University of California, Berkeley Eating Disorders
University of California, Berkeley Eating Disorders
Eating disorders are behavioral conditions characterized by severe and persistent disturbance in eating behaviors and associated distressing thoughts and emotions. Although we don’t know exactly what causes eating disorders, genetics, trauma, and societal pressures all contribute to their development. People experiencing mental health issues, such as depression, anxiety, trauma/PTSD, or addiction, may engage in disordered eating as a way to cope.
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Body dissatisfaction is a major contributor to the development of eating disorders. Genetics, personality, culture, and family impact our perception of ourselves and our bodies. We are living in a society that normalizes “diet culture.” As a result, millions of Americans are taking drastic measures to achieve an unrealistic body ideal. In doing so, they often sacrifice their health, and in some cases, their lives.
Eating disorders affect people of all ages, genders, and ethnicities, and many people who suffer from them will not seek help due to the stigma and shame associated with these disorders. Some people, including BIPOC, LGBTQ+, athletes, people in larger bodies, and people with disabilities, are at higher risk of developing eating disorders and/or less likely to seek or have access to treatment because of institutionalized discrimination and other barriers.
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A community counseling agency is a group therapy practice that offers affordable mental health services. Most are independent non-profit agencies, state agencies, or publicly-funded agencies. A few may restrict who is eligible for services, so it is a good idea to check when you call.
Community counseling agencies are generally more affordable than other therapy providers, but how much more affordable they are will depend on whether you qualify for a discount or sliding scale fee (or if they accept your insurance). Many, but not all, have a policy that they won't turn away anyone due to inability to pay. You should ask about their fees when you first call.
Expect to talk to kind people who want to help you find the care you need. Most community agencies strive to connect you with a live person within 24 hours, if not immediately. If you're asked to hold or leave a message, don't give up; just leave a message and wait. You should hear back pretty quickly.
Most agencies try to set up an initial assessment appointment within a week (some do within 24 hours), though the waitlist to start therapy is usually longer—about a few weeks on average. If you're not eligible or if the agency is not right for you, it's usually still worth it to call or drop in, because staff are knowledgeable about local options and can often refer you to one.