Eating Disorders Therapists in Oregon City, OR
![Photo of Ashley Terry, LPC, LMHC, CADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f9e77746-51a3-4f90-906e-9c938cd0d157/1/320x400.jpeg)
Ashley Terry
Clinical Social Work/Therapist, LPC, LMHC, CADC
Verified Verified
Oregon City, OR 97045 (Online Only)
Specialty areas include eating disorders, body image distress, anxiety disorders (social anxiety, generalized anxiety, obsessive-compulsive disorder, illness anxiety disorder), PTSD/C-PTSD, substance abuse, sex, and gambling use disorders, relational and marital issues, divorce/separation, life transitions, as well as grief and loss.
Hello I am Ashley it is nice to meet you. I am currently taking new clients in OR and WA. I am a Licensed Professional Counselor and Certified Drug and Alcohol Counselor in the State of Oregon, as well as a License Mental Health Counselor in the State of Washington. I have provided treatment to individuals suffering from eating disorders, substance use disorders, severe and persistent mental illness, marital and relational issues, grief and loss, as well as all forms of anxiety disorders, mood disorders and a vast range of substance, sex and gambling disorders.
Specialty areas include eating disorders, body image distress, anxiety disorders (social anxiety, generalized anxiety, obsessive-compulsive disorder, illness anxiety disorder), PTSD/C-PTSD, substance abuse, sex, and gambling use disorders, relational and marital issues, divorce/separation, life transitions, as well as grief and loss.
Hello I am Ashley it is nice to meet you. I am currently taking new clients in OR and WA. I am a Licensed Professional Counselor and Certified Drug and Alcohol Counselor in the State of Oregon, as well as a License Mental Health Counselor in the State of Washington. I have provided treatment to individuals suffering from eating disorders, substance use disorders, severe and persistent mental illness, marital and relational issues, grief and loss, as well as all forms of anxiety disorders, mood disorders and a vast range of substance, sex and gambling disorders.
![Photo of Crystal Leavitt, MS, MBA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/ccb9e236-ad28-4ff5-abe7-2a453b7e56d7/2/320x400.jpeg)
Crystal Leavitt
Licensed Professional Counselor, MS, MBA, LPC, NCC
Verified Verified
5 Endorsed
Oregon City, OR 97045
Accepting NEW clients. Everyone has a story, that should be heard, and have a space where their healing journey can begin. I aid to create a safe, non-judgement space and a therapeutic relationship for clients to share their story, process their pain, and find healing. I specialize in working with children (5+), teens (12+), women, and couples struggling with feeling stuck, behavioral issues, emotional regulation, anxious distress, depressed mood, grief/loss, postpartum issues, trauma, eating disorders, unhealthy body and food relationship, and communication issues and high conflict. I'm also a certified Brainspotting therapist.
Accepting NEW clients. Everyone has a story, that should be heard, and have a space where their healing journey can begin. I aid to create a safe, non-judgement space and a therapeutic relationship for clients to share their story, process their pain, and find healing. I specialize in working with children (5+), teens (12+), women, and couples struggling with feeling stuck, behavioral issues, emotional regulation, anxious distress, depressed mood, grief/loss, postpartum issues, trauma, eating disorders, unhealthy body and food relationship, and communication issues and high conflict. I'm also a certified Brainspotting therapist.
![Photo of Sarah Curts, LPC-A, Pre-Licensed Professional](https://photos.psychologytoday.com/cca6c14c-3594-44a5-8a0e-6f92a07d5655/2/320x400.jpeg)
“Just when the caterpillar thought its life was over, it became a butterfly.” – Zhuangzi. I specialize in Trauma Recovery, Anxiety, Depression, Eating Disorders, Grief and Loss, coping with Miscarriage and Infertility, Life Transitions, Self Esteem, and helping those who still feel stuck even though they’ve “tried everything”. No matter how dark your life has been, there is a light inside you that can guide you to peace. I help you listen to it.
“Just when the caterpillar thought its life was over, it became a butterfly.” – Zhuangzi. I specialize in Trauma Recovery, Anxiety, Depression, Eating Disorders, Grief and Loss, coping with Miscarriage and Infertility, Life Transitions, Self Esteem, and helping those who still feel stuck even though they’ve “tried everything”. No matter how dark your life has been, there is a light inside you that can guide you to peace. I help you listen to it.
