At Eating & Behavioral Health Associates, all of our experts have undergone intensive training in the treatment of all eating disorders, which sets us apart from other private practices and therapists. Some of us have a special interest in specific types of eating disorder concerns, and we do our best to match our patients with the clinician who can best serve their needs. We have expertise in treating the following eating concerns: (Please click on the term to learn more about the signs and symptoms).
Binge Eating Disorder (BED)
Other Specified Feeding and Eating Disorders (OSFED), which are the most commonly diagnosed eating disorders, just as severe as other eating disorders, and include:
Atypical Anorexia (meeting all symptoms of Anorexia but > BMI of 18.5)
Bulimia Nervosa (of low frequency/or limited duration)
Binge Eating Disorder (of low frequency/or limited duration)
Purging Disorder (recurrent purging without binge eating)
Night Eating Syndrome (eating > 25% of your intake at night, often with insomnia)
The National Eating Disorders Association has a screening tool that you can use to determine if it would be helpful for you or a loved one to seek help.
Our experts at Eating & Behavioral Health Associates utilize evidence-based treatments supported by research for eating disorders and include:
Enhanced-Cognitive Behavioral Therapy (CBT-E)
Supportive Specialist Clinical Management for Anorexia Nervosa (SSCM)
Dialectical Behavior Therapy (DBT)
Family Based Treatment for Children and Adolescents (FBT)
Post Traumatic Stress Disorder (PTSD) and Trauma
It is normal for someone to experience upsetting memories, difficulty sleeping and being on edge after experiencing or witnessing a traumatic event such as natural disaster, a serious accident, a terrorist act, war/combat, rape or other violent personal assault. First responders often experience distressing situations on the job. You may find it difficult to go to work or school or be fully present in your relationships and life. Most people start to feel better after a few weeks or months, but some people find that they continue to experience distress and difficulties. If this is the case, you may have developed Post Traumatic Stress Disorder (PTSD). Signs and symptoms of PTSD include:
Repeated memories, distressing dreams or flashbacks of the traumatic event. Sometimes you can feel as though you are re-living or seeing it right in front of you.
Avoiding people, places, activities, or objects that remind you of the traumatic event. Some people try very hard not to think of the traumatic event or refuse to talk about it or how they feel about it.
You may find yourself having beliefs about yourself, others or the world that have developed as a result of the traumatic event (such as “It was my fault”, “The world is dangerous”, “No one can be trusted). You may also find yourself experiencing heightened fear, guilt, shame and anger, feeling less pleasure and enjoyment, and feeling disconnected from others.
You may find yourself being irritable and having outbursts, being reckless or self-destructive, being easily startled or having difficulty concentrating. Many people struggle with sleep (falling asleep or staying asleep).
Eating Disorders and PTSD
Men and women with eating disorders have a higher rate than the general population. Click Here for more info.
About 30% of first responders are at risk for PTSD and depression. Click Here for more info.
At Eating and Behavioral Health Associates, we offer the following Trauma-focused Psychotherapies which are the evidence-based therapies for PTSD and include:
To determine the right treatment for you, the National Center for PTSD has a helpful tool. Click Here for the tool.
To read about PTSD treatment recommendations from the American Psychological Association, please Click Here.
Chronic Health Conditions
At Eating & Behavioral Health Associates, we understand and appreciate the importance of the mind-body connection and taking a holistic approach to health and wellness. For individuals suffering from chronic health conditions, this connection is of utmost importance. Chronic health conditions can be distressing, difficult to manage, and can come with uncertainty. Often patients with chronic health concerns can experience anxiety and depression as a result of their illness. Patients can start to worry or have negative thoughts related to their illness or how it impacts their life. They can find themselves feeling discouraged or hopeless. Often, increased stress, anxiety and depression can lead to a worsening of the chronic illness or symptoms. Coping with a chronic illness often requires support and strategies to improve the quality of your life. If you are feeling overwhelmed, we can provide the support and tools you need to feel more in control and enjoy life more.
Our own Dr. Carolyn Fisher is a health psychologist and is an expert in treating chronic health conditions including:Diabetes (Type 1 or Type 2)
Cardiovascular Disease (Heart Attack or Stroke, Hypertension, Congestive Heart Failure)
Neurological conditions (Multiple Sclerosis, POTS)
Evidence-based treatments for chronic illnesses include:
Mood and Anxiety DisordersAt Eating & Behavioral Health Associates, we understand that eating disorders often co-occur with depression and/or anxiety disorders. We can treat these co-occurring disorders, whether they are within the context of an eating disorder or not. Below is some information about depression and anxiety disorders.
