Eating Disorders Therapists in Frankfort, KY
![Photo of William DeWitt, LPCC, LMHC, LPC](https://photos.psychologytoday.com/3aafce61-4fa1-4ba6-9f3d-1a2d946b719f/1/320x400.jpeg)
William DeWitt
Licensed Professional Clinical Counselor, LPCC, LMHC, LPC
Verified Verified
Frankfort, KY 40601
With adults, William is trained and has used eye movement desensitization reprocessing therapy (EMDR); cognitive processing therapy (CPT); cognitive behavioral therapy (CBT); emotionally focused couples therapy (EFCT), and in treatments for eating disorders, anxiety, and depression.
William DeWitt is a Licensed Professional Counselor in Kentucky who has been practicing since 1987. He has a Master of Science in Counseling Psychology from Central Washington University and a Bachelor of Arts in Journalism from Western Washington University. William approaches each client as an individual and adjusts the treatment to meet their individual needs. He works collaboratively with the client to determine the best approach for the client's particular struggles.
With adults, William is trained and has used eye movement desensitization reprocessing therapy (EMDR); cognitive processing therapy (CPT); cognitive behavioral therapy (CBT); emotionally focused couples therapy (EFCT), and in treatments for eating disorders, anxiety, and depression.
William DeWitt is a Licensed Professional Counselor in Kentucky who has been practicing since 1987. He has a Master of Science in Counseling Psychology from Central Washington University and a Bachelor of Arts in Journalism from Western Washington University. William approaches each client as an individual and adjusts the treatment to meet their individual needs. He works collaboratively with the client to determine the best approach for the client's particular struggles.
![Photo of Kristy E Klueh, MSW, CSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/49287795-9fc1-49c8-80ac-3b11ff6290e2/2/320x400.jpeg)
Kristy E Klueh
Clinical Social Work/Therapist, MSW, CSW
Verified Verified
2 Endorsed
Frankfort, KY 40601
I have worked with a broad range of clients with different mental health concerns. I enjoy helping those that feel they are stuck in how they think and process the world by assisting them in learning coping skills to change the thought patterns that keep them cycling through all the negativity. I am someone that will listen, never judge, and give you an outside perspective on what is causing you distress. I desire to work with people who want to change their mindset and are willing to try new things while understanding that healing takes time.
I have worked with a broad range of clients with different mental health concerns. I enjoy helping those that feel they are stuck in how they think and process the world by assisting them in learning coping skills to change the thought patterns that keep them cycling through all the negativity. I am someone that will listen, never judge, and give you an outside perspective on what is causing you distress. I desire to work with people who want to change their mindset and are willing to try new things while understanding that healing takes time.
![Photo of William Back, LPCC, Counselor](https://photos.psychologytoday.com/947e4551-92d6-4e8a-9363-5e42f10c9816/2/320x400.jpeg)
William David Back earned his master's degree in education and his bachelor's degree in Psychology from University of Kentucky. He has over 9 years of experience in inpatient and outpatient settings. His specialty areas include anxiety disorders, bipolar disorder, depression, obsessive-compulsive disorder (OCD), seasonal affective disorder and substance use. He has training in and utilizes eye movement desensitization and reprocessing (EMDR), cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT). He sees adolescents and adults for individual, couples and family therapy.
William David Back earned his master's degree in education and his bachelor's degree in Psychology from University of Kentucky. He has over 9 years of experience in inpatient and outpatient settings. His specialty areas include anxiety disorders, bipolar disorder, depression, obsessive-compulsive disorder (OCD), seasonal affective disorder and substance use. He has training in and utilizes eye movement desensitization and reprocessing (EMDR), cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT). He sees adolescents and adults for individual, couples and family therapy.
![Photo of Carol Proctor, LPCC](https://photos.psychologytoday.com/5e40764a-dc9b-49fa-8dda-4c43e82974c9/1/320x400.jpeg)
Carol Proctor
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Frankfort, KY 40601 (Online Only)
We all need to experience acceptance and love, a place of rest. In this type of environment we can heal wounds, grow in our strengths and establish boundaries with self and others.
We all need to experience acceptance and love, a place of rest. In this type of environment we can heal wounds, grow in our strengths and establish boundaries with self and others.
