Eating Disorder Treatment Baltimore Therapy Group
Eating Disorder Therapist Near Me
Compassionate and Expert Eating Disorder Treatment in Baltimore
The Baltimore Therapy Group provides informed and understanding care for those seeking treatment for:
Anorexia nervosa and other restrictive eating practices
Bulimia nervosa
Restrictive food intake disorder (ARFID)
Binge-eating disorder and compulsive overeating
Compulsive exercise
Excessive exercise
Compulsive dieting and weighing
Body dysmorphia/body image concerns
Conveniently located for residents of Baltimore City and Baltimore County, our practice is accessible to those seeking eating disorder treatment in the region.
Our experienced team of therapists and registered dietitians create a safe and supportive environment that encourages clients to take the first step toward recovery, building trust and safety throughout the therapeutic process. Our team is highly trained in eating disorder treatment and dedicated to providing compassionate, personalized care.
Individuals with eating disorders may restrict their food intake, engage in bingeing or excessive exercise, or become preoccupied with their weight loss. Without treatment, an eating disorder may become potentially life-threatening. Whether you’re struggling with anorexia, bulimia, binge-eating disorder, or another type of eating disorder, recovery is possible with treatment. We use evidence-based treatments, such as Cognitive Behavioral Therapy (CBT) and Family-Based Treatment (FBT), to ensure the most effective care for eating disorders.
Virtual therapy is available for clients who prefer remote sessions, providing flexible access to care. Virtual eating disorder treatment offers an accessible alternative to in person care, making it easier for those with transportation or mobility challenges to receive effective support. Both in person care and virtual options are designed to meet your unique needs.
If you or a loved one are struggling with an eating disorder, we encourage you to seek help and take the first step toward recovery.
What are Eating Disorders?
Eating disorders are a group of mental health disorders characterized by an unhealthy relationship or obsession with physical appearance, body image, and food intake. Individuals with eating disorders may experience significant disturbances in eating patterns, such as restrictive food intake, the avoidance of large amounts of food, fasting, excessive exercise, binge-eating, or any combination of these behaviors.
The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is used by mental health experts to diagnose mental health conditions. While the DSM-5 doesn’t cover every type of eating disorder, it outlines the most common types, disorder symptoms, and their diagnostic criteria. Diagnosis and treatment recommendations are based on the latest research in the field.
Often, individuals with eating disorders will have symptoms of another mental health condition, such as obsessive-compulsive disorder (OCD), anxiety disorders, substance abuse, or a personality disorder, that requires treatment. Whenever possible, it’s important to identify and address all mental health issues to ensure a long-lasting recovery. A multidisciplinary team of professionals can provide integrated care, collaborating to address the complex needs of individuals with eating disorders and co-occurring conditions.
Types of Eating Disorders
Eating disorders are intricate mental health conditions—complex puzzles that can affect anyone, regardless of age, gender, or background. Picture this: your relationship with food becomes a battlefield where logic doesn’t always win. The most common types of eating disorders include anorexia nervosa, bulimia nervosa, binge eating disorder, and restrictive food intake disorder (ARFID). Each of these disorders presents unique challenges—like different storms requiring different shelters—and demands a tailored approach to eating disorder treatment.
Anorexia nervosa is marked by a distorted body image and an intense fear of gaining weight—imagine looking in a funhouse mirror that never shows reality. This leads to restrictive eating patterns and significant weight loss, creating a vicious cycle where control feels like survival. Individuals with anorexia often struggle with obsessive thoughts about food, body, and weight—thoughts that can feel as persistent as a song stuck on repeat—severely impacting their health and quality of life in ways that ripple through every aspect of daily existence.
Bulimia nervosa involves cycles of binge eating—consuming large amounts of food in a short period, like a dam bursting—followed by purging behaviors such as vomiting, excessive exercise, or misuse of laxatives. This disorder is often driven by a desperate desire to control weight (the kind of control that feels like trying to hold water in your hands) and can result in serious physical and emotional consequences that echo far beyond the initial behavior.
Binge eating disorder is characterized by recurrent episodes of eating unusually large quantities of food—picture losing the brakes on a steep hill—often accompanied by feelings of loss of control and profound distress. Unlike bulimia, binge eating disorder doesn’t involve regular purging, but it can lead to weight gain and other health issues that compound the emotional toll and create their own cycle of shame and struggle.
Restrictive food intake disorder (ARFID) stands apart from other eating disorders in that it typically isn’t driven by concerns about body image or weight—think of it as fear wearing a different mask. Instead, individuals with ARFID may avoid certain foods due to their taste, texture, or fear of negative consequences (like a smoke alarm that’s too sensitive), leading to inadequate nutrition and health problems that can be just as serious as any other eating disorder.
