Eating Disorders

Information about EATING DISORDERS

Eating disorders affect people of all genders and ages and can start with dieting, excessive exercise or strict food rules that escalate to interfere with things that matter to you, like the ability to function in your personal life, relationships, school, work or hobbies.

WHAT IS DISORDERD EATING?

Dieting

  • skipping meals
  • over emphasis on “healthy” food
  • making excuses not to eat
  • always on a diet
  • cutting out food groups

Food Obsessions

  • strict rules at or around meals
  • has safe foods
  • constantly thinking about or planning food
  • binge eating

Body Image Issues

  • frequent weighing or measuring of self
  • fear of weight changes
  • difficulty clothes shopping
  • avoiding mirrors
  • comparing to others on social media

WHEN DOES IT BECOME AN EATING DISORDER?

Like other mental illnesses, it rises to a clinical level when behaviors and symptoms impair life and ability to function and cause people to miss out on things that matter to them. This may look like: 

  • malnutrition affecting performance
  • withdrawing from friends and family
  • spending more time and energy on diet than hobbies
  • choosing ED behaviors over relationships
  • missing trips or events due to food related concerns

Often people assume their symptoms are not “bad enough” to need treatment. It’s never too early to seek support if thoughts, urges, or behaviors around food and/or body are causing distress.

Common Types of EATING DISORDERS

Binge Eating Disorder (BED)

Recurrent episodes of eating a very large amount of food in a short period of time where the individual feels out of control or unable to stop. These episodes occur without any subsequent compensatory behaviors. Eating in alone or in secret due to shame and guilt is extremely common in BED.

Bulimia Nervosa (BN)

Recurrent episodes of binge eating followed by harmful behaviors that attempt to control weight or shape. Individuals with BN are often at or above the expected weight for their body.

Anorexia Nervosa (AN)

Restriction of food intake causing significantly low body weight with intense fear of weight gain. People with AN often tie self-worth to weight, shape, and control over food. Distorted body image may cause unfounded belief that they are overweight, or they may not recognize the seriousness of their low weight.

Avoidant Restrictive Food Intake Disorder (ARFID)

Avoidant Restrictive Food Intake Disorder or ARFID is pathological picky eating. Whether it is due to texture, variety, or dislike of fruits and veggies, all individuals with ARFID have difficulty consuming a balanced diet and often don’t eat enough food.

Other Specified Feeding or Eating Disorder (OSFED)

When some symptoms of a diagnosis are met, but does not meet full diagnostic criteria. OSFED is the most common diagnosis and no less serious than other diagnoses. An example of a common OSFED subtype is Atypical Anorexia where a person meets criteria of AN except that despite significant weight loss, they are still at, within, or above their normal weight range.

OUTPATIENT CARE

Outpatient mental healthcare typically consists of regular appointments on a weekly, bi-weekly, or monthly basis, though treatment frequency and duration vary on a case by case basis. This level of care is appropriate for those with high commitment to recovery, the ability to eat meals on their own with minimal intervention, and no significant medical complications due to disordered eating behaviors.

DO YOU ACCEPT INSURANCE?

Our practice does not participate in any health insurance plans at this time. We do accept FSA and HSA cards. Upon request we will provide billing statements which you may choose to file with your insurance company. 

DO YOU OFFER PAYMENT PLANS OR ASSISTANCE?

Payment is due at time of service. We offer a sliding scale fee program, subject to availability. It is based on federal poverty guidelines, and considers household size and gross household income.

HOW MUCH DOES THERAPY COST?

First time Eating Disorder Appointments are typically 2 hours and involve an assessment, diagnosis (if applicable) and treatment recommendations. All treatment costs are based on hourly rates of our providers which vary.

Provider TypeCost Estimate
Doctoral Student Therapists$75 or less
Masters Level Therapists$120-$160/hour
Licensed Psychologists$150-$190/hour
Clinic Directors$200-$250/hour
Dietitians$110-$125/hr

*Initial consults may include an additional fee

HIGHER LEVELS OF CARE

Intensive outpatient treatment offers a higher level of professional involvement and care compared to traditional therapy-as-usual. These programs are appropriate for those with higher symptom acuity or those looking for more rapid symptom reduction. For such services, we partner with Louisville Center for Eating Disorders and can provide referrals for the Intensive Outpatient Program (IOP) and Partial Hospitliazation Program (PHP).

Intensive Outpatient Program (IOP) & Partial Hospitalization Program (PHP)

3-6 hours of programming each weekday including individual and group therapy, medication management and meal support. For more information, please visit our partner’s website:  Louisville Center for Eating Disorders or call 502-908-9410

Louisville Center for Eating Disorders

For more information regarding our higher level of care programs for Eating Disorders, check out our partnering clinic: Louisville Center for Eating Disorders

Treatments

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