Expressive Arts Therapy

The Expressive Arts Therapies


Expressive Arts therapies are powerful and effective modalities in the treatment of eating disorders and mental health symptoms. 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.

At Resilience DBT & Eating Recovery, we incorporate expressive arts therapies like art and dance therapy as part of our comprehensive approach to treating eating disorders and mental health conditions. Our Licensed therapists use these modalities to help clients access their emotions and thoughts, which can be challenging for those struggling with eating disorders. By integrating expressive arts therapies into our treatment plans, we aim to help our clients build greater self-awareness and emotional regulation skills that support their long-term recovery.

Art Therapy


Art therapy is a form of psychotherapy that uses the creative process of utilizing the process of art to improve mental health and wellbeing. At our practice, we believe that art therapy can be a powerful tool in the treatment of eating disorders. Art therapy can help individuals express and process their emotions, reduce anxiety, and improve self-esteem. Our art therapists work with clients to develop individualized treatment plans that incorporate various art mediums, such as painting, drawing, sculpture, and collage.

Dance/Movement Therapy


Dance therapy is a form of psychotherapy that uses movement and dance to promote emotional, physical, and social integration. Movement Therapy helps clients to develop body awareness, improve self-expression, and explore their emotions through movement. Dance/Movement therapy can be particularly helpful for individuals with eating disorders, as it can help to improve body image and self-esteem.

Expressive Arts Therapies with children & adolescents


We understand that eating disorders, anxiety, depression or traumatic experiences can be especially difficult for children and adolescents to navigate. That’s why our practice is dedicated to providing a safe and supportive environment for young people to explore their emotions and experiences. Our therapists are highly trained to work with children and adolescents and use age-appropriate approaches to treatment.

Eating Disorders


Eating disorders are complex mental health conditions that can have serious physical and emotional consequences. At Resilience DBT & Eating Recovery, we take a comprehensive approach to the treatment of eating disorders, incorporating evidence-based treatments, such as Family Based Treatment (FBT), Cognitive-Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), as well as expressive arts therapies like art and dance therapy. Our treatment plans are tailored to each individual’s unique needs and often included in their individual therapy, family therapy, and group therapy.

We believe that healing is possible, and we are committed to helping our clients achieve lasting recovery. If you or someone you love is struggling with an eating disorder or other mental health issue, please contact us today to schedule a consultation.

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.

1

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.

2

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.

3

Get connected with Your Personalized Care Team

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

Start Your Path To Recovery


Find Recovery & Healing Today

Subscribe to our Newsletter
Our Professional Affiliations

Health at Every Size® (HAES)

What is Health at Every Size® (HAES)?


Health at Every Size® (HAES) is a weight-inclusive and body-positive therapeutic approach that focuses on promoting health and well-being for our patients, rather than prescribing weight loss or pursuing an ideal body shape. HAES aims to foster body acceptance, encourage intuitive eating, and cultivate self-compassion, providing a supportive and nurturing environment for our patients to develop a healthier relationship with food, their bodies, and themselves. By challenging societal expectations and internalized beliefs about body size and shape, HAES helps our patients prioritize overall mental and physical health, independent of weight.

Our Approach to Health at Every Size® (HAES)


We understand that each individual’s needs and experiences are unique, which is why our HAES services are tailored to clients across all age groups. Our therapy sessions aim to foster body positivity, encourage intuitive eating, and promote self-compassion, providing a supportive and nurturing environment for personal growth and well-being.

Our Four-Step Process

  1. Assessment and Goal Setting: Our therapists collaborate with clients and their families to identify challenges related to body image, eating behaviors, and overall health. Together, we set realistic treatment goals and develop a personalized treatment plan aligned with HAES principles.
  2. Body Acceptance and Self-Compassion: We help clients explore and challenge societal expectations and internalized beliefs about body size and shape. Our therapists guide clients in cultivating body acceptance, self-compassion, and a more positive self-image.
  3. Intuitive Eating and Mindful Movement: Our therapists support clients in developing a healthier relationship with food and movement by embracing the principles of intuitive eating and encouraging enjoyable, sustainable physical activities that promote overall well-being.
  4. Review and Integration: Our therapists and clients regularly review progress, address any barriers to success, and integrate the learned skills and perspectives into daily life, fostering lasting change and a healthier relationship with food, body, and self.

