Eating Disorders Therapists in Larkspur, CA
![Photo of Haleh Kashani, PhD, Psychologist](https://photos.psychologytoday.com/3cdaa66e-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I specialize in the treatment of eating disorders ranging from Anorexia Nervosa, Bulimia Nervosa, ARFID, and Bing Eating Disorder to chronic dieting and weight related issues, as well as substance abuse and addictions with adults and teens.
I would like take this opportunity to provide you with some information about myself and my practice.I am a licensed clinical psychologist and have been in practice for over 30 years. I specialize in working with adolescents and adults in individual, family and group therapy settings. I treat wide array of conditions, from stress management and normal life issues and interpersonal and family problems to more serious conditions such as depression, anxiety and other psychological problems.
I specialize in the treatment of eating disorders ranging from Anorexia Nervosa, Bulimia Nervosa, ARFID, and Bing Eating Disorder to chronic dieting and weight related issues, as well as substance abuse and addictions with adults and teens.
I would like take this opportunity to provide you with some information about myself and my practice.I am a licensed clinical psychologist and have been in practice for over 30 years. I specialize in working with adolescents and adults in individual, family and group therapy settings. I treat wide array of conditions, from stress management and normal life issues and interpersonal and family problems to more serious conditions such as depression, anxiety and other psychological problems.
![Photo of Brenda Fishleder, LCSW, BCD, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3e0490cc-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I also have expertise in treating eating disorders, and chronic pain, integrating concepts such as neuroplasticitty, mindfulness and ACT (Acceptance and Commitment Therapy).
I have been a practicing psychotherapist for over 40 years, and bring an eclectic blend of psychodynamic, neuropsychological, mindfulness-based and cognitive theoretical frameworks to my work. My emphasis is on creating a safe and compassionate environment for the healing of a wide range emotional and relationship issues, making every effort to tailor treatment to the specific needs of each individual(s) seeking my help. My work with couples focues on a positive approach to differences, providing insight, improving communication and increasing empathy. I am open to referrals of individuals, couples, families, adolescents and adults.
I also have expertise in treating eating disorders, and chronic pain, integrating concepts such as neuroplasticitty, mindfulness and ACT (Acceptance and Commitment Therapy).
I have been a practicing psychotherapist for over 40 years, and bring an eclectic blend of psychodynamic, neuropsychological, mindfulness-based and cognitive theoretical frameworks to my work. My emphasis is on creating a safe and compassionate environment for the healing of a wide range emotional and relationship issues, making every effort to tailor treatment to the specific needs of each individual(s) seeking my help. My work with couples focues on a positive approach to differences, providing insight, improving communication and increasing empathy. I am open to referrals of individuals, couples, families, adolescents and adults.
![Photo of Jill Boeri, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/1a22d480-7d59-47a6-b5cc-ecb4f0799f49/1/320x400.jpeg)
Are stress and worry getting you down? Well, take a deep breath and look no further. With the help of therapy, we can work together to find the life balance that has always been meant for you. As with all things that are challenging, the first step takes courage and vulnerability, but here you are, you did it! Now what? In our work together we will examine top stressors, identify coping strategies, reflect deeply on early experiences, and implement change. Over time, and with compassion, my aim is to support personal growth and self-discovery for years to come. My work is grounded in allowing space for my clients to be the experts.
Are stress and worry getting you down? Well, take a deep breath and look no further. With the help of therapy, we can work together to find the life balance that has always been meant for you. As with all things that are challenging, the first step takes courage and vulnerability, but here you are, you did it! Now what? In our work together we will examine top stressors, identify coping strategies, reflect deeply on early experiences, and implement change. Over time, and with compassion, my aim is to support personal growth and self-discovery for years to come. My work is grounded in allowing space for my clients to be the experts.
![Photo of Sharon Alys Laurenza - Sharon Laurenza LP/ Behavioral Design, EdD, MAEd, MAEd, Counsel, Admin, Psychologist](https://photos.psychologytoday.com/428ccb0b-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Sharon Laurenza LP/ Behavioral Design
Psychologist, EdD, MAEd, MAEd, Counsel, Admin
Verified Verified
Larkspur, CA 94939 (Online Only)
Hello! I am Dr. Sharon Laurenza, Licensed Psychologist. The name of my business is "BEHAVIORAL DESIGN-- Solution-Oriented Approaches To Change" as I believe you can develop the discipline needed to make the changes you desire to bring you closer to your personal and/or professional goals. I work as a psychologist who does psychotherapy, executive and personal coaching, counseling and consulting.
