Who Comes for Nutritional Counseling?
We provide medical nutritional counseling in a private practice setting for a wide range of clients of all ages and genders, and couples and families.
Though the symptoms are manipulation of food and weight, eating disorders are not about food.
When food and emotions are woven together, Ilyse supports her clients to untangle these two separate entities and learn to feed themselves in healthier and more supportive ways.
Ilyse works in conjunction with a team of therapists and medical professionals.
Recovery rates for people with eating disorders vary considerably. The sooner treatment is initiated, the better the prognosis.
There are three main categories of eating disorders: restrictive eating, which is called anorexia nervosa, binge/purge cycles or bulimia, and binge-eating disorder. Eating disorders go beyond the desire for weight loss and self-control.
Eating disorders masquerade as diseases about food. Food, calories, and weight obsession double as distractions from other emotional struggles, possible trauma, and unaddressed control issues. The focus on food is an unconscious way of coping with deeper emotional conflicts.
Eating disorders can also act as a vehicle to express psychiatric issues, including depression, anxiety, bipolar and obsessive-compulsive disorders.
Anorexia is self-starvation with an intense fear of weight gain and a distorted body image.
Feeling “fat” can be constant despite dramatic weight loss. Anorexia has the highest mortality rate of any mental disorder.
Bulimia is the secretive cycle of binging and purging with a feeling of a total loss of control. Compulsive exercise (also called exercise bulimia) can act as a form of purging through extreme caloric expenditure.
Binge Eating/Compulsive Eating
Binge eating disorder, also called compulsive overeating, is the disregard of hunger and satiety cues marked by recurrent episodes of eating large quantities of food without purging.
Avoidant Restrictive Food Intake Disorder (ARFID)
ARFID is a problem with eating or feeding that results in malnutrition and weight loss.
Orthorexia Is an obsession with proper or ‘healthful’ eating.
The Team Approach
Literature shows the most effective treatment for people with eating disorders engages the team approach, drawing on different professional’s expertise.
The team is comprised of experienced professionals, including therapists, dietitians, family therapists, psychiatrists, and physicians. In many cases, parents are also included in the treatment process. Each professional adds specific support to the client or family.
The dietitian closely monitors weight and helps clients unlearn dieting behaviors, reintegrate normalized eating patterns according to hunger and fullness cues, and reduce specific food fears.
The Non-Diet Approach
The non-diet approach to health and weight management supports the inclusion of all foods. This freedom from restriction and deprivation decreases attachment to formerly forbidden foods and helps with compulsive/binge-eating. The creed for the non-diet approach is "eat when you are hungry and stop when you are full".
Ilyse teaches clients to recognize hunger and fullness cues and distinguish between other signals masquerading as hunger or satiety. This approach takes mindfulness and introspection and can feel liberating. It provides relief from never having to diet again.
Fees & Insurance
In addition to accepting private pay, some of our practitioners are in network with some insurance plans. Please contact your insurance to determine your coverage. Refer to our Insurance Worksheet for codes and other info your insurance might ask for when you contact them about your coverage.
For sessions that are out-of-network, some insurance plans will offer some reimbursement, and we can provide you with the information you will need to apply.
A sliding scale is available for clients who pay without insurance assistance.
Currently, all our sessions are Telemedicine sessions, for the safety of our clients and dietitians.
We accept credit cards, cash and checks.
Throw Your Scale
Out The Window.