DBT-Girl-Resilience

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.

1

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.

2

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.

3

Get connected with Your Personalized Care Team

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

Start Your Path To Recovery


Find Recovery & Healing Today

Subscribe to our Newsletter
Our Professional Affiliations

Exposure Therapy

What is Exposure Therapy?


Exposure therapy is a specialized therapeutic approach designed to help individuals confront and overcome their fears and anxieties associated with food, eating situations, and body image. By gradually exposing clients to the feared stimuli or situations, the therapy aims to reduce anxiety, challenge distorted beliefs, and break the cycle of avoidance behaviors often observed in eating disorders.

In a supportive and structured environment, clients engage in a series of planned and tailored exposure exercises, starting with less anxiety-provoking situations and gradually progressing to more challenging ones. Over time, clients develop effective coping strategies, learn to tolerate distress, and gain confidence in their ability to face their fears, ultimately fostering a healthier relationship with food, their bodies, and themselves.

Our Approach to Exposure Therapy


We understand that each individual’s needs are unique, which is why our Exposure Therapy services are tailored to suit clients across all age groups. Our therapy sessions involve carefully planned and gradual exposure to feared situations or stimuli, allowing clients to develop coping skills, challenge distorted beliefs, and ultimately reduce anxiety and avoidance behaviors.

Our Four-Step Process:

  1. Assessment and Goal Setting: Our therapists work closely with clients and their families to identify specific fears, triggers, and avoidance behaviors related to their eating disorder. Together, we set realistic treatment goals and develop a personalized treatment plan.
  2. Psychoeducation: We provide clients with information about the principles of Exposure Therapy, the role of anxiety in maintaining their eating disorder, and the importance of facing fears in order to promote recovery and resilience.
  3. Gradual Exposure: Our therapists guide clients through a series of planned and structured exposure exercises, starting with less anxiety-provoking situations and gradually progressing to more challenging ones. This process allows clients to confront their fears, build confidence, and develop effective coping strategies.
  4. Review and Consolidation: Our therapists and clients regularly review progress, address any barriers to success, and integrate the skills and experiences gained during therapy into daily life, fostering lasting change and a healthier relationship with food and body image.

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.

1

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.

2

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.

3

Get connected with Your Personalized Care Team

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

Start Your Path To Recovery


Find Recovery & Healing Today

Subscribe to our Newsletter
Our Professional Affiliations

Dialectical Behavior Therapy Enhanced(DBT-ED)

What is Dialectical Behavior Therapy For Eating Disorders (DBT-ED)?


DBT-ED integrates the core principles and techniques of DBT, including emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness, with specific strategies that target the dysfunctional attitudes, behaviors, and emotional issues associated with eating disorders.

In DBT-ED, individuals learn to identify and change problematic eating behaviors, manage difficult emotions without resorting to unhealthy eating behaviors, improve interpersonal relationships, and live more mindfully. It’s a comprehensive, evidence-based approach that supports individuals in achieving a healthier relationship with food and their bodies, and in improving their overall quality of life.

Benefits of DBT-ED Therapy


Dialectical Behavior Therapy for Eating Disorders (DBT-ED) offers several benefits for individuals struggling with eating disorders:

  1. Improved emotion regulation: DBT-ED provides individuals with tools to better manage and regulate their emotions, reducing the likelihood of turning to unhealthy eating behaviors as a coping mechanism.
  2. Reduced eating disorder behaviors: DBT-ED directly targets problematic eating behaviors, helping individuals to develop healthier eating patterns and to break the cycle of disordered eating.
  3. Enhanced interpersonal effectiveness: DBT-ED teaches individuals skills to improve their interpersonal relationships, which can often be strained by the impact of an eating disorder.
  4. Increased mindfulness: Through DBT-ED, individuals learn to practice mindfulness, which involves being fully present and engaged in the current moment. This can help to reduce preoccupation with food, weight, and body shape and to promote a healthier relationship with food and the body.
  5. Personalized treatment: DBT-ED is typically tailored to the individual’s specific needs and struggles, making it a flexible and personalized approach to treatment.
  6. Evidence-based approach: DBT-ED is grounded in research and has been shown to be effective in reducing symptoms of various eating disorders, improving overall mood, and enhancing quality of life.

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.

1

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.

