Contact@bamboonutritionrd.com | (573) 343-4017
Columbia, MO | Rochester, MN
Eating Disorder Services
Eating Disorders do not discriminate based on weight, gender, ethnicity, or age.
The treatment for eating disorders includes a multi-disciplinary team of specialists in this field including a physician, therapist, and dietitian.
Parents can be strong allies in the treatment of an eating disorder and are encouraged to be present at the initial session.
When you’re ready… we are here.
For information on prices, please visit Nutrition Rates & Insurance OR Therapy Rates & Insurance.
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What to Expect:
Whether you’re calling, emailing, or completing our website form, we will get in touch with you and discuss your concerns. At this time we will answer any questions about setting up an appointment, ideal providers, and insurance.
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Completed Documents & Access to Client Portal:
You’ll be given access to your own client portal and there will be online documents to complete. You can view some of those documents here: Nutrition Intake & Therapy Intake.
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This session will include:
We will take an in-depth look at your history with food and behaviors. We will discuss your current physical and mental health stability in outpatient, and if this is at risk, higher level of care (treatment centers) may be recommended.
Furthermore, we will discuss goals for treatment and how often to meet moving forward for the foreseeable future.
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Course of Treatment:
Based on intake, behaviors, physical and mental health, we’ll devise a treatment plan and create goals together. Follow up sessions and frequency will be based upon the outlined goals and treatment plan.
Anorexia Nervosa (AN)
Anorexia Nervosa is marked by the obsessive drive to control or lose weight or intense fear of weight gain, often (but not always!) in someone whom others may already regard as already below a healthy body weight. The most common subtype of Anorexia, misnomered as “Atypical Anorexia,” occurs in people of average or larger body size. Regardless of body size, people with anorexia struggle with experiencing intense fear of food, obsession with food or calories, and may engage in compulsive behaviors such as purging or exercising in an attempt to lose weight, which come with serious medical risk. Anorexia is not a choice, but rather, a life-threatening, biologically-based mental illness which requires treatment and support.
Bulimia Nervosa (BN)
Bulimia Nervosa is characterized by what may look to others as normalized eating, but also includes episodes of binge-eating (eating significantly more than most people would in similar circumstances, with a sense of loss of control followed by guilt, shame, or feeling physically ill) followed by compensatory behaviors (such as purging, laxative use, or fasting). The Binge/Purge cycle often serves a function of regulating or numbing difficult emotions, and it is a very difficult cycle to break on one’s own. Like Anorexia and Binge-eating Disorder, Bulimia thrives off of secrecy and shame. The good news is that it is very possible to break out of this cycle of shame with support.
Binge Eating Disorder (BED)
BED is the most common eating disorder in the United States. BED is a severe, life-threatening, and treatable eating disorder. Some aspects of BED include recurrent episodes of eating large quantities of food (often very quickly and to the point of discomfort); a feeling of a loss of control during the binge; and experiencing shame, distress or guilt afterwards.
Other Specified Feeding and Eating Disorder (OSFED)
“Other-Specified Feeding or Eating Disorder” is something of a catch-all category in the Diagnostic and Statistical Manual for symptoms that don’t exactly match other diagnostic categories. This may include Anorexia without extremely low body weight, Bulimia low frequency of compensatory behaviors, or Binge-eating disorder with low-frequency of binge episodes. “Orthorexia,” though not an official diagnosis, is a term used to describe obsessiveness over “clean” eating, which can also result in dangerously low body weight or nutritional deficiencies. A diagnosis of OSFED is no less serious than any other diagnosis. These eating disorders are equally valid and deserving of treatment.
Avoidant Restrictive Food Intake Disorder (ARFID)
ARFID, is characterized by intensely restrictive or selective patterns of eating that are not connected with body image or the desire to lose weight, but nonetheless can seriously impact one’s life. Although many children go through phases of picky or selective eating, a person with ARFID does not consume enough calories to grow and develop properly and, in adults, to maintain basic body function.
People with ARFID may restrict food due to sensory sensitivities, such as the desire to avoid certain textures, smells, or colors. For others, food avoidance may stem from fear of choking or vomiting. Still others may simply not register hunger cues; eating is a chore and food just isn’t appealing. Many people experience some combination of these presentations.
more forms of eating disorders not formally diagnosed
There are other types of feeding and eating disorders, some of which are not “diagnosable” eating disorders according to the Diagnostic and Statistical Manual Fifth Edition (DSM-V). These disorders include Orthorexia and Diabetes + Eating Disorders (Diabulimia). Other diagnosable, but perhaps less common forms of eating disorders include PICA and Rumination Disorder.
Rumination Disorder
Technically a “feeding disorder” and not an “eating disorder” although, it is possible for individuals with an eating disorder to develop rumination disorder behaviors and for individuals with Rumination Disorder to develop an eating disorder. The hallmark sign up Rumination Disorder is the regurgitation of food multiple times daily and is either rechewed, spit out, or immediately swallowed.
Disordered Eating (DE)
Disordered eating is used to describe a range of irregular eating behaviors that may or may not warrant a diagnosis of a specific eating disorder. DE may include chronic dieting, food rules and rigidity around food, loss of control around food, preoccupation with food and weight, and more. Our clients with DE refer to themselves as “Diet Culture Drop-Outs!”
For information on prices, please visit rates & insurance.
We Are Your Eating Disorder Dietitians & Therapists!
not sure if you have an eating disorder? Take a Self-Test now
Eating Disorder Therapy or Nutrition?
In traditional treatment, eating disorder recovery includes a trained registered dietitian, therapist and physician. If you’re looking to build your eating disorder recovery team and are in need of a therapist or dietitian, we have both on our team, specialized and ready to help!
Do I see a dietitian first, or a therapist first?
This is a great question, and the answer is, it is up to you! There are great reasons to see both providers, and likely you will need to see both providers at the same time, so wherever you feel comfortable starting is the key. We do recommend you work with someone who is specialized in eating disorders at the very least.
The benefit to receiving all your care at Bamboo Nutrition & Therapy is that our therapists and dietitians are very comfortable working with each other and have excellent communication that provides you with better support.
Meal Support Therapy
Our eating disorder dietitians work with clients one on one, but we may also recommend meal support therapy. You may benefit from meal support if you experience any of the following:
Difficulty eating meals
Meals are taking a really long time
It is hard not to use eating disorder behaviors while eating (i.e. cutting food into small pieces, chewing and spitting, excessive drinking, small bites, not using utensils, etc.)
It is difficult to challenge fear foods on your own
Looking for support during meal times where ED-thoughts are very overwhelming
Meal Support Therapy is generally 30min and is the same cost as a typical session, however, we cannot bill insurance for this service.