![Photo of Susan Buckman, LCSW, MSSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/fbf38570-a8ff-4dcd-a279-03234bfa1bfa/3/320x400.jpeg)
Susan Buckman
Clinical Social Work/Therapist, LCSW, MSSW
Verified Verified
1 Endorsed
Frankfort, KY 40601
We would all enjoy an opportunity to make a wish that would quickly solve our problems and improve our lives. Making a wish and having a dream renews hope for living. I believe that therapy is about renewing hope for your life. At Wishing Tree Counseling, I use a client-centered therapeutic approach that incorporates cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), eye movement desensitization and reprocessing (EMDR), and canine therapy when working with my clients.
We would all enjoy an opportunity to make a wish that would quickly solve our problems and improve our lives. Making a wish and having a dream renews hope for living. I believe that therapy is about renewing hope for your life. At Wishing Tree Counseling, I use a client-centered therapeutic approach that incorporates cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), eye movement desensitization and reprocessing (EMDR), and canine therapy when working with my clients.
![Photo of John Anderson](https://photos.psychologytoday.com/e3fdb127-8677-44cb-8303-0c0633c1a70f/1/320x400.jpeg)
John Anderson
Licensed Professional Clinical Counselor
Verified Verified
Frankfort, KY 40601 (Online Only)
Nathan is a Licensed Professional Clinical Counselor in the state of Kentucky. He has been helping people since 2014 with mental health and substance abuse issues. Nathan graduated from Lindsey Wilson College with his Bachelors of Arts in 2013 and completing his Masters of Education in Professional Counseling in 2015. Have you ever lost sleep, unable to eat or feel your life has no enjoyment or happiness? He helps clients dealing with stress, anxiety and depression. Clients that come to him are dealing with family, work and relationship stress that causes days of being nonproductive and a life of enjoyment and happiness aren't prese
Nathan is a Licensed Professional Clinical Counselor in the state of Kentucky. He has been helping people since 2014 with mental health and substance abuse issues. Nathan graduated from Lindsey Wilson College with his Bachelors of Arts in 2013 and completing his Masters of Education in Professional Counseling in 2015. Have you ever lost sleep, unable to eat or feel your life has no enjoyment or happiness? He helps clients dealing with stress, anxiety and depression. Clients that come to him are dealing with family, work and relationship stress that causes days of being nonproductive and a life of enjoyment and happiness aren't prese
![Photo of Melissa Hart - Hart Counseling Services, LLC, MA, LPCC-S, LMHC, LCADC](https://photos.psychologytoday.com/40d0429c-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Hart Counseling Services, LLC
Licensed Professional Clinical Counselor, MA, LPCC-S, LMHC, LCADC
Verified Verified
Frankfort, KY 40601
Sessions are available in-person and/or tele-health. Do you feel you have hit a dead end in life? Struggling with experiences that have you "stuck" and seem to be keeping you from enjoying life? Are you ready to make changes that can help you overcome obstacles and move forward towards your life goals? Finding solutions can often be overwhelming, but the good news is you don't have to do it alone. Making life changes requires a supportive and safe therapeutic environment, essential for meeting your specific needs and becoming a happier, healthier you. This is the first step in making that possible and I welcome you!
Sessions are available in-person and/or tele-health. Do you feel you have hit a dead end in life? Struggling with experiences that have you "stuck" and seem to be keeping you from enjoying life? Are you ready to make changes that can help you overcome obstacles and move forward towards your life goals? Finding solutions can often be overwhelming, but the good news is you don't have to do it alone. Making life changes requires a supportive and safe therapeutic environment, essential for meeting your specific needs and becoming a happier, healthier you. This is the first step in making that possible and I welcome you!
![Photo of Kristina Elizabeth Hayden, MEd, LPCC-S](https://photos.psychologytoday.com/3e9f43ae-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Kristina Elizabeth Hayden
Licensed Professional Clinical Counselor, MEd, LPCC-S
Verified Verified
3 Endorsed
Frankfort, KY 40601
I work with adolescents, adults, children, couples, families, and groups. As a counselor, I believe the most important element in treatment is the relationship between the therapist and the client. Utilizing this relationship we can work together to address many of life's challenges. It is my goal to help clients learn coping skills in a supportive, warm and nonjudgmental environment. My experience includes working with trauma survivors, mood disorders, depression, anxiety, adjustment disorders and family conflict while focusing on relapse prevention.
I work with adolescents, adults, children, couples, families, and groups. As a counselor, I believe the most important element in treatment is the relationship between the therapist and the client. Utilizing this relationship we can work together to address many of life's challenges. It is my goal to help clients learn coping skills in a supportive, warm and nonjudgmental environment. My experience includes working with trauma survivors, mood disorders, depression, anxiety, adjustment disorders and family conflict while focusing on relapse prevention.
