Adult Body Image & Eating Disorder Therapy · Seattle · Statewide WA Telehealth
Eating disorder and body image therapy that meets you without shame, and without a number.
If food and your body have started to take up more room in your head than you want them to, you can talk it through with a therapist who takes it seriously and meets you without judgment. Same-week appointment availability. Most major insurance plans accepted.
Eating disorder and body image therapy at Counseling Services for Wellbeing gives Seattle-area adults a weight-neutral, shame-free place to work on their relationship with food and their body. This is outpatient talk therapy, not a medical or residential program. We accept most major insurance plans, book same-week appointments and meet in person at three offices or by secure video statewide.
You do not have to call it anything to be allowed to talk about it.
Maybe the mirror sets the tone for your whole day before you have even left the house. Maybe food has started to take up more room in your head than you want it to, a running calculation that never quite goes quiet. Maybe eating has started to feel like something you do carefully, or in private, or with a set of rules that keeps getting stricter without you deciding it should.
Maybe you dread photos. Maybe getting dressed is a negotiation. Maybe there is a gap between how you actually look and how you feel about it that no one else can see, and you are tired of carrying it alone.
You do not need a diagnosis, a crisis or a label to deserve support. If your relationship with food or your body has started to cost you more than you want to give it, that is reason enough to reach out.
Body image and food relationship therapy for adults who want some of that headspace back.
Food takes up too much headspace
You think about food and how you look more than you want to, and you would like some of that mental space back.
You have struggled quietly for years
This has been with you a long time and you never called it anything. You do not have to have the words for it to start.
Eating that feels out of your hands
Eating that feels out of your control, or rules about food that keep getting tighter without you ever deciding they should.
The mirror sets the tone
The mirror, or a dressing room, can decide how an entire day is going to feel before it has really started.
Nowhere near a clinic, but something is off
You would never walk into an eating disorder clinic, and you do not feel like you belong in one, but you know something is off.
Worried about someone you love
You are searching because of a partner, a child or a friend who is struggling, and you do not know how to help.
The next step is the same for all of them: a conversation with a therapist who takes body image and the relationship with food seriously and meets you without judgment.
What this therapy is, and what it is not.
Counseling Services for Wellbeing is an outpatient group practice. This page is the therapy layer of care, support for the thoughts, feelings and relationship with food and body that come with disordered eating and body image distress. We want to be plain about the boundary, because being honest about it is part of doing this responsibly.
This is not medical stabilization, it is not nutritional rehabilitation and it is not a higher level of care. We do not weigh or monitor you, and we are not a residential or inpatient program. Some situations need more than outpatient therapy can offer. If yours does, we will say so, and we will help you understand what to look for, whether that is a physician, a dietitian or a more intensive program. Many people work with us alongside a medical provider, and that is a good thing.
If you are in a medical or psychiatric emergency, please seek immediate care or call or text 988 to reach the Suicide and Crisis Lifeline. You do not have to wait for an appointment to get help in a crisis.
How care works here.
We look at the whole picture rather than treating food as an isolated habit, because for many people the struggle was never really about the food on its own.
Reach out
A short form or a call. We hear what is going on and where this is taking the most from you. There is no weigh-in, no questionnaire to clear and no detail you have to share before you are ready.
Get matched
We pair you with a therapist who takes body image and the relationship with food seriously and is a fit for how it shows up for you. You see the same therapist each session, so the work has continuity.
Start this week
The first appointment is a real conversation, not a weigh-in and not a lecture. We move at a pace that feels safe, in person at one of three Seattle-area offices or by secure video anywhere in Washington.
Why a whole-person lens.
Body image and the relationship with food are understood alongside your self-worth, your stress, your sleep and the life around it, never as a number in isolation. Our practice was founded on the idea that mental health care should account for the whole person, and that lens fits this work well. For people whose struggle sits in the body, we have therapists who work somatically and with nervous-system regulation, and where there is anxiety or trauma underneath the patterns, we have clinicians trained in cognitive behavioral therapy and EMDR.
Therapy may help you work on your relationship with food and your body and carry it differently. We will not promise to fix it, erase it or make it disappear. What we offer is a steady, non-shaming place to do the work, for as long as it is the right level of care for you, available with trained clinicians on the team.