2

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.

3

Get connected with Your Personalized Care Team

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

Start Your Path To Recovery


Find Recovery & Healing Today

Subscribe to our Newsletter
Our Professional Affiliations

Treatments

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)

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!

Resilience-Mindful

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.

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.

Exposure Therapy

At Resilience Therapy, we specialize in Exposure Therapy for children, teens, and adolescents struggling with eating disorders. Our compassionate and experienced therapists are dedicated to helping your loved ones face and overcome their fears related to food, body image, and eating situations. Exposure Therapy is an evidence-based therapeutic approach designed to help individuals confront and reduce their anxiety associated with specific triggers, making it particularly effective for those with eating disorders.

Embracing Health at Every Size® (HAES)

At Resilience Therapy, we specialize in Health at Every Size® (HAES) therapy for children, teens, and adolescents. Our compassionate and experienced therapists are dedicated to helping your loved ones cultivate a healthy relationship with food, their bodies, and themselves, regardless of their size or shape. The HAES approach is an inclusive and weight-neutral framework that focuses on promoting health and well-being, rather than prescribing weight loss or pursuing an ideal body shape.

DBT-Girl-Resilience

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.

1

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.

2

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.

3

Get connected with Your Personalized Care Team

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

Start Your Path To Recovery


Find Recovery & Healing Today

Subscribe to our Newsletter
Our Professional Affiliations

Cognitive Behavioral Therapy-Enhanced (CBT-E)

What is Cognitive Behavioral Therapy-Enhanced (CBT-E)?


Cognitive Behavioral Therapy-Enhanced, or CBT-E is one of most effective treatments we have today for the treatment of eating disorders. It is a Transdiagnostic method for the full range of eating disorders – anorexia, bulimia nervosa, binge eating disorder, and related body image conditions. It a targeted, time-limited treatment that lasts for 20 – 40 Sessions depending on severity of symptoms.

It was developed as an outpatient treatment for adults by Christopher Fairburn, MD, at the Credo-Oxford Institute in the U.K. Dr. Riccardo Dalle Graves, MD is the developer of the adapted version of CBT-E for Adolescents that utilizes family support. International research has shown the success and efficacy of CBT-E.

An important study compared CBT-E with interpersonal therapy (IPT), also a leading treatment for adults with an eating disorder. At post-treatment, 66% of the CBT-E participants were in remission from their eating disorder, compared to 33% of the IPT participants. Over the follow-up period, the CBT-E recovery rate remained higher than IPT (69 versus 49 percent).

The Four Stages of CBT-E


Embarking on CBT-E, begins with a full evaluation and exploration of one’s eating problems .CBT-E is a protocol that helps to develop a highly personalized road map to recovery. Collaboratively, CBT-E therapists and client create a formulation of the individual’s unique eating and body image problems. Treatment progresses through four distinct stages, to effectively identify and tackle the underlying thoughts, beliefs, and behaviors that contribute to and sustain the eating disorder, such as food restriction or Binge/Purge Cycles. Treatment can include Exposure Work for “fear foods” , strategies for urges to binge or purge, and addressing underlying issues of negative body image, poor self-esteem, and clinical perfectionism.

Stage 1. Starting Well
  • Create your ED Formulation
  • Self-Monitoring
  • Importance of Regular Eating
  • Weight Concerns &  Eating Behavior
  • 2xWeek  Sessions for Maximum Support
Stage 2: Taking Stock
  • Continued Self-Monitoring
  • Implementing Regular Eating
  • What Maintains Eating Problems
  • Identifying Triggers
Stage 3: Body Image & Eating
  • Over-Valuation of Shape & Weight
  • Feeling “Fat”
  • Body Checking/Body Avoidance
  • Comparison Making
  • Events, Moods, & Triggers
  • Self-Esteem/ Perfectionism
Stage 4: Ending Well
  • Weekly Sessions
  • Maintain Recovery
  • Improved Relationship with Food
  • Managing Day-to-Day Events Well
  • Develop Relapse Prevention Plan
  • Move toward Body Positivity

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.

1

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.

2

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.

3

Get connected with Your Personalized Care Team

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

Start Your Path To Recovery


Find Recovery & Healing Today

Subscribe to our Newsletter
Our Professional Affiliations

Dialectical Behavior Therapy (DBT)

What is Dialectical Behavior Therapy (DBT)?