![Photo of Megan Ashby, MEd, LPCC-S](https://photos.psychologytoday.com/3e95d4c5-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Megan Ashby
Licensed Professional Clinical Counselor, MEd, LPCC-S
Verified Verified
2 Endorsed
Frankfort, KY 40601
I enjoy working with children, adolescents, adults, couples, and families treating a variety of life's problems. I am committed to providing a safe, supportive, and judgment free environment for all of my clients. As a counselor I use a variety of techniques and work to increase my clients coping skills, communication skills, and ability to deal with life's full variety of problems. I work from and focus on evidenced based treatments to provide clients with the best treatment possible to sustain their long term mental health.
I enjoy working with children, adolescents, adults, couples, and families treating a variety of life's problems. I am committed to providing a safe, supportive, and judgment free environment for all of my clients. As a counselor I use a variety of techniques and work to increase my clients coping skills, communication skills, and ability to deal with life's full variety of problems. I work from and focus on evidenced based treatments to provide clients with the best treatment possible to sustain their long term mental health.
![Photo of Joshua Smith, Psychologist](https://photos.psychologytoday.com/1f576126-d710-4227-972d-37ec83816220/1/320x400.png)
“My approach to helping others is rooted in humility and the practice of radical acceptance.” I am just like you; I am a human ,I have been thru some challenges, I love tv and movies, music, and books. My approach to helping others is rooted in humility and the practice of radical acceptance. I pride myself on meeting the client where the client is and creating a blueprint for progress from there. My most valuable skills as a psychologist are my abilities to build rapport, make the client comfortable, and create a comfortable space to work on issues. One of my strongest character traits is empathy. This allows me to see the world th
“My approach to helping others is rooted in humility and the practice of radical acceptance.” I am just like you; I am a human ,I have been thru some challenges, I love tv and movies, music, and books. My approach to helping others is rooted in humility and the practice of radical acceptance. I pride myself on meeting the client where the client is and creating a blueprint for progress from there. My most valuable skills as a psychologist are my abilities to build rapport, make the client comfortable, and create a comfortable space to work on issues. One of my strongest character traits is empathy. This allows me to see the world th
![Photo of Jessica Shannon, LCSW, CMNCS, C-DBT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/43cf6292-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Jessica Shannon
Clinical Social Work/Therapist, LCSW, CMNCS, C-DBT
Verified Verified
2 Endorsed
Frankfort, KY 40602
I am a Licensed Clinical Therapist certified as a Dialectical Behavior Therapist and as a certified Mental Health and Nutrition Clinical Specialist. I have gained a wide range of experience working with children, teens and adults of all diversities across settings. I have training and experience helping individuals address an array of concerns, but primarily focus on assisting children, adolescents, teens and young adults cope with a variety of mental health concerns, including trauma, mood related disorders, anxiety disorders, ADHD, emotional dysregulation, self harm, nutritional concerns, relationship concerns, and self esteem.
I am a Licensed Clinical Therapist certified as a Dialectical Behavior Therapist and as a certified Mental Health and Nutrition Clinical Specialist. I have gained a wide range of experience working with children, teens and adults of all diversities across settings. I have training and experience helping individuals address an array of concerns, but primarily focus on assisting children, adolescents, teens and young adults cope with a variety of mental health concerns, including trauma, mood related disorders, anxiety disorders, ADHD, emotional dysregulation, self harm, nutritional concerns, relationship concerns, and self esteem.
![Photo of Michael E Whitten - Whitten Psychological Services, PLLC, PhD, Psychologist](https://photos.psychologytoday.com/dae8127b-762f-48eb-b2dc-70416c765d0d/1/320x400.jpeg)
We provide online neuropsychological assessments for adults susected of having ADHD or autism. We also provide pre-surgical assessments for people seeking bariatric surgery and pain management procedures. Our therapists help people with anxiety, PTSD, depression, and relationship problems. We have several therapists who specialize in marriage counseling. We accept most major insurance plans including Passport and other Medicaid providers.
We provide online neuropsychological assessments for adults susected of having ADHD or autism. We also provide pre-surgical assessments for people seeking bariatric surgery and pain management procedures. Our therapists help people with anxiety, PTSD, depression, and relationship problems. We have several therapists who specialize in marriage counseling. We accept most major insurance plans including Passport and other Medicaid providers.
