Eating Disorders Therapists in Sullivans Island, SC
I am a clinical psychologist trained to work Adolescents and Adults who are experiencing many forms of psychological distress including depression, anxiety, life transitions, loss, and divorce. I am also a Certified Eating Disorder Specialist trained to work with all Eating Disorders, including Anorexia, Bulimia, Food Addiction and Compulsive Overeating. I use an eclectic and individualized approach to treatment with a strong focus on the Internal Family Systems treatment model. This model helps to more deeply explore wounds and burdens within the individual and then work to heal those wounds in a respectful and compassionate way
I am a clinical psychologist trained to work Adolescents and Adults who are experiencing many forms of psychological distress including depression, anxiety, life transitions, loss, and divorce. I am also a Certified Eating Disorder Specialist trained to work with all Eating Disorders, including Anorexia, Bulimia, Food Addiction and Compulsive Overeating. I use an eclectic and individualized approach to treatment with a strong focus on the Internal Family Systems treatment model. This model helps to more deeply explore wounds and burdens within the individual and then work to heal those wounds in a respectful and compassionate way
Adrienne Juarascio
Psychologist, PhD
Verified Verified
3 Endorsed
Sullivans Island, SC 29482 (Online Only)
I have specialized training and expertise in the field of eating disorders and weight management (where I have published over 100 peer reviewed articles), but I also have extensive experience treating a wide range of behavioral and emotional problems.
I am a licensed clinical psychologist with years of experience providing, supervising, and training others in how to provide evidence-based therapies for a diverse array of clients dealing with mental health and behavioral challenges. I completed my doctoral and post-doctoral training at Drexel University and completed an internship at the Medical University of South Carolina. My training focused on evidence-based treatment approaches including Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Exposure and Response Prevention, and Dialectical Behavioral Therapy among others.
I have specialized training and expertise in the field of eating disorders and weight management (where I have published over 100 peer reviewed articles), but I also have extensive experience treating a wide range of behavioral and emotional problems.
I am a licensed clinical psychologist with years of experience providing, supervising, and training others in how to provide evidence-based therapies for a diverse array of clients dealing with mental health and behavioral challenges. I completed my doctoral and post-doctoral training at Drexel University and completed an internship at the Medical University of South Carolina. My training focused on evidence-based treatment approaches including Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Exposure and Response Prevention, and Dialectical Behavioral Therapy among others.
Whether it's improving communication, resolving conflicts, or strengthening relationships, we will do it all together! I’ve worked extensively with relational complexities, eating disorders, addiction, trauma, mood disorders, and the impact these have on relationships.
With over 14 years of experience, I have spent my career helping individuals, couples, and families work through life’s ups and downs. I believe the most important part of therapy is the connection between the therapist and client. As a team, we will work together to explore areas of your life and relationships that aren’t bringing you the fulfillment you deserve.
Whether it's improving communication, resolving conflicts, or strengthening relationships, we will do it all together! I’ve worked extensively with relational complexities, eating disorders, addiction, trauma, mood disorders, and the impact these have on relationships.
With over 14 years of experience, I have spent my career helping individuals, couples, and families work through life’s ups and downs. I believe the most important part of therapy is the connection between the therapist and client. As a team, we will work together to explore areas of your life and relationships that aren’t bringing you the fulfillment you deserve.
Stress from work and anxiety about the future combined with everything else going on in life can cause you major strain and lead to burnout. Sometimes you just need someone to talk through your week with. As your therapist, I am here to listen to your struggles and help you achieve mental clarity in your life. When obligations and responsibilities seem to be too much to handle, we will work together to create a plan to overcome these obstacles and regain a sense of control in your life. The effects of trauma can linger for many years and get in the way of living a happy, meaningful life.
Stress from work and anxiety about the future combined with everything else going on in life can cause you major strain and lead to burnout. Sometimes you just need someone to talk through your week with. As your therapist, I am here to listen to your struggles and help you achieve mental clarity in your life. When obligations and responsibilities seem to be too much to handle, we will work together to create a plan to overcome these obstacles and regain a sense of control in your life. The effects of trauma can linger for many years and get in the way of living a happy, meaningful life.
More Therapists Nearby
Lauren J Barker
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Charleston, SC 29401 (Online Only)
I am specialized in the treatment of Anorexia, Bulimia, Binge Eating Disorder, and ARFID and trained in FBT and Emotion Focused Family Therapy.
Currently accepting new, virtual clients in North Carolina, South Carolina, and California. Welcome! I'm so glad you are making steps to get the support you deserve. Whether you're struggling with anxiety, depression, body image, substance use, self esteem, eating disorders, or stuck in a cycle that's no longer serving you, I can offer a space to explore and create a path toward your goals.
