Eating Disorders Therapists in Wilkes County, NC

Photo of Cynthia Kilby-Queen - Cynthia Kilby-Queen/Hope and Light Counseling, Counselor, MA, LCMHCA, LCAS, CADC
Cynthia Kilby-Queen/Hope and Light Counseling
Counselor, MA, LCMHCA, LCAS, CADC
Verified Verified
North Wilkesboro, NC 28659
As a licensed clinical mental health counselor associate and clinical addiction's specialist, I counsel women ages 18 and above with trauma, self-esteem issues, mental health struggles, eating disorders, and/or substance/alcohol use problems,
Hi, my name is Cynthia. I am glad you are seeking to better your well-being and future! With God’s guidance, I provide Christian mental health, substance/alcohol, weight loss/wellness, and eating disorder counseling to women ages 18 and above. Helping women recognize their inner strength, overcome, and thrive beyond trauma, abuse, addictions, and tragedy is a calling in my life. My experiences and research support that improving our spiritual health betters our mental, emotional, and physical wellness and helps us overcome addictions, trauma, and tragedies to effectively cope in our daily life.
As a licensed clinical mental health counselor associate and clinical addiction's specialist, I counsel women ages 18 and above with trauma, self-esteem issues, mental health struggles, eating disorders, and/or substance/alcohol use problems,
Hi, my name is Cynthia. I am glad you are seeking to better your well-being and future! With God’s guidance, I provide Christian mental health, substance/alcohol, weight loss/wellness, and eating disorder counseling to women ages 18 and above. Helping women recognize their inner strength, overcome, and thrive beyond trauma, abuse, addictions, and tragedy is a calling in my life. My experiences and research support that improving our spiritual health betters our mental, emotional, and physical wellness and helps us overcome addictions, trauma, and tragedies to effectively cope in our daily life.
(336) 818-9238 x100 View (336) 818-9238 x100
Photo of Robert Willis - CareNet Counseling Northwest Region, Marriage & Family Therapist, LMFT, LPC, LCAS, LCSWA
CareNet Counseling Northwest Region
Marriage & Family Therapist, LMFT, LPC, LCAS, LCSWA
Verified Verified
North Wilkesboro, NC 28659
CareNet Counseling improves the health of the mind, body, spirit and community through spiritually-integrated counseling, psychotherapy, research and education. We are here to help our clients restore and maintain mental wellness. There is no real health without mental health.
CareNet Counseling improves the health of the mind, body, spirit and community through spiritually-integrated counseling, psychotherapy, research and education. We are here to help our clients restore and maintain mental wellness. There is no real health without mental health.
(336) 844-4494 x1 View (336) 844-4494 x1

Online Therapists

Photo of Kelly O’Connor, Counselor, NCC, LCMHCA
Kelly O’Connor
Counselor, NCC, LCMHCA
Verified Verified
1 Endorsed
Asheville, NC 28804
I specialize in working with teenagers and adults who have eating disorders, ADHD (and other neurodivergences), and anxiety.
Hi! Going to therapy can be an intimidating process, and my goal is to create an authentic and accepting environment to help you feel seen, understood, and give you the confidence to try things differently. Vulnerability can be one of the scariest, most liberating and empowering acts, and takes courage – so I commend you for being here, wherever you are in your process.
I specialize in working with teenagers and adults who have eating disorders, ADHD (and other neurodivergences), and anxiety.
Hi! Going to therapy can be an intimidating process, and my goal is to create an authentic and accepting environment to help you feel seen, understood, and give you the confidence to try things differently. Vulnerability can be one of the scariest, most liberating and empowering acts, and takes courage – so I commend you for being here, wherever you are in your process.
(828) 332-5311 View (828) 332-5311
Photo of Susan Elaine, Marriage & Family Therapist, MEd, LMFT
Susan Elaine
Marriage & Family Therapist, MEd, LMFT
Verified Verified
Marshall, NC 28753
My professional interests are focused on depression, anxiety, trauma, eating disorders, body dysmorphia, relationships issues, gender identification/expression, and women's issues.
Trained in the Family Systems model, I offer respect for and support of gender, race, age and ethnic diversity. As a feminist, I strive to address the social, familial, and cultural influences on the mental health of each client.
