Eating Disorders Nutritionists and Dietitians in Oregon
Amanda Birkhead Nutrition Counseling, LLC
Nutritionist/Dietitian, MS, RD, LDN, CEDS
Verified Verified
Salem, OR 97306 (Online Only)
I have received specialized training in the areas of eating disorders, peri-natal nutrition, and the non-diet management of PCOS.
Hello there! I describe myself as a HAES-aligned, anti-diet, and weight-inclusive dietitian. I have been providing nutrition counseling since 2013, helping people cultivate better relationships with food and learn to trust their bodies again (or maybe for the first time ever). My areas of expertise include disordered eating, formally diagnosed eating disorders of all kinds, diet burnout, pre-natal and post-partum nutrition, and weight-neutral, non-diet management of PCOS and type 2 diabetes.
I have received specialized training in the areas of eating disorders, peri-natal nutrition, and the non-diet management of PCOS.
Hello there! I describe myself as a HAES-aligned, anti-diet, and weight-inclusive dietitian. I have been providing nutrition counseling since 2013, helping people cultivate better relationships with food and learn to trust their bodies again (or maybe for the first time ever). My areas of expertise include disordered eating, formally diagnosed eating disorders of all kinds, diet burnout, pre-natal and post-partum nutrition, and weight-neutral, non-diet management of PCOS and type 2 diabetes.
Permission Nutrition LLC
Nutritionist/Dietitian, MPP, RD, LD
Verified Verified
Hillsboro, OR 97123 (Online Only)
Do you struggle with an eating disorder or disordered eating? I would love to support you on your journey to free yourself from a negative relationship with food and your body! I offer nutrition counseling for those diagnosed with anorexia nervosa, bulimia nervosa, binge eating disorder and OSFED. Disordered eating occurs on a spectrum and you do not need to be diagnosed with an eating disorder to be suffering! I also offer nutrition counseling services to help you achieve your health goals whether or not you feel you have disordered eating patterns.
Do you struggle with an eating disorder or disordered eating? I would love to support you on your journey to free yourself from a negative relationship with food and your body! I offer nutrition counseling for those diagnosed with anorexia nervosa, bulimia nervosa, binge eating disorder and OSFED. Disordered eating occurs on a spectrum and you do not need to be diagnosed with an eating disorder to be suffering! I also offer nutrition counseling services to help you achieve your health goals whether or not you feel you have disordered eating patterns.
I have experience working at all levels of care (residential, PHP and IOP) for eating disorders.
Hello and welcome! I am a Registered Dietitian and Certified Specialist in Sports Dietetics with over 10 years of experience in the field, specializing in helping clients heal their relationship with food and exercise. I utilize a non-diet, weight inclusive approach to help clients make peace with their food and body and build trust in their internal cues. I operate from an all foods fit philosophy and incorporate principles of intuitive eating, mindful eating and Health at Every Size in my work with clients.
I have experience working at all levels of care (residential, PHP and IOP) for eating disorders.
Hello and welcome! I am a Registered Dietitian and Certified Specialist in Sports Dietetics with over 10 years of experience in the field, specializing in helping clients heal their relationship with food and exercise. I utilize a non-diet, weight inclusive approach to help clients make peace with their food and body and build trust in their internal cues. I operate from an all foods fit philosophy and incorporate principles of intuitive eating, mindful eating and Health at Every Size in my work with clients.
Many find themselves feeling stressed and out of control around food. Though it is common, it doesn't have to be your reality! Together, we can work on building nutrition knowledge and learning to trust your body to fuel yourself instead of using a long list of diet rules. I work with clients with disordered eating habits as well as a variety of conditions including binge eating disorder, other eating disorders, diabetes, prediaebtes, high cholesterol, hyperlipidemia, digestive issues, GERD, and more.
Many find themselves feeling stressed and out of control around food. Though it is common, it doesn't have to be your reality! Together, we can work on building nutrition knowledge and learning to trust your body to fuel yourself instead of using a long list of diet rules. I work with clients with disordered eating habits as well as a variety of conditions including binge eating disorder, other eating disorders, diabetes, prediaebtes, high cholesterol, hyperlipidemia, digestive issues, GERD, and more.
Mentha Nutrition Counseling, LLC
Nutritionist/Dietitian, MEd, RD
Verified Verified
Cornelius, OR 97113 (Online Only)
I completed my dietitian internship at Simmons College and studied eating disorders at Plymouth State University's Eating Disorder Institute.
