Starfruit - Eating Disorders

Welcome to the Eating Disorders Center at EBTCS!

The Eating Disorders Center at EBTCS is the premiere center for the outpatient treatment of eating disorders in the Pacific Northwest. All of our providers are doctoral-level psychologists with extensive specialized training in the treatment of eating disorders. We are also trained in the treatment of commonly co-occurring disorders and problems, such as anxiety (including obsessive compulsive disorder, generalized anxiety disorder, social anxiety, panic disorder, and specific phobias), depression, difficulties with emotion regulation, and perfectionism.

Treatment at the Eating Disorders Center at EBTCS is very individualized and based on an initial assessment with one of our clinical psychologists. We collaborate with you to develop the most effective plan for treatment. Evidence-based practice guides treatment at EBTCS, which means we consider what treatments have been shown to be effective in treating the problems you are experiencing. We also consider, in collaboration with you, treatment preferences and your experience with therapy in the past. We work closely with other providers, including medical professionals, psychiatrists, and dietitians, to ensure that your treatment is coordinated.

To learn more about our services, give us a call at (206) 374-0109.

The Eating Disorders Center now offers two new groups!

Radically Open Dialectical Behavior Therapy (RO-DBT). EBTCS offers a complete Radically Open Dialectical Behavior Therapy (RO-DBT) program (individual therapy and skills training class) for adults with problems of emotional overcontrol. After working with the treatment developer, Tom Lynch, PhD, the DBT Center and the Eating Disorder Center at EBTCS are happy to provide this state-of-the-science treatment. Director Peter M. Doyle, Ph.D. and others provide this new treatment for individuals who experience difficulties resulting from too much control over their emotions and associated behavior. This treatment has been used in the UK for some time, but is relatively new to the US. Clients typically experience intense emotion, but have difficulty recognizing the emotion, instead responding with structure, control, social withdrawal, rigidity, and/or perfectionism. Data support this treatment for use with chronic depression that has not responded to other treatment, and Dr. Lynch is currently investigating its efficacy with anorexia nervosa and other disorders associated with overcontrol. We can help you determine if you are a good candidate for this treatment. It involves individual therapy and a skills training group with new DBT skills aimed specifically at increasing flexibility, openness, and social connectedness. For more information about the treatment, visit Dr. Lynch’s website: Radically Open DBT (RO-DBT).


Eating Disorders Caregiver Workshop. Helping your child recover from an eating disorder is hard. The stress, isolation, and fear associated with this task can lead to significant levels of depression and anxiety. These feelings can impact your relationships with your spouse/partner and other family members and ultimately can make it even more difficult to face the job at-hand. This is a workshop that is offered quarterly to both provide support to parents who are in the midst of supporting their child with an eating disorder as well as provide skills related to all that needs to be done in the process, such as effective communication, self-care to avoid burn-out, working well with your treatment team, planning for eating during holidays or vacations, and coping with conflict. Participating parents can attend as a couple or just one parent can attend. Your child must be in treatment with a mental health practitioner to attend this group. Click here for more information on upcoming scheduled workshops.


Please contact Jessica Jakubiak with any questions at 206-374-0109.