By engaging our lives in meaningful ways through self-expression and creativity, we find our voice and authenticity. We'll unpack those unhealed places so they no longer control our actions and beliefs. Together we can help you feel seen, valued, heard, and accepted, which is so often at the heart of inner and outer conflict.
(970) 341-2094 View (970) 341-2094
Photo of undefined - Oliver Behavioral Consultants
Oliver Behavioral Consultants
Verified Verified
Delta, CO 81416
Seeking Mental Health Support? Need to complete a diagnostic evaluation for your child? Our Team has got you covered! At OBC, we have a compassionate and experienced team ready to help you navigate through life's challenges. Our team is comprised of highly skilled clinicians who can help you find the right support.
Seeking Mental Health Support? Need to complete a diagnostic evaluation for your child? Our Team has got you covered! At OBC, we have a compassionate and experienced team ready to help you navigate through life's challenges. Our team is comprised of highly skilled clinicians who can help you find the right support.
(970) 465-8210 x807 View (970) 465-8210 x807
Photo of Kent A. Tompkins, MA, LPC, Licensed Professional Counselor
Kent A. Tompkins
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Paonia, CO 81428
As a seasoned board licensed psychotherapist, I have maintained a private practice primarily in Colorado for twenty-five years. My work allows for your vulnerability, utilizing solution-focused therapies; cognitive-behavioral, EMDR, hypnotherapy, Internal Family Systems, Jungian, somatic, wilderness/art therapies. I work with adolescents and adults, individually, as couples, families, in groups and in workshops. I also specialize in the felt sense, emotional attachment, spirituality, wellness top to bottom, neurosciences, addictions, forensics. Please visit my site for more information.
As a seasoned board licensed psychotherapist, I have maintained a private practice primarily in Colorado for twenty-five years. My work allows for your vulnerability, utilizing solution-focused therapies; cognitive-behavioral, EMDR, hypnotherapy, Internal Family Systems, Jungian, somatic, wilderness/art therapies. I work with adolescents and adults, individually, as couples, families, in groups and in workshops. I also specialize in the felt sense, emotional attachment, spirituality, wellness top to bottom, neurosciences, addictions, forensics. Please visit my site for more information.
(970) 986-4141 View (970) 986-4141

Online Therapists

Photo of Liz Illick, MS, NCC, LPC, Counselor
Liz Illick
Counselor, MS, NCC, LPC
Verified Verified
7 Endorsed
Waitlist for new clients
My highest priority is to provide my clients with a compassionate, supportive, and nonjudgmental environment to explore and navigate life’s challenges. While deciding to seek counseling can be an intimidating and daunting experience, it can an also be a courageous and pivotal first step towards healing. As someone who is dedicated to personal growth and emotional well-being, I provide support to children, adults, and families facing a diverse range of challenges, including trauma and attachment, stress and anxiety, eating disorders, depression, grief and loss, LGBTQ issues, parenting, and relationship dynamics.
My highest priority is to provide my clients with a compassionate, supportive, and nonjudgmental environment to explore and navigate life’s challenges. While deciding to seek counseling can be an intimidating and daunting experience, it can an also be a courageous and pivotal first step towards healing. As someone who is dedicated to personal growth and emotional well-being, I provide support to children, adults, and families facing a diverse range of challenges, including trauma and attachment, stress and anxiety, eating disorders, depression, grief and loss, LGBTQ issues, parenting, and relationship dynamics.
(970) 355-3156 View (970) 355-3156
Photo of Elizabeth Miller, MA, LPC, Licensed Professional Counselor
Elizabeth Miller
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Aspen, CO 81611
Hello! I bring almost 30 years experience working in the Aspen area providing a variety of services for children, adolescents, adults and families. My passion is being able to connect with each person individually to uncover their strengths while providing a safe and naturing environment to assist them in reaching their goals. I am just a guide, only you know your story and through therapy a new narrative can emerge. I am experienced in treating mood disorders, trauma, anxiety, depression, substance abuse, eating disorders, grief, life transitions and stressors. There is hope and you can feel better. It is never too late.