I am a registered dietitian and nutrition therapist specializing in treating eating disorders and disordered eating for all ages. My aim in nutrition counseling is to help others find peace and joy in their relationship with food. So many of us experience shame, confusion, guilt, or discomfort around food and eating. I strive to come alongside my clients to rediscover a way of eating that brings nourishment, connection and clarity.
I completed my dietitian internship at Simmons College and studied eating disorders at Plymouth State University's Eating Disorder Institute.
I am a registered dietitian and nutrition therapist specializing in treating eating disorders and disordered eating for all ages. My aim in nutrition counseling is to help others find peace and joy in their relationship with food. So many of us experience shame, confusion, guilt, or discomfort around food and eating. I strive to come alongside my clients to rediscover a way of eating that brings nourishment, connection and clarity.
Sofia specializes in working with adults and adolescents with Eating Disorders, Disordered Eating, Digestive issues (IBS, IBD, Low FODMAP), Hormone Health (PCOS, etc.
Sofia is a Registered Dietitian Nutritionist specializing in working with adults and adolescents with Eating Disorders, Disordered Eating, Digestive issues (IBS, IBD, Low FODMAP), Hormonal Imbalances (PCOS, etc.), and interested in Sports Nutrition. Sofia is passionate about helping others build a positive relationship with food and their bodies. Nutrition is not one-size-fits all, and Sofia believes in the importance of having a client-centered approach and providing personalized nutrition care. Her past experiences have driven her desire to help others reach lifestyle changes in a sustainable and practical way.
Sofia specializes in working with adults and adolescents with Eating Disorders, Disordered Eating, Digestive issues (IBS, IBD, Low FODMAP), Hormone Health (PCOS, etc.
Sofia is a Registered Dietitian Nutritionist specializing in working with adults and adolescents with Eating Disorders, Disordered Eating, Digestive issues (IBS, IBD, Low FODMAP), Hormonal Imbalances (PCOS, etc.), and interested in Sports Nutrition. Sofia is passionate about helping others build a positive relationship with food and their bodies. Nutrition is not one-size-fits all, and Sofia believes in the importance of having a client-centered approach and providing personalized nutrition care. Her past experiences have driven her desire to help others reach lifestyle changes in a sustainable and practical way.
Racquel (Rocky) Burch
Nutritionist/Dietitian, RDN, LDN
Verified Verified
1 Endorsed
Portland, OR 97211 (Online Only)
Specialties include: eating disorders, disordered eating, intuitive eating, mindful eating, body image struggles, holistic nutrition practices, general healthy eating, weight management, weight gain/restoration, and gender affirming nutrition.
Rocky is a registered dietitian who has been in the field of dietetics for 5 years. She specializes in working with folks affected by/with disordered eating, eating disorders, body dysmorphia, and wanting to learn mindful and intuitive eating. She includes a health at every size (HAES) approach and really enjoys working with LGBTQ+IA folks struggling with their relationship with food. Rocky's approach to nutrition care is direct but kind, openness with understanding, and an overall "intensive care bear" approach. Her main job is to listen to you in the moment, provide feedback, help you set and reach specific goals.
Specialties include: eating disorders, disordered eating, intuitive eating, mindful eating, body image struggles, holistic nutrition practices, general healthy eating, weight management, weight gain/restoration, and gender affirming nutrition.
Rocky is a registered dietitian who has been in the field of dietetics for 5 years. She specializes in working with folks affected by/with disordered eating, eating disorders, body dysmorphia, and wanting to learn mindful and intuitive eating. She includes a health at every size (HAES) approach and really enjoys working with LGBTQ+IA folks struggling with their relationship with food. Rocky's approach to nutrition care is direct but kind, openness with understanding, and an overall "intensive care bear" approach. Her main job is to listen to you in the moment, provide feedback, help you set and reach specific goals.
I help people heal from eating disorders, disordered eating, and dysfunctional exercise, while also using weight-inclusive medical nutrition therapy to support chronic conditions and body image healing.
Hey, I'm Rose! I help people reduce shame and guilt around eating, bring understanding and compassion to eating behaviors, and empower people to make choices around food and their bodies that feel aligned with their life values. There is so much noise about food that it can be hard to actually know how or even what to eat. Nutrition therapy is not only about what you eat, but how you think and feel about about food and eating.
