Finding The Right Therapy for Anorexia: New & Previous Patients
Finding the right therapy for anorexia treatment can be overwhelming and confusing. So many choices! Too many therapist-y words! Whether you’ve just started looking for therapy or you’ve been working with someone but it’s not the right fit, this post dives into what to look for so you can feel better faster. It’s time for you to find someone you’ll enjoy working with, who has solid experience and can help you recover from anorexia.
How do I choose the right therapist for anorexia treatment?
1. Figure out where to shop: word of mouth and online.
Word of mouth: Getting referrals via word of mouth can be great…but sometimes folks may offer names without knowing if they’re the right fit for you. If you get names from people, check out if they have a website and read more about them. Some folks may not have an online presence. If they don’t that’s not a bad thing, but see if you can get their contact info and have a consultation call to learn more about them.
If you look online, check out Psychology Today, which offers the ability to narrow down a search by location, insurance, etc. GoodTherapy.org also has listings for therapists, and Open Path Psychotherapy Collective lists counseling services at lower fees and sliding scale spots.
2. Check out a therapist’s credentials.
If you’re looking for a legit eating disorder therapist, make sure they have at least a master’s degree in Counseling, Social Work, or Psychology. In addition to being licensed in the state you live in. A license is something mental health professionals get that’s issued by the state. It’s a more stringent credential than a certification or registration. So, make sure your therapist is licensed. If you have any questions about these things, ask your potential therapist in a discovery call.
3. Interview potential therapists.
Most therapists offer a free discovery call to see if you are a good fit and to answer any questions you have. Please take them up on this free call! It’s important you find someone you resonate with because research shows having a trusting relationship is the top factor in people benefiting from therapy. Also, ask about their training and experience in anorexia treatment.
Questions you should ask a potential therapist during the initial consultation:
How long have you been working with people with anorexia?
What kind of facilities or places have you worked in?
What is your theoretical view of eating disorders and how they’re best treated?
What kinds of practical interventions do you use in sessions to help people get better?
What kind of continuing education and training have you done to support your expertise in eating disorder treatment?
How do you help people who have treatment fatigue if they’ve been in therapy before?
4. Decide if you’re going to use insurance or not.
Call the number on the back of your insurance card and ask what it would cost to go to a therapist “in-network” (i.e. someone on your insurance company’s roster of providers) or “out-of-network” (i.e. a person who doesn’t take insurance). Sometimes it doesn’t matter if you go in or out of network if your deductible is really high. If you have to pay in a certain amount before your therapy sessions are covered or you have a Health Savings Account, it might not make much of a difference who you see.
***A word on paying for therapy. Counseling services aren’t exactly cheap. However, they cost a hell of a lot less than spinning your wheels or buying a bunch of “magic bullets” that aren’t going to work in the long run (e.g. diets, booze, drugs, clothes, vacations). Your investment in yourself is long-term. Figure out the cost of all that one-time stuff and use that money to go to counseling. When therapy is a priority and when it’s working, you probably won’t miss the short-lived things you once spent on.
5. Determine what issues you want to work on.
If you’re dealing with anorexia, then figure out your specific pain points. Is it restricting calories? Over-exercising? (Both?) Not allowing yourself to eat socially because you fear what’s on the menu? Fears of eating in front of people? Disgust with your body? Constant body checking or weighing? Fear of weight gain? (If it’s any or all of the above, it’s time to see an eating disorder therapist in Raleigh, NC!)
***A note about insurance and niches: You might find that folks in a particular niche don’t take insurance or are out-of-network. There are lots of reasons why therapists do this, but one in particular is that sometimes the reimbursement rate from insurance companies isn’t very high. Think about it: if you needed an attorney who worked specifically with real estate law for newly married first-time home buyers, you’d probably want to pick someone with a lot of training and a good reputation. And you’d probably pay them for their expertise. Paying for expertise in therapy for anorexia treatment will probably save you time, money, and your sanity in the long run.
6. Choose any additional aspects of a therapist you want to see.
For instance, if you feel more comfortable working with a Black female therapist who works with entrepreneurs, then do yourself a favor and look for them. There are great folks out there! Want a counselor who identifies as or works specifically with LBGTQ+ folks? Want a male, female, queer, or trans counselor? Particular faith orientation to therapy? These are all important considerations in therapy, so do a Google search or look on Psychology Today, and start narrowing it down.