Hello! I bring almost 30 years experience working in the Aspen area providing a variety of services for children, adolescents, adults and families. My passion is being able to connect with each person individually to uncover their strengths while providing a safe and naturing environment to assist them in reaching their goals. I am just a guide, only you know your story and through therapy a new narrative can emerge. I am experienced in treating mood disorders, trauma, anxiety, depression, substance abuse, eating disorders, grief, life transitions and stressors. There is hope and you can feel better. It is never too late.
(970) 315-4515 View (970) 315-4515
Photo of Natalie (Willey) Hanks, MA, LPC, RPT, NCC, Licensed Professional Counselor
Natalie (Willey) Hanks
Licensed Professional Counselor, MA, LPC, RPT, NCC
Verified Verified
New Castle, CO 81647  (Online Only)
I use integrative, holistic and evidence-based practices to help those struggling with eating disorders, disordered eating, and trauma. I focus on the integration of somatic, or body-centered therapies to help someone heal both in their mind, and in their body. My hope is to help my clients experience change from the inside out. I also believe in facilitating a culturally sensitive space that rejects assumed beliefs about someone based on their size, shape, gender, race or ethnicity.
I use integrative, holistic and evidence-based practices to help those struggling with eating disorders, disordered eating, and trauma. I focus on the integration of somatic, or body-centered therapies to help someone heal both in their mind, and in their body. My hope is to help my clients experience change from the inside out. I also believe in facilitating a culturally sensitive space that rejects assumed beliefs about someone based on their size, shape, gender, race or ethnicity.
(970) 709-7871 View (970) 709-7871
Photo of Perrin Elisha, PhD, Psychologist
Perrin Elisha
Psychologist, PhD
Verified Verified
Aspen, CO 81611
The barriers to gratifying relationships vary by person and can include anxiety, past trauma, addictions or eating disorders, depression, self esteem or confusion about healthy relationship habits and beliefs.
I am most effective helping people overcome barriers to healthy relationships and finding the care, closeness, and satisfaction available in life. The happiest people almost always site their intimate relationships as the most meaningful and gratifying part of life. I can help you improve your capacity for and the quality of these relationships -- starting with your relationship to yourself. A therapeutic relationship is a great place to learn and talk frankly about how relationships work!
The barriers to gratifying relationships vary by person and can include anxiety, past trauma, addictions or eating disorders, depression, self esteem or confusion about healthy relationship habits and beliefs.
I am most effective helping people overcome barriers to healthy relationships and finding the care, closeness, and satisfaction available in life. The happiest people almost always site their intimate relationships as the most meaningful and gratifying part of life. I can help you improve your capacity for and the quality of these relationships -- starting with your relationship to yourself. A therapeutic relationship is a great place to learn and talk frankly about how relationships work!
(970) 710-3530 View (970) 710-3530
Photo of Erin Wesley, MS, LPCC, Counselor
Erin Wesley
Counselor, MS, LPCC
Verified Verified
2 Endorsed
Crested Butte, CO 81224  (Online Only)
I'm thrilled to have the opportunity to assist you on your journey toward healing and self-discovery. With years of experience and a deep passion for helping individuals overcome their challenges, I specialize in treating eating disorders, addictions, and codependency. I stay up-to-date with the latest research and therapeutic approaches to ensure that I provide you with the most effective and comprehensive care. In our sessions, you can expect a collaborative and empathetic approach. Our work together will focus on building your resilience, enhancing your self-esteem, and equipping you with practical tools to navigate challenges
I'm thrilled to have the opportunity to assist you on your journey toward healing and self-discovery. With years of experience and a deep passion for helping individuals overcome their challenges, I specialize in treating eating disorders, addictions, and codependency. I stay up-to-date with the latest research and therapeutic approaches to ensure that I provide you with the most effective and comprehensive care. In our sessions, you can expect a collaborative and empathetic approach. Our work together will focus on building your resilience, enhancing your self-esteem, and equipping you with practical tools to navigate challenges
(970) 465-5359 View (970) 465-5359
Photo of Michael M Olson, PhD, LMFT, Marriage & Family Therapist
Michael M Olson
Marriage & Family Therapist, PhD, LMFT
Verified Verified
For over twenty years, I've been helping individuals, couples, and families struggling with a range of problems including, but not limited to: anxiety, depression, ADD, bipolar disorder, eating disorders, marital and family distress, infidelity, and sexual addictions. Working as a therapist, researcher, and professor in medical settings throughout my career (University of Texas Medical Branch, University of Nebraska Medical Center) has informed my work with individuals and families to provide whole-personal care, integrating mind, body, and spirit.