Counseling, Coaching and Psychotherapy all help you to become more in alignment, a better and more comfortable fit, with yourself (inside and out). This is done through your work on your identified concerns and desire for change.
Hello! I am Dr. Sharon Laurenza, Licensed Psychologist. The name of my business is "BEHAVIORAL DESIGN-- Solution-Oriented Approaches To Change" as I believe you can develop the discipline needed to make the changes you desire to bring you closer to your personal and/or professional goals. I work as a psychologist who does psychotherapy, executive and personal coaching, counseling and consulting.
Counseling, Coaching and Psychotherapy all help you to become more in alignment, a better and more comfortable fit, with yourself (inside and out). This is done through your work on your identified concerns and desire for change.
![Photo of Lauren Stern, LPCC, NCC](https://photos.psychologytoday.com/c8376092-bb77-47c0-893d-74e45adde3e1/1/320x400.png)
Lauren Stern
Licensed Professional Clinical Counselor, LPCC, NCC
Verified Verified
Larkspur, CA 94939
To live a happier and healthier life, starting therapy is a step in the right direction. Together, in therapy, we will explore the past and present and any obstacles getting in the way of achieving your current and future goals. It is important to have a safe space to reflect and verbalize changes that you would like to make and identify what you have learned about yourself and apply those lessons to your life moving forward. If you are looking for someone to be a sounding board, but also provide direct feedback and solution-focused tactics, then we could be a great match to work together in your therapeutic journey.
To live a happier and healthier life, starting therapy is a step in the right direction. Together, in therapy, we will explore the past and present and any obstacles getting in the way of achieving your current and future goals. It is important to have a safe space to reflect and verbalize changes that you would like to make and identify what you have learned about yourself and apply those lessons to your life moving forward. If you are looking for someone to be a sounding board, but also provide direct feedback and solution-focused tactics, then we could be a great match to work together in your therapeutic journey.
![Photo of Anne M. Vano, PhD, Psychologist](https://photos.psychologytoday.com/f7e23915-f8a4-4ec7-95e2-95a3b85ba9e3/1/320x400.jpeg)
Seeking help takes courage & thoughtfulness. You may feel old difficulties have resurfaced or painful events keep reoccurring despite your best efforts to make things better. You may feel frustrated that you are at a place where things improve for a short time but don't stay stable or good for long. Perhaps life has changed for you in unexpected ways and now there is less peace, less joy and more heartache or confusion. Persistent, intense feelings inside yourself or with your partner/spouse/child/family may be too much to bear. An experienced, supportive, well-trained psychologist like myself, can make make an enormous difference.
Seeking help takes courage & thoughtfulness. You may feel old difficulties have resurfaced or painful events keep reoccurring despite your best efforts to make things better. You may feel frustrated that you are at a place where things improve for a short time but don't stay stable or good for long. Perhaps life has changed for you in unexpected ways and now there is less peace, less joy and more heartache or confusion. Persistent, intense feelings inside yourself or with your partner/spouse/child/family may be too much to bear. An experienced, supportive, well-trained psychologist like myself, can make make an enormous difference.
![Photo of Jessica Potter, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/74fd8433-9b5e-4567-a192-517d41303613/2/320x400.jpeg)
I am versatile in my clinical experience with clients of different ages and cultures. I have particular training in working with individuals struggling with trauma and the many symptoms related to trauma. I also have many years of experience working with those who struggle with addictions. I enjoy providing support groups for adults and teenagers. I have worked in schools, outpatient clinics, and private practice. I also have experience in suicide prevention work with teenagers and young adults.
I am versatile in my clinical experience with clients of different ages and cultures. I have particular training in working with individuals struggling with trauma and the many symptoms related to trauma. I also have many years of experience working with those who struggle with addictions. I enjoy providing support groups for adults and teenagers. I have worked in schools, outpatient clinics, and private practice. I also have experience in suicide prevention work with teenagers and young adults.
![Photo of Lily Eggers, MA, MFT, Marriage & Family Therapist](https://photos.psychologytoday.com/6d589e48-b0fc-4030-b8a9-8e1fabacf27d/2/320x400.jpeg)
Lily Eggers
Marriage & Family Therapist, MA, MFT
Verified Verified
Larkspur, CA 94939
Waitlist for new clients
I'm currently full and opening up my practice again in Fall '24. See link below to join my waitlist or ask me a specific relational question. I have spent over 20 years exploring my own mind/body connection and personal potential through yoga, meditation, hypnosis, triathlon training, rock climbing, cycling, and fire walking. My passion currently is working with couples in varying stages of relationship! I work best with people burdened with ineffectual patterns who know there is more to life than staying stuck! Let me help you transform your relationship to ignite more connection & kindness, playfulness & passion!
