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Eating and Body Image Concerns
Individual Therapy | In-Person in Asheville and Online in NC, DC, VA, & CO
Collaborative, weight-neutral therapy for eating concerns, body image, and your relationship with food.Collaborative, weight-neutral therapy for eating concerns, body image, and your relationship with food.
About This Service
Eating and Body Image Concerns
Eating disorders and disordered eating are often about more than food. My approach to treatment is to address issues like stress, body image concerns, perfectionism, anxiety, depression, trauma, or substance concerns, along with addressing the eating disorder symptoms.
If you are medically stable, outpatient therapy can be a highly effective space for healing. Because therapy requires a strong foundation of safety, our initial focus will be stabilizing active eating disorder behaviors, acute anxiety or substance use, or any immediate concerns that might get in the way of progress. If a higher level of care is ever needed, I will help you connect with those resources.
Treatment begins with understanding the problems (which may span across a couple of sessions) and what you hope is different. Together, we’ll identify realistic goals to work on. I may recommend therapy in conjunction with working with a dietitian and/or a physician. My approach is trauma-informed, collaborative, and individualized.
Drawing from CBT-E (Enhanced Cognitive Behavioral Therapy), IPT, DBT, ACT, motivational interviewing, feminist, and Health at Every Size (HAES) principles, therapy may help with:
- Exploring behaviors, thought patterns, emotional responses, and relationships that maintain disordered eating.
- Building motivation for reducing or stopping behaviors like restriction, purging, all-or-nothing thinking, and binge eating.
- Reframing unhelpful beliefs about food, weight, and body image.
- Developing skills to manage emotions that perpetuate the binge/restrict cycle.
- Creating structure around meals while moving toward intuitive eating based on your body's cues and preferences.
- Transforming a desire for change into realistic, step-by-step goals.
Progress doesn’t mean perfection, and full recovery is possible. If you feel stuck, feel free to reach out.
Rose is a Licensed Clinical Social Worker with additional certification in mental health and nutrition. She is not a registered dietitian and does not provide nutrition counseling.
Eating and body-image concerns I commonly work with
Support is individualized and weight-neutral. Many clients come for binge eating patterns, milder or subclinical bulimia-spectrum behaviors, or ongoing body-image distress that keeps food feeling charged.
Binge Eating Disorder
Binge Eating Disorder often involves a repeated sense of loss of control around food, followed by guilt, shame, or secrecy — frequently without compensatory behaviors. Therapy focuses on what maintains the cycle (including diet mentality, emotional triggers, and body shame) and building more flexible, compassionate ways of relating to food and coping.
Mild Bulimia & Bulimia-Spectrum Patterns
Milder or less frequent bulimia-spectrum patterns — periods of restriction, feeling out of control around food, and compensatory behaviors that may not meet full diagnostic thresholds — still deserve careful, non-shaming care. We work at a pace that prioritizes medical safety when needed, interrupt all-or-nothing food rules, and address body image and emotion regulation so you are not stuck cycling alone.
Body Image concerns
Always loving our body is unfortunately, not realistic, just like never wanting to have difficult emotions isn't. I take an integrative treatment approach when exploring body image concerns that includes using an ACT- and IFS-informed framework. We may explore beliefs, behaviors, situations and thought patterns that contribute to thinking positively or negatively about the body, and what you imagine being different about this struggle. Sometimes a "negative body image" is fueled by what we eat and drink, and our movement habits. Other times, it's more about one's sense of self. Questions we may explore together include: How do your thoughts, behaviors, and treatment of your body contribute to, or take away from, the life you want to live? Are your expectations for how you want to feel in your body realistic? Reach out for a consult if this sounds helpful.
Does this sound like you? | Asheville, NC
When food and body image take up too much space, therapy can help you rebuild trust and flexibility.
How I Help | Asheville, NC
Collaborative, weight-neutral treatment tailored to your patterns and goals.
Weight-neutral specialty care for eating & body image
Eating and body-image work is one of my deepest areas of focus. Because I am so passionate about this work, I constantly pursue extra training beyond what my license requires—including a Certification in Mental Health & Nutrition.
It can be hard to find a truly safe, non-judgmental space to talk about these struggles. My goal is to create that space for you so we can figure things out together.
For your privacy and continuity of care, I accept private-pay and out-of-network options. Out-of-network benefits often cover a meaningful portion of your costs, but standard insurance options remain available if that is a better fit for you. Please schedule a first appointment or a brief phone call if you have any questions!
Eating and Body Image Concerns
- Certified Mental Health & Nutrition Clinical Specialist (2025)
- Binge Eating Disorder: Clinical Interventions… (2025)
- Emotional Eating, Chronic Dieting, Bingeing & Body Image (2024)
Private-pay & out-of-network, made clearer
Investment: $150 initial session, $130 follow-up sessions (~55 minutes).
If you are using out-of-network benefits, you can check your estimated coverage in a couple of minutes — no account required. Prefer in-network care? Insurance options and booking pathways remain available on the book page.
Check your out-of-network benefits
Estimates out-of-network reimbursement only (not in-network eligibility). Enter your insurance details — no account required.
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Eating Disorder & Body Image by location
In-person care in Asheville, and secure telehealth where I am licensed — North Carolina, Washington, D.C., Virginia, and Colorado.
Years of Experience
Dedicated to helping clients overcome challenges and achieve emotional well-being
Sessions Completed
Every session is rooted in care, empathy, and expertise — collaborative support at your pace
Frequently Asked Questions
Office Hours
- Monday: 11 AM – 8 PM
- Tuesday: 11 AM – 8 PM
- Wednesday: 10 AM – 7 PM
- Thursday: 11 AM – 7 PM
- Friday: 9 AM – 5:30 PM
Contact
Get In Touch
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