Outpatient Counseling Services

Outpatient Counseling Services are available for adolescents, adults, couples and families. Clinicians at Water’s Edge CHC are skilled and experienced in the treatment of:

• eating disorders (anorexia bulimia, binge eating)
• depression
• trauma/post-traumatic stress disorder (PTSD)
• insomnia
• generalized anxiety disorders
• social anxiety
• obsessive-compulsive disorder (OCD)
• panic disorder
• adjustment issues
• grief
• marital discord and parent-adolescent issues.

All individuals seeking treatment will receive a comprehensive psychological assessment to assist in creating an individualized treatment plan to meet your needs.

Outpatient Eating Disorder Services

Water’s Edge CHC Outpatient Eating Disorder Treatment Program is a multidisciplinary treatment program for adolescents and adults created to meet the individual needs of each client. Therapists and dietitians work together to provide the most effective treatment for the client. Therapists at Water’s Edge CHC also have experience in working clients with eating disorders and trauma. Collaborative consultation with medical providers and other relative treat providers is a high priority of all providers at Water’s Edge CHC.

Treatment is available for:

• Anorexia nervosa
• Bulimia nervosa
• Binge-eating disorder
• Sub-clinical eating disorders (ED NOS)

Client’s are individually assessed and may participate
in the following services:

• Individual psychotherapy
• Dietitian consultation
• DBT based group therapy
• Family therapy
• Intensive Outpatient (Day) Treatment (IOP)
• Body Image Individual or Group therapy

Group Therapy

Group therapy is an additional treatment option and provides opportunities for individual’s experiencing eating disorders to work on recovery with the support and understanding of other’s who are experiencing similar struggles. Group therapy has been shown to be an effective treatment option, often in conjunction with individual therapy, for eating disorders. Water’s Edge CHC group therapy program offers unique and effective treatment components that can assist in the recovery process.

Dialectical Behavior Therapy (DBT)  (Adolescent Eating Disorder Group)
This DBT group is oriented specifically for adolescents (ages 13-18) with eating disorders. Participants in this group will learn to apply DBT principles to help them cope with urges and emotions arising from and/or triggering eating disorder behaviors. Because this group involves the active learning and practice of behavioral skills geared to assist in coping with emotions, parental involvement is required. One parent per adolescent is expected to attend every group, so that they can learn the skills and coach their adolescent in skill use. This parental involvement has been found to be an essential piece for adolescents’ successful learning and use. Participants will be asked to commit to attending the group regularly for 6 months to ensure effective learning and use of skills.


Body Image Therapy Group (Rotating Adolescent and Adult Group)
The Body Image Therapy Group is oriented for individuals with a history of eating disorder symptoms. Come discover the tools to having a positive, loving relationship with your body. Work to create a long term plan for maintaining a healthy body image. This integrative approach will explore healthy body image using traditional Cognitive/Behavioral Therapy (CBT) and Narrative Therapy modalities. Other therapeutic approaches such as art, movement, poetry, journaling, video, and discussion will also be used.


Dialectical Behavior Therapy (DBT) Skills 1 (Adult Eating Disorder Group)
This Dialectical Behavior Therapy (DBT) skills group is oriented specifically for individuals with Anorexia or Bulimia. Each week, group participants will engage in a mindful eating experience and will learn to apply DBT principles to help them cope with the urges and emotions arising from and/or triggering eating disorder behaviors. Participants will be asked to commit to attending the group regularly for 6 months to ensure effective learning and use of skills.


Dialectical Behavior Therapy (DBT) Skills 1 (Adult Eating Disorder Group)
Water’s Edge Counseling and Healing Center is pleased to announce openings in our ongoing Dialectical Behavior Therapy (DBT) skills group oriented specifically for women with a Binge Eating Disorder or Bulimia. The structure and content of the group follows the format advocated by researchers from Stanford University and the University of Texas in Austin, which have shown this treatment to be empirically supported and highly effective in reducing binging and other eating disorder symptoms. Each week, group participants will participate in a mindful eating experience, and will learn to apply DBT principles to help them to cope with the urges and emotions arising from and/or triggering eating disorder behaviors. Participants will be asked to commit to attending the group regularly for 6 months to ensure effective learning and use of skills.

Dialectical Behavior Therapy (DBT) Skills 2 Group  (Adult Eating Disorder Group)
This group is for individuals who have graduated from the Skills 1 group and are looking to deepen their awareness of underlying issues that support the ongoing presence or risk of relapse of eating disorder thoughts and behaviors. Each week, group members will participate in a mindful eating experience, discuss underlying and current situations in their lives that trigger eating disorder behaviors and feed a sense of being ineffective in life. Group time will also entail regular review and teaching of DBT skills from the Skills 1group.

Intensive Outpatient (Day) Program (IOP)

Water’s Edge CHC IOP is designed for individuals (ages 18 and older) who have been unable to normalize eating and/or unable to interrupt eating disorder symptoms with less intensive treatment. The program will also benefit individuals needing ongoing support during the transition from more intensive levels of treatment, such as inpatient or residential stays, to the outpatient  setting.

The program is multiple days per week. A step-down design allows individuals to participate in an individualized treatment program specific to the intensity of their symptoms and support needed.

Water’s Edge CHC IOP is multi-modal and holistic in its treatment approach. Treatment components include meal support, nutritional counseling, dialectical behavioral therapy (DBT), group therapy and a spiritual health group. Yoga, self-accupressure and Qi Gong are taught as additional ways to cope with stress.