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Eating Disorder Intensive Outpatient (ED IOP)

Eating Disorder Intensive Outpatient (ED IOP) provides individualized treatment for youth ages 12-18 who have been diagnosed with an eating disorder and are either stepping down from a higher level of care or for whom traditional outpatient therapy has not improved symptoms significantly. Ryther's ED IOP program utilizes components of Family-Based therapy (FBT) in combination with Enhanced Cognitive Behavior Therapy (CBT-E).

ED IOP Sessions: Ryther's ED IOP program meets for three 3-hour group sessions per week that include meal support during a dinner time meal. Parents are required to attend one of these group sessions to learn and aid in meal support for their child as well as better understand their child's eating patterns. Youth also attend an individual and/or a family session each week. psychiatry and dietician services are included on an as needed basis.

CBT-E Focuses on 4 Domains:

  • Stage 1: Encourages youth to evaluate and understand their eating disorder through psychoeducation. Given we are working with youth, we include a component on the effects of social media on mental health and body image.

  • Stage 2: We systematically review patterns of disordered eating behavior and make plans to change specific behaviors.

  • Stage 3: We focus on processes that are maintaining the disordered eating including examining body image, dietary restraint and the ways that mood and feelings effect eating.

  • Stage 4: The emphasis of treatment shifts to the future and generalization of skills outside the therapy setting. FBT will be included within the CBT program in that parents will be required to attend the IOP groups once per week to better understand their child's disordered eating and monitor/manage food intake effectively.

ED IOP Requirements: Ryther's ED IOP is focused on handing some of the control over food intake back to the teen (utilizing the CBT-E model). For this reason, it is important that youth are weight restored (within 15% of their expected body weight based on growth chart) and able to eat on their own to attend this program. If the child is significantly underweight or has a feeding tube, we recommend a higher level of care (such as our PHP or RTC program) which focuses on FBT with parents controlling food intake.

*We accept the following insurance: Medicaid, First Choice, Premera, Regence, Blue Cross, Blue Shield, Kaiser Permanente, and LifeWise.

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