My professional interests are focused on depression, anxiety, trauma, eating disorders, body dysmorphia, relationships issues, gender identification/expression, and women's issues.
Trained in the Family Systems model, I offer respect for and support of gender, race, age and ethnic diversity. As a feminist, I strive to address the social, familial, and cultural influences on the mental health of each client.
(828) 382-2101 View (828) 382-2101
Photo of Erin Snemis, Licensed Professional Counselor, LPCC, LPC
Erin Snemis
Licensed Professional Counselor, LPCC, LPC
Verified Verified
Online Only
I am also experienced in helping clients facing challenges surrounding depression, anxiety, phobias, eating disorders, grief, mood instability, OCD, problem gambling, and hoarding.
My goal is to help those seeking healing from trauma and regaining better management of mental health challenges. My therapy style is supportive and collaborative. I believe in meeting clients where they are in their journey and personalizing the course of treatment to their specific needs. I provide a nonjudgmental and caring environment that allows clients to comfortably work through their current challenges and reach their goals.
I am also experienced in helping clients facing challenges surrounding depression, anxiety, phobias, eating disorders, grief, mood instability, OCD, problem gambling, and hoarding.
My goal is to help those seeking healing from trauma and regaining better management of mental health challenges. My therapy style is supportive and collaborative. I believe in meeting clients where they are in their journey and personalizing the course of treatment to their specific needs. I provide a nonjudgmental and caring environment that allows clients to comfortably work through their current challenges and reach their goals.
(858) 201-6796 View (858) 201-6796
Photo of Carla Horton Gray, Counselor, PhD, LCMHC
Carla Horton Gray
Counselor, PhD, LCMHC
Verified Verified
Online Only
My background includes work with people who have or are going through: PTSD, severe anxiety and depression, divorce, PTSD, bipolar disorder, eating disorders, self-esteem work, grief work, sleep disorders, and chronic medical illness.
Struggling with trauma, anxiety, PTSD, or major life transitions and needs a therapist who is experienced, compassionate, and solution-focused. Trauma & PTSD – Veteran, a survivor of domestic violence, or someone dealing with complex grief. Suffering flashbacks, hypervigilance, or emotional numbness. Anxiety & Life Stress – Struggling with work-life balance, or managing high levels of worry. Life Transitions – Going through a divorce, career change, illness, or relationship issues.
My background includes work with people who have or are going through: PTSD, severe anxiety and depression, divorce, PTSD, bipolar disorder, eating disorders, self-esteem work, grief work, sleep disorders, and chronic medical illness.
Struggling with trauma, anxiety, PTSD, or major life transitions and needs a therapist who is experienced, compassionate, and solution-focused. Trauma & PTSD – Veteran, a survivor of domestic violence, or someone dealing with complex grief. Suffering flashbacks, hypervigilance, or emotional numbness. Anxiety & Life Stress – Struggling with work-life balance, or managing high levels of worry. Life Transitions – Going through a divorce, career change, illness, or relationship issues.
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Photo of Bess Perlstein, Clinical Social Work/Therapist, LCSW, LCASA, MSW
Bess Perlstein
Clinical Social Work/Therapist, LCSW, LCASA, MSW
Verified Verified
3 Endorsed
Online Only
My therapy practice centers around individuals navigating the impacts of trauma, eating disorders and disordered eating, anxiety, relationship challenges, and attachment patterns.
I help clients reconnect with their inner wisdom through taming the inner critic, developing self-compassion, healing underlying beliefs, and practicing embodiment. My style with clients is warm, compassionate, calm, and collaborative. My methods are rooted in attachment theory and understanding how our bodies and nervous system can support us in healing.
My therapy practice centers around individuals navigating the impacts of trauma, eating disorders and disordered eating, anxiety, relationship challenges, and attachment patterns.
I help clients reconnect with their inner wisdom through taming the inner critic, developing self-compassion, healing underlying beliefs, and practicing embodiment. My style with clients is warm, compassionate, calm, and collaborative. My methods are rooted in attachment theory and understanding how our bodies and nervous system can support us in healing.