![Photo of Samantha Sessamen, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/f82a1cb6-a83e-49ff-aa52-39a04c0cb1ca/2/320x400.jpeg)
I am a trauma specialist providing virtual appointments throughout Oregon, Florida and NY. You would probably seek out a cardiologist if you had a heart issue, right? Well, if you have the opportunity, I suggest you seek out a therapist who specializes in your unique issues. I am not a generalist; I specialize in Trauma, Dissociation, Eating Disorders, Body Dysmorphia and anxiety. I work with these issues because they're what I'm most passionate about and I've dedicated my life's work to combatting the systemic issues that cause or exacerbate those issues.
I am a trauma specialist providing virtual appointments throughout Oregon, Florida and NY. You would probably seek out a cardiologist if you had a heart issue, right? Well, if you have the opportunity, I suggest you seek out a therapist who specializes in your unique issues. I am not a generalist; I specialize in Trauma, Dissociation, Eating Disorders, Body Dysmorphia and anxiety. I work with these issues because they're what I'm most passionate about and I've dedicated my life's work to combatting the systemic issues that cause or exacerbate those issues.
![Photo of Gwen Welch-Slaff - The Healing Haven, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9e4d7d64-89c4-49a9-8655-bf3ffa7f3167/3/320x400.jpeg)
Our approach to therapy is tailored toward each unique person, family or couple. We see people with difficulties in relationships, depression, anxiety, recovery from trauma, parenting issues, grief and loss issues, eating disorders and weight issues, chronic pain, career decisions and addictions. Our approach is a combination of traditional techniques and heart centered deep healing. Our approach geared toward finding the source of overwhelming feelings and making connections with current difficulties. Within this process we encourage healthy release of feelings which leads to healthier relationships and positive self esteem.
Our approach to therapy is tailored toward each unique person, family or couple. We see people with difficulties in relationships, depression, anxiety, recovery from trauma, parenting issues, grief and loss issues, eating disorders and weight issues, chronic pain, career decisions and addictions. Our approach is a combination of traditional techniques and heart centered deep healing. Our approach geared toward finding the source of overwhelming feelings and making connections with current difficulties. Within this process we encourage healthy release of feelings which leads to healthier relationships and positive self esteem.
![Photo of Jules Duncan-Martinez, PCA, Pre-Licensed Professional](https://photos.psychologytoday.com/4a0c22f1-5825-4e8d-80c5-e7de39d891bd/1/320x400.jpeg)
Jules Duncan-Martinez
Pre-Licensed Professional, PCA
Verified Verified
Oregon City, OR 97045 (Online Only)
Hello my name is Jules (she/her). I am currently accepting new clients in Oregon. It is important to understand systemic oppression as it affects marginalized communities, including BIPOC and LGBTQIA plus, as cultural events and generational trauma affect our mental wellbeing. Another perspective relevant to my practice is the inclusion of feminism and a sex positive belief system. A component in my practice is eliminating stigma behind mental health issues and creating a dialogue that further removes us from the concept of “normal.”
Hello my name is Jules (she/her). I am currently accepting new clients in Oregon. It is important to understand systemic oppression as it affects marginalized communities, including BIPOC and LGBTQIA plus, as cultural events and generational trauma affect our mental wellbeing. Another perspective relevant to my practice is the inclusion of feminism and a sex positive belief system. A component in my practice is eliminating stigma behind mental health issues and creating a dialogue that further removes us from the concept of “normal.”
![Photo of Meghan Campbell, MS Ed, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/623990d5-68e4-45cb-904c-f286fbbc86b1/3/320x400.jpeg)
Meghan Campbell
Licensed Professional Counselor, MS Ed, LPC
Verified Verified
Oregon City, OR 97045 (Online Only)
You want to improve your relationship with food and your body, want a counselor to support you as you work towards nutrition goals with a Dietician or other Healthcare provider. You need support now that you are in active recovery from a past eating disorder. You want to make lifestyle changes to improve your overall well being.
You want to improve your relationship with food and your body, want a counselor to support you as you work towards nutrition goals with a Dietician or other Healthcare provider. You need support now that you are in active recovery from a past eating disorder. You want to make lifestyle changes to improve your overall well being.
![Photo of Gwen Welch - The Healing Haven, LCSW, ACH, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3b65e988-46cd-11ea-a6ad-06142c356176/6/320x400.jpeg)
The Healing Haven
Clinical Social Work/Therapist, LCSW, ACH
Verified Verified
1 Endorsed
Oregon City, OR 97045
I have been working in the therapeutic field for 40 years and am licensed Mental Health Therapist and Clinical Hypnotherapist. I am the founder of The Healing Haven. Visit our website www.healinghaven.net to see all of our therapists and the multitude of issues that they treat. We provide both individual and online therapy. We are contacted with Kaiser Insurance and OHP. We look forward to guiding you through your healing journey!
