Adult Programs

We treat adults with Anorexia Nervosa (AN), Bulimia Nervosa (BN), Binge Eating Disorder (BED), Eating Disorder Not Otherwise Specified (EDNOS), and Other Specified Eating or Feeding Disorder (OSFED), a category that includes subclinical eating disorders and atypical eating disorders (e.g., exercise bulimia, purging disorder). Additionally, our program offers targeted treatment for other conditions that are seen in patients with eating disorders, including substance abuse/dependence and trauma.

Philosophy and Treatment Approach

We believe that eating disorder behaviors are complex conditions that are caused by many factors, including biological causes. Researchers have identified specific neurobiological differences in the brains of people with eating disorders that affect how they eat, how they make decisions, and the emotions they experience. People with eating disorders often have temperaments that are predisposed to anxiety and depression, or have been exposed to stressful and traumatic life events that cause intense negative emotions. There is clear evidence that eating disorders run in families and have a strong genetic component.

Sometimes people have the mistaken belief that individuals with eating disorders are “choosing” to have an eating disorder or doing it for attention, etc. We firmly believe that eating disorder behaviors have a function or purpose (even if it is not clear) and often develop as a way for people to cope with unwanted or unpleasant emotions. Thus, in order to recover from an eating disorder, patients need to learn other ways of coping with uncomfortable emotions. The primary model of our program is Dialectical Behavior Therapy (DBT), and we also incorporate other evidence-based treatments such as Cognitive-Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT). We intensively teach skills for dealing with emotions and compassionately help people to translate these skills to their lives outside of treatment.

Treatment Programs

Patients in our program need more support and structure than can be provided by standard outpatient treatment, but are medically and psychiatrically stable enough to not require immediate hospitalization. We offer several levels of care, ranging from 3 day Intensive Outpatient (IOP) to 6 day 10-hr Partial Hospitalization Program (PHP).

Intensive Outpatient Program (IOP)

Patients in our IOP program attend 4 hours of program 3 to 5 days per week.

IOP patients can attend program from 9:45am - 2:00pm or 3:00pm - 7:00pm.

PROGRAM INCLUDES

  • 1 meal and 1 snack per day (or, in some cases, 2 meals per day)
  • Restaurant outings (once patient is deemed ready)
  • 1 to 2 therapy groups per day
  • 1 hour/week individual therapy
  • 1 hour/week of family or couples therapy (not required but recommended)
  • Weekly or bimonthly appointments with a dietitian
  • Weight and vital signs obtained twice a week

Partial Hospitalization Program (PHP)

6 or 10 hours/day, 5 or 6 days/week

PHP offers a structured environment with an intense focus on learning skills for recovery, but offers the important advantage of allowing the patient to continue living at home. This allows the patient to develop and hone skills for recovery and practice them in their home environment.

6 HOUR PHP INCLUDES

  • 2 meals and 1-2 snacks per day
  • Restaurant outings (once patient is deemed ready)
  • 2-4 therapy groups per day
  • 1 hour/week individual therapy
  • 1 hour/week of family or couples therapy (not required but recommended)
  • Weekly appointments with a dietitian
  • Weekly appointments with a psychiatrist
  • Weight and vital signs obtained 3 times/week

ATTENDANCE

6 hour PHP patients can attend program from 9:00am - 3:15pm or 12:30pm - 7pm, Monday through Friday, and some patients are encouraged to come on Saturday as well.

10 HOUR PHP INCLUDES

  • 3 meals and 1-2 snacks per day
  • Restaurant outings (once patient is deemed ready)
  • 5-6 therapy groups per day
  • 1 hour/week individual therapy
  • 1 hour/week of family or couples therapy (not required but recommended)
  • Weekly appointments with a dietitian
  • Weekly appointments with a psychiatrist
  • Weight and vital signs obtained 3 times/week

ATTENDANCE

10 hour PHP is from 9:00am - 7:00pm, Monday through Saturday. All patients in 10 hour PHP attend Saturday program unless an exception is made. Saturday program runs from 9:00am - 3:15pm.

Tracks Designed to Meet Comorbid Conditions

Eating disorders tend to be comorbid with other psychological or psychiatric conditions. Most typically, individuals with an eating disorder may also meet criteria for one or more the following disorders:

  • Mood disorder (Major Depressive Disorder or Bipolar Disorder)
  • Anxiety disorder (Obsessive-Compulsive Disorder/OCD, Social Anxiety, Posttraumatic Stress Disorder/PTSD, Generalized Anxiety Disorder)
  • Personality disorder such as Borderline Personality Disorder/BPD
  • Substance Abuse or Dependence

Our primary treatment approach, DBT, has been shown to be effective in treating many components of these comorbid disorders. However, in order to provide more comprehensive treatment for some of these disorders, we offer “tracks” that involve specialized programming that is imbedded into the schedule of the treatment program. We have three tracks:

Substance Abuse or Co-occurring Disorders (COD)

Patients who engage in problematic substance use or abuse are recommended for this track. The “COD” track includes at least five groups a week related to substance use/abuse, and focuses on issues such as motivation, psychoeducation, etc.

Posttraumatic Stress Disorder (PTSD)

Patients with trauma or PTSD are recommended to participate in our Cognitive Processing Therapy (CPT) group. CPT is an evidence-based treatment for PTSD.

Transitional Family (TFam)

Young adult patients diagnosed with Anorexia who are living at home or have the support of family members/loved ones are recommended for this track. Patients and loved ones in the TFam track attend a weekly family group and meal. With guidance from our staff, patients and their family members learn to apply therapeutic skills and utilize/provide support effectively at home to enhance their treatment.

Apartment Option available

Our program offers apartment housing to patients who are from out of town, or who require a temporary living arrangement that is safe and supportive in order to make progress in treatment. The apartment is about a mile away from our clinic, and is extremely affordable ($25/day). Contact our admissions department for more details.

How does payment work?

The majority of our patients use insurance since we are contracted with many major insurance companies. Cash payments are also accepted.

Ahrha Ko

Insurance Verification Specialist
(858) 534-8019
edintake@ucsd.edu