![Photo of Paul D Dalton - Paul D Dalton, MS, LPCC-S, LCADC, MS, LPCC-S, LCADC](https://photos.psychologytoday.com/46e376a3-fd95-4e53-8362-3adf37fc7641/1/320x400.jpeg)
Paul D Dalton, MS, LPCC-S, LCADC
Licensed Professional Clinical Counselor, MS, LPCC-S, LCADC
Verified Verified
1 Endorsed
Frankfort, KY 40601
Hello! Our office of over 50 counselors, therapists, nurse practitioners and psychologists provide counseling, therapy, psychological and psychiatric services to all ages. We are committed to helping you. We care about our professional roles and the people we serve. We help all ages and most every mental health and life issue. Our goal is your success and well being. Most of our referrals come from the thousands of people we have helped like you. Please call today. If we can't help, we will find someone that can. Never, ever give up! Over 25 years. Five locations. Hundreds of years of combined experience. Call 859.338.0466 today.
Hello! Our office of over 50 counselors, therapists, nurse practitioners and psychologists provide counseling, therapy, psychological and psychiatric services to all ages. We are committed to helping you. We care about our professional roles and the people we serve. We help all ages and most every mental health and life issue. Our goal is your success and well being. Most of our referrals come from the thousands of people we have helped like you. Please call today. If we can't help, we will find someone that can. Never, ever give up! Over 25 years. Five locations. Hundreds of years of combined experience. Call 859.338.0466 today.
![Photo of David Smith Ed, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/1981a729-3b57-4a09-a0d3-8ec5fa0c5290/1/320x400.jpeg)
Hi, my name is Dr. Dave Smith, and I am a licensed Marriage & Family Therapist. I entered my profession with a desire to help individuals and families overcome the struggles they face. I specialize in Clinical Mental Health, Addiction & Recovery, Couples and Marriage & Family Therapy. I work with a wide range of clients and demographic groups. I treat anxiety, depression, OCD, mood disorders, ADHD, personality disorder, autism spectrum, addiction, and sexual dysfunction. I use Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Strategic Therapy and Intergenerational Family Therapy
Hi, my name is Dr. Dave Smith, and I am a licensed Marriage & Family Therapist. I entered my profession with a desire to help individuals and families overcome the struggles they face. I specialize in Clinical Mental Health, Addiction & Recovery, Couples and Marriage & Family Therapy. I work with a wide range of clients and demographic groups. I treat anxiety, depression, OCD, mood disorders, ADHD, personality disorder, autism spectrum, addiction, and sexual dysfunction. I use Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Strategic Therapy and Intergenerational Family Therapy
![Photo of Terence Rozzell, LPCC](https://photos.psychologytoday.com/33fe5ed2-bd50-402c-a952-273b3e4dfea9/2/320x400.jpeg)
Terence Rozzell
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Frankfort, KY 40601
This has been extremely valuable in developing my clinical skills and ability to understand and help a wide variety of people from various backgrounds. The next invaluable contribution to my clinical abilities is my Mother, Elizabeth, an extremely wise, loving woman of deep spirituality and profound critical thinking skills. She taught me, "Everyone I know knows something I don't." This makes every single person of unique intrinsic value. I have been a professional counselor for over 20 years.
This has been extremely valuable in developing my clinical skills and ability to understand and help a wide variety of people from various backgrounds. The next invaluable contribution to my clinical abilities is my Mother, Elizabeth, an extremely wise, loving woman of deep spirituality and profound critical thinking skills. She taught me, "Everyone I know knows something I don't." This makes every single person of unique intrinsic value. I have been a professional counselor for over 20 years.
![Photo of Maggie Lemley - Focused Solutions, LLC, LPC, Counselor](https://photos.psychologytoday.com/a393c089-bea0-44de-a1c3-d300064cb162/1/320x400.jpeg)
Making the decision to seek therapy can be overwhelming. We understand that, and we are here to help guide you through the process and clear a path to emotional well-being. By working together, we can develop a strategy that promotes a healthier life for you and the ones closest to you. Our compassionate approach provides a safe and caring environment for you to seek the support that you deserve.
Making the decision to seek therapy can be overwhelming. We understand that, and we are here to help guide you through the process and clear a path to emotional well-being. By working together, we can develop a strategy that promotes a healthier life for you and the ones closest to you. Our compassionate approach provides a safe and caring environment for you to seek the support that you deserve.