For over twenty years, I've been helping individuals, couples, and families struggling with a range of problems including, but not limited to: anxiety, depression, ADD, bipolar disorder, eating disorders, marital and family distress, infidelity, and sexual addictions. Working as a therapist, researcher, and professor in medical settings throughout my career (University of Texas Medical Branch, University of Nebraska Medical Center) has informed my work with individuals and families to provide whole-personal care, integrating mind, body, and spirit.
(970) 236-7958 View (970) 236-7958
Photo of Kristen Beau Howard, PhD, Registered Psychotherapist
Kristen Beau Howard
Registered Psychotherapist, PhD
Verified Verified
1 Endorsed
Avon, CO 81620
While I specialize in these areas, I also work with grief, depression, anxiety, hopelessness, and eating disorders.
If you are ready to rekindle the fire between you and your partner, or... If you are ready to whittle the last chips of wood to reveal the masterpiece of you, then you are in the right place. The relationship between client and therapist is important. I work to meet clients where they are, paying special attention to creativity and positive human potential. I seek to uncover and establish an empathic, trusting, and comprehensive relationship with each of my clients providing the context for understanding the challenges and difficulties that brings them into therapy.
While I specialize in these areas, I also work with grief, depression, anxiety, hopelessness, and eating disorders.
If you are ready to rekindle the fire between you and your partner, or... If you are ready to whittle the last chips of wood to reveal the masterpiece of you, then you are in the right place. The relationship between client and therapist is important. I work to meet clients where they are, paying special attention to creativity and positive human potential. I seek to uncover and establish an empathic, trusting, and comprehensive relationship with each of my clients providing the context for understanding the challenges and difficulties that brings them into therapy.
(970) 306-4206 View (970) 306-4206
Photo of Sharon J Strauss, PhD, Psychologist
Sharon J Strauss
Psychologist, PhD
Verified Verified
Aspen, CO 81611
I treat a wide range of disorders including anxiety, depression, relationship issues, parenting, divorce,eating disorders and substance abuse to name a few.
I bring 35 years of cognitive, affective and behavioral therapy experience to my patients, which enables me to work on all three levels of existence: thoughts, feelings and behaviors. This broad approach ensures that patients can fully and efficiently resolve multiple types of issues.
I treat a wide range of disorders including anxiety, depression, relationship issues, parenting, divorce,eating disorders and substance abuse to name a few.
I bring 35 years of cognitive, affective and behavioral therapy experience to my patients, which enables me to work on all three levels of existence: thoughts, feelings and behaviors. This broad approach ensures that patients can fully and efficiently resolve multiple types of issues.
(847) 792-1670 View (847) 792-1670
Photo of Amber Pitts, MA, LPC, Licensed Professional Counselor
Amber Pitts
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
I am a Licensed Professional Counselor and have worked in the mental health field for over 10 years. Working in a variety of settings; including inpatient/residential treatment for eating disorders, community mental health and with students at CMU; has enabled me to gather a wide range of experience and knowledge. My clinical interests include working with adolescents and adults to overcome eating disorders, depression, anxiety, PTSD symptoms and relationship problems.