I am specialized in the treatment of Anorexia, Bulimia, Binge Eating Disorder, and ARFID and trained in FBT and Emotion Focused Family Therapy.
Currently accepting new, virtual clients in North Carolina, South Carolina, and California. Welcome! I'm so glad you are making steps to get the support you deserve. Whether you're struggling with anxiety, depression, body image, substance use, self esteem, eating disorders, or stuck in a cycle that's no longer serving you, I can offer a space to explore and create a path toward your goals.
Francisca Ortiz
Counselor, LMHC, C-DBT, NCC
Verified Verified
5 Endorsed
Charleston, SC 29401 (Online Only)
Waitlist for new clients
Do you struggle with negative thoughts, memories or emotions you can't seem to change or get rid of? Do you want to develop a healthier relationship with yourself, food or exercise? You are not alone and there are ways to help. With a combination of personal experience, advanced education and practical experience in higher levels of care, I have dedicated myself to a career in helping individuals facing challenges with eating disorders, body image and trauma. My commitment is to offer comprehensive and person-centered therapy to address client's individual needs, help them gain clarity over their life values and achieve life goals.
Do you struggle with negative thoughts, memories or emotions you can't seem to change or get rid of? Do you want to develop a healthier relationship with yourself, food or exercise? You are not alone and there are ways to help. With a combination of personal experience, advanced education and practical experience in higher levels of care, I have dedicated myself to a career in helping individuals facing challenges with eating disorders, body image and trauma. My commitment is to offer comprehensive and person-centered therapy to address client's individual needs, help them gain clarity over their life values and achieve life goals.
Angela Pitts
Licensed Professional Counselor, MS, LPC, LMHC, NCC
Verified Verified
Charleston, SC 29424 (Online Only)
I have 10+ years of experience working with eating disorders, sexual trauma & human trafficking survivors.
Telehealth in SC and FL. Angela aims to offer hope and help others taste the land of milk and honey. Her foundational treatment is practicing authenticity in harmony with vulnerability. She refuses to let clients settle for comfort or anything less than living in freedom. Angela has a heart for those who struggle to know their worth and value outside of diet culture and external pressures. Above all, she encourages the narrative that you are never too much and always enough. No one needs to remain stuck in their story. There is hope in learning to take up the space you were created for.
I have 10+ years of experience working with eating disorders, sexual trauma & human trafficking survivors.
Telehealth in SC and FL. Angela aims to offer hope and help others taste the land of milk and honey. Her foundational treatment is practicing authenticity in harmony with vulnerability. She refuses to let clients settle for comfort or anything less than living in freedom. Angela has a heart for those who struggle to know their worth and value outside of diet culture and external pressures. Above all, she encourages the narrative that you are never too much and always enough. No one needs to remain stuck in their story. There is hope in learning to take up the space you were created for.
Donna Marie Friedman
Licensed Professional Counselor, MS, LPC
Verified Verified
Mount Pleasant, SC 29464
I understand the complexity of Eating Disorders from both the patient and the carer position.
Having been in recovery myself, I feel that I offer a unique therapeutic experience. Eating disorders such as; Anorexia Nervosa, Bulimia, Bulimia Nervosa, Binge Eating Disorder and other unspecified eating disorders, are complicated. They effect not only the patient, but the entire family. I work closely with client and family to offer hope and support. Eating Disorders are not a choice. Recovery is individualized to meet the needs of the client. I am here not to tell one how to recover but to be the support to put the Eating Disorder behind and life's experiences first.
I understand the complexity of Eating Disorders from both the patient and the carer position.
Having been in recovery myself, I feel that I offer a unique therapeutic experience. Eating disorders such as; Anorexia Nervosa, Bulimia, Bulimia Nervosa, Binge Eating Disorder and other unspecified eating disorders, are complicated. They effect not only the patient, but the entire family. I work closely with client and family to offer hope and support. Eating Disorders are not a choice. Recovery is individualized to meet the needs of the client. I am here not to tell one how to recover but to be the support to put the Eating Disorder behind and life's experiences first.
Kelly Orner Toney
Clinical Social Work/Therapist, LMSW, LISW-CP, CEDS-S
Verified Verified
Charleston, SC 29401 (Online Only)
Eating Disorders, Dual Diagnosis, Anxiety, Trauma, Anorexia, Bulimia, Binge Eating Disorders, Body Image & Muscle Dysmorphia, Avoidant/Restrictive Food Intake Disorders (ARFID),(OSFED), Athlete Triad, Over-Exercising, Excercise-Resistance, Self Esteem, Emotional Eating, Diet Cycling, ADHD, Depression, Bipolar.
