What We Treat

Eating Disorder Treatment

Specialized, compassionate treatment for anorexia nervosa, bulimia nervosa, binge eating disorder, and related conditions in a supportive, healing environment.

Understanding Eating Disorders

What Are Eating Disorders?

Eating disorders are serious, complex mental health conditions characterized by persistent disturbances in eating behaviors, body image, and the thoughts and emotions associated with food, weight, and shape. They are not lifestyle choices, phases, or simply about food. Eating disorders are biologically influenced, psychologically driven illnesses that carry the highest mortality rate of any psychiatric condition. Approximately 30 million Americans will experience an eating disorder at some point in their lives, affecting individuals of every age, gender, race, ethnicity, and socioeconomic background.

At RECO Immersive, we understand that eating disorders are not simply about the behavior of eating. They are deeply intertwined with emotional regulation, trauma history, identity, control, perfectionism, and interpersonal relationships. Our comprehensive treatment approach addresses the full complexity of these conditions, targeting the underlying psychological, neurobiological, and relational factors that drive disordered eating, not just the symptoms on the surface.

The medical consequences of untreated eating disorders can be severe and life-threatening, including cardiac complications, electrolyte imbalances, organ damage, osteoporosis, hormonal disruption, and compromised immune function. Early intervention and comprehensive, specialized treatment are essential for preventing these devastating physical consequences and achieving lasting recovery.

Types of Eating Disorders We Treat

Anorexia Nervosa

Anorexia nervosa is characterized by severe restriction of food intake, intense fear of gaining weight, and a distorted perception of body weight and shape. Individuals with anorexia often see themselves as overweight even when they are dangerously underweight. The restrictive subtype involves primarily limiting food intake, while the binge-purge subtype involves episodes of binge eating followed by compensatory behaviors. Anorexia has the highest mortality rate of any mental illness, making early, aggressive treatment essential.

Bulimia Nervosa

Bulimia nervosa involves recurrent episodes of binge eating (consuming large amounts of food in a short period with a sense of loss of control) followed by compensatory behaviors such as self-induced vomiting, laxative misuse, fasting, or excessive exercise. Unlike anorexia, individuals with bulimia may maintain a normal weight, which can make the disorder less visible to others but no less dangerous. The repeated cycle of bingeing and purging causes severe damage to the digestive system, teeth, electrolyte balance, and cardiovascular health.

Binge Eating Disorder (BED)

Binge eating disorder is the most common eating disorder in the United States. It is characterized by recurrent episodes of eating large quantities of food rapidly, often to the point of physical discomfort, accompanied by feelings of loss of control, shame, guilt, and distress. Unlike bulimia, BED does not involve regular compensatory behaviors. The emotional suffering associated with binge eating is profound, and the condition frequently co-occurs with depression, anxiety, and trauma-related disorders.

Other Specified Feeding or Eating Disorders (OSFED)

OSFED encompasses eating disorder presentations that cause significant distress and impairment but do not meet the full diagnostic criteria for anorexia, bulimia, or BED. This includes atypical anorexia (significant weight loss without being underweight), purging disorder, night eating syndrome, and subthreshold presentations of other eating disorders. OSFED is equally serious and deserving of comprehensive treatment.

Signs and Symptoms

Eating disorders manifest through behavioral, psychological, and physical symptoms that may develop gradually and be carefully hidden by the individual experiencing them.

Behavioral Signs

  • Rigid food rules, elimination of entire food groups, or refusal to eat in social settings
  • Eating large amounts of food rapidly and secretively
  • Frequent trips to the bathroom after meals
  • Excessive exercise that takes priority over rest, recovery, and social activities
  • Hoarding, hiding, or ritualizing food behaviors
  • Wearing baggy clothing to hide weight changes
  • Cooking elaborate meals for others while refusing to eat

Psychological Signs

  • Intense preoccupation with food, calories, weight, and body shape
  • Distorted body image and persistent body dissatisfaction
  • Intense fear of gaining weight or becoming fat
  • Feelings of shame, guilt, and self-loathing related to eating
  • Mood swings, irritability, and difficulty concentrating
  • Social withdrawal and isolation from friends and family
  • Co-occurring depression, anxiety, or self-harm behaviors