Dialectical behavior Therapy (DBT) is a proven and evidence-based treatment that integrates the change-oriented technique of Cognitive Behavioral Therapy (CBT) with the acceptance strategies of eastern Zen practice. The result is a powerful and balanced treatment approach to help you identify and regulate emotions and improve your interactions with others and yourself.

Benefits of DBT Therapy


DBT therapy helps teens, young adults, and adults learn how to regulate their emotions, develop distress tolerance skills, create rewarding relationships, and accept themselves without judgment. DBT therapy focuses on ensuring client’s safety and developing effective coping skills while helping them create a life they want to live.

DBT therapy allows a personalized treatment approach while also offering guidance on the types of symptoms to target first. The trained DBT therapist helps evaluate, identify target symptoms, and set up the priority to address issues for impactful healing:

Life-threatening behaviors:

self-harm behaviors that can harm the person’s body or health are addressed first, such as suicidal ideation, suicidal and non-suicidal self-injury, and all forms of suicide.

Therapy-interfering behaviors:

Behaviors that interfere with the client receiving effective treatment are addressed next, such as arriving late to sessions, canceling appointments without a reason, or not collaborating toward the treatment goals.

Quality of life behaviors:

Behaviors that interfere with a reasonable quality of life, including actions that impact relationships, finances, substance abuse, and more.

Skills acquisition:

Learning new effective behaviors and skills to help achieve their life goals and improve their social interactions and view of themself.

4 Comprehensive DBT Components


When Marcia Linehan created Dialectical Behavior Therapy, she developed a cohesive and comprehensive psychotherapy treatment for both the suffering client and the practicing DBT Therapist. The patient has effective treatment and accountability, 7 days a week, to work on treatment targets, and the DBT Therapist has built in support and expert ongoing training to do this challenging but deeply rewarding work.

DBT Individual Therapy

DBT Individual Therapy is the hallmark of Comprehensive DBT. Individual DBT is a structured form of individual psychotherapy where identifying one’s target symptoms and tracking personal progress, through the DBT Diary Card is the core initial focus. Chain Analysis is a DBT exercise to help identify and analyze which DBT coping skills could have been used during a tough moment or situation.

DBT Skills Training

DBT Coping Skills is the “classroom” of DBT Therapy. DBT is an actual curriculum of coping skills and DBT Skills Groups are a powerful mix of both group psychotherapy and classroom style learning. The 5 DBT modules are Core Mindfulness, Emotion Regulation, Interpersonal Skills, Distress Tolerance, and Middle Path. In outpatient therapy, these modules rotate throughout the year.

Phone Coaching

DBT Therapists offer phone coaching during work hours and even after hours to their Comprehensive DBT Clients. Phone coaching is preventative. It is brief phone outreach (5-15 minutes) to the DBT Therapists before self-harming or self-destructing in any way. The client in a super tough moment reaches out to borrow the DBT therapist’s “Wise Mind”.

DBT Consultation Team

If your DBT Therapist practices adherent DBT, they participate in a Weekly DBT Consultation Team to make sure they are properly supported to support you, and are conducting DBT according to “best practice”.

5 DBT Coping Skills


During individual or group DBT, individuals learn specific coping skill sets to help them overcome problems with dysregulation so they can heal and create the life they want. The specific coping skill sets include:

1. Core Mindfulness

Developing a practice of being fully aware and present in the moment, connected, and tolerate full emotional experiencing.

2. Emotion Regulation

How to identify and manage emotions, by reducing reactivity and building upon positive life experience and good coping skills.

3. Distress Tolerance

How to tolerate and experience emotional pain and anxiety without engaging in self-destructive behavior or avoiding feelings; learning to successfully “urge surf” and not self-harm in any way.

4. Interpersonal Effectiveness

Learn effective communication skills such as how to ask for what you want, set boundaries while maintaining self-respect, learning how to have a successful and positive relationship with others.

5. Middle Path

Learning validation, dialectics, and effective communication for less polarized interactions and more mutual understanding.