Life stressors, such as losing a loved one, job loss, divorce, and other difficult situations lead to feelings of sadness or grief, and this is a normal reaction to these events. People can feel sad or blue sometimes, and this is also normal. When you are feeling depressed or down and it lasts more than a couple of days and is difficult to cheer up, it might be time to look for some help. Depression often comes with other symptoms such as difficulty finding pleasure in your activities, changes in sleep (either having trouble sleeping or sleeping too much), changes in appetite (either not finding interest in food or overeating), difficulty with concentrating, and feeling worthless or hopeless. People often find themselves struggling with negative thoughts and having difficulty seeing a different perspective. There are several types of depressive disorders including:
- Major Depressive Disorder (MDD)
- Persistent Depressive Disorder (Dysthymia)
- Pre-Menstrual Dysphoric Disorder (PMDD)
- Seasonal Affective Disorder (SAD
For more information on depressive disorders, visit the Anxiety and Depression Association of America
Sometimes things can feel so bad that you might think about not being here, wanting to go to sleep and never waking up or thoughts of suicide. Suicidal thoughts are the most serious signs of depression. For more information about prevention and signs of suicide, Click Here.
If you are experiencing suicidal thoughts, please:
- Call 911 or go to your local emergency room
- Call your mental health provider or other health care provider
- Reach out to a loved one or close friend
- Call a suicide hotline. In the United States, you can call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255)
Anxiety can be crippling and stop us from engaging in our normal activities due to fear. Worry and thinking about the worst case scenario of future events can lead to difficulty with falling asleep or staying asleep, being able to concentrate, or increasing irritability. Anxiety does not just lead to negative thoughts, but also presents as physical symptoms as well, such as headaches, nausea, muscle tension, racing heart, sweating and others. Individuals struggling with anxiety disorders often cope with their anxiety by avoiding, or using food, alcohol or other substances to reduce their anxiety. Anxiety can lead to difficulties at work, school, and with relationships. There are several major anxiety disorders, including:
Generalized Anxiety Disorder (GAD)
characterized by difficulty-to-control worry about many areas of life including finances, health, relationships, work/school and every day issues.
characterized by sudden panic attacks and a persistent worry that they will reoccur.
Social Anxiety Disorder
characterized by intense anxiety about being judged, rejected or negatively evaluated by others.
characterized by intense fear and avoidance of specific situations or objects.
Sleep is often impacted by anxiety, and sometimes individuals can develop insomnia. For more information about insomnia, visit The Sleep Foundation.
Obsessive Compulsive Disorder (OCD)
Obsessive-Compulsive Disorder (OCD) is characterized by recurrent, intrusive unwanted thoughts and/or compulsions or the urge to do something over and over. Obsessive thoughts vary and can focus on things such as fear of contamination, aggressive thoughts towards others or oneself, unwanted thoughts related to sex, religion or harm, or having things in a symmetrical or specific order. Compulsions are often done in response to the obsessions, are repetitive, and often take up a lot of time. Compulsions can include handwashing, counting, ordering and arranging things in a specific, precise way or checking doors, locks, electrical items or others. Sometimes people engage in mental rituals rather than physical rituals.
To learn more about OCD, visit The International OCD Foundation
Body Dysmorphic Disorder (BDD)
Body Dysmorphic Disorder (BDD) is characterized by a preoccupation and anxiety about a perceived defect in one’s appearance. Often the preoccupations result in money and time invested in “fixing” the perceived flaw. Areas of perceived defects can include any body part, though often flaws are perceived near the face or with one’s shape. Body image concerns are common, but individuals with BDD will spend hours with their preoccupations, and it often interferes with relationships, work/school, and social interactions.
To learn more about BDD, visit The International OCD Foundation.
Olfactory Reference Syndrome (ORS)
Olfactory Reference Syndrome (ORS) is similar to BDD in that there is a preoccupation with a perceived body odor. ORS is not very common, but it can be very impairing. The individual perceives that they are emitting a body odor, but others around them are not aware of the odor. The concern about this body odor leads to avoidance and interferes with relationships, school/work and social interactions.
To learn more about ORS, Click Here
Obsessive-Compulsive Personality Disorder (OCPD)
Obsessive-Compulsive Personality Disorder (OCPD) is a different type of disorder and is often characterized by a rigid adherence to rules, overwhelming need for order, needing things to be done “the right way” and having difficulty with giving others responsibilities. Signs can be a preoccupation and fixation on rules, details, and lists, difficulty completing tasks due to perfectionism, and others.
For more information, check out the IOCDF’s Fact Sheet.