I have extensive experience working with clients across various stages of eating disorders, from initial diagnosis to long-term recovery. My approach involves a combination of cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and family-based therapy (FBT). I have successfully helped clients develop healthier relationships with food and their bodies, addressing underlying emotional and psychological issues. My experience includes working in both inpatient and outpatient settings, allowing me to tailor my interventions to the specific needs of each client.

When a client is resistant to treatment, I first focus on building trust and rapport. I listen to their concerns and validate their feelings, showing empathy and understanding. I then work collaboratively with the client to set small, achievable goals that can gradually lead to more significant progress. Additionally, I may involve family members or other support systems to provide encouragement and accountability. My goal is to create a supportive environment where the client feels safe to explore their issues and gradually engage in the treatment process.

Addressing co-occurring mental health issues requires a comprehensive and integrated approach. I use a biopsychosocial model to assess and treat the client's overall well-being. This involves identifying and addressing any underlying anxiety, depression, or trauma that may contribute to the eating disorder. I incorporate evidence-based therapies such as CBT, DBT, and trauma-focused therapies. Additionally, I collaborate with other healthcare professionals, including psychiatrists and nutritionists, to ensure a holistic treatment plan that addresses all aspects of the client's mental health.

Ensuring client confidentiality and privacy is a top priority. I strictly adhere to HIPAA regulations and maintain a secure electronic health record system. All client information is stored securely, and access is restricted to authorized personnel only. I also educate clients about their rights to privacy and confidentiality and obtain their informed consent for any disclosures. In cases where a client's safety is at risk, I follow ethical guidelines and legal requirements to ensure their well-being while maintaining confidentiality to the extent possible.

One challenging case involved a client with a severe eating disorder and significant co-occurring depression. The client was initially resistant to treatment and had a history of multiple hospitalizations. I implemented a multi-faceted approach, including individual therapy, family therapy, and group support sessions. Over time, the client began to engage more actively in treatment. I also collaborated with a psychiatrist to manage the client's medication and a nutritionist to develop a safe meal plan. Through consistent support and gradual goal-setting, the client made significant progress and was able to achieve a more stable and healthier lifestyle.