![Photo of Janice Delores Hagans-Higgins, MEd, LPCC-S](https://photos.psychologytoday.com/a2691a72-e012-4f22-8f10-a37caa921c41/2/320x400.jpeg)
Janice Delores Hagans-Higgins
Licensed Professional Clinical Counselor, MEd, LPCC-S
Verified Verified
Frankfort, KY 40602
Hello, I'm Janice. Do you feel as though you are facing the world alone, that life is too difficult, overwhelmed by life's circumstances, everyone's against you, or you're misunderstood? All of these issues may lead to anxiety, depression, or even substance use. I love working with clients igniting hope, believing no one is left to go through adversity alone. I'm a Licensed Counselor, Licensed Practical Nurse, Holistic life Coach, Certified Aroma Specialist, and Energy Healer, who enjoys working with people. My personal life experience with issues like trauma help me completely understand how you feel, which is important.
Hello, I'm Janice. Do you feel as though you are facing the world alone, that life is too difficult, overwhelmed by life's circumstances, everyone's against you, or you're misunderstood? All of these issues may lead to anxiety, depression, or even substance use. I love working with clients igniting hope, believing no one is left to go through adversity alone. I'm a Licensed Counselor, Licensed Practical Nurse, Holistic life Coach, Certified Aroma Specialist, and Energy Healer, who enjoys working with people. My personal life experience with issues like trauma help me completely understand how you feel, which is important.
![Photo of Myra K Lachmann, LPCA, Counselor](https://photos.psychologytoday.com/1074f09d-430b-4791-a6bb-81f3b60bd6cf/1/320x400.jpeg)
Now, that's the Spirit! As a Catholic mental health professional, I am dedicated to upholding the ethical and moral principles of faith in my practice and promoting healing that is rooted in love, faith, and compassion.
Now, that's the Spirit! As a Catholic mental health professional, I am dedicated to upholding the ethical and moral principles of faith in my practice and promoting healing that is rooted in love, faith, and compassion.
![Photo of Heather Ramsey, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0bfabad6-e81e-4d96-9f41-771fbf53e30b/1/320x400.jpeg)
Heather Ramsey
Clinical Social Work/Therapist, LCSW
Verified Verified
Frankfort, KY 40601 (Online Only)
Hello, my name is Heather Ramsey, LCSW. I work with a wide range of clients in various demographics. I meet the client where they are and provide encouragement along the way! I look forward to working with you. I utilize CBT and DBT to assist my clients in achieving their goals. Additionally, I work within a strengths-based system and family systems as needed. I enjoy working with a wide range of clients. I have found those ages 11+ do well with telehealth services utilizing the therapeutic approach I focus on.
Hello, my name is Heather Ramsey, LCSW. I work with a wide range of clients in various demographics. I meet the client where they are and provide encouragement along the way! I look forward to working with you. I utilize CBT and DBT to assist my clients in achieving their goals. Additionally, I work within a strengths-based system and family systems as needed. I enjoy working with a wide range of clients. I have found those ages 11+ do well with telehealth services utilizing the therapeutic approach I focus on.
Online Therapists
![Photo of Dr. Rachel M Butler, PhD, Psychologist](https://photos.psychologytoday.com/d3f9f859-d596-4b61-a804-b67756ce34b8/1/320x400.png)
Dr. Rachel M Butler
Psychologist, PhD
Verified Verified
Lexington, KY 40508
Waitlist for new clients
Welcome! I’m Dr. Rachel Butler, a Licensed Psychologist in Kentucky. I offer therapy sessions via telehealth and in my office in Lexington, KY. I specialize in working with clients experiencing anxiety, eating disorders, body image concerns, obsessive compulsive disorder, depression, and trauma. My style is warm, collaborative, empathetic, and acceptance-based. I love working with clients to help them identify what is keeping them stuck and live a more meaningful, fulfilling life based on their values. My clients and I work as a team to identify their goals for our work together!
Welcome! I’m Dr. Rachel Butler, a Licensed Psychologist in Kentucky. I offer therapy sessions via telehealth and in my office in Lexington, KY. I specialize in working with clients experiencing anxiety, eating disorders, body image concerns, obsessive compulsive disorder, depression, and trauma. My style is warm, collaborative, empathetic, and acceptance-based. I love working with clients to help them identify what is keeping them stuck and live a more meaningful, fulfilling life based on their values. My clients and I work as a team to identify their goals for our work together!
See more therapy options for Frankfort
Nearby Eating Disorders Therapists Searches for Frankfort
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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.