(828) 677-2413 View (828) 677-2413
Photo of Cathleen Renee Harris, Clinical Social Work/Therapist, LCSW
Cathleen Renee Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
Indian Trail, NC 28079
Cathleen has a strong clinical history of success helping clients with a variety of mental health issues including depression, anxiety disorders, mood disorders, anger management, trauma, women's issues, eating disorders and addictions.
Cathleen currently provides therapy within her private practice in Indian Trail, NC. Cathleen believes that emotional, physical, social, and spiritual health are all important aspects in life. She believes that it is important to treat ourselves with the same compassion and kindness that we treat others. Cathleen uses techniques from CBT (Cognitive Behavioral Therapy) and DBT (Dialectical Behavior Therapy) as well as solution-focused therapy to assist others with feeling better and living a more balanced life.
Cathleen has a strong clinical history of success helping clients with a variety of mental health issues including depression, anxiety disorders, mood disorders, anger management, trauma, women's issues, eating disorders and addictions.
Cathleen currently provides therapy within her private practice in Indian Trail, NC. Cathleen believes that emotional, physical, social, and spiritual health are all important aspects in life. She believes that it is important to treat ourselves with the same compassion and kindness that we treat others. Cathleen uses techniques from CBT (Cognitive Behavioral Therapy) and DBT (Dialectical Behavior Therapy) as well as solution-focused therapy to assist others with feeling better and living a more balanced life.
(704) 459-6803 View (704) 459-6803
Photo of Ashton Hicks, Licensed Professional Counselor, MS, LCMHC, LCAS
Ashton Hicks
Licensed Professional Counselor, MS, LCMHC, LCAS
Verified Verified
Greensboro, NC 27408
I specialize in eating disorders, mood disorders, trauma, attachment-related issues, anxiety and depression.
My years of experience include working with children, adolescents, adults, and family counseling. Each counseling relationship is personal, and I will choose the most appropriate theoretical approach to best fit your counseling needs. As a Licensed Clinical Addictions specialist, and LCMHC I am trained to treat any behavioral and chemical addiction.
I specialize in eating disorders, mood disorders, trauma, attachment-related issues, anxiety and depression.
My years of experience include working with children, adolescents, adults, and family counseling. Each counseling relationship is personal, and I will choose the most appropriate theoretical approach to best fit your counseling needs. As a Licensed Clinical Addictions specialist, and LCMHC I am trained to treat any behavioral and chemical addiction.
(336) 361-1268 View (336) 361-1268
Photo of Colleen Trimble, Psychologist, PsyD
Colleen Trimble
Psychologist, PsyD
Verified Verified
Greensboro, NC 27401
I am trained in the treatment of eating disorders.
I have worked with older teens and adults for over 20 years. I view therapy as a collaborative effort, believing my clients to be experts on themselves, and my job as facilitating movement towards establishment and achievement of their goals in therapy. I believe the therapeutic relationship to be the most crucial element of therapy. I provide a relaxed, supportive and empowering environment in which my clients can work. I believe that the more honest my clients can be with what they find beneficial in therapy, the better able we are to work successfully to achieve their goals.
I am trained in the treatment of eating disorders.
I have worked with older teens and adults for over 20 years. I view therapy as a collaborative effort, believing my clients to be experts on themselves, and my job as facilitating movement towards establishment and achievement of their goals in therapy. I believe the therapeutic relationship to be the most crucial element of therapy. I provide a relaxed, supportive and empowering environment in which my clients can work. I believe that the more honest my clients can be with what they find beneficial in therapy, the better able we are to work successfully to achieve their goals.
(919) 702-7905 View (919) 702-7905
Photo of Annie Seier, Clinical Social Work/Therapist, MSW, LCSW
Annie Seier
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Davidson, NC 28036
I am a licensed clinical social worker and I own Firmly Rooted Counseling & Consulting. I specialize in women's issues, birth trauma, postpartum anxiety/depression, eating disorders, LGBTQAI+ affirming, and body image concerns. Parenting and attachment parenting is also a passion of mine. I love to work with parents brainstorming ways to get through tough situations using positive discipline. I also have a specialty in working with children and adults on the autism spectrum. I approach each client as an individual and cater my therapy techniques to what will work best for that specific client.