I'm currently full and opening up my practice again in Fall '24. See link below to join my waitlist or ask me a specific relational question. I have spent over 20 years exploring my own mind/body connection and personal potential through yoga, meditation, hypnosis, triathlon training, rock climbing, cycling, and fire walking. My passion currently is working with couples in varying stages of relationship! I work best with people burdened with ineffectual patterns who know there is more to life than staying stuck! Let me help you transform your relationship to ignite more connection & kindness, playfulness & passion!
![Photo of Natalie Harvey, MS, MFT, Marriage & Family Therapist](https://photos.psychologytoday.com/967d7dea-3776-46e4-beda-241b5d011cc2/1/320x400.jpeg)
Welcome. If you have found yourself here you are probably looking for relief. My passion and experience focuses around helping others find clarity and balance. We each have different histories, needs, patterns of thinking, and struggles. All of us develop strategies of protecting ourselves that have been useful in the past but have become outdated. It's important that we move toward ways that currently work; that help guide us toward the most peace and happiness possible. Guiding individuals toward getting to know, accept, and thrive in one's own self and in relationship is something I am dedicated to.
Welcome. If you have found yourself here you are probably looking for relief. My passion and experience focuses around helping others find clarity and balance. We each have different histories, needs, patterns of thinking, and struggles. All of us develop strategies of protecting ourselves that have been useful in the past but have become outdated. It's important that we move toward ways that currently work; that help guide us toward the most peace and happiness possible. Guiding individuals toward getting to know, accept, and thrive in one's own self and in relationship is something I am dedicated to.
![Photo of Keely Schlesinger, PsyD, Psychologist](https://photos.psychologytoday.com/406bb850-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I specialize in treating anxiety and depression. I use a practical approach known as Cognitive Behavioral Therapy to help patients find health and happiness in their professional, romantic and social lives. I work with individuals, couples and groups.
I specialize in treating anxiety and depression. I use a practical approach known as Cognitive Behavioral Therapy to help patients find health and happiness in their professional, romantic and social lives. I work with individuals, couples and groups.
![Photo of Dr. Alicia Smart, PsyD, Psychologist](https://photos.psychologytoday.com/538c7ac1-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Dr. Alicia Smart is the founder and clinical director of Guidepost DBT, a center dedicated to providing comprehensive Dialectical Behavior Therapy (DBT) with an emphasis on in-person care. She is also the co-founder and chief training officer at TheraHive.com, a mental health education company that offers online DBT skills groups to a global audience.
Dr. Alicia Smart is the founder and clinical director of Guidepost DBT, a center dedicated to providing comprehensive Dialectical Behavior Therapy (DBT) with an emphasis on in-person care. She is also the co-founder and chief training officer at TheraHive.com, a mental health education company that offers online DBT skills groups to a global audience.
More Therapists Nearby
![Photo of Kathleen Louise Someah, PhD, Psychologist](https://photos.psychologytoday.com/ecaf93e5-d715-4fff-8964-b8a7a08ccd30/2/320x400.jpeg)
I am especially passionate about treating eating disorders. I see clients of varying age groups with a particular focus on adolescents, transitional age youth and young adults. Changing one's behaviors and psychological states is a process and I aim to meet clients where they are at in terms of their readiness for change. In addition to specific graduate training and many years working at Stanford Health's inpatient eating disorder unit, I also have lived experience dealing with disordered eating, and find that my own recovery journey benefits clients and serves as a reminder that recovery is attainable.
I am especially passionate about treating eating disorders. I see clients of varying age groups with a particular focus on adolescents, transitional age youth and young adults. Changing one's behaviors and psychological states is a process and I aim to meet clients where they are at in terms of their readiness for change. In addition to specific graduate training and many years working at Stanford Health's inpatient eating disorder unit, I also have lived experience dealing with disordered eating, and find that my own recovery journey benefits clients and serves as a reminder that recovery is attainable.
