Treatment for Eating Disorders at Opal

We offer comprehensive care and treatment for eating disorders and disordered eating from a variety of different modalities. Our goal is to treat the client holistically, with the belief that full recovery from an eating disorder is possible.

Experience

Weekend Process

Clients come together each Monday to check in and share experiences from the weekend in order to more attuned to each other as the week of treatment begins.

Re-Thinking Exercise + Sport Didactic​

This didactic group is teaching-focused. The group covers topics related to nutrition, weight and psychology as it relates to sports and exercise. Teaching resources are based in current scientific research.

Radically Open DBT Skills Class

This twice weekly class helps clients decrease emotional loneliness and targets the overcontrolled temperament

Act Group

Acceptance and Commitment Therapy Group (ACT) helps clients understand how language and thoughts can interfere with their ability to live in accordance with their values.

Life Stories

Life Stories allows clients to increase interpersonal connectedness and group cohesion as well as heighten awareness of the impact of life experiences. 

Re-thinking Sport and Exercise Process

Increases self-awareness regarding beliefs, mindset and behaviors around sport, exercise and movement and helps identify areas for behavioral experimentation. 

Art of Non-productivity

A skill in RO DBT, clients have space and time to not be productive!

Aftercare Planning

Provides therapeutic support and creative space for clients to plan for life after treatment.

Body Wisdom

Opportunity for clients to explore things that block having a full and caring relationship with their body, including systems of oppression, eating disorder behaviors, shame, and trauma. Clients can work towards regaining trust with their body’s wisdom, shifting away from disconnection, avoidance and/or invalidation.

Movement Group*

Offers creative ways for clients to engage their bodies in exercise,
movement and sport. This group allows clients to practice new skills, increase flexibility, and connect to their bodies.

Process Group

Meets daily. Clients are given an opportunity to process emotion and practice interpersonal/relational skills in a semi-structured environment.

Self- Inquiry Group

 
A time to challenge our core
beliefs and learn from distress rather than automatically attempting to regulate, distract, change, deny or accept.

Art Therapy

Twice  a week  Art Therapy group is a time for clients to process  emotions and thoughts in a creative, non-verbal modality.

Yoga Therapy*

Yoga Therapy Group is a place to practice body awareness, and knowledge and practice of
mindfulness- based skills. Classes are taught by certified yoga teachers.

Health at Every Size® Didactic

A didactic group where clients learn and discuss the tenants of Health at Every Size® (HAES). Includes psychoeducation and group process time.

Team Meetings

Clients and their providers meet as a team on a weekly basis to
discuss individualized treatment goals and progress towards recovery.

Dinner Meal Outing

Clients and staff weekly patron one of the local restaurants. During Covid-19, this is done through take-out ordering.

Friends + Family Dinner*

A regular meal where clients can invite their loved ones to visit Opal and join a meal.

Nutrition Education

A Dietitian-led group that offers education about food and nutrition, as well as process time to gain insight into one’s relationship with food.

Family Programming*

A weekly experience that allows loved one’s the opportunity to meet Opal staff and experience the space, food and treatment approach. Includes multi-family group, presentation night, and meals.

Culinary Group*

Each week a client works 1:1 with a staff member to learn to plan, purchase, prepare, and serve food. The group makes the meal together, fostering connectedness. A time for clients to gain competency with cooking and baking.

Systems of Oppression Didactic

Learning about oppressive systems, social identity, and the racial origins of fat phobia and the impact of these on eating disorder development and the hope of recovery. 

Grocery Shopping Outing*

Each Friday clients have a time to shop for needed grocery items with the support of other clients, milieu therapists, and a dietitian.

Facing Fears

A place to experiment with moving towards anxiety in order to learn to allow values to lead the way rather than avoidance of fear and anxiety.

*Groups not offered during Covid-19

Levels of Care

Partial Hospitalization

Six hour and ten hour treatment options available. Monday - Friday.

Intensive Outpatient

Three hours per day, 3-5 days per week, Monday - Friday. Due to Covid-19, IOP treatment is virtual.

Outpatient

Outpatient services include: Individual psychotherapy, individual nutrition counseling, group therapy, and psychiatric care.

Partial Hospitalization

Hours:  Monday-Friday.  Ten hour and six hour treatment options available. 

10 hour option is 8am-6pm. Six hour option is 8am-2pm, or 12pm-6pm. 

Population Served: Adults of all genders (ages 18+) with anorexia nervosa, bulimia nervosa, binge eating disorder, exercise compulsion, avoidant restrictive intake disorder, orthorexia, and other specified eating or feeding disorder.