I am a Licensed Professional Counselor and have worked in the mental health field for over 10 years. Working in a variety of settings; including inpatient/residential treatment for eating disorders, community mental health and with students at CMU; has enabled me to gather a wide range of experience and knowledge. My clinical interests include working with adolescents and adults to overcome eating disorders, depression, anxiety, PTSD symptoms and relationship problems.
(970) 329-8727 View (970) 329-8727
Photo of Audra Duke, MA, LPC, RYT, Licensed Professional Counselor
Audra Duke
Licensed Professional Counselor, MA, LPC, RYT
Verified Verified
1 Endorsed
Ridgway, CO 81432
Relationships are at the heart of my work....relationship with self and with other. I work with adolescents, adults, and couples inviting you to step into your own curiosity and wisdom. I integrate a variety of approaches to meet your individual needs from a place of mindfulness and presence, holism (mind-body-spirit connection), and organicity (the impulse to heal lies within) with a strong trauma-informed background. Our process is collaborative - you know you better than anyone else knows you! We cultivate together trust in that knowing to help with depression, anxiety, PTSD and trauma, attachment and relational wounds.
Relationships are at the heart of my work....relationship with self and with other. I work with adolescents, adults, and couples inviting you to step into your own curiosity and wisdom. I integrate a variety of approaches to meet your individual needs from a place of mindfulness and presence, holism (mind-body-spirit connection), and organicity (the impulse to heal lies within) with a strong trauma-informed background. Our process is collaborative - you know you better than anyone else knows you! We cultivate together trust in that knowing to help with depression, anxiety, PTSD and trauma, attachment and relational wounds.
(720) 613-2628 View (720) 613-2628
Photo of Arava Geva, LCSW, Clinical Social Work/Therapist
Arava Geva
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
I am a licensed clinical social worker with fifteen years of experience in the mental health field. I utilize a mindfulness, body-centered approach when working with adults and couples. My expertise is in working with adults who struggle with what feels like "stuck" or resistant patterns which can often result in depression, anxiety, and hopelessness. Some of the issues I find most supported by a body-centered psychotherapy include, chronic fatigue and burnout, disordered eating/chronic dieting, addictive behaviors, trauma, unsatisfying relationship patterns, and challenging life transitions.
I am a licensed clinical social worker with fifteen years of experience in the mental health field. I utilize a mindfulness, body-centered approach when working with adults and couples. My expertise is in working with adults who struggle with what feels like "stuck" or resistant patterns which can often result in depression, anxiety, and hopelessness. Some of the issues I find most supported by a body-centered psychotherapy include, chronic fatigue and burnout, disordered eating/chronic dieting, addictive behaviors, trauma, unsatisfying relationship patterns, and challenging life transitions.
(970) 822-0610 View (970) 822-0610
Photo of Barbara Kinkelaar, LPC, LAC, SAP, Licensed Professional Counselor
Barbara Kinkelaar
Licensed Professional Counselor, LPC, LAC, SAP
Verified Verified
Grand Junction, CO 81506  (Online Only)
I am an experienced Licensed Professional Counselor and Licensed Addiction Counselor. Currently I am working telehealth only using the Zoom format. Due to reduced office costs, I am able to offer sessions reasonably priced at $75. I work with the male and female adult population, primarily on an individual basis. I also work with couples in certain situations. In general, I believe couples are better served meeting with a therapist in person. I will be happy to meet with you briefly in consultation, usually 15 or 20 minutes by phone or zoom to discuss your needs and answer any questions.
I am an experienced Licensed Professional Counselor and Licensed Addiction Counselor. Currently I am working telehealth only using the Zoom format. Due to reduced office costs, I am able to offer sessions reasonably priced at $75. I work with the male and female adult population, primarily on an individual basis. I also work with couples in certain situations. In general, I believe couples are better served meeting with a therapist in person. I will be happy to meet with you briefly in consultation, usually 15 or 20 minutes by phone or zoom to discuss your needs and answer any questions.