I help people heal from eating disorders, disordered eating, and dysfunctional exercise, while also using weight-inclusive medical nutrition therapy to support chronic conditions and body image healing.
Hey, I'm Rose! I help people reduce shame and guilt around eating, bring understanding and compassion to eating behaviors, and empower people to make choices around food and their bodies that feel aligned with their life values. There is so much noise about food that it can be hard to actually know how or even what to eat. Nutrition therapy is not only about what you eat, but how you think and feel about about food and eating.
Jenna Lenhart
Nutritionist/Dietitian, MS, RDN, LDN, IBCLC
Verified Verified
1 Endorsed
Portland, OR 97232 (Online Only)
Specialties include: Eating disorders ( Anorexia Nervosa, Bulimia, BED, Body Dysmorphia, ARFID), General Lifestyle and Nutrition, Intuitive Eating, High Cholesterol, Weight Management, and Picky eating.
Jenna is a Registered Dietitian who has spent much of her nutrition career helping those in the pediatric/young adult population. While seeing a variety of nutrition concerns, she specializes in helping patients in eating disorder recovery and seeks to promote a safe space to pursue a new healthy relationship with food. Jenna uses a patient-centered approach to working with clients, prioritizing patient goals for their health journey. With disordered eating, she uses an intuitive eating framework of counseling in addition to family based therapy to promote a safe and effective environment for healing.
Specialties include: Eating disorders ( Anorexia Nervosa, Bulimia, BED, Body Dysmorphia, ARFID), General Lifestyle and Nutrition, Intuitive Eating, High Cholesterol, Weight Management, and Picky eating.
Jenna is a Registered Dietitian who has spent much of her nutrition career helping those in the pediatric/young adult population. While seeing a variety of nutrition concerns, she specializes in helping patients in eating disorder recovery and seeks to promote a safe space to pursue a new healthy relationship with food. Jenna uses a patient-centered approach to working with clients, prioritizing patient goals for their health journey. With disordered eating, she uses an intuitive eating framework of counseling in addition to family based therapy to promote a safe and effective environment for healing.
Nutrition counseling for eating disorders, weight concerns, failure to thrive, sports nutrition, hyperlipidemia, picky eaters, special diets (vegan/vegetarian), infant nutrition, and food allergies.
We are a team of anti-diet dietitians supporting adults and teens to eat intuitively and improve their relationship with food. Let us, partner, with you to be your nutrition guide, so you can find the solutions that result in positive experiences around food and nourishing your family. We are Registered Dietitians currently working with families virtually or at one of our offices in Portland, Vancouver and our new Bend office.
Nutrition counseling for eating disorders, weight concerns, failure to thrive, sports nutrition, hyperlipidemia, picky eaters, special diets (vegan/vegetarian), infant nutrition, and food allergies.
We are a team of anti-diet dietitians supporting adults and teens to eat intuitively and improve their relationship with food. Let us, partner, with you to be your nutrition guide, so you can find the solutions that result in positive experiences around food and nourishing your family. We are Registered Dietitians currently working with families virtually or at one of our offices in Portland, Vancouver and our new Bend office.
Paige Becker
Nutritionist/Dietitian, RDN, LD, CD
Verified Verified
Portland, OR 97216 (Online Only)
Waitlist for new clients
I see clients with eating disorders (including ARFID), general disordered eating, weight concerns and/or body image struggles.
Hello! I'm a Registered Dietitian who's passionate about providing individualized nutrition care that considers the whole person: mind, body, and spirit. I aim to help clients improve their relationships with food, self-care, and their bodies from a Health At Every Size (HAES) perspective. My counseling approach is based in Intuitive Eating principles and bolstered by somatics and self-compassion-focused behavior change techniques. I'm also aware of the importance of nervous system regulation for positive, sustainable behavior change, thus I'm a proponent of the healing capacity of sensory-engaging practices (like art!)
I see clients with eating disorders (including ARFID), general disordered eating, weight concerns and/or body image struggles.
Hello! I'm a Registered Dietitian who's passionate about providing individualized nutrition care that considers the whole person: mind, body, and spirit. I aim to help clients improve their relationships with food, self-care, and their bodies from a Health At Every Size (HAES) perspective. My counseling approach is based in Intuitive Eating principles and bolstered by somatics and self-compassion-focused behavior change techniques. I'm also aware of the importance of nervous system regulation for positive, sustainable behavior change, thus I'm a proponent of the healing capacity of sensory-engaging practices (like art!)