Aloha Center is a group of passionate therapists and coaches, who are experts in eating disorder care. We work with adolescents, adults & families to fully recover from discorded eating or an eating disorder. We offer individual, family, & group counseling, and peer groups & recovery coaching. We are some of the few specialists providing Family-Based Treatment (FBT) considered the gold standard for eating disorders. Our approach uses evidenced-based treatment like CBT, DBT, mindfulness, and embodiment. Services can be accessed in person at our Columbia, SC office, or via telehealth online in SC and NC.
Eating Disorders, Dual Diagnosis, Anxiety, Trauma, Anorexia, Bulimia, Binge Eating Disorders, Body Image & Muscle Dysmorphia, Avoidant/Restrictive Food Intake Disorders (ARFID),(OSFED), Athlete Triad, Over-Exercising, Excercise-Resistance, Self Esteem, Emotional Eating, Diet Cycling, ADHD, Depression, Bipolar.
Aloha Center is a group of passionate therapists and coaches, who are experts in eating disorder care. We work with adolescents, adults & families to fully recover from discorded eating or an eating disorder. We offer individual, family, & group counseling, and peer groups & recovery coaching. We are some of the few specialists providing Family-Based Treatment (FBT) considered the gold standard for eating disorders. Our approach uses evidenced-based treatment like CBT, DBT, mindfulness, and embodiment. Services can be accessed in person at our Columbia, SC office, or via telehealth online in SC and NC.
Kate Morris
Clinical Social Work/Therapist, LICSW
Verified Verified
Charleston, SC 29401 (Online Only)
Kate specializes in the treatment of eating disorders, disordered eating, body image concerns, and divestment from diet culture.
Kate Morris is a clinical social worker and founder of Among the Trees Counseling and Wellness.
Kate specializes in the treatment of eating disorders, disordered eating, body image concerns, and divestment from diet culture.
Kate Morris is a clinical social worker and founder of Among the Trees Counseling and Wellness.
Kristin Shulman
Clinical Social Work/Therapist, MSW, LISW-CP
Verified Verified
Mount Pleasant, SC 29464 (Online Only)
Hello - I'm Kristin! Entering into therapy can be scary, but here's the deal - working through scary is where growth occurs! If you feel stuck, lost, struggling with change, afraid, or unsure of the next step, I hope you will give counseling a try. My role as a therapist is not to fix your feelings but to hold your discomfort, distress, and fears in safe, caring hands. We will work together to find new ways to conquer your problems, heal old wounds and move you into a safe place where you can grow. I have worked with chronic illness, depression, anxiety, trauma, loss, codependence, eating disorders, and pre / post-bariatric clients.
Hello - I'm Kristin! Entering into therapy can be scary, but here's the deal - working through scary is where growth occurs! If you feel stuck, lost, struggling with change, afraid, or unsure of the next step, I hope you will give counseling a try. My role as a therapist is not to fix your feelings but to hold your discomfort, distress, and fears in safe, caring hands. We will work together to find new ways to conquer your problems, heal old wounds and move you into a safe place where you can grow. I have worked with chronic illness, depression, anxiety, trauma, loss, codependence, eating disorders, and pre / post-bariatric clients.
Our teens, twenties & thirties are transitional years of growth, clarity, & exploration. My work focuses on empowering motivated college aged & young adult women as they identify who they are, what is important to them, and how to live a life where they feel fulfilled, connected, and energized. These formative years can feel equally scary and exciting, especially when you throw in some stress & anxiety, relational challenges, and/or eating disorders & body image distress. The great news though, is that you don't have to figure it out alone! I also have a personal passion for supporting equestrians with their mental health needs.
Our teens, twenties & thirties are transitional years of growth, clarity, & exploration. My work focuses on empowering motivated college aged & young adult women as they identify who they are, what is important to them, and how to live a life where they feel fulfilled, connected, and energized. These formative years can feel equally scary and exciting, especially when you throw in some stress & anxiety, relational challenges, and/or eating disorders & body image distress. The great news though, is that you don't have to figure it out alone! I also have a personal passion for supporting equestrians with their mental health needs.
Valerie Zanghirella
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Mount Pleasant, SC 29464
I have a strong background in treating those suffering from eating disorders, substance use, body image issues, and all that can come along with these disorders, such as anxiety, PTSD, and depression.
