RED-S Syndrome

What is RED-S Syndrome?

RED-S (Relative Energy Deficiency in Sport) syndrome is a condition that occurs when an athlete’s energy intake is insufficient to meet their energy expenditure, leading to a negative energy balance. This energy deficiency can have a range of negative effects on an athlete’s health and performance. RED-S can affect both male and female athletes, and its consequences may be both short-term and long-term.

Addressing RED-S involves ensuring that athletes consume adequate energy and nutrients to meet their training demands, promoting a balanced diet, and adjusting training loads to avoid overtraining. In some cases, medical intervention and support from a sports nutritionist or dietitian may be required to help athletes recover and prevent further health and performance issues.

What Causes RED-S Syndrome?


RED-S (Relative Energy Deficiency in Sport) syndrome is primarily caused by an energy deficiency, which occurs when an athlete’s energy intake is insufficient to meet their energy expenditure. This negative energy balance leads to various health and performance-related consequences. Several factors can contribute to the development of RED-S:

  1. Inadequate energy intake: Athletes may not consume enough calories to support their training demands, either due to lack of knowledge about proper nutrition, restricted eating, or disordered eating patterns.
  2. High training volume and intensity: Intense training schedules and high-energy demands can increase the risk of developing RED-S if energy intake is not adjusted accordingly.
  3. Rapid weight loss or pressure to achieve a specific weight: Athletes in weight-sensitive sports may attempt to lose weight rapidly or maintain a low body weight, increasing the risk of energy deficiency.
  4. Disordered eating or eating disorders: Athletes with disordered eating patterns or diagnosed eating disorders are at a higher risk of developing RED-S due to inadequate energy intake.
  5. Lack of awareness or education about sports nutrition: Athletes may not be aware of their individual energy and nutritional needs, leading to insufficient energy intake.
  6. Overtraining: Athletes who do not allow for adequate recovery and consistently push their bodies beyond their limits may be at an increased risk of RED-S.

A combination of these factors can contribute to the development of RED-S in different individuals. Addressing the underlying causes, promoting proper nutrition, and adjusting training loads are crucial for managing and preventing RED-S.

Recovery Starts Here

How We Treat

Recovering from RED-S does not have to be an isolated process. In fact, it is best done with a team-based approach. Resilience DBT & Eating Recovery are a team of Outpatient Eating Disorder Therapists in New Jersey, Florida, Maryland. Our therapists are ready and equipped with clinical services to provide a curriculum of coping skills. Join a Resilience DBT & Eating Recovery Skills Group Program via telehealth for residences located in New Jersey, Florida, and Maryland.


Health Risks Associated With

RED-S Syndrome

At Resilience DBT & Eating Recovery, we provide REDS-S syndrome treatment for young adults, and adults.

The risks associated with orthorexia nervosa include:

  • Malnutrition: Restricting food intake and avoiding certain food groups can lead to inadequate nutrient intake, causing deficiencies and related health issues.
  • Impaired immune system: Malnutrition can weaken the immune system, making individuals more susceptible to infections and illnesses.
  • Mental health issues: Orthorexia can contribute to anxiety, depression, guilt, and obsessive thoughts about food and health.
  • Social isolation: Strict food rules and avoidance of social situations involving food can lead to isolation and a decreased quality of life.
  • Increased risk of other eating disorders: Orthorexia can progress to or co-occur with other eating disorders, such as anorexia nervosa or bulimia nervosa.
  • Disordered eating patterns: Orthorexia can disrupt normal hunger and satiety cues, leading to unhealthy eating habits.
  • Physical complications: Malnutrition and lack of essential nutrients can result in various health issues, such as fatigue, hormonal imbalances, and poor bone health.

Addressing orthorexia and promoting a more balanced approach to eating and nutrition is essential to mitigate these risks and improve overall well-being.