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With an emphasis in eating disorders, I assist individuals in developing a food philosophy that brings peace while supporting long-term health and vitality.
My name is Whitney and my pronouns are she/her. I am a HAES-informed registered dietitian who believes we all deserve to feel at peace with our food choices. I strive to help people gain confidence and trust in their ability to feed themselves and their families in a way that aligns with their vision and values. Incorporating evidence-based science, intuitive eating principles, creativity and flexibility, I help others redefine health and discover their own path to wellness. I stress a non-diet approach to eating and encourage people to incorporate foods they value instead of perseverating on rigid food rules and trends.
With an emphasis in eating disorders, I assist individuals in developing a food philosophy that brings peace while supporting long-term health and vitality.
My name is Whitney and my pronouns are she/her. I am a HAES-informed registered dietitian who believes we all deserve to feel at peace with our food choices. I strive to help people gain confidence and trust in their ability to feed themselves and their families in a way that aligns with their vision and values. Incorporating evidence-based science, intuitive eating principles, creativity and flexibility, I help others redefine health and discover their own path to wellness. I stress a non-diet approach to eating and encourage people to incorporate foods they value instead of perseverating on rigid food rules and trends.
Melinda Staehling
Nutritionist/Dietitian, MS, CNS, LD, CN
Verified Verified
1 Endorsed
Bend, OR 97703
I'm a menopause nutritionist offering weight-inclusive nutrition counseling for people working through disordered eating, binge eating, eating disorders including ARFID, and chronic health conditions. I specialize in digestive health (IBS, bloating, celiac disease, histamine intolerance, GERD), diabetes, PCOS, mast cell activation, and nutrition to support mental health. We'll work as a team with a toolbox of education, movement, mindfulness, and compassion. I work from a neurodiversity-affirming model with ADHD, autism, and/or giftedness and will partner with you to develop strengths and support your challenges.
I'm a menopause nutritionist offering weight-inclusive nutrition counseling for people working through disordered eating, binge eating, eating disorders including ARFID, and chronic health conditions. I specialize in digestive health (IBS, bloating, celiac disease, histamine intolerance, GERD), diabetes, PCOS, mast cell activation, and nutrition to support mental health. We'll work as a team with a toolbox of education, movement, mindfulness, and compassion. I work from a neurodiversity-affirming model with ADHD, autism, and/or giftedness and will partner with you to develop strengths and support your challenges.
My name is Sherie Schjolin (she/her/hers), and I am a Registered Dietitian located in Eugene, Oregon. I started Vara Nutrition with a vision of transforming the way we view, approach and value food, nutrition, exercise and our bodies. I am a weight inclusive dietitian specializing in the treatment of eating disorders, disordered eating and other feeding issues. I also have experience working with PCOS, Diabetes, various GI issues and MCAS. If you are seeking support with any of these health concerns, I would love to hear from you!
My name is Sherie Schjolin (she/her/hers), and I am a Registered Dietitian located in Eugene, Oregon. I started Vara Nutrition with a vision of transforming the way we view, approach and value food, nutrition, exercise and our bodies. I am a weight inclusive dietitian specializing in the treatment of eating disorders, disordered eating and other feeding issues. I also have experience working with PCOS, Diabetes, various GI issues and MCAS. If you are seeking support with any of these health concerns, I would love to hear from you!
Paige A Handler
Nutritionist/Dietitian, MS, RDN
Verified Verified
1 Endorsed
Portland, OR 97213 (Online Only)
I specialize in working with clients struggling with disordered eating, weight cycling, and eating disorders ( anorexia nervosa, bulimia, binge eating disorder and ARFID).
I believe in an All Foods Fit Philosophy, and take a non-diet approach to meal planning by incorporating the principles of Intuitive Eating. I enjoy working with clients who are motivated to change their relationship with food. We live in a world full of pressure around food and ideas around "good and bad" and "should and shouldn't." If you want to go the anti-diet route and heal your relationship with food and your body or if you are looking to stop the diet cycling then you may enjoy working together as well.