Life can throw us some curve balls, and sometimes, when trying to deal with these curve balls, we struggle to find ways to cope. For some, coping through food and/or substance use is one of the ways that people try to cope through life challenges. For others it can be isolating, self-harming, or numbing yourself to feelings all around. These coping mechanisms only work for so long, until they don't work anymore, and end up hurting you. Sometimes these maladaptive coping skills only impact you, but often times, others close to you are hurting as well... your spouse, significant other, parents, siblings, and friends.
I have a strong background in treating those suffering from eating disorders, substance use, body image issues, and all that can come along with these disorders, such as anxiety, PTSD, and depression.
Life can throw us some curve balls, and sometimes, when trying to deal with these curve balls, we struggle to find ways to cope. For some, coping through food and/or substance use is one of the ways that people try to cope through life challenges. For others it can be isolating, self-harming, or numbing yourself to feelings all around. These coping mechanisms only work for so long, until they don't work anymore, and end up hurting you. Sometimes these maladaptive coping skills only impact you, but often times, others close to you are hurting as well... your spouse, significant other, parents, siblings, and friends.
Kelsey Schwab Lcpc
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Charleston, SC 29424
Hello! I am a Licensed Clinical Professional Counselor with a background in Eating Disorders and Mood and Anxiety Disorders, and Sport Psychology. I hold a Master's in Clinical Mental Health Counseling and a Master's in Human and Sport Performance, both from Adler University. I am highly passionate about helping others find freedom in the pressures of our society to become the best version of ourselves.
Hello! I am a Licensed Clinical Professional Counselor with a background in Eating Disorders and Mood and Anxiety Disorders, and Sport Psychology. I hold a Master's in Clinical Mental Health Counseling and a Master's in Human and Sport Performance, both from Adler University. I am highly passionate about helping others find freedom in the pressures of our society to become the best version of ourselves.
Marcella Berman
Clinical Social Work/Therapist, LISW-CP
Verified Verified
2 Endorsed
Mount Pleasant, SC 29466
The decision to start therapy is a courageous first step towards understanding, healing, and growth. Whether you are struggling with troubling thoughts or feelings, lack of confidence, excessive worry, depression, loss, or relationship issues therapy can help. Marcella utilizes a client-centered approach while working with children, adolescents, young adults, and families who struggles with anxiety, depression, eating disorders, and relationship issues in a non-judgmental space. With mindfulness-based practices and cognitive behavioral techniques we can change the thoughts and behaviors that contribute to overwhelming feelings.
The decision to start therapy is a courageous first step towards understanding, healing, and growth. Whether you are struggling with troubling thoughts or feelings, lack of confidence, excessive worry, depression, loss, or relationship issues therapy can help. Marcella utilizes a client-centered approach while working with children, adolescents, young adults, and families who struggles with anxiety, depression, eating disorders, and relationship issues in a non-judgmental space. With mindfulness-based practices and cognitive behavioral techniques we can change the thoughts and behaviors that contribute to overwhelming feelings.
Lisa Mandelman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Mount Pleasant, SC 29466 (Online Only)
Some of my areas of specialty include eating disorders working at Silver Hill hospital and The Renfrew Center.
They say that life should have purpose, and for the past 25 years working as a Marriage and Family Therapist has been mine. My approach is eclectic because everyone is an individual so my work is tailored to you and your specific needs, though I do practice cognitive behavioral therapy (what you think is what you feel) solution focused therapy and a holistic approach of mind, body and spirit teaching proper nutrition (certified weight management specialist) and yoga (certified yoga instructor) as a form of spirituality helping you to get centered and find balance in this hectic world of responsibilities and stressors.
Some of my areas of specialty include eating disorders working at Silver Hill hospital and The Renfrew Center.
They say that life should have purpose, and for the past 25 years working as a Marriage and Family Therapist has been mine. My approach is eclectic because everyone is an individual so my work is tailored to you and your specific needs, though I do practice cognitive behavioral therapy (what you think is what you feel) solution focused therapy and a holistic approach of mind, body and spirit teaching proper nutrition (certified weight management specialist) and yoga (certified yoga instructor) as a form of spirituality helping you to get centered and find balance in this hectic world of responsibilities and stressors.
I specialize in sport psychology, eating disorders, anxiety, depression, interpersonal relationships, and life transitions.
As a former Division I athlete who has faced many setbacks, I strongly believe in the power of asking for help. My past experiences recovering from the mental and physical components of athletic injury motivate me to help individuals fight their own mental battles. I will work alongside you to better understand your struggles while using CBT, DBT, and strength-based approaches to allow you to make change at your own pace. In our work together, we will identify your personal values and motivators to help achieve your goals.
I specialize in sport psychology, eating disorders, anxiety, depression, interpersonal relationships, and life transitions.
