Caroline E. Graham, LLC

Caroline, MSW, LCSW, LPHA utilizes evidence-based practices in the assessment & treatment of mental health concerns-Specializing in CPTSD, Dissociation & EDs.

Caroline graduated in May 2017 with a Master's degree in Social Work from Washington University in Saint Louis with an Individualized Concentration in Clinical Mental Health and Research. Caroline is currently working toward licensure under the clinical supervision of Tamara Hoyt, MSW, LCSW, CEDS. Caroline is currently working at Behavioral Health Response as a Crisis Intervention Clinician. She also recently established a business in order to expand professionally (Caroline E. Graham, LLC). Caroline is versed in crisis intervention, behavioral and psychodynamic approaches and evidence-based practices for the treatment of trauma and eating disorders. Caroline primarily utilizes a person-centered, strengths-based, integrative approach in practice. As a student, Caroline's research and clinical education have surrounded focuses on the treatment of trauma, "complex" trauma, dissociative disorders and eating disorders including course work in the psychodynamic treatment of trauma, Trauma-Focused Cognitive Behavior Therapy, Prolonged Exposure Therapy, and the impact of trauma on sexual and interpersonal relationships. She completed a research-oriented foundation practicum in the Department of Anthropology under Associate Professor and psychotherapist, Dr. Rebecca Lester. Her concentration practicum was at the Schiele Clinic at St. Louis Psychoanalytic Institute. Caroline is active with a number of eating disorder organizations and is passionately involved in policy-making, research, education, outreach, and fundraising, and holds professional memberships through a number of international, national, and community organizations. Caroline has a Bachelor's degree in psychology with prior clinical experience working with individuals with eating disorders, personality disorders, developmental disabilities, substance use disorders and mental illness.

Mission: 1. To raise awareness and provide education surrounding mental health disorders, specifically, trauma related disorders & phenomenon and eating disorders. 2. To provide hope and healing for those with mental health diagnoses. 3. To aid in the de-stigmatization of mental health disorders in the community, within the field of mental health and within the medical community. 4. To contribute to an enhanced understanding of trauma-related disorders and eating disorders through research and clinical practice. 5. To engage in networking that facilitates a treatment-team oriented approach across disciplines.

#Repost @laura.iu with @make_repost
Yes that’s right - 8 slices of bread.
When R came home a few weeks ago and told me that the Surgical ICU turned into a covid unit - I thought a lot about the covid patients who had been vented (relying on a machine to breathe) and would be depending on getting their nutrition via a tube - when I worked there, that was my unit + my team.. you can clearly see where my mind wanders in the after hours 🙃
Anyway, a golden principle is to never prescribe anything less than, what is equivalent to the carbohydrates in 8 slices of bread. Anything less than this and the body begins to break down muscle for energy.
I’m sharing this because these recommendations are for someone who is laying in a bed.
Now imagine someone who is moving about in the world.
Your body is no different.
In fact, your body likely needs more!!
The next time you hear that carbs are “bad” - ask yourself is this rooted in science or is this another fearmongering message from diet culture?
I would bet that it’s the latter.
It’s ok to eat more than an open faced sandwich.
It’s ok to eat carbs for more than 1 meal.
It’s ok if most of what you ate today was carbs.
It’s ok. It’s ok. It’s ok.

Caroline E. Graham, LLC's cover photo

‘Doctors Dismissed My Anorexia Because I Wasn’t Underweight’

“Finally, when a relapse in 2018 left me near cardiac and kidney failure, I checked myself into an eating disorders hospital. There, I learned I was one among millions of people who fall into a diagnostic subcategory called atypical anorexia (which was added to the latest edition of Diagnostic and Statistical Manual of Mental Disorders, a.k.a. the bible of psychiatry). Because we look bigger—we might even qualify as overweight on a medical chart—we’re often diagnosed later, because doctors don’t take us seriously. And despite being heavier, the problems we develop from anorexia—low pulse rate and low blood pressure, brittle bones, cardiac and kidney problems, even risk of early death—are just as severe. Yep, identical disorder, same complications, same challenges…but in a different group because our bodies send mixed messages. “ “It can fill you with shame, even terror, to reveal a mental disorder like this to a medical professional when you don’t think you look sick enough.”

Perspective | Thinking about your weight? What you might be getting wrong about the Health at Every Size approach.

“Many Americans are worried about the effect that eating too much and exercising too little during quarantine is having on their weight. That makes it a good time to take a look at the Health at Every Size (HAES) movement. Its goal is to define health in a more inclusive way — by eliminating weight stigma, respecting size diversity and improving access to health care for everyone — and some dietitians see it as an especially helpful approach during the pandemic.” Three myths about the movement, which seeks to reduce the stigma surrounding fat.

Opinion | COVID-19 diet memes prove we never stop hating our bodies — even in isolation Diet culture is so ingrained in how we view ourselves and others that even when we’re alone, with no one to “impress,” we are measuring our bodies.