7. Schedule a visit.
Go into the visit knowing that you don’t have to schedule a second session if you don’t like the vibe. That said, I often recommend that folks stick with someone for at least 2-3 sessions before they decide to shop around. Remember, having a good fit with your therapist is important. It can take about that long to build rapport and know if things work. (If attachment issues are your thing and you tend to run away from relationships, you may want to stick with someone a little longer because chances are the tendency to run away could show up in therapy).
What types of therapy are effective for treating anorexia?
As you’re making choices about anorexia therapy, keep in mind the types of therapy that have been proven most effective for treating it. Treating anorexia nervosa typically involves a combination of therapies aimed at addressing the psychological, behavioral, and physical aspects of the disorder. Here are some of the most effective types of therapy for treating anorexia:
1. Cognitive Behavioral Therapy (CBT):
CBT is one of the most effective therapies for anorexia. It helps patients identify and challenge distorted thoughts and beliefs about food, body image, and weight. The goal is to develop healthier eating habits and improve self-esteem.
2. Family-Based Therapy (FBT):
Also known as the Maudsley Method, FBT involves the entire family in the treatment process. It is particularly effective for adolescents. The therapy empowers parents to take an active role in refeeding their child and gradually returns control over eating to the individual.
3. Dialectical Behavior Therapy (DBT):
Originally developed for borderline personality disorder, DBT has been adapted for eating disorders. It focuses on emotional regulation, mindfulness, and distress tolerance, helping individuals cope with the intense emotions that often accompany anorexia.
4. Nutritional Counseling and Medical Monitoring:
An essential part of treating anorexia is medical monitoring and nutritional counseling. This involves working with dietitians and medical professionals to ensure you’re receiving adequate nutrition and addressing any physical health issues resulting from the eating disorder. Your mental health therapist will work with these team members to support your goals with nutrition and health.
5. Trauma Therapy:
This therapy can include things like EMDR, Somatic Experiencing, and Trauma-Focused Cognitive Behavioral Therapy. You and your therapist will explore underlying psychological issues. This could include unresolved trauma or unconscious conflicts, that may contribute to anorexia. It helps individuals gain insight into their behavior and develop healthier coping mechanisms.
6. Mindfulness-Based Therapies:
Therapies like Mindfulness-Based Cognitive Therapy (MBCT) and Acceptance and Commitment Therapy (ACT) focus on helping individuals become more aware of their thoughts and feelings in a non-judgmental way. They emphasize acceptance of emotions and developing a more compassionate relationship with oneself.
7. Group Therapy:
A key component of anorexia treatment can include group therapy. Group therapy provides a supportive environment where individuals with anorexia can share experiences and learn from others facing similar challenges. It can be particularly helpful for reducing feelings of isolation.
How do I navigate the different treatment options available for anorexia?
Navigating treatment options for anorexia begins with seeking a professional evaluation from a healthcare provider. This could be a primary care physician, psychiatrist, or psychologist with experience in eating disorders. This initial assessment is crucial for understanding the severity of the disorder. As well as any co-occurring conditions like anxiety or depression. After a diagnosis, it’s important to familiarize yourself with the various treatment options available. This includes Cognitive Behavioral Therapy (CBT), Family-Based Therapy (FBT), and others. Each therapy is tailored to address different aspects of anorexia. Depending on the severity of the condition, treatment may range from outpatient therapy to more intensive care, such as partial hospitalization or residential treatment. Consulting with specialists who are experienced in treating eating disorders is essential. Often, it involves working with a multidisciplinary team that includes a therapist, dietitian, and medical doctor.
Factors to consider when choosing the right treatment
When exploring treatment centers or programs, consider factors such as the center’s approach, the experience of the staff, and the environment. Many centers offer consultations or tours to help you make an informed decision. Personal preferences also play a significant role in choosing the right treatment—whether it’s the involvement of family through therapies like FBT, the preference for individual versus group therapy, or the consideration of cultural and personal beliefs that might influence your treatment choice. Financial considerations are also crucial. Remember to check insurance coverage and potential out-of-pocket costs so you can plan effectively. Some treatment centers offer financial assistance or sliding scale fees, which can be beneficial if cost is a concern.