I have been working in the therapeutic field for 40 years and am licensed Mental Health Therapist and Clinical Hypnotherapist. I am the founder of The Healing Haven. Visit our website www.healinghaven.net to see all of our therapists and the multitude of issues that they treat. We provide both individual and online therapy. We are contacted with Kaiser Insurance and OHP. We look forward to guiding you through your healing journey!
![Photo of Megan Nieto, QMHA, Pre-Licensed Professional](https://photos.psychologytoday.com/437fb2df-ef58-4f78-b29d-c18bb10bb3f1/2/320x400.jpeg)
Hello! My name is Megan, and I am a counslor-in-training at Oregon City Counseling while pursuing my Masters in Clinical Social Work through Rutgers University. While in my undergrad, I played Division 1 basketball through Cal State Fullerton and Portland State University. Through that experience, I became passionate about athletes mental health and their transition out of their respective sports. Outside of session, you can find me working on my crochet project, reading a good book or attempting to bake or cook a new recipe. I currently have two cats who run my house and may grace telehealth sessions with their presence!
Hello! My name is Megan, and I am a counslor-in-training at Oregon City Counseling while pursuing my Masters in Clinical Social Work through Rutgers University. While in my undergrad, I played Division 1 basketball through Cal State Fullerton and Portland State University. Through that experience, I became passionate about athletes mental health and their transition out of their respective sports. Outside of session, you can find me working on my crochet project, reading a good book or attempting to bake or cook a new recipe. I currently have two cats who run my house and may grace telehealth sessions with their presence!
![Photo of Lea Maria Kujala, LCSW, MAC, CADCIII, Clinical Social Work/Therapist](https://photos.psychologytoday.com/321d190e-42f1-4031-971b-9b9ee84aa078/2/320x400.jpeg)
Lea Maria Kujala
Clinical Social Work/Therapist, LCSW, MAC, CADCIII
Verified Verified
3 Endorsed
Oregon City, OR 97045
“We don’t have to do all of it alone. We were never meant to.” Brenée Brown We are resilient human beings who go through life trying not to be too banged up, and sometimes we get broken. There is a Japanese art form that I love called Kintsugi, where one fixes the broken pot with gold or silver to highlight where it was once broken and thus rendering it beautiful again. Trauma and addiction make us feel like we are broken inside, I work with you to apply your gold or silver highlights.
“We don’t have to do all of it alone. We were never meant to.” Brenée Brown We are resilient human beings who go through life trying not to be too banged up, and sometimes we get broken. There is a Japanese art form that I love called Kintsugi, where one fixes the broken pot with gold or silver to highlight where it was once broken and thus rendering it beautiful again. Trauma and addiction make us feel like we are broken inside, I work with you to apply your gold or silver highlights.
![Photo of Amanda Ayala, MA, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/b6cd9767-3c1c-4583-a892-88a483976944/1/320x400.jpeg)
Amanda Ayala
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Oregon City, OR 97045
As a therapist, I place an emphasis on utilizing an intersectional, inclusive, body positive, and an anti-oppressive lens. This means our conversations will naturally include your cultural identities, social locations, family history, and the broader contexts of your lived experience. I believe you are the expert of your own life. I take a collaborative approach, so we can work together and bring forth meaningful transformation.
As a therapist, I place an emphasis on utilizing an intersectional, inclusive, body positive, and an anti-oppressive lens. This means our conversations will naturally include your cultural identities, social locations, family history, and the broader contexts of your lived experience. I believe you are the expert of your own life. I take a collaborative approach, so we can work together and bring forth meaningful transformation.
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![Photo of Megan Geary - Cascade Counseling & Consulting, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5b6951f6-b1e5-46c3-863b-bab22185b2d8/1/320x400.jpeg)
Cascade Counseling & Consulting
Clinical Social Work/Therapist, LCSW
Verified Verified
Oregon City, OR 97045
Cascade Counseling and Consulting is a dedicated and compassionate behavioral health clinic - and we're here to support you! Are you struggling with depression, anxiety or the current stress of life? We are an experienced team of skilled providers who work with clients to address issues of stress, depression, anxiety, relationship issues, family dynamics and work/life balance. All are welcome here - and we welcome people of all faiths/religions, family systems, ethnicities and sexual orientations.
