Eating Disorder & OCD Therapy

Eating Disorder & OCD Therapy Online therapy for Eating Disorders, OCD and Anxiety. We serve clients all over the state of CA.

Absolutely loved these metaphors for being with difficult emotions. Thank you .led for this beautiful post. My thoughts-...
08/18/2025

Absolutely loved these metaphors for being with difficult emotions. Thank you .led for this beautiful post.

My thoughts- so much changes when we lean into the emotion versus avoid or numb it. It starts with naming what we are feeling. sometimes we are so disconnected we don’t know right away- that’s okay. You can practice saying “I’m having an uncomfortable emotion” even if you don’t know what it is.

Neurodivergent experiences like Alexithymia can make this verrrry difficult- if not impossible (at least in the same way that neurotypical people describe emotions) to “know” what we feel. If this is you- I have a neurodivergent friendly resource for this, DM me and I can send it to you.

Some things that helped me learn to lean into discomfort:
✨ Emotions last an average of 90 seconds. I can tolerate almost anything for that long. I can trust that it will pass.
✨If I avoid the emotion, it will only get bigger and more painful until I face it.
✨If I’m numbing out painful emotions, the “positive ones” like joy- will also be muted.
✨Just like everyone else on this planet, I will experience pain, grief, sorrow, fear, loss. I am not alone in these experiences.
✨I can show myself compassion alongside feeling the painful emotion.
✨I can provide myself with comfort as I let this emotion be here- I can take a bath, watch a show, make art, snuggle my dog.
✨Emotions are temporary visitors, they are trying to communicate something (not always factual) about our inner world. My job is to listen.

Tending to emotions is key to recovery from an ED, trauma, anxiety and so much more. ❤️‍🩹

Listen- I get how HR can be seen as ‘giving up’- however, it is inherently about keeping folks safe, alive and holding h...
08/11/2025

Listen- I get how HR can be seen as ‘giving up’- however, it is inherently about keeping folks safe, alive and holding hope for those who fall through the cracks of mainstream treatment and/or those who simply cannot or do not want to access it. It isn’t sitting back and doing nothing. It is creatively honoring autonomy while exploring strengths, barriers, values, future goals, compassionate witnessing, holding hope, etc. It is often a stepping stone to pursuing recovery, but not always. Sometimes it is survival. We can hold dialect as providers: I want you to recover, I am worried about what happens if you don’t, I will always hold hope for your recovery AND I accept that you are the leader of your life, if this is where you are right now, then I am here to help keep you safe and alive.

Also, I am not against gold standard treatment. Aspects of it have helped me reach meaningful recovery and I use many evidence based modalities and skills with my clients. I am against the idea that the gold standard applies to every one, in every context at all times without any augmenting or nuance.

Thoughts? Tell me below.

(This is for educational purposes only, not individual therapeutic or medical advice).

It’s about the food but it’s not about the food. When I say eating disorder recovery this is what I mean. This is what y...
08/02/2025

It’s about the food but it’s not about the food. When I say eating disorder recovery this is what I mean. This is what you’re fighting for. Don’t give up. One small step at a time and one day you’re a little bit more free inside. ❤️‍🩹

Episode 68 is a very special and tender episode.Listen in to hear my colleague and friend share her vulnerable and impor...
07/29/2025

Episode 68 is a very special and tender episode.
Listen in to hear my colleague and friend share her vulnerable and important story of navigating infertility in a fat body. Sarah shares not only her experience but also her wisdom, ways of coping and resources for anyone else navigating this difficult journey. Infertility is hard enough, but navigating the weight stigma in the medica, is brutal. Episode available on Apple & Spotify.

About Sarah:

Sarah Jane Thomas (she/her) is a licensed therapist who works virtually with folks navigating body image, trauma, and recovery from diet culture. Her California-based practice centers fat liberation, body autonomy, and the kind of therapy that actually honors your whole messy, beautiful self.

Sarah identifies as fat, q***r, neurodivergent—and also happens to be in the middle of a solo fertility journey. So when it comes to talking about weight stigma in the infertility world, she brings both personal and professional truth. She’s passionate about calling out the harm in “weight loss before care” policies and advocating for inclusive reproductive support that doesn’t shame people for their bodies.

She’s also working on something new: Body Rebel Club, a coaching space and community for folks reclaiming body trust on their own terms—open to people anywhere in the world. It’s launching soon, so head to bodyrebelclub.com and follow on Instagram to be the first to know.

*Content from my instagram and podcast is for educational purposes only. It is not meant for individual medical or therapeutic advice.

Reach out via the link in my bio for resources or to become a client!

Much like the “canary in the coal mine”— eating disorders signal that something is wrong, often in the family unit, but ...
07/21/2025

Much like the “canary in the coal mine”— eating disorders signal that something is wrong, often in the family unit, but also the culture. It’s easy to point blame at the person suffering, but we need to look beyond that. What are they signaling? What needs to shift in the entire family system and culture to allow for the person suffering to find greater healing?

Because we can’t control other people, and most definitely can’t control the culture- we somehow have to set the necessary boundaries to opt out, and divest from these roles. This work is hard. It’s grueling. It’s full of grief. But it’s also full of hope. Your ED signaling dysfunction is the first step to creating distance from these dynamics.

Tell me what you think below! And if you’re looking for therapy or recovery coaching, my team would be absolutely honored to support you. Reach out via the link in my bio ✨

*this is IG, not therapy, this is for educational purposes only.