![Photo of Christy Mammini, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/e55a18c1-1610-4e31-945d-27c090306a0a/1/320x400.jpeg)
Christy Mammini
Marriage & Family Therapist, MA, LMFT
Verified Verified
Mill Valley, CA 94941 (Online Only)
Welcome! Taking the first step towards getting help is not always easy and I am here to make that transition as clear and safe as possible. My specialties include eating disorders, body image, depression and anxiety. You will find I provide a warm, compassionate, down-to-earth environment where together we will work towards developing insight and awareness into the roots of the behaviors, beliefs and patterns that are holding you back from reaching your fullest potential and living the life that you want.
Welcome! Taking the first step towards getting help is not always easy and I am here to make that transition as clear and safe as possible. My specialties include eating disorders, body image, depression and anxiety. You will find I provide a warm, compassionate, down-to-earth environment where together we will work towards developing insight and awareness into the roots of the behaviors, beliefs and patterns that are holding you back from reaching your fullest potential and living the life that you want.
![Photo of Arin Bass, MA, MFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3fefb278-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Hello! As a licensed Marriage and Family Therapist, I provide psychotherapy to adolescents, adults, and families from diverse backgrounds. My specialties include the treatment of eating disorders, body image issues, anxiety, depression, relationship issues, family conflict, professional/academic dilemmas and stress around life transitions. I practice collaboratively with my clients and I use a warm, empathic and straightforward approach. I strive to support my clients in ways that empower them to feel better and create a life they enjoy living.
Hello! As a licensed Marriage and Family Therapist, I provide psychotherapy to adolescents, adults, and families from diverse backgrounds. My specialties include the treatment of eating disorders, body image issues, anxiety, depression, relationship issues, family conflict, professional/academic dilemmas and stress around life transitions. I practice collaboratively with my clients and I use a warm, empathic and straightforward approach. I strive to support my clients in ways that empower them to feel better and create a life they enjoy living.
![Photo of Megan Bruce, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/2b5ac5ad-d9ec-487c-a6f5-35b210e8a07d/2/320x400.jpeg)
I work with quarter-lifers (ages 18-39) in San Francisco and throughout California who want to heal their relationship with food, feel satisfied in their relationships, and find new ways to deal with anxiety and self criticism. I specialize in the treatment of eating disorders, anxiety and perfectionism. Many of my clients come to me feeling stuck. For some of them, their eating disorders are making them miserable but they don't know how to break free. For others, their perfectionism and sense of never being good enough makes it difficult to enjoy life. Many of my clients come to me feeling like their anxiety is out of control.
I work with quarter-lifers (ages 18-39) in San Francisco and throughout California who want to heal their relationship with food, feel satisfied in their relationships, and find new ways to deal with anxiety and self criticism. I specialize in the treatment of eating disorders, anxiety and perfectionism. Many of my clients come to me feeling stuck. For some of them, their eating disorders are making them miserable but they don't know how to break free. For others, their perfectionism and sense of never being good enough makes it difficult to enjoy life. Many of my clients come to me feeling like their anxiety is out of control.
![Photo of Elizabeth Scott, LCSW, CEDS-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/fc3c4dd4-4ac8-4450-ba11-ab3f4ee7503a/1/320x400.jpeg)
Elizabeth Scott
Clinical Social Work/Therapist, LCSW, CEDS-S
Verified Verified
San Rafael, CA 94901 (Online Only)
We train young people to be eating disorders prevention activists in their communities.
I have three openings now for adults. Please reach out. I have been practicing psychotherapy since 1988 and I love my work. I work with adults who suffer with depression and anxiety, trauma and grief. I also have 25 years of experience helping people become free of eating disorders and body image problems. I love to work with adults in transition. I am practical, generous and warm in my style. I believe that our struggles can be used to shape us into wiser, more empathic, loving people. I never blame people for their suffering, I don't like theoretical models that do. I live in Santa Cruz and work entirely on Zoom.
We train young people to be eating disorders prevention activists in their communities.
I have three openings now for adults. Please reach out. I have been practicing psychotherapy since 1988 and I love my work. I work with adults who suffer with depression and anxiety, trauma and grief. I also have 25 years of experience helping people become free of eating disorders and body image problems. I love to work with adults in transition. I am practical, generous and warm in my style. I believe that our struggles can be used to shape us into wiser, more empathic, loving people. I never blame people for their suffering, I don't like theoretical models that do. I live in Santa Cruz and work entirely on Zoom.
![Photo of Laura Hauben, PsyD, Psychologist](https://photos.psychologytoday.com/29857b10-bc69-4998-b9ad-9aa9e24b2508/1/320x400.jpeg)
Eating disorders occur when the path towards healthy development goes awry.