As a former Division I athlete who has faced many setbacks, I strongly believe in the power of asking for help. My past experiences recovering from the mental and physical components of athletic injury motivate me to help individuals fight their own mental battles. I will work alongside you to better understand your struggles while using CBT, DBT, and strength-based approaches to allow you to make change at your own pace. In our work together, we will identify your personal values and motivators to help achieve your goals.
Mary Robinson
Licensed Professional Clinical Counselor, LPCC
Verified Verified
1 Endorsed
Charleston, SC 29401
I specialize in the treatment of eating disorders, body image concerns, anxiety and depression in both adolescents (age 14+) and adults with a focus on creating wrap around care and support throughout the entire process.
I am here to guide you through the uncomfortable parts of life both present and past, sit in them with you and work together to find a way through. I bring a straightforward approach and will push you to explore places of yourself you may want to run from. I believe therapeutic treatment should consist of a mutually respectful relationship between myself as the provider, and you as the client, in which we work together to confront the underlying beliefs and experiences that have brought you to therapy. I am also familiar with working in conjunction with local school districts to provide additional support for student mental health.
I specialize in the treatment of eating disorders, body image concerns, anxiety and depression in both adolescents (age 14+) and adults with a focus on creating wrap around care and support throughout the entire process.
I am here to guide you through the uncomfortable parts of life both present and past, sit in them with you and work together to find a way through. I bring a straightforward approach and will push you to explore places of yourself you may want to run from. I believe therapeutic treatment should consist of a mutually respectful relationship between myself as the provider, and you as the client, in which we work together to confront the underlying beliefs and experiences that have brought you to therapy. I am also familiar with working in conjunction with local school districts to provide additional support for student mental health.
Kayla Marie King
Licensed Professional Counselor Associate, M Ed, LPC-A
Verified Verified
2 Endorsed
Mount Pleasant, SC 29464
in Psychology from the Pennsylvania State University, I worked inpatient mental health care for children and adults, substance use recovery, and outpatient care which led me to earn my Master's in Clinical Mental Health Counseling with a focus on sexuality/sexual issues, trauma recovery, and eating disorders.
One of my greatest joys as a Licensed Professional Counselor Associate is having the privilege of offering support, empathy, and compassion, as someone discovers healing and happiness. The therapeutic relationship should be validating, comforting, exciting, and powerful! I strive to use a holistic approach so that we can meet your specific needs. It is my hope that in working together, we can celebrate your resilience and successes every step of the way. I offer support for various concerns, such as anxiety, trauma, substance use, eating disorders, sexual concerns, and adjustment issues.
in Psychology from the Pennsylvania State University, I worked inpatient mental health care for children and adults, substance use recovery, and outpatient care which led me to earn my Master's in Clinical Mental Health Counseling with a focus on sexuality/sexual issues, trauma recovery, and eating disorders.
One of my greatest joys as a Licensed Professional Counselor Associate is having the privilege of offering support, empathy, and compassion, as someone discovers healing and happiness. The therapeutic relationship should be validating, comforting, exciting, and powerful! I strive to use a holistic approach so that we can meet your specific needs. It is my hope that in working together, we can celebrate your resilience and successes every step of the way. I offer support for various concerns, such as anxiety, trauma, substance use, eating disorders, sexual concerns, and adjustment issues.
PTSD and trauma, eating disorders -- especially bulimia, depression and anxiety, panic attacks, phobias, and interpersonal problems are among the challenges brought to me by my individual clients.
As a licensed clinical psychologist, when I was on the faculty at the University of Chicago Department of Psychiatry, I published or presented over 80 papers on psychology-related topics. I am also an author of Overcoming Anxiety. In my psychotherapy practice, located in N. Charleston, SC, I draw on various techniques to help you find solutions that can work for you. I bring expertise and a fresh set of eyes; a therapist who can be there for you without any agenda. I have occasional evening and weekend appointments, and work with individuals, to help diagnose, understand and treat many problems. I see clients by appointment only.
PTSD and trauma, eating disorders -- especially bulimia, depression and anxiety, panic attacks, phobias, and interpersonal problems are among the challenges brought to me by my individual clients.
As a licensed clinical psychologist, when I was on the faculty at the University of Chicago Department of Psychiatry, I published or presented over 80 papers on psychology-related topics. I am also an author of Overcoming Anxiety. In my psychotherapy practice, located in N. Charleston, SC, I draw on various techniques to help you find solutions that can work for you. I bring expertise and a fresh set of eyes; a therapist who can be there for you without any agenda. I have occasional evening and weekend appointments, and work with individuals, to help diagnose, understand and treat many problems. I see clients by appointment only.
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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.