New blog post up on our website! Written by the incredible Reece so eloquently describes what it’s like to actually pro...
07/18/2025

New blog post up on our website! Written by the incredible

Reece so eloquently describes what it’s like to actually provide neuroldiversity affirming therapy- beyond buzzwords and having fidgets in your office. Don’t get me wrong I love fidgets, but neurodiversity affirming therapy is so much more than that. To read the full post check the link in our bio or copy and paste below!

Also- thank you for all the ways your model has transformed the field and how we show up for our clients!

https://www.eatingdisorderocdtherapy.com/blog/beyond-the-buzzwords

Sure, restriction can feel “good” in the short term for someone with an ED. You feel invincible, devoid of human needs (...
07/07/2025

Sure, restriction can feel “good” in the short term for someone with an ED. You feel invincible, devoid of human needs (that perhaps were once dismissed or violated), you receive comments that only reinforce the societal morality attached to self restraint and the pursuit of thinness. It might even lead to increased body privilege if you’re one the of minority that actually loses weight with restrictive eating. However, when deciding if this actually “feels better” we need to look at the long term effects. Things that feel good in the short term do not always reflect our values or add meaning to life. They do not always feel good forever.

Let’s look at the factors that might make it seem like ED behaviors, particularly restriction, “feel good” and what the reality of those behaviors feel like in the long run.

Questions? Comments? ⬇️

*This is meant for educational purposes only- not specific therapeutic or medical advice. If you’re interested in becoming a therapy client, please reach out via the link in my bio!

Less “what’s wrong with you” and more “What happened to you?” and “What systems have hurt you?” ❤️‍🩹Eating Disorder prov...
06/26/2025

Less “what’s wrong with you” and more “What happened to you?” and “What systems have hurt you?” ❤️‍🩹

Eating Disorder providers: make sure you aren’t devaluing the way your client has learned to survive. On the receiving end, when one is so fused to their ED, it can feel like you are devaluing them.

Instead, witness. Listen. Believe. Affirm. Build trust and security in your relationship. Create a solid foundation so they can decide what healing means to them. Challenge your clients, yes. But not before you truly listen.

*This is IG, not therapy. Link in bio to access our free resources or become a client.

This Mother’s Day, I want to shed light on some of the challenges of navigating postpartum as an Eating Disorder survivo...
05/12/2025

This Mother’s Day, I want to shed light on some of the challenges of navigating postpartum as an Eating Disorder survivor. These are just *some* of the things I experienced as triggering as someone with an ED history going through pregnancy and post partum. It’s HARD to continue healing your relationship to your body when navigating so much change and not having much support. I’m so relieved to be in a place of recovery where I can notice the thoughts that creep in and not act on them. This doesn’t make me any better than someone who does act on them, to be clear.

Things that have helped include: processing my feelings, telling safe people about the thoughts and feeling understood not judged, therapy and committing to my values even when it’s incredibly hard.

The sense of losing autonomy over my body has been the hardest to navigate. No one talks about this. We are expected to freely and easily put our needs to the side in parenthood but we need support too! I hope this makes someone out there feel a tiny bit less alone. You’re still exactly what your baby needs even amidst struggle and pain.

Link in bio for free resources and ways my practice can support you 💕

As two therapists, activists but first mothers- we have been thinking about what it means to parent in 2025 under the ri...
03/27/2025

As two therapists, activists but first mothers- we have been thinking about what it means to parent in 2025 under the rise of facism and right wing extremism. How do we stay engaged in activism while taking care of our little ones? How do we remain hopeful for their generation in the face of so much despair and uncertainty? How do we grapple with the immense grief, fear and rage while trying to protect them at the same time? Let’s talk about it. Please share your thoughts on this below, we’d love to hear from you!

*This is IG, not therapy. This is for educational purposes only.

Repost from 🌈Show up for the q***r and trans people in your lives. Don’t assume they’re okay when q***r and trans right...
03/13/2025

Repost from 🌈

Show up for the q***r and trans people in your lives. Don’t assume they’re okay when q***r and trans rights are being attacked from every angle right now. Say more than “I love you no matter what.” That should be a given. Do something. Take action. Use the 5 calls app to call your reps and oppose efforts to dehumanize q***r and trans people. Donate to the ACLU.

Our survival depends on each other. Let’s do this. ❤️

Recovery is HARD. Like the hardest thing I’ve ever done. And it’s a million times harder for those in larger bodies, for...
02/28/2025

Recovery is HARD. Like the hardest thing I’ve ever done. And it’s a million times harder for those in larger bodies, for trans folks, disabled folks and black folks, for those with low access to financial resources, and more. When I say meaningful recovery, I don’t mean “fully recovered.” While I do know it’s possible for some, for many, meaningful recovery feels more like a realistic place to land- given the world we live in that grooms us to hate our bodies.

Meaningful will vary from person to person, you get to decide what works for you. You get to define your journey. No one’s journey’s are the same- yet I’ve noticed some patterns amongst those that have found a place of meaningful recovery- including myself. You’ll notice some of these things require lots of privilege. It’s not accessible to everyone- mainly those of the global majority. And yet, there is still hope. Things like treatment scholarships do exist, check out and .

And- there are shifts we can make and agency we have in finding just a little more peace in our bodies and with food.

Not all of these will apply to everyone. Take what you need and leave the rest. ❤️‍🩹

If you’re looking for support, reach out to my practice! We be honored to be apart of your journey; we have low fee spots open too. Link in bio!

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4036 3rd Avenue
San Diego, CA
92103

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