Because each eating disorder affects individuals differently—like fingerprints, no two cases are identical—working with a certified eating disorder specialist is essential for effective disorder treatment. A personalized treatment plan can address the specific symptoms and underlying issues, helping individuals navigate the path toward recovery and improved health. It’s not just about food—it’s about reclaiming your relationship with nourishment, your body, and ultimately, yourself.
How are Eating Disorders Treated?
As a leading provider of disorder treatment in Maryland, the Baltimore Therapy Group offers comprehensive and specialized care for individuals seeking support for eating disorders and related mental health concerns.
Successful treatment plans typically involve a treatment team, including a dietitian, clinician, mental health provider, and medical professionals who support clients throughout the recovery process. According to the National Eating Disorders Association, treatment varies depending on the type and severity of the eating disorder, as well as the individual’s mental health and nutritional needs.
The treatment team can provide counseling tailored to each individual’s needs, using research-based interventions to support well-being and coping strategies.
Outpatient programs are considered an effective treatment approach for those who are stable and able to function in daily life. Outpatient therapy is a flexible, ongoing support option that helps individuals maintain progress and manage challenges as they arise. To help individuals successfully cope with their eating disorder, meal plans, nutritional counseling, and therapy are essential. For those requiring more intensive support, levels of care include inpatient care, residential program, partial hospitalization program, and intensive outpatient program.
The most effective treatment approaches are comprehensive and target the different components of the disorder, as well as the mental and physical functioning of the client. Since psychotherapy is integral to any successful treatment plan, it’s essential to find a therapist specializing in eating disorder treatment. Achieving long term recovery and lasting wellness are central goals of the treatment process, ensuring sustainable improvements in both mental and physical health.
Body Image and Self-Esteem
Body image and self-esteem sit at the heart of many eating disorders—and if you’re struggling with disordered eating, you probably know this all too well. Individuals dealing with these challenges often experience persistent body image concerns, crushing self-worth issues, and obsessive thinking about their appearance and weight. This negative self-perception can fuel unhealthy eating behaviors and make recovery feel like an uphill battle—no matter how much support surrounds you.
Body dysmorphia—a condition where you develop a distorted view of your own body—shows up frequently among those wrestling with eating disorders. This can trigger a constant preoccupation with perceived flaws, even when others genuinely don’t see them (and trust us, they often don’t). Such obsessive thinking can contribute to the development of disorders like bulimia nervosa and binge eating disorder, as you attempt to cope with distress through food-related behaviors that feel like the only option available.
Eating disorder therapy is specifically designed to help you challenge these negative beliefs and develop a healthier, more realistic view of your body—and yourself. By addressing body image concerns head-on and building genuine self-esteem, therapists support you in creating a more positive relationship with food, your body, and who you really are. This process is essential for lasting eating disorder recovery and can help prevent the onset of other eating disorders down the road.
Eating disorder therapy at the Baltimore Therapy Group is inclusive and tailored to the unique needs of all individuals, including non binary individuals, ensuring affirming and specialized care for diverse gender identities.
Meet Our Eating Disorder Specialists
Andrea Castelhano, PsyD
Eating Disorder Expert
Licensed Psychologist in Baltimore
Dr. Andrea Castelhano joined the Baltimore Therapy Group after serving as a program coordinator and outpatient psychologist with the Eating Recovery Center of Maryland (formerly, the Center for Eating Disorders at Sheppard Pratt). Prior to this, Dr. Castelhano worked in the Eating Disorders Clinic at the Children's National Medical Center in Washington, DC and with the University of Tulsa where she designed a psychoeducational group for female student athletes focused on body image and disordered eating and exercise behavior. Valuing the cultural backgrounds of the clients she serves, Dr. Castelhano has a particular interest in the assessment and treatment of women, gender diverse, and sexual minority (lesbian, gay and bisexual) clients with eating disorders.
Lucy Anson, LCSW-C
Eating Disorder Expert
Licensed Social Worker in Baltimore
Lucy also joins the Baltimore Therapy Group after having worked at the Eating Recovery Center of Maryland at Sheppard Pratt. Her clients benefit from her vast experience working with people with disordered eating and exercise as well as body imagine concerns in both inpatient and outpatient settings including Bloomington (Indiana) Meadows Hospital, Sheppard Pratt’s Intensive Outpatient Eating Disorders Program, and Loyola University Maryland’s Counseling Center. She enjoys working with clients of all ages, genders, sexual orientations, cultural backgrounds, and life situations. Her therapeutic practice relies on the most current evidence-based techniques including Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT), and Trauma-Informed Care.
Support for a Loved One
Supporting a loved one through eating disorder recovery is both an act of courage and compassion. If you’re watching someone you care about struggle with anorexia nervosa, bulimia nervosa, binge eating disorder, or other eating disorders, you may feel overwhelmed, worried, or unsure of how best to help. The journey toward lasting recovery is rarely straightforward, but your support can make a profound difference.