Cascade Counseling and Consulting is a dedicated and compassionate behavioral health clinic - and we're here to support you! Are you struggling with depression, anxiety or the current stress of life? We are an experienced team of skilled providers who work with clients to address issues of stress, depression, anxiety, relationship issues, family dynamics and work/life balance. All are welcome here - and we welcome people of all faiths/religions, family systems, ethnicities and sexual orientations.
![Photo of Ingrid Knudson, MA](https://photos.psychologytoday.com/3e8b6bf8-1ed3-4c0e-9fe2-7c3414c07d58/1/320x400.jpeg)
Hope is tangible. “Existe la esperanza.” Life experiences, hurts, burdens, and endless chaos can leave one devastated, isolated, and feeling alone. There is more than emptiness. There is tangible and real-life hope. Ingrid has worked with people for over fifteen years in the role of educator, mentor, and professional counselor. She has spent much time also working with crisis and trauma victims, those working through times of deep grieving and loss, individuals sorting through and understanding their identity, self- worth, and those managing every day with anxiety and depression.
Hope is tangible. “Existe la esperanza.” Life experiences, hurts, burdens, and endless chaos can leave one devastated, isolated, and feeling alone. There is more than emptiness. There is tangible and real-life hope. Ingrid has worked with people for over fifteen years in the role of educator, mentor, and professional counselor. She has spent much time also working with crisis and trauma victims, those working through times of deep grieving and loss, individuals sorting through and understanding their identity, self- worth, and those managing every day with anxiety and depression.
![Photo of Mayo Arai Kennedy, PhD, Psychologist](https://photos.psychologytoday.com/290f3966-3c19-4416-8d37-60c869f015bf/3/320x400.jpeg)
I am a licensed forensic psychologist in California and Oregon and hold certification in forensic evaluations.
I am a licensed forensic psychologist in California and Oregon and hold certification in forensic evaluations.
![Photo of Bailey Huggins, MA, LPC Intern](https://photos.psychologytoday.com/bf501861-d509-4d80-a159-9578c32de86f/3/320x400.jpeg)
I believe that a counseling relationship that provides safety, trust, and healing can transform an individual’s life. Often, there is the need for a gentle and trained outside perspective in order to see things differently and unlock new possibilities. I seek to provide a safe and empathetic space for each individual I meet with, in order to support the development of strengths, acceptance, and resiliency. Together, we can process old, harmful ways of experiencing the world and create new, edifying patterns which point you in the direction of the life you hope to lead.
I believe that a counseling relationship that provides safety, trust, and healing can transform an individual’s life. Often, there is the need for a gentle and trained outside perspective in order to see things differently and unlock new possibilities. I seek to provide a safe and empathetic space for each individual I meet with, in order to support the development of strengths, acceptance, and resiliency. Together, we can process old, harmful ways of experiencing the world and create new, edifying patterns which point you in the direction of the life you hope to lead.
![Photo of Aaron Todd Overman, PhD, Psychologist](https://photos.psychologytoday.com/24e3418e-d709-4705-8149-748d113c865d/2/320x400.jpeg)
Aaron Todd Overman
Psychologist, PhD
Verified Verified
1 Endorsed
Oregon City, OR 97045 (Online Only)
I’m excited to announce the opening of my new private practice. I have 20 years of experience as a psychologist working with adults, children, and families. I specialize in EMDR and my favorite part of my job is watching people let go of the pain from trauma and seeing the guilt and shame melt away. I have plenty of openings currently and look forward to hearing from you.
I’m excited to announce the opening of my new private practice. I have 20 years of experience as a psychologist working with adults, children, and families. I specialize in EMDR and my favorite part of my job is watching people let go of the pain from trauma and seeing the guilt and shame melt away. I have plenty of openings currently and look forward to hearing from you.
![Photo of Shannon Gander, LMFT, CST, Marriage & Family Therapist](https://photos.psychologytoday.com/50026561-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Shannon Gander
Marriage & Family Therapist, LMFT, CST
Verified Verified
2 Endorsed
Oregon City, OR 97045
Not accepting new clients
You may be seeking support for any number of reasons, such as depression, workplace stress, grief and loss, shame, trauma, anxiety, loneliness, clarity around transitions, disconnection in your relationships, addictions, or any number of other experiences. Every human deserves a safe, confidential place they can go to where they needn’t feel judged, rushed, or pressured. I aim for my office to be a sanctuary that can hold the hopes and aspirations for your life. I work with individuals, couples, and families around their unique goals, needs, and challenges.