I specialize in working with clients struggling with disordered eating, weight cycling, and eating disorders ( anorexia nervosa, bulimia, binge eating disorder and ARFID).
I believe in an All Foods Fit Philosophy, and take a non-diet approach to meal planning by incorporating the principles of Intuitive Eating. I enjoy working with clients who are motivated to change their relationship with food. We live in a world full of pressure around food and ideas around "good and bad" and "should and shouldn't." If you want to go the anti-diet route and heal your relationship with food and your body or if you are looking to stop the diet cycling then you may enjoy working together as well.
Specialties include: General Health, Weight Loss/Gain, PCOS, Type 2 Diabetes, Insulin Resistance, Hypothyroidism, Eating Disorders, and Heart Health.
Bailie is a Registered Dietitian with experience in weight loss, eating disorders and performance nutrition. She believes food is medicine and is dedicated to helping you create a positive relationship with food and movement while working together towards your goals. Bailie believes nutrition is not one size fits all and works with the patient to develop customized care based on the their goals, needs and lifestyle.
Specialties include: General Health, Weight Loss/Gain, PCOS, Type 2 Diabetes, Insulin Resistance, Hypothyroidism, Eating Disorders, and Heart Health.
Bailie is a Registered Dietitian with experience in weight loss, eating disorders and performance nutrition. She believes food is medicine and is dedicated to helping you create a positive relationship with food and movement while working together towards your goals. Bailie believes nutrition is not one size fits all and works with the patient to develop customized care based on the their goals, needs and lifestyle.
Julie Bowman
Nutritionist/Dietitian, MS, RD , LMHC
Verified Verified
Portland, OR 97220
Waitlist for new clients
I specialize in all types of eating disorders and disordered eating, including working with those wanting to stop dieting and find balance. I will help you strengthen, recover or discover a more peaceful relationship with food and body that incorporates pleasure, awareness and flexibility. I am trained in Family Based Treatment (FBT) which I use in combination with Emotion Focused Family Therapy (EFFT). I am passionate about supporting and empowering parents/caregivers and including them in child, teen and young adult eating disorder treatment. I am able to see clients in person and virtually.
I specialize in all types of eating disorders and disordered eating, including working with those wanting to stop dieting and find balance. I will help you strengthen, recover or discover a more peaceful relationship with food and body that incorporates pleasure, awareness and flexibility. I am trained in Family Based Treatment (FBT) which I use in combination with Emotion Focused Family Therapy (EFFT). I am passionate about supporting and empowering parents/caregivers and including them in child, teen and young adult eating disorder treatment. I am able to see clients in person and virtually.
I specialize in eating disorders, disordered & emotional eating, sports/active lifestyle nutrition, prenatal/postpartum, weight concerns, menu and meal planning, and health concerns related to nutrition.
I will work with you to develop healthy eating behaviors that will help you improve your health while also building a postive relationship with food. I take an individualized and longevity-focused approach working with my clients to ensure that they feel confident with their nutrition for the long haul. I do not believe in "quick fix" diets. All the work I do with my clients is sustainable and realistic, providing them knowledge and confidence throughout all seasons of life.
I specialize in eating disorders, disordered & emotional eating, sports/active lifestyle nutrition, prenatal/postpartum, weight concerns, menu and meal planning, and health concerns related to nutrition.
I will work with you to develop healthy eating behaviors that will help you improve your health while also building a postive relationship with food. I take an individualized and longevity-focused approach working with my clients to ensure that they feel confident with their nutrition for the long haul. I do not believe in "quick fix" diets. All the work I do with my clients is sustainable and realistic, providing them knowledge and confidence throughout all seasons of life.
Specialties include: Sports Nutrition, Eating Disorders, Disordered Eating, Intuitive and Mindful Eating, and General Lifestyle and Nutrition.
Maria is a Registered Dietitian who strongly believes in improving physical, mental, and emotional health through nutrition. Maria enjoys using her clinical background to help others navigate their unique nutritional needs by providing individualized interventions. Maria believes in a patient-centered, evidenced-based approach to nutrition care. She will help you achieve your nutrition goals through education, counseling, and therapeutic modalities including cognitive behavioral therapy, exposure response prevention therapy, and medical nutrition therapy.
Specialties include: Sports Nutrition, Eating Disorders, Disordered Eating, Intuitive and Mindful Eating, and General Lifestyle and Nutrition.