As a loved one, your role is vital. Encouraging your family member or friend to seek help from an experienced eating disorder treatment center is a powerful first step. Treatment options such as outpatient treatment, residential treatment, and partial hospitalization programs are designed to meet each individual’s unique needs, and many centers offer virtual care for added flexibility.
Being involved in your loved one’s treatment program can help foster a positive relationship with food and body image. Attending family therapy sessions not only strengthens communication but also helps you understand the challenges your loved one faces. Support groups can offer both you and your loved one a sense of community, reducing feelings of isolation and providing practical coping skills for daily life.
It’s also important to recognize the signs of eating disorders—such as obsessive thoughts about food, restrictive eating, or binge eating—and to approach these concerns with empathy rather than judgment. Remember, eating disorders are complex mental health conditions, not choices. Your patience and understanding can help your loved one feel safe enough to open up and engage in disorder treatment.
While you focus on supporting your loved one, don’t forget to care for yourself. The emotional toll of helping someone through disorder recovery can be significant. Reach out to your own support network, consider joining a support group for families, or seek guidance from a therapist if you need it. Taking care of your own mental health ensures you can continue to offer compassionate care throughout the recovery process.
Above all, remember that recovery is possible. With evidence-based therapies, a dedicated treatment team, and the unwavering support of loved ones, individuals can regain control over their lives and build a healthier, more fulfilling future. Your involvement, patience, and encouragement are invaluable gifts on the path to long-lasting recovery.
Eating Disorder Recovery in Baltimore
At the Baltimore Therapy Group, we provide compassionate care to help you on the road to recovery using empirically supported treatments for disordered eating and exercise. Effective treatment approaches for disordered eating include:
Mindfulness Based Approaches
Interpersonal Process Therapy
Successful recovery means that you regain control of your life and find your way back to a healthier relationship with food, exercise, and new coping skills that work for you.
Frequently Asked Questions (FAQ)
What types of eating disorders do you treat at Baltimore Therapy Group?
We provide specialized treatment for a range of eating disorders including anorexia nervosa, bulimia nervosa, binge eating disorder, restrictive food intake disorder (ARFID), and related compulsive behaviors.
What treatment options are available for eating disorders in Baltimore?
Our treatment options include outpatient eating disorder treatment in the form of individual therapy. We provide in-person therapy and virtual eating disorder treatment. We also provide couples therapy and family therapy for people with disordered eating.
How effective is virtual eating disorder treatment?
Virtual eating disorder treatment offers a flexible and accessible alternative to in person care. Studies show it can be just as effective as traditional treatment, especially for those facing transportation or mobility challenges.
What should I expect from outpatient eating disorder treatment?
Outpatient treatment provides ongoing support while allowing you to maintain daily responsibilities. It typically includes therapy, nutritional counseling, medication management, and group therapy.
When is inpatient or residential treatment necessary?
Inpatient and residential treatment are recommended for individuals who are medically or psychologically unstable and require 24-hour medical care and monitoring. These programs offer structured environments to support intensive recovery. Our therapists provide assessment for the level of care most appropriate for you or your loved one.
How does family therapy support eating disorder recovery?
Family therapy helps improve communication, build understanding, and foster a positive support system essential for lasting recovery. It allows family members to actively participate in the healing process.
What role do medical professionals play in eating disorder treatment?
Medical professionals monitor physical health, manage medication, and collaborate with therapists and dietitians to provide comprehensive care throughout the recovery process.
How do I know if I or a loved one needs eating disorder treatment?
Signs include obsessive thoughts about food or weight, restrictive eating, binge eating, purging behaviors, or significant distress related to body image. Seeking a professional evaluation is an important first step.
How can I support a loved one struggling with an eating disorder?
Offer compassionate support, encourage them to seek professional help, participate in family therapy if possible, and educate yourself about eating disorders to better understand their experience.
What evidence-based therapies are used in eating disorder treatment?
We utilize therapies such as Cognitive Behavioral Therapy (CBT), Family-Based Treatment (FBT), Dialectical Behavior Therapy (DBT), and mindfulness-based approaches to address both eating behaviors and underlying mental health conditions.
Can eating disorders affect anyone?
Yes, eating disorders can affect individuals of any age, gender, size, race, sexual orientation, or background. They are serious mental health conditions that require specialized treatment.
How long does eating disorder treatment typically last?
Treatment duration varies depending on individual needs and severity. Recovery is a process that may involve different levels of care over weeks or months to achieve lasting wellness.
What makes THe Baltimore Therapy Group unique in eating disorder treatment?
We offer a compassionate, multidisciplinary team approach, combining expert therapists and collaboration with registered dietitians and medical professionals. We provide personalized care with flexible options including virtual therapy to meet diverse needs.