(970) 633-3610 View (970) 633-3610
Photo of Mimi Connell, LPCC, MA, MS, Licensed Professional Counselor
Mimi Connell
Licensed Professional Counselor, LPCC, MA, MS
Verified Verified
Leadville, CO 80461
Being a human can be really hard, and having an empathetic person to talk to can feel like a breath of fresh air. I support people process difficult experiences so they can find more resilience and ease in their daily life. I enjoy working with adults and adolescence who: want to explore their relationship to their body and food, have experienced trauma, are experiencing a life transition, identify as neuordivergent, and LGBTQIA+ folx. My approach to therapy is grounded in a holistic, trauma informed and gender affirming perspective, seeing the whole person in front of me, and the systems and socialization that has shaped them.
Being a human can be really hard, and having an empathetic person to talk to can feel like a breath of fresh air. I support people process difficult experiences so they can find more resilience and ease in their daily life. I enjoy working with adults and adolescence who: want to explore their relationship to their body and food, have experienced trauma, are experiencing a life transition, identify as neuordivergent, and LGBTQIA+ folx. My approach to therapy is grounded in a holistic, trauma informed and gender affirming perspective, seeing the whole person in front of me, and the systems and socialization that has shaped them.
(719) 751-6184 View (719) 751-6184
Photo of Charlotte L Margulies, MSW, LCSW, Clinical Social Work/Therapist
Charlotte L Margulies
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Aspen, CO 81611
Life isn’t always easy. Sometimes, even the strongest people amongst us need a little bit of help to work through some of life’s more challenging problems. Everyone has battles to fight and hurdles to overcome at some point. Whether you struggle with anxiety, depression, self-esteem, or any other issue, you should know that there is hope for a better tomorrow. You might be initially hesitant to seek out help and support for personal matters, but when you do, you will feel confident that you are taking a courageous first step towards getting to a better place and being a better you.
Life isn’t always easy. Sometimes, even the strongest people amongst us need a little bit of help to work through some of life’s more challenging problems. Everyone has battles to fight and hurdles to overcome at some point. Whether you struggle with anxiety, depression, self-esteem, or any other issue, you should know that there is hope for a better tomorrow. You might be initially hesitant to seek out help and support for personal matters, but when you do, you will feel confident that you are taking a courageous first step towards getting to a better place and being a better you.
(970) 670-7321 View (970) 670-7321
Photo of Amber Elaine Gottschalk, MAC, LAC, EMT-IV, RMA, Author, Drug & Alcohol Counselor
Amber Elaine Gottschalk
Drug & Alcohol Counselor, MAC, LAC, EMT-IV, RMA, Author
Verified Verified
3 Endorsed
Montrose, CO 81401  (Online Only)
Thinking about beginning or continuing the journey to health & wellness? Let's begin your journey with an introduction. My name is Amber Gottschalk, licensed addiction clinician & licensed psychotherapist specializing in addictive behaviors, mental health disorders & exercise/nutrition. In addition, I have obtained certifications in EMDR, EMT-IV, Medical Assisting & Mental Health First Aid Adult/Youth. I believe in a person-centered approach with emphasis on the here & now. Together, we can treat the "Whole Person" using evidence-based theories, exercise plans & nutrition. Amber is the author of "The Addictive Brain Journal".
Thinking about beginning or continuing the journey to health & wellness? Let's begin your journey with an introduction. My name is Amber Gottschalk, licensed addiction clinician & licensed psychotherapist specializing in addictive behaviors, mental health disorders & exercise/nutrition. In addition, I have obtained certifications in EMDR, EMT-IV, Medical Assisting & Mental Health First Aid Adult/Youth. I believe in a person-centered approach with emphasis on the here & now. Together, we can treat the "Whole Person" using evidence-based theories, exercise plans & nutrition. Amber is the author of "The Addictive Brain Journal".
(303) 587-9888 View (303) 587-9888

See more therapy options for Delta County

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.