These services included in Partial Hospitalization Program:

1) Individual psychotherapy, two times each week

2) Couples & family therapy 

3) Group therapy, including: Radically Open Dialectical Behavior Therapy Skills, Body Wisdom, Acceptance and Commitment Therapy, Facing Fears, Art Therapy, and several other therapist-led groups. 

1) Two-three meals and one-two snacks, dietitians present  

2) Individual nutrition counseling weekly

3) Weekly cooking classes, meal outings, and food experientials (limited during Covid-19) 

4) Group nutrition education

Individual medication management session weekly

Close medical monitoring done by offsite medical providers that are Health at Every Size aligned and trained in the treatment of eating disorders.  Streamlined communication with Opal team. 

Intensive Outpatient

 Hours: 3 hours/day, 3-5 days/week (Monday-Friday). Due to Covid-19, IOP is virtual using HIPPA compliant platform.  

Population Served: Adults of all genders (ages 18+) with anorexia nervosa, bulimia nervosa, binge eating disorder, exercise compulsion, avoidant restrictive intake disorder, orthorexia, and other specified eating or feeding disorder.

Virtual IOP staff consists of several Opal staff leading groups, in addition to consistent presence of Aleta Storch as IOP Lead and Emma Doerner and Zahra Masaoka as Milieu Therapists.  

These services included Intensive Outpatient Program:

 1) Individual psychotherapy

2) Couples & family therapy as appropriate 

3) Group therapy which can include , Acceptance and Commitment Therapy, Re-Thinking Exercise and Sport, Facing Fears, Body Wisdom, and Process Group

**IOP clients can receive psychotherapy services from non-Opal providers.

1) One therapeutically supported meal daily

2) Individual nutrition counseling weekly 

**IOP clients can receive nutrition services from non-Opal providers.

Medical visits as recommended. Psychiatric medication evaluation and/or monitoring provided by Opal Psychiatrist.  

Outpatient Program

*Program components are individualized to suit each client’s unique treatment needs

We want clients to find the treatment team that is the best fit for their needs and we know the importance of maintaining established treatment relationships.  As a result, clients are encouraged to continue working with providers in the community while seeking a component of their services from Opal. There are many fantastic eating disorder treatment practitioners in Seattle and we are happy to collaborate care with these providers.

Hours: Monday-Friday

Adults of all genders (ages 18+) with anorexia nervosa, bulimia nervosa, binge eating disorder, exercise compulsion, avoidant restrictive intake disorder, orthorexia, other specified eating or feeding disorder, and body image dissatisfaction. We understand that struggles with food and body are often intertwined with other mental health struggles including, but not limited to, anxiety, obsessive-compulsive disorder, and depression.

Individual psychotherapy, individual nutrition counseling, group therapy, and psychiatric care.

Additional Offerings

Into the Woods

Exercise + Sport Program​

The overall goal of the Exercise + Sport Program is to increase clients’ psychological freedom and flexibility in relationship to themselves and movement by divesting from toxic cultural messages around sport and movement that have been internalized. Clients will have the opportunity and support in inhabiting their bodies and minds in new ways, based in each client’s own body wisdom and unique appetite for movement. Regardless of sport/ exercise background, we hope for clients to leave Opal with the tools necessary to nourish and care for their bodies using movement, exercise and sport as a part of body liberation.

Radically Open DBT

Radically Open DBT (RO DBT) is an evidence-based treatment targeting disorders characterized by excessive self-control, or disorders of overcontrol including anorexia nervosa, chronic depression, treatment-resistant anxiety, and maladaptive perfectionism. RO DBT is the only evidence-based treatment for adult anorexia nervosa and has been informed by 20 years of clinical and experimental research. RO DBT introduces a unique thesis regarding the mechanism by which overcontrolled behavior leads to psychological distress by linking neuoregulation theory and the communicative functions of emotional expression to the formation of close social bonds. Clients in Opal’s higher level of care will participate in RO DBT skills class twice weekly and RO DBT skills are encouraged and used by staff regularly. Individual RO DBT skills class are available to outpatient clients and to community members. 

Opal Interior by Natasha Komoda 2020 DSC_7551
Opal Interior by Natasha Komoda 2020 DSC_7566

Outpatient Groups​

Health at Every Size (HAES) Support Group: Outpatient group with education, process, and experiential activities focused on HAES principles. Potential members should be interested in moving away from a diet and weight-focused approach to health. Individuals of all sizes are welcome to join. The group is on Tuesdays from 6-7pm at Opal: Food+Body Wisdom. If interested in being a part of the group, call Opal at 206-538-2305 to set up an initial phone intake.

Eating Disorder Treatment Groups: Opal offers one outpatient therapy group that is led by Tahney Jones, LMHC, CEDS, an Opal Therapist. Group meeting times change with each group’s needs. $50/session. Insurance accepted. These groups are for individuals that are seeking a group component to their overall treatment for eating disorders. If interested, call Opal at 206-926-9087 to set up an initial phone intake.