Conditions Treated By DBT


Individual and group DBT therapy can help teens through adults struggling with:

  • Depression and mood disorders
  • Anxiety disorders
  • Eating disorders
  • Trauma
  • Unresolved grief
  • Self-harm
DBT Addresses 6 Types of Dysregulation

  • Emotional dysregulation - difficulties with managing emotions and anxiety, mood instability, impulsiveness, and problems with anger
  • Cognitive dysregulation - catastrophic, black-and-white, or all-or-nothing thinking
  • Self dysregulation - feelings of emptiness or disconnection and feelings of lack of self-concept and self-worth
  • Behavioral dysregulation - impulsive and self-harming behaviors and behaviors that can make one’s life worse not better
  • Interpersonal dysregulation - difficulty maintaining positive relationships and fears of rejection and abandonment
  • Self-management dysregulation - mood-dependent behavior and procrastination

DBT Skills Groups for Mental Health


Our Resilience DBT Skills Program offers the formal Dialectical Behavior Therapy (DBT) skills set and incorporates Mindfulness Meditation, Stress Management, and the Expressive Arts Therapies for better self-care and richer self-expression.

Our groups programs serve Adolescents/Parents, Young Adults and University Students and Adults

Join a Group

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.

1

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.

2

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.

3

Get connected with Your Personalized Care Team

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

Start Your Path To Recovery


Find Recovery & Healing Today

Subscribe to our Newsletter
Our Professional Affiliations

Family-Based Treatment (FBT)

What is Family-Based Treatment (FBT)?


Around the world, Family Based Treatment is considered to be First-Line-of-Treatment for Child and Adolescent Eating Disorders, particularly for early onset Anorexia, Atypical Anorexia, Bulimia, and ARFID (Avoidant Restrictive Food Intake Disorder). FBT, or the Maudsley approach, is a Gold Standard treatment. FBT is a culturally-sensitive method that keeps a child in their family environment. In the FBT method, the parents play a major role in the re-nourishment of their starving child, under the guidance of the trained and certified Family Based Treatment practitioner and in medical collaboration with an outpatient Pediatrician or Adolescent Medicine Specialist. The child, adolescent, or young adult, and his or her parents, are carefully screened to be appropriate candidates for this protocol, conducted in the Least-Restrictive-Environment – your home!

Get The Help You Need

FBT is a Culturally-Sensitive Treatment

At Resilience, Barbara Reese and her team practice the formal FBT protocol, including caregivers and siblings, with certification from the Training Institute of Child and Adolescent Eating Disorders. The FBT protocol, developed at the UK’s Maudsley Clinic, consists of around 20 sessions and differs from traditional eating disorder treatments that rely on insight and motivation. FBT acknowledges anosognosia, a condition where individuals don’t recognize their illness severity.

Parents don’t cause eating disorders but are crucial allies in recovery. FBT leverages parents’ knowledge and awareness to counteract the effects of anosognosia. Anorexia, a brain disorder, responds better to initial nourishment to restore brain function than to insight-driven treatments.

Hope-Full Nutrition

FBT is a a well-researched protocol. It is best when practiced adherently and adherent does not mean rigid. It means using interventions with the highest probability of success and not wasting precious time with interventions that are known to delay or interfere with recovery. Your FBT provider is an experienced therapist and family therapist who will follow your childs individual progression thru the 3 stages of FBT:

PHASE 1:

Refeeding/Weight Restoration

  • The family partners with an FBT Practitioner
  • Parents take full charge of “plating” meals/snacks, suspending calorie-burning exercise, and interrupting ED behaviors
  • Parental Teamwork, and role of other Caregivers/Siblings is established
  • A physician monitors for Outpatient Safety during Refeeding Process

PHASE 2:

Transitioning the Control of Eating Back to Child/Adolescent

  • Eating flexibility and eating independence emerges
  • Parental Supervision lessens when Adolescent achieves full weight restoration.
  • Exposure work is conducted to tackle “Fear Foods” and feared eating situations.
  • Physical activity may be gradually introduced here

PHASE 3:

Focus on Normal Adolescent Issues and Terminate Treatment

  • “State not Weight”, achieving full mental health recovery weight
  • Eating disorder thinking and behaviors begin to resolve
  • Flexibility and normalization in eating is established
  • Normal adolescent life becomes possible the with nourished brain/body

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.

1

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.

2

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.

3

Get connected with Your Personalized Care Team

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

Start Your Path To Recovery


Find Recovery & Healing Today

Subscribe to our Newsletter
Our Professional Affiliations