Eating Disorders & Body Image Difficulties Therapy
If you've struggled with food or your body for a long time, you may already know a great deal about yourself. You may have read the books, tried the approaches, and still find yourself caught in the same painful patterns — wondering why understanding something hasn't been enough to change it.
That gap between knowing and changing is often where the real work lives.
Many people who struggle with eating and body difficulties arrive in therapy already highly self-aware, disciplined, and deeply self-critical. While the focus may be on food or the body, I understand eating disorders as meaningful psychological adaptations — often connected to issues of self-worth, emotional regulation, and early relational experiences. Rather than viewing the eating disorder as something to simply eliminate, we approach it with curiosity about the role it has played in helping you manage anxiety, shame, overwhelm, or a fragile sense of self.
My work is tailored entirely to you — not to a diagnosis or a protocol. We look beyond behaviors to understand what's underneath: the perfectionism, the self-criticism, the control, and the ways struggles with food and body image are so often intertwined with a deeper worthiness wound. Over time, we pay attention to how these patterns show up in relationships, including the one between us, as a way to develop lasting insight and change.
I hold a non-shaming, non-pathologizing stance and move at a pace that respects both your defenses and your readiness. The goal is not just symptom reduction, but a more stable sense of self, greater emotional capacity, and a less punishing relationship with your body and inner world.
Types of Eating Concerns I Work With
I have extensive experience working with the following:
Restrictive eating and chronic dieting
Binge eating or cycles of binge and restriction
Emotional eating and using food to cope with distress
Body image distress and preoccupation with weight or appearance
Disordered eating patterns that may not meet full diagnostic criteria
Anorexia, bulimia, and binge eating disorder
Compulsive exercise and control-oriented behaviors around the body
Perfectionism and rigidity around food, health, or “clean” eating
Shame, guilt, or obsessive thoughts related to food and the body
Longstanding struggles with self-worth that are expressed through eating patterns
You do not need a formal diagnosis to seek support. Many people live with a painful, private relationship with food and their body that deserves careful, depth-oriented attention. I treat individuals both in-person in my office in downtown San Luis Obispo, CA and online.
Take the next step
Complete the following form to schedule a brief consultation call where I can answer any questions you have and talk about next steps.