Maria is a Registered Dietitian who strongly believes in improving physical, mental, and emotional health through nutrition. Maria enjoys using her clinical background to help others navigate their unique nutritional needs by providing individualized interventions. Maria believes in a patient-centered, evidenced-based approach to nutrition care. She will help you achieve your nutrition goals through education, counseling, and therapeutic modalities including cognitive behavioral therapy, exposure response prevention therapy, and medical nutrition therapy.
Sydney Wiseman
Nutritionist/Dietitian, RD, LDN, CDCES
Verified Verified
Portland, OR 97202 (Online Only)
Specialties include: eating disorders, health coaching, general diet and nutrition, lifestyle and diabetes management.
Sydney is a registered dietitian who strives to empower clients to cultivate a positive relationship with food and their bodies, honoring diverse backgrounds and experiences every step of the way. Whether navigating the complexities of an eating disorder or seeking a supportive environment to heal, Sydney provides personalized guidance and unwavering support on the journey towards holistic well-being. Sydney uses a patient-centered and evidence-based approach to working with clients, prioritizing patient goals along with both their physical and mental well-being.
Specialties include: eating disorders, health coaching, general diet and nutrition, lifestyle and diabetes management.
Sydney is a registered dietitian who strives to empower clients to cultivate a positive relationship with food and their bodies, honoring diverse backgrounds and experiences every step of the way. Whether navigating the complexities of an eating disorder or seeking a supportive environment to heal, Sydney provides personalized guidance and unwavering support on the journey towards holistic well-being. Sydney uses a patient-centered and evidence-based approach to working with clients, prioritizing patient goals along with both their physical and mental well-being.
Eating Disorders Nutritionists and Dietitians
What are the most common types of eating disorders?
The most common types of eating disorders include anorexia nervosa, bulimia nervosa, binge eating disorder, and avoidant/restrictive food intake disorder (ARFID). Individuals may also be diagnosed with "other specified feeding or eating disorder" (OSFED), which is a type of eating disorder diagnosed when a client does not meet the full criteria for anorexia, bulimia, or binge eating disorder but still experiences significant distress related to eating.
What diet is best for eating disorder recovery?
Because eating disorders vary widely in symptoms and severity, there is no single best diet for recovery. While not all individuals with eating disorders are underweight and require weight gain during recovery, those who do may particularly benefit from consuming balanced meals on a more structured schedule. This approach helps establish a regular eating pattern and regulate hunger cues. In general, eating disorder dietitians recommend that clients focus on improving their overall relationship with food and eliminating certain "food rules," while also ensuring they consume an appropriate amount. For example, clients with anorexia nervosa often have significant fears surrounding the consumption of high-calorie foods; dietitians may encourage these clients to include such foods in their diet in a balanced manner to help facilitate recovery and achieve a more normalized state of eating. Conversely, clients with bulimia or binge eating disorder may benefit from a diet that avoids foods that are particularly triggering for them to binge on. Many clients with eating disorders benefit from seeing a dietitian who specializes in eating disorders in order to ensure that their diet meets their specific recovery-related needs.
How are eating disorders treated?
Eating disorder treatment often involves a multidisciplinary team of clinicians working together to address the various aspects of the condition. A physician typically monitors physical changes and health problems, a therapist addresses underlying thoughts and emotions, and a dietitian develops a plan to help the patient achieve and maintain a healthy weight. While most individuals can be treated in an outpatient setting, some may require more intensive care provided by residential or inpatient facilities. In addition, early intervention for disordered eating can significantly increase the likelihood of a successful recovery, and ongoing support and monitoring are also crucial to prevent relapse and sustain progress.
How do dietitians help people with eating disorders?
Nutrition counseling is a crucial component of eating disorder recovery, and dietitians play a vital role in this process. They help clients develop personalized meal plans to meet their nutritional goals, which is particularly beneficial for those who need to gain weight after periods of food restriction. Dietitians also encourage healthier eating patterns by helping clients incorporate foods they may have previously avoided due to eating disorder behaviors. Additionally, eating disorder dietitians often collaborate with other members of the client's care team, such as medical doctors, psychiatrists, and therapists, to provide comprehensive support. This multidisciplinary approach is especially important for clients with medical conditions related to their eating disorder, such as heart issues or electrolyte imbalances, which require close supervision by a medical doctor in coordination with a dietitian.