I am a licensed clinical social worker and I own Firmly Rooted Counseling & Consulting. I specialize in women's issues, birth trauma, postpartum anxiety/depression, eating disorders, LGBTQAI+ affirming, and body image concerns. Parenting and attachment parenting is also a passion of mine. I love to work with parents brainstorming ways to get through tough situations using positive discipline. I also have a specialty in working with children and adults on the autism spectrum. I approach each client as an individual and cater my therapy techniques to what will work best for that specific client.
(980) 350-8798 View (980) 350-8798
Photo of Susan Vos-Dupree - Treehouse Therapy LLC, Clinical Social Work/Therapist, LCSW
Treehouse Therapy LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Hendersonville, NC 28792
I have been working with clients with eating disorders, mood disorders, anxiety and obsessive/compulsive disorders for over twenty years in an out-patient mental health setting, and am extremely grateful for every day I'm granted the ability to help someone during their time of need.
Life is 10% what happens to you, and 90% how you react to it... We will work together in a supportive, nonjudgmental environment to increase understanding of which life choices have been healthy and adaptive, and which ones can be learned from and improved. There are no mistakes, as long as one learns from them.
I have been working with clients with eating disorders, mood disorders, anxiety and obsessive/compulsive disorders for over twenty years in an out-patient mental health setting, and am extremely grateful for every day I'm granted the ability to help someone during their time of need.
Life is 10% what happens to you, and 90% how you react to it... We will work together in a supportive, nonjudgmental environment to increase understanding of which life choices have been healthy and adaptive, and which ones can be learned from and improved. There are no mistakes, as long as one learns from them.
(828) 415-5055 View (828) 415-5055
Photo of Jess Leistikow, Counselor, MS, LCMHC
Jess Leistikow
Counselor, MS, LCMHC
Verified Verified
2 Endorsed
Online Only
I specialize in anxiety, self-esteem, complex trauma, eating disorders, Autism and ADHD, and LGBTQIA+ issues.
Feeling constantly at odds with yourself is exhausting. You're tired of the worried, self-critical thoughts running through your head, the energy you spend on trying to perfect or "fix" yourself, and the feelings of never being enough no matter how hard you try. You wish you could slow down and relax, but it's hard to feel deserving of rest and boundaries. You want to feel cared for, but sometimes shame gets in the way of expressing yourself authentically with others. You're ready to experience more peace, joy, and connection- it's wearing you out to feel like satisfaction in life is a moving target.
I specialize in anxiety, self-esteem, complex trauma, eating disorders, Autism and ADHD, and LGBTQIA+ issues.
Feeling constantly at odds with yourself is exhausting. You're tired of the worried, self-critical thoughts running through your head, the energy you spend on trying to perfect or "fix" yourself, and the feelings of never being enough no matter how hard you try. You wish you could slow down and relax, but it's hard to feel deserving of rest and boundaries. You want to feel cared for, but sometimes shame gets in the way of expressing yourself authentically with others. You're ready to experience more peace, joy, and connection- it's wearing you out to feel like satisfaction in life is a moving target.
(336) 920-7159 View (336) 920-7159
Photo of Amy Castongia, Counselor, NCC, BC-TMH, LCMHC, LPC
Amy Castongia
Counselor, NCC, BC-TMH, LCMHC, LPC
Verified Verified
12 Endorsed
Online Only
I specialize in helping teens and adults navigate anxiety, depression, eating disorders, and body image struggles through compassionate, evidence-based online therapy.
Do you feel trapped in cycles of anxiety, perfectionism, or self-doubt? Maybe you’re overwhelmed by negative thoughts about your body, struggling with food, or exhausted from chasing impossible standards. You want relief from the pressure—to feel more confident, at peace, and in control. Whether you’re battling stress, self-criticism, or major life changes, you don’t have to go through it alone. Healing is possible, and you deserve support. I can help you get to where you want to be.
I specialize in helping teens and adults navigate anxiety, depression, eating disorders, and body image struggles through compassionate, evidence-based online therapy.