You may be seeking support for any number of reasons, such as depression, workplace stress, grief and loss, shame, trauma, anxiety, loneliness, clarity around transitions, disconnection in your relationships, addictions, or any number of other experiences. Every human deserves a safe, confidential place they can go to where they needn’t feel judged, rushed, or pressured. I aim for my office to be a sanctuary that can hold the hopes and aspirations for your life. I work with individuals, couples, and families around their unique goals, needs, and challenges.
![Photo of Roxanne Capparelli, LCSW, CADC-I, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5fc1d30c-5dcc-4ad0-94d5-665e72bc1d48/2/320x400.jpeg)
Roxanne Capparelli
Clinical Social Work/Therapist, LCSW, CADC-I
Verified Verified
2 Endorsed
Oregon City, OR 97045
Not accepting new clients
therapy is some real heavy, vulnerable shit and building a strong therapeutic relationship is at the core of creating a safe space for you to enter into the process. with this in mind, my practice is rooted in transparency, honest feedback, and is trauma-informed. i will openly share my process with you & what might be beneficial to try. i will inform you of when i am about to ask questions intended feel “spicy” and/or are likely to illicit strong internal response (which can sometimes get real uncomfortable real quick). for these reasons, i tend to align well with folx who prefer a direct, purposefully challenging approach.
therapy is some real heavy, vulnerable shit and building a strong therapeutic relationship is at the core of creating a safe space for you to enter into the process. with this in mind, my practice is rooted in transparency, honest feedback, and is trauma-informed. i will openly share my process with you & what might be beneficial to try. i will inform you of when i am about to ask questions intended feel “spicy” and/or are likely to illicit strong internal response (which can sometimes get real uncomfortable real quick). for these reasons, i tend to align well with folx who prefer a direct, purposefully challenging approach.
More Therapists Nearby
![Photo of Dr. Sara Aslan, PhD, MA, Psychologist](https://photos.psychologytoday.com/9a55b62c-6b77-45a3-a042-7a0e106e1862/3/320x400.jpeg)
Dr. Sara Aslan
Psychologist, PhD, MA
Verified Verified
Lake Oswego, OR 97034
Waitlist for new clients
I’m Dr. Sara Aslan, PhD, I am a licensed Psychologist, I have been providing therapeutic services to individuals, couples, and families since 2010. I am currently providing virtual sessions to adults and adolescents residing in Oregon, Washington, and PSYPACT states; and in-person sessions in the Portland, Oregon area. I began working with Eating Disorders in 2010 and quickly realized that I was also seeing experiences of trauma interfere with my client’s healing processes. I knew learning to adequately treat trauma was something that was imperative to the overall wellbeing of my clients. I began providing trauma
I’m Dr. Sara Aslan, PhD, I am a licensed Psychologist, I have been providing therapeutic services to individuals, couples, and families since 2010. I am currently providing virtual sessions to adults and adolescents residing in Oregon, Washington, and PSYPACT states; and in-person sessions in the Portland, Oregon area. I began working with Eating Disorders in 2010 and quickly realized that I was also seeing experiences of trauma interfere with my client’s healing processes. I knew learning to adequately treat trauma was something that was imperative to the overall wellbeing of my clients. I began providing trauma
![Photo of Samantha Barr, MA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/81b242c7-c1d3-4562-b362-47736e21b611/2/320x400.jpeg)
Samantha Barr
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
West Linn, OR 97068 (Online Only)
So, your relationship with food has brought you here, but maybe you’re unsure if what you consider some form of overeating warrants seeking professional help. You don't have to suffer from anorexia and/or bulimia to "deserve" treatment and support. People who are enduring binge and emotional eating are often blamed (by themselves and others) for their use of food. If this is you, you may believe you have no "will power" and your relationship with food/body is your "fault". You aren't yet aware there are reasons (always other than will power) that explain your experience with food/body. You are not to blame.
So, your relationship with food has brought you here, but maybe you’re unsure if what you consider some form of overeating warrants seeking professional help. You don't have to suffer from anorexia and/or bulimia to "deserve" treatment and support. People who are enduring binge and emotional eating are often blamed (by themselves and others) for their use of food. If this is you, you may believe you have no "will power" and your relationship with food/body is your "fault". You aren't yet aware there are reasons (always other than will power) that explain your experience with food/body. You are not to blame.
See more therapy options for Oregon City
Nearby Eating Disorders Therapists Searches for Oregon City
- Canby
- Clackamas
- Gresham
- Happy Valley
- Lake Oswego
- Milwaukie
- Portland
- Sherwood
- Tigard
- Tualatin
- West Linn
- Wilsonville
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.