How we compare
Counseling Services for Wellbeing vs. typical Seattle options.
| Residential or intensive programs | General therapists | Counseling Services for Wellbeing | |
|---|---|---|---|
| First appointment |
Long waitlists, intake screening
|
4 to 6 week wait
|
Same-week scheduling
|
| Insurance accepted |
Complex billing, often cash-pay
|
Varies by therapist
|
Kaiser, Premera, Regence, Aetna, UnitedHealthcare, Cigna
|
| Names body image and food |
Yes, it is the focus
|
Often never named at all
|
Weight-neutral, shame-free focus
|
| Level of care |
Medical and intensive 24/7 support
|
Outpatient only
|
Outpatient scope, not 24/7 care
|
| Same therapist each session |
Care-team rotation
|
Usually
|
Same therapist, continuous care
|
| Where you can meet |
On-site, often residential
|
In person or video
|
Three offices or video statewide
|
-
First appointment
-
Residential or intensive programsLong waitlists, intake screening
-
General therapists4 to 6 week wait
-
Counseling Services for WellbeingSame-week scheduling
-
-
Insurance accepted
-
Residential or intensive programsComplex billing, often cash-pay
-
General therapistsVaries by therapist
-
Counseling Services for WellbeingKaiser, Premera, Regence, Aetna, UnitedHealthcare, Cigna
-
-
Names body image and food
-
Residential or intensive programsYes, it is the focus
-
General therapistsOften never named at all
-
Counseling Services for WellbeingWeight-neutral, shame-free focus
-
-
Level of care
-
Residential or intensive programsMedical and intensive 24/7 support
-
General therapistsOutpatient only
-
Counseling Services for WellbeingOutpatient scope, not 24/7 care
-
-
Same therapist each session
-
Residential or intensive programsCare-team rotation
-
General therapistsUsually
-
Counseling Services for WellbeingSame therapist, continuous care
-
-
Where you can meet
-
Residential or intensive programsOn-site, often residential
-
General therapistsIn person or video
-
Counseling Services for WellbeingThree offices or video statewide
-
We are not a residential program and we are not trying to be one. We are the outpatient option that names body image and the relationship with food, takes your insurance, gets you in this week, and is honest about when a situation needs more than therapy can offer.
Most major insurance plans accepted
Getting support does not have to wait until you can afford cash-pay rates. First appointments are available the same week, and we recommend confirming your benefits with your insurer before your first session.
Meet some of our body image and food relationship therapists.
A deeper bench than the five here. We match you with a therapist who takes body image and the relationship with food seriously and is a fit for how it shows up for you.
Deeper bench than the five here. Tell us what brings you in and we will match you with the right therapist.
Three offices or secure video anywhere in Washington.
If walking into an office or sitting in a waiting room feels like too much, this therapy is also available by secure video with the same therapist you would see in person. For a lot of people, the privacy of starting from home lowers a real barrier to reaching out.
Secure video, statewide
Anywhere in Washington. Same therapist either way.
Online therapy in Washington →What people ask before reaching out.
Do you take my insurance for body image or eating disorder therapy?
We accept Kaiser, Premera, Regence, Aetna, UnitedHealthcare and Cigna. We recommend confirming your specific benefits with your insurer before your first session, so you know what to expect rather than guessing. Many people are surprised that this kind of support is reachable on their existing coverage instead of cash-pay only.
Is this a residential or medical eating disorder program?
No. This is outpatient talk therapy for the thoughts, feelings and relationship with food and body. We do not weigh or monitor you, and we are not medical stabilization or nutritional rehabilitation. If you need a physician, a dietitian or a higher level of care, we will help you understand that and find the right next step.
Can therapy actually help with body image?
Yes. Therapy can be a place to work on your relationship with your body and with food, to understand what is underneath the struggle and to carry it differently over time. We do this without weight talk or numbers, and we cannot promise a specific outcome, but you do not have to keep facing it alone.
Do I have to be diagnosed with an eating disorder to come in?
No. Many people reach out long before any label, and plenty are nowhere near a clinic. If food or your body has started to take up more room in your head than you want, that is reason enough to talk to someone. You do not need a diagnosis or a crisis to deserve support.
What if I am worried about someone I love?
You are still in the right place. Some of our therapists work with families and loved ones, not only the person struggling, and you can explore family therapy as part of that. We can talk through how to show up in a way that helps, and you can get your own support too, so you are not carrying the worry by yourself.
How soon can I be seen?
First appointments are available the same week, not weeks out. Much of the Seattle market books four to six weeks ahead or is cash-pay only, so you do not have to sit with a long wait to start. Reach out and we will find the first opening that works for you, in person or by secure video.
Do you offer this online or only in person?
Both. You can meet in person at our Green Lake, Burien or Smokey Point offices, or by secure video anywhere in Washington with online therapy, with the same therapist either way. For a lot of people the privacy of starting from home makes a hard first step easier, so telehealth is a real option here, not an afterthought.
You do not have to keep carrying this alone.
You do not have to call it anything to be allowed to talk about it. If food and your body have started to take up more room than you want them to, there is a place to set some of that down, and you can start this week. Counseling Services for Wellbeing accepts most major insurance plans, books first appointments the same week, and matches you with a therapist who takes body image and the relationship with food seriously, without shame and without a number, in person at our Green Lake, Burien and Smokey Point offices or by secure video across Washington.