Do you feel trapped in cycles of anxiety, perfectionism, or self-doubt? Maybe you’re overwhelmed by negative thoughts about your body, struggling with food, or exhausted from chasing impossible standards. You want relief from the pressure—to feel more confident, at peace, and in control. Whether you’re battling stress, self-criticism, or major life changes, you don’t have to go through it alone. Healing is possible, and you deserve support. I can help you get to where you want to be.
(980) 944-8193 x1359 View (980) 944-8193 x1359
Photo of Dina Gambella, Marriage & Family Therapist, LMFT
Dina Gambella
Marriage & Family Therapist, LMFT
Verified Verified
Charlotte, NC 28203
Specializing in couples therapy, eating disorders, and general mood disorders.
I believe that you are the expert of your own life & my role as your therapist is to be a fellow companion on your journey towards emotional growth. Your desired outcomes will be achieved by creating long term solutions that uniquely fit your needs within the safety and trust of our therapeutic relationship. By creating a safe and trusting environment, I welcome the opportunity to support your treatment needs.
Specializing in couples therapy, eating disorders, and general mood disorders.
I believe that you are the expert of your own life & my role as your therapist is to be a fellow companion on your journey towards emotional growth. Your desired outcomes will be achieved by creating long term solutions that uniquely fit your needs within the safety and trust of our therapeutic relationship. By creating a safe and trusting environment, I welcome the opportunity to support your treatment needs.
(919) 800-0768 View (919) 800-0768
Photo of Lauren Barker, Licensed Clinical Mental Health Counselor, LCMHC, MA
Lauren Barker
Licensed Clinical Mental Health Counselor, LCMHC, MA
Verified Verified
5 Endorsed
Charlotte, NC 28209
I specialize in working with clients who may be dealing with anxiety related to general life stress or relationship concerns, trauma/PTSD, or eating disorders.
Accepting new clients for April 2025! You often don't feel seen or valued by people in your life. You're the one who supports others when they're going through a hard time but find it hard to ask for help for yourself-maybe because you don't feel worthy or don't want to be a burden. However, dealing with things like body image concerns, an eating disorder, past trauma, or chronic illness can be isolating & feel overwhelming to manage alone. Or if you're a therapist yourself, you may need the extra support of being in therapy! If any of this resonates with you, I'd love to help support you on the journey towards the life you crave.
I specialize in working with clients who may be dealing with anxiety related to general life stress or relationship concerns, trauma/PTSD, or eating disorders.
Accepting new clients for April 2025! You often don't feel seen or valued by people in your life. You're the one who supports others when they're going through a hard time but find it hard to ask for help for yourself-maybe because you don't feel worthy or don't want to be a burden. However, dealing with things like body image concerns, an eating disorder, past trauma, or chronic illness can be isolating & feel overwhelming to manage alone. Or if you're a therapist yourself, you may need the extra support of being in therapy! If any of this resonates with you, I'd love to help support you on the journey towards the life you crave.
(704) 610-0379 View (704) 610-0379
Photo of Ashley Moser, Marriage & Family Therapist, LMFT, CEDS
Ashley Moser
Marriage & Family Therapist, LMFT, CEDS
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
I have a passion for working with anxiety and a specialization in body image and disordered eating as a certified eating disorders specialist.
I am the owner and therapist behind Next Steps Counseling and Consulting, PLLC. With a focus on anxiety, life transitions, and relationships, I specialize in disordered eating, body image, and helping families support each other. For 15 years, I have provided therapy in multiple settings, including outpatient, PHP/IOP, community mental health, and private practice. I spent ten years of my career in clinical and administrative leadership but felt a calling to return to direct service in response to the current mental health crisis. I opened a virtual private practice and have loved being able to return to therapy and direct care.
I have a passion for working with anxiety and a specialization in body image and disordered eating as a certified eating disorders specialist.
I am the owner and therapist behind Next Steps Counseling and Consulting, PLLC. With a focus on anxiety, life transitions, and relationships, I specialize in disordered eating, body image, and helping families support each other. For 15 years, I have provided therapy in multiple settings, including outpatient, PHP/IOP, community mental health, and private practice. I spent ten years of my career in clinical and administrative leadership but felt a calling to return to direct service in response to the current mental health crisis. I opened a virtual private practice and have loved being able to return to therapy and direct care.