Major life events, both positive and negative, can require emotional adjustments that take us by surprise. Even desired life changes like parenthood, marriage, and graduation can lead to unexpected feelings. Current research on attachment confirms that humans are more resilient in the face of major life change and trauma when they feel understood and supported by another. I use psychotherapy and EMDR in my practice. In therapy I am direct, but I provide the empathy and compassion that we all need. My patients feel seen by me and in turn, seek out other fortifying relationships.
Eating disorders occur when the path towards healthy development goes awry.
Major life events, both positive and negative, can require emotional adjustments that take us by surprise. Even desired life changes like parenthood, marriage, and graduation can lead to unexpected feelings. Current research on attachment confirms that humans are more resilient in the face of major life change and trauma when they feel understood and supported by another. I use psychotherapy and EMDR in my practice. In therapy I am direct, but I provide the empathy and compassion that we all need. My patients feel seen by me and in turn, seek out other fortifying relationships.
![Photo of Jennifer Lowell, PhD, Psychologist](https://photos.psychologytoday.com/3ccc6630-46cd-11ea-a6ad-06142c356176/5/320x400.jpeg)
My work with eating disorders focuses on identifying the underlying issues and developing healthier responses to these issues, as well as establishing a meaningful sense of self worth that is not contingent upon the body's appearance.
I work with individuals and treat a range of issues including depression, anxiety, loneliness, emotional intimacy, self esteem, and relationship struggles. I also specialize in treating adults and adolecents with eating disorders. I have worked with eating and body image disturbances for 15 plus years. I am passionate about helping people develop a comfortable relationship with their bodies, food, and exercise through a non-diet approach.
My work with eating disorders focuses on identifying the underlying issues and developing healthier responses to these issues, as well as establishing a meaningful sense of self worth that is not contingent upon the body's appearance.
I work with individuals and treat a range of issues including depression, anxiety, loneliness, emotional intimacy, self esteem, and relationship struggles. I also specialize in treating adults and adolecents with eating disorders. I have worked with eating and body image disturbances for 15 plus years. I am passionate about helping people develop a comfortable relationship with their bodies, food, and exercise through a non-diet approach.
![Photo of Lori Lavinthal, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/54a99564-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
My specialties include: Borderline Personality Disorder, Eating Disorders, Anxiety, Social Anxiety and Depression.
I provide DBT, and general psychotherapy to adults, adolescents, families and couples in my San Francisco and Marin practices. For the past 20 years I have helped people transform, creating the lives they want to live. Stylistically I am warm, thoughtful, and engaged creating a non-judgmental safe environment.
My specialties include: Borderline Personality Disorder, Eating Disorders, Anxiety, Social Anxiety and Depression.
I provide DBT, and general psychotherapy to adults, adolescents, families and couples in my San Francisco and Marin practices. For the past 20 years I have helped people transform, creating the lives they want to live. Stylistically I am warm, thoughtful, and engaged creating a non-judgmental safe environment.
![Photo of Avis Rumney, LMFT, CIP, Marriage & Family Therapist](https://photos.psychologytoday.com/3d557163-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I specialize in Couples Therapy, Codependency, Emotional Eating, and Eating Disorders. I'm a seasoned therapist and award winning author with over 30 years' experience helping couples and individuals create healthy, happy lives. If you keep thinking the same negative thoughts, or endlessly repeat unwanted behaviors, I can help. You don't need to struggle alone. I will help you transform your unhealthy patterns, negative inner voices and self-sabotaging actions into healthy physical, mental and emotional habits. We can work together to help you build your confidence, improve your relationships and increase your well-being.
I specialize in Couples Therapy, Codependency, Emotional Eating, and Eating Disorders. I'm a seasoned therapist and award winning author with over 30 years' experience helping couples and individuals create healthy, happy lives. If you keep thinking the same negative thoughts, or endlessly repeat unwanted behaviors, I can help. You don't need to struggle alone. I will help you transform your unhealthy patterns, negative inner voices and self-sabotaging actions into healthy physical, mental and emotional habits. We can work together to help you build your confidence, improve your relationships and increase your well-being.
See more therapy options for Larkspur
Nearby Eating Disorders Therapists Searches for Larkspur
- Corte Madera
- Fairfax
- Greenbrae
- Kentfield
- Mill Valley
- Novato
- Richmond
- Ross
- San Anselmo
- San Rafael
- Sausalito
- Tiburon
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.