Anorexia nervosa (AN) is marked by rapid losses in weight/low body weight and restrictive eating habits. Individuals with AN often report a fear of gaining weight or becoming fat. Many people with AN describe feeling isolated from other people and some will also engage in binge eating and/or purging.

Bulimia nervosa (BN) is characterized by a recurrent pattern of binge eating (eating a large amount of food while feeling a loss of control) followed by a behavior intended to compensate for the extra food, such as self-induced vomiting, driven exercise, or the use of laxatives/diuretics. Individuals with BN feel dissatisfied with their body and may also experience problems with depression, anxiety, or substance abuse. BN can affect people of all ages, races/ethnicities, and genders.

Binge eating disorder (BED) is characterized by recurrent binge eating (eating a large amount of food accompanied by a feeling of loss of control) and a feeling of shame or self-disgust as a result of the binge eating. Emotional eating and compulsive eating share many similar traits to binge eating, such as eating when not hungry or eating in secret. Binge eating disorder can affect people of all ages, races/ethnicities, and genders. The research on BED points clearly to the use of Cognitive Behavioral Therapy (CBT) as the first-line treatment.

Avoidant/Restrictive Food Intake Disorder (ARFID) is characterized by a difficulty eating that results in significant nutritional problems, low weight, or a failure to gain weight in children. These difficulties can be due to the person’s sensitivity to certain types or textures of foods, a fear choking or vomiting, or a general lack of interest in food. Unlike with other eating disorders, people with ARFID are less likely to have body image concerns related to wanting to weigh less or look thinner. Cognitive Behavioral Therapy (CBT) and Family-Based Treatment (FBT; Maudsley Method) are the treatments with most promise.


We are considered experts in the field with over 50 years combined experience in delivering state-of-the-art, evidence-based treatment for all eating disorders. We are the only clinic in Washington State in which every provider is certified in Family-Based Treatment (FBT; Maudsley Method), the gold-standard treatment for anorexia nervosa.

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Our expert clinicians provide consultation services to both individuals who are interested in seeking care at EBTCS or would like help seeking appropriate services, and to other mental health providers who would like clinical consultation on a one-time or recurring basis.

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