(704) 529-9948 View (704) 529-9948
Photo of Angela S Redlak-Olcese, Psychologist, PsyD, CEDS-S
Angela S Redlak-Olcese
Psychologist, PsyD, CEDS-S
Verified Verified
Charlotte, NC 28226
Waitlist for new clients
She is a Certified Eating Disorder Specialist Supervisor (CEDS-S) by International Association of Eating Disorders Professionals (IAEDP), expert in CBT-Enhanced, leading evidenced based treatment for eating disorders, trained by The Centre for Eating Disorder Research (CREDO) at Oxford.
Dr. Redlak-Olcese's therapeutic approach is collaborative, structured, and active and provided in person or tele-health. It goes beyond "talk-therapy." Specific techniques are taught during each session and next steps are identified to practice at home. She is dedicated to integrating evidence based research into clinical practice. She helps you identify current patterns of thinking, feeling, physiological reactions, and behaviors that keep you stuck and develop new ways of coping and responding that work. She provides education/guidance to loved ones. Treatment is self-empowering, time limited, has a beginning, middle, and end.
She is a Certified Eating Disorder Specialist Supervisor (CEDS-S) by International Association of Eating Disorders Professionals (IAEDP), expert in CBT-Enhanced, leading evidenced based treatment for eating disorders, trained by The Centre for Eating Disorder Research (CREDO) at Oxford.
Dr. Redlak-Olcese's therapeutic approach is collaborative, structured, and active and provided in person or tele-health. It goes beyond "talk-therapy." Specific techniques are taught during each session and next steps are identified to practice at home. She is dedicated to integrating evidence based research into clinical practice. She helps you identify current patterns of thinking, feeling, physiological reactions, and behaviors that keep you stuck and develop new ways of coping and responding that work. She provides education/guidance to loved ones. Treatment is self-empowering, time limited, has a beginning, middle, and end.
(704) 271-1148 View (704) 271-1148
Photo of Liz Fallon, Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Liz Fallon
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
2 Endorsed
Charlotte, NC 28210
My specialties include self-worth, family stress, eating disorders, body dysmorphia, depression, anxiety, and identity development.
Life can be complicated, wonderful, devastating, exhilarating, and challenging. Our mind as well as life’s circumstances often hinder our ability to achieve our aspirations, and we end up hurting ourselves and those we love most. Whether it’s an overwhelming feeling of incompetence and failure, struggling with negative thinking, feeling unhappy or uncomfortable with the way we look or feel, trials within our relationships, or even the relationship between food and our bodies…we are often trapped by these thoughts, feelings, and choices.
My specialties include self-worth, family stress, eating disorders, body dysmorphia, depression, anxiety, and identity development.
Life can be complicated, wonderful, devastating, exhilarating, and challenging. Our mind as well as life’s circumstances often hinder our ability to achieve our aspirations, and we end up hurting ourselves and those we love most. Whether it’s an overwhelming feeling of incompetence and failure, struggling with negative thinking, feeling unhappy or uncomfortable with the way we look or feel, trials within our relationships, or even the relationship between food and our bodies…we are often trapped by these thoughts, feelings, and choices.
(704) 307-2137 View (704) 307-2137
Photo of Marketa Winfield, Licensed Professional Counselor, LCMHC, NCC, LPC
Marketa Winfield
Licensed Professional Counselor, LCMHC, NCC, LPC
Verified Verified
Charlotte, NC 28210
I have a passion for working with children and adolescents; ages 10 to 17 with feeding and eating disorders.
The decision to come to therapy can be scary. There are so many unknowns, especially if you have never done this before. I am here to stand and walk with you through every step of the process of change and healing- It gets better. My goal in my relationship with you is to make sure that you feel safe and comfortable enough to be yourself.
I have a passion for working with children and adolescents; ages 10 to 17 with feeding and eating disorders.
The decision to come to therapy can be scary. There are so many unknowns, especially if you have never done this before. I am here to stand and walk with you through every step of the process of change and healing- It gets better. My goal in my relationship with you is to make sure that you feel safe and comfortable enough to be yourself.
(704) 270-8328 View (704) 270-8328

See more therapy options for Wilkes 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.