Eating Disorders

Taking a courageous step beyond your comfort zone is where your personal growth truly begins.

What Are Eating Disorders?

Eating disorders are serious, potentially life-threatening mental health conditions characterized by severe disturbances in thoughts about food, weight, and shape—and in eating behaviors. They are medical conditions, not choices, and can impair the body’s ability to obtain proper nutrition, leading to complications (cardiac, renal, bone, endocrine) and increased risk of death. Co-occurring depression, anxiety, and substance use are common and can worsen outcomes. Early detection and treatment improve recovery.

Although anyone can develop an eating disorder, they are more common in women and typically begin in the teen years or young adulthood, though they can start in childhood or later in life.

Common Types

Binge-Eating Disorder (BED)

If anxiety is intense, lasts most days for six months or more (time frames vary by diagnosis), leads to avoidance, and disrupts daily life, it may meet criteria for an anxiety disorder. Without treatment, symptoms can worsen over time.

Bulimia Nervosa
Anorexia Nervosa

Personalized and precision-based care to uncover and address root causes.

We incorporate the latest clinical interventions in nutritional and metabolic psychiatry

Why Do Eating Disorders Occur?

Exact causes are multifactorial—a complex interaction of genetic, biological/brain, psychological/behavioral, and social factors.

Types of Anxiety Disorders

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15+
Years of experience
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Diagnosis

Eating disorders are behavioral conditions marked by severe, ongoing disruptions in eating habits, along with distressing thoughts and emotions.

We assess key biomarkers and address biochemical imbalances.

Treatment & Management

Most people do best with a multidisciplinary plan (medical, nutritional, and psychological care). Level of care ranges from outpatient to residential/inpatient depending on medical and psychiatric risk.

1. Psychotherapies (core treatments)

  • Enhanced Cognitive Behavioral Therapy (CBT-E): first-line for all eating disorders (more sessions often needed for anorexia).
  • Family-Based Treatment (FBT): first-line for children/adolescents with anorexia; adaptable for bulimia and ARFID.
  • Interpersonal Psychotherapy (IPT): effective for bulimia and BED (alternative to CBT).
  • MANTRA and Focal Psychodynamic Therapy (FPT): options for adults with anorexia.
  • DBT and ACT: helpful for emotion regulation and maladaptive cognitions in bulimia/BED.

 

2. Nutrition & Medical Care

  • Nutritional counseling to restore balanced eating and a healthy weight
  • Medical monitoring to manage complications and ensure safety
  • Aftercare/relapse prevention with ongoing follow-up

 

3. Medications

  • Antidepressants (e.g., SSRIs)—especially helpful for bulimia and BED; may reduce binge/purge frequency and treat co-occurring mood/anxiety symptoms.
  • Other agents (e.g., certain antipsychotics, mood stabilizers) may be considered case-by-case, particularly for weight restoration, rigidity, or comorbidities.

Medication is adjunctive to psychotherapy and nutrition; no medication alone cures an eating disorder.

Dietitian taking notes while talking with woman during nutrition consultation, plate of fresh vegetables on desk between them.

Vivabest Psychiatry PLLC: Our Approach

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