Once you have gathered all the necessary information, choose the treatment option that best fits your needs and start the process. It’s important to stay flexible and open to adjusting the treatment approach if needed. Regular check-ins with your treatment team and staying involved in the therapy process are essential. Especially for tracking progress and making any necessary adjustments. Building a strong support system, including involving loved ones and joining support groups, can provide emotional support during recovery. Understanding that recovery from anorexia is a long-term process with potential setbacks, staying committed to therapy, and developing healthy coping strategies with the help of your therapist can significantly aid in preventing relapse and achieving long-term recovery.
What should I consider when returning to therapy as a previous patient?
Returning to therapy for anorexia treatment, particularly when you're experiencing treatment fatigue, can be a complex process that requires careful consideration. First, it's essential to acknowledge and understand treatment fatigue. This is a common experience, especially in long-term conditions like anorexia. Recognizing your feelings of exhaustion or frustration with the treatment process is the first step. Next, it's crucial to evaluate your current needs. Assess whether your symptoms have changed or if new challenges have emerged since your last engagement in therapy. Additionally, revisiting your therapy goals is vital! Your objectives may have evolved, and identifying what you hope to achieve this time around—whether it's maintaining recovery, addressing underlying issues, or coping with new stressors—can guide your therapy sessions more effectively.
Changing therapists or treatment approaches
Consider whether changing therapists or treatment approaches might be beneficial. If your previous therapy methods or therapist no longer seem effective, exploring new therapeutic approaches or working with a different therapist could provide the fresh perspective needed to reinvigorate your treatment process.
Sometimes, a different approach, such as mindfulness-based therapies or Dialectical Behavior Therapy (DBT), might better align with your current needs if traditional methods like Cognitive Behavioral Therapy (CBT) feel too draining. Open communication about your treatment fatigue is also crucial. It's important to discuss your feelings of fatigue and burnout with your therapist so they can work with you to modify the intensity of sessions, incorporate more supportive activities, or explore less draining therapeutic techniques.
Self-care
Integrating self-care and rest into your routine is equally important. Recovery from anorexia extends beyond therapy sessions and includes incorporating self-care practices that nourish both your body and mind. Gentle activities such as yoga, meditation, or creative hobbies that bring joy and relaxation can play a significant role in your recovery. Seeking support from loved ones is another vital consideration. Sharing your experiences of treatment fatigue with trusted family members or friends can provide emotional support, help you stay motivated, and remind you of your progress. Joining a support group for individuals with eating disorders can also be beneficial, as connecting with others who understand your experiences can reduce feelings of isolation and provide additional encouragement during your recovery journey.
Monitor your progress
Regularly monitoring your progress and being open to adjustments in your treatment plan is essential. Periodically review your progress with your therapist and don't hesitate to discuss any necessary changes or even temporary pauses if needed. Recovery is not a linear process, and flexibility is key. Finally, consider medical or nutritional support as part of a holistic approach to your recovery. Sometimes addressing physical health aspects, such as nutrition or medical concerns, can alleviate some of the mental strain, and working with a dietitian or medical doctor can complement your therapy and support your overall well-being. Being mindful of these considerations can help you manage treatment fatigue and approach your return to therapy with a renewed sense of purpose and care. Remember, it's okay to seek adjustments that make your treatment more sustainable and aligned with your current needs.
Next steps to finding the right therapy for anorexia
Reaching out for support in your journey through anorexia therapy is a crucial step toward healing and recovery. It takes immense strength to recognize when you need help and seeking support—whether through therapy, loved ones, or support groups—can make a significant difference in your progress. Remember, you don't have to go through this alone. Surrounding yourself with a compassionate support system and engaging in a treatment plan tailored to your current needs can provide the foundation for lasting recovery. Your willingness to seek support reflects a commitment to your well-being, and it's a vital part of your journey toward a healthier, more fulfilling life.
Begin your anorexia recovery journey today!
Ready to take the next step toward recovery? Finding the right therapist for anorexia treatment doesn’t have to be overwhelming. Whether you're just starting your search or looking for a better fit, take control of your journey by exploring your options. Remember, you deserve a therapist who truly understands your needs and helps you heal. Reach out today, schedule that discovery call, and start building a path to a healthier, happier you. Let's find the support you need to recover and thrive.
Explore insights and discussions about anorexia recovery through my blogs.
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Other services I offer as an eating disorder therapist in Raleigh, NC
At Counselor Kate, I'm here to offer compassionate support to help you release trauma stored in the body through trauma and somatic therapy. Together, we can also work on rebuilding a positive relationship with food and your body through intuitive eating services.