Find Your Treatment

Our Treatment Methods

effective recovery is one step away

The Resilience DBT & Eating Recovery Program offers expert assessment and evidenced-based treatment for the full range of eating disorders and body image problems. We are experienced and certified to treat pediatric, adolescent, and adult eating disorders with boys and girls, and with men and women. We are trained to recognize the biological and brain-based underpinnings of eating disorders and utilize the Evidenced-Based treatments – Family-Based Therapy (FBT) or Maudsley Approach, CBT-E, and DBT for Eating Disorders. Parents are always included as an essential and an integral part of a child or teen’s recovery from an eating disorder.


Family-Based Treatment (FBT) stands as the gold standard for addressing eating disorders in children and adolescents, particularly for early-onset cases of anorexia, bulimia, and ARFID (Avoidant Restrictive Food Intake Disorder). FBT is now recognized as the first line of treatment.

This approach places parents at the forefront of their child’s re-nourishment and weight restoration process, guided by a certified FBT practitioner and in collaboration with an outpatient pediatrician or adolescent medicine specialist. The child or adolescent, alongside their parents, undergo a thorough screening to ensure their suitability for this protocol, which is conducted in the least restrictive environment – the comfort of your home!


Cognitive Behavioral Therapy (CBT-E)

At Resilience Therapy, we specialize in Cognitive Behavioral Therapy Enhanced (CBT-E) to support children, teens, and adolescents struggling with eating disorders. Our compassionate and highly skilled therapists are dedicated to helping your loved ones develop resilience and overcome challenges associated with various eating disorders, such as anorexia nervosa, bulimia nervosa, binge-eating disorder, and other specified feeding or eating disorders (OSFED).

We understand that each individual’s experience is unique, and that’s why our approach to CBT-E is tailored to meet the specific needs of our clients across all age groups. Our therapy sessions are time-limited, structured, and goal-oriented, typically involving individual sessions with a therapist.

Dialectical Behavior Therapy for Eating Disorders (DBT-ED)

Dialectical Behavior Therapy for Eating Disorders is an eating disorder treatment we use for adults who struggle with co-occuring mental health issues and an eating disorder.

DBT-ED is the treatment of choice for individuals that struggle with co-occurring mental health issues in addition to the eating disorder; such as depression, anxiety, suicidal ideation or PTSD. This comprehensive treatment method addresses the complexity of these mental health issues, in concert, prioritizing the most dangerous symptoms first. DBT Skills Training is excellent method for follow-up Aftercare and Relapse Prevention after a residential or intensive Eating Disorder treatment program.

Expressive Arts Therapies

Expressive Arts therapies are powerful and effective modalities in the treatment of eating disorders. Unexpressed emotions and thoughts out of awareness, interfere with true recovery. Art Therapy, Dance/Movement Therapy, music, and psychodramatic role-play make emotions, bodily-felt sensations, and cognition more accessible. Once emotions and thoughts are accessible, one can better utilize the problem solving methods in CBT and DBT.

How We Treat

Explore the benefits of an evidence-based approach to therapy

Family Based Treatment (FBT)

FBT, or the Maudsley approach, is a Gold Standard treatment. FBT is a culturally-sensitive method that keeps a child in their family environment.

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Cognitive Behavioral Therapy (CBT-E)

We specialize in Cognitive Behavioral Therapy Enhanced (CBT-E) to support children, teens, and adolescents struggling with eating disorders

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Comprehensive Dialectical Behavior Therapy (DBT)

Our compassionate and highly skilled therapists are dedicated to helping your loved ones develop emotional resilience, improve their self-esteem, and overcome challenges associated with various eating disorders.

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How do I begin?

Our team is dually and expertly trained in the Treatment of Eating Disorders and DBT for Mental Health. Our Evidenced-Based approaches include FBT, CBT-E, DBT-ED, and Comprehensive DBT for co-occurring mental health conditions. Our outpatient practice has helped Children, Teens and Adults achieve full Eating Disorder Recovery and Mental Health Stability for over 25 years.


Schedule your 15 minute free phone consultation

This phone screening is highly confidential to help determine if coming to the Resilience practice is the best course for you or your loved one.


Complete an Expert and Comprehensive Intake

During your intake appointment we will gather more information to identify your stressors and needs. And work with you to develop your resilience treatment plan.


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Meet with a practitioner to get started on your journey of healing and wellness you know you deserve.

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