Physical Signs

  • Significant weight changes (loss or gain) over a short period
  • Dizziness, fainting, chronic fatigue, and weakness
  • Gastrointestinal distress, bloating, constipation, or acid reflux
  • Thinning hair, dry skin, brittle nails, and lanugo (fine body hair)
  • Dental erosion, swollen glands, and calluses on knuckles
  • Absent or irregular menstrual periods
  • Cold intolerance, poor circulation, and slow heart rate

Our Treatment Approach

At RECO Immersive, we deliver a comprehensive, multidisciplinary approach to eating disorder treatment that addresses the medical, nutritional, psychological, and relational dimensions of these complex conditions. Our treatment philosophy recognizes that sustainable recovery requires far more than behavioral change; it demands a fundamental shift in one's relationship with food, body, self, and the emotions that drive disordered eating.

CBT-E (Enhanced CBT)

The leading evidence-based therapy for eating disorders, CBT-E addresses the core psychopathology maintaining the eating disorder, including over-evaluation of shape and weight, dietary restraint, and mood intolerance.

DBT for Eating Disorders

Dialectical Behavior Therapy teaches emotional regulation, distress tolerance, and mindfulness skills that help clients manage the intense emotions that trigger disordered eating behaviors.

Nutritional Rehabilitation

Our registered dietitians provide individualized meal planning, nutrition education, and guided exposure to feared foods, supporting medical stabilization and a healthy relationship with eating.

Body Image Work

Specialized therapeutic interventions address body dissatisfaction, mirror exposure therapy, and the development of a more compassionate, realistic relationship with one's body.

Our treatment also integrates trauma-focused therapies (EMDR, somatic experiencing), family therapy, experiential modalities (art therapy, equine-assisted therapy), and psychiatric medication management when appropriate. Medical monitoring ensures physical safety throughout the recovery process, with regular vital signs, lab work, and coordination with medical specialists as needed.

Recovery Is Possible

Full recovery from eating disorders is achievable with appropriate, comprehensive treatment. Research consistently demonstrates that early intervention, specialized care, and adequate treatment duration are the strongest predictors of lasting recovery. At RECO Immersive, our structured residential environment provides the consistency, support, and clinical intensity needed to interrupt entrenched eating disorder patterns and build the foundation for sustained wellness.

Our aftercare planning process begins early in treatment and includes ongoing nutritional counseling, therapeutic support, relapse prevention strategies, support group connections, and family education. We recognize that eating disorder recovery is a process that extends well beyond the residential treatment period, and we equip every client with the tools and support systems needed for continued progress.

Frequently Asked Questions About Eating Disorder Treatment

Eating disorder treatment duration varies significantly based on diagnosis severity, medical stability, co-occurring conditions, and individual response to treatment. Residential treatment typically ranges from 30 to 90 days or longer for severe presentations. Many clients transition to PHP or IOP following residential care to maintain progress. Research consistently shows that longer treatment durations correlate with better long-term outcomes for eating disorders.
Yes. Eating disorders occur at every body size, and we treat the full spectrum of eating disorder presentations. Atypical anorexia, bulimia, binge eating disorder, and OSFED all cause significant suffering and medical risk regardless of the individual's weight. Our treatment approach focuses on the disordered thoughts, behaviors, and emotions driving the illness, not on achieving a particular body size.
Our approach to food exposure is gradual, compassionate, and collaborative. While expanding your food repertoire is an important part of recovery, we work at a pace that respects your readiness while gently challenging avoidance patterns. Our dietitians and therapists work together to create a structured meal plan that supports both medical stabilization and psychological healing, introducing feared foods systematically with therapeutic support.
Co-occurring conditions are extremely common with eating disorders. Research indicates that up to 97% of individuals with eating disorders have at least one co-occurring mental health condition, most commonly depression, anxiety disorders, PTSD, OCD, substance use disorders, and personality disorders. Our integrated treatment approach addresses all co-occurring conditions simultaneously for the best possible outcomes.
Most major insurance plans provide coverage for eating disorder treatment, including residential, PHP, and IOP levels of care. The Mental Health Parity and Addiction Equity Act requires insurers to cover mental health treatment comparably to medical treatment. Our admissions team will verify your specific benefits and help you understand your coverage options at no cost.

Recovery from an Eating Disorder Starts with One Step

Our compassionate admissions team is available 24/7 to help you or your loved one begin the journey to healing.