Radically Open DBT Skills Class: Twice weekly class to help individuals grow their knowledge of Radically Open DBT skills. Classes are on Tuesdays and Thursdays from 10:30 am – 11:30pm at Opal: Food+Body Wisdom. The complete class is a 30-week commitment. People can start at various times and then will complete the full 30-week cycle. Outpatients will join PHP and IOP clients for this class. If interested in being a part of the next series, call Opal at 206-926-9087 to set up an initial phone intake. Classes are led by Tina Alvarado, LMFT and Katherine Manbeck.

Family Therapy + Support

We value relationships and align with the research which points to the benefit of including family therapy and support in a client’s treatment plan. Through our Family + Friends Program we create opportunities that promote healthy relationships and effective relational boundaries for our clients and whomever they identify as family.

One aspect of this program is weekly family therapy sessions for each PHP client, as well as IOP  clients who choose to do so. These are held with the client and the people in their life they identify as key to their healing and recovery.

We also host our weekly Family + Friends Evening on Tuesdays. These evenings rotate between a shared family meal and group learning experience. At our family meal loved ones experience how to engage food and conversation around the dinner table in a helpful and healthy manner. During our group learning experiences we discuss topics like communication, love languages, Opal’s philosophy about food and movement and an array of other topics pertinent to family and friends being effective supporters.

It is our hope that in providing supportive experiences with clients’ family and friends that their “real world” will be more suited to support the recovery they have experienced while at Opal.

Opal Food and Body Wisdom Seattle

Getting Started

Understanding Opal's Approach to Food and Body

We believe in the model of attuned eating and hold it as a goal for our clients. The aim of attuned eating is to learn to trust that our bodies work! This means trusting that our bodies know what to do with the foods we put in it, that our bodies will tell us when we’re hungry and when we’re full, and that we can distinguish between our physical and emotional feelings. Intuitive eating also aims to separate self-worth from diet and weight, allowing us to make peace with food and our bodies. We recognize that intuitive eating does not come easily to many of us and can even be quite frightening to consider – this is why we take care to meet each client where they are in this journey and work at a pace that is appropriate for each person.ption or absorption of food and that significantly impairs physical health or psychosocial functioning. (DSM V, p. 329)

A meal plan is a document created by each client and their dietitian that depicts the client’s daily intake requirements. It includes breakfast, morning snack, lunch, afternoon snack, dinner, and pm snack (if applicable). The dietitian assesses each client’s nutritional needs in conjunction with recovery goals and they create the meal plan together. It is common for the meal plan to change as a client progresses through treatment. The idea behind meal plans is to give clients, who have developed abnormal patterns of eating, a guide to retrain their bodies on what is “normal eating” in terms of quantity, variety, and frequency of meals. The ultimate goal is to move away from needing meal plans, but that clients can use the skills they have developed to eat in a more attuned manner.

This refers to eating choices that are distinct from disordered eating, such as vegetarianism, veganism, or choices to eating locally-sourced foods, for example. Food values are an important part of each person’s general food choices, yet can become intermingled with disordered eating as well. We work to honor each person’s unique values while also paying special attention to how a food value could be part of one’s eating disorder

Yes. Opal intake and nutrition teams together assess these needs on a case-by-case basis. Typically, we ask for medical documentation of food allergies before approving accommodations in a meal plan. Regarding food values, clients can begin treatment with their food values honored and will further discuss in individual nutrition sessions. Clients will work to more clearly understand how these food values may/may not serve eating disorder recovery.

We have found that for the best care, clients at the PHP level will see an Opal therapist, dietitian, and psychiatrist; we take great care to communicate and collaborate with those clinicians who have referred their clients to us. Clients at the IOP level will collaborate with Opal staff to find the best team to fit their needs. This may mean a mix of Opal providers and outside providers.

The simple premise that the best way to improve health is to honor your body. It supports people in adopting health habits for the sake of health and well-being (rather than weight control)

Radically Open Dialectical Behavior Therapy (RO-DBT) is a new treatment that targets over-controlled behavior. It has been used to treat some of the rigid responses and emotional inhibition thought to underlie many treatment-resistant conditions. RO-DBT has been informed by over 20 years of clinical and experimental research, and is a talk therapy that involves weekly individual and group sessions.  The RO-DBT treatment typically involves a 1-hour weekly individual session and a 2.5-hour weekly group session.
Opal offers this in Partial Hospitalization and Intensive Outpatient Program.

While Opal is not affiliated with a specific religion or spiritual practice, we do invite clients to incorporate their own traditions and practices into their recovery and help to facilitate that part of their experience.