Being FAT

#Repost @beauty_redefined
Don’t lose out on life while you’re waiting to lose weight! When aspirational weight loss ideas creep in, work toward experience-related goals instead. Hitting weight or size goals doesn’t guarantee a sense of confidence, accomplishment or improved health & fitness. You deserve to show up in your life right now, as you are, without waiting.
✖️Look no further than the way your mom talks about her body or the lack of body diversity on TV to see how normal it is to want to lose weight. It’s SO HARD to not fear fat when studies show fat people are discriminated against at work, in doctor’s offices, and on the street, and fat women face even greater stigma than men. It’s SO HARD to not have a weight loss goal when you’re told your weight determines your health, when thinness is upheld as the only normal/desirable way of being, and when loved ones tell you you’d be prettier if you lost weight.🤨But do you know what’s EVEN HARDER? Waiting to LIVE until your body hits a goal weight or size. You deserve to live right now. You deserve to experience life as you are.
✖️When you feel a desire to lose weight, dig deeper. What do you REALLY want? 🏃🏽‍♀️Do you want to be able to hike w/o getting stressed and out of breath, so you can actually enjoy it? Then start walking, lifting weights, doing lunges. 🏊🏼‍♀️Do you want to go to the pool this summer with your friends or family? Find a swimsuit that fits, and throw on board shorts or a rash guard if you’d like. Just swim. 🙋🏾‍♀️Do you want to feel sexier during intimate moments with your partner? Remind yourself that your sexuality can’t be viewed — it is your own. Focus on how you feel and your connection with your partner instead of what you think they are thinking when they see you. You’ll feel much sexier and more connected to yourself and them.
✖️We want you to experience life. Prove that setting experience-related goals will bring you much more confidence and happiness than weight & size goals ever could. Those numbers change all the time, but your experiences won’t ever be taken from you. You are more than a body. Prove it to yourself. #morethanabody #seemorebemore

My Body Should Not Be Your New Favorite Coronavirus Quarantine Punchline — HuffPost

Yes! Worth reading the whole article!

“In a time when we’re consuming media at record rates, there has also been an uptick in weight loss ads, frantic calls for us to begin home fitness routines, “The Biggest Loser” marathons and, of course, memes poking fun at the “Quarantine 15.”
The latter seems to be not only the most ubiquitous but also potentially the most harmful. Even friends I feel should know better are sharing “fat beach body” memes, counting calories or joking about “binging” on quarantine snacks, all during a period when we should just be grateful for life and focused on beating the coronavirus. (Please note that an extra scoop of ice cream is not “binging” and to suggest it is makes light of a real disease. Those with actual binge or bulimia disorders should seek professional help.)
It’s interesting to see that even in a pandemic, what a lot of folks are most afraid of is looking like me. As plus-size women have recently railed against the fat-shaming quarantine memes, we’ve been met with the same refrain: “Lighten up.” But it’s hard to take these memes as “harmless jokes” when you know that they’re perpetuating diet culture and may be fueling existing eating disorders or triggering women and men in recovery to relapse. “ "Even friends I feel should know better are sharing 'fat beach body' memes, counting calories or joking about 'binging' on quarantine snacks."

Body Politics with Dr. Maria Paredes

I can tell you as a Certified Eating Disorders Specialist, as a person in recovery, as a therapist still seeing folks in recovery via telehealth, as a therapist still seeing folks who are fat, and as a person whose (bullsh*t, not based in science) BMI is obese, it is harmful to folks.
Is it helpful to move your body right now if it’s accessible to you? Yes, during a state of isolation and forced restriction, IF it’s accessible to you, moving your body somehow will have benefits for your brain, emotions, and health.
BUT/AND, equally important are rest, compassion, flexibility, AND FEEDING YOURSELF plenty of food, perhaps even more than normal right now. Your immune system needs to be one that is nourished, not restricted. Your body needs movement that is kind and gentle (which includes being still), not excessive or punishing.

From @save_the_kales

[03/25/20]   Author- Unknown

The difference between
Being thin and having an eating disorder
is that eating disorders know how to fire
in plain sight and stay hidden,
whereas being thin is conspicuous.

This is applauded, upheld
for adulation and praised as beautiful.
And if you smile and skip lunch again
no one is going to notice
the war inside your body yet.

People ask questions,
but no one asks the right questions.
Who knew ‘How are you so skinny?’
instead of ‘When was the last time you ate?’
could be the difference between

Getting help and nearly dying.
You reconcile yourself with
Not being able to sleep on your side
anymore because your hip bones
cut into your skin with ‘at lest I am skinny.’

At some point you start making lists
called ‘reasons why I must eat’.
But still you keep falling backwards whenever you see someone thinner than you
and the villain once again pierces your mind.

You remind yourself,
‘Hunger is my friend.
Hunger is not making me stronger.
Hunger does not love me.’
A helpless chant as it rips through your brain.

At some point someone notices,
it’s usually a parent,
it’s predominantly a mother.
Finally someone understands
you are trying to kill your self to look pretty.

This means hospital trips and therapy
and not looking into the mirror
to see monsters anymore.
But it also means seeing your mother cry.
Nothing can ever prepare you for that.

Your body asks you, ‘Why do you hate me?’
And you have no more answers to give it.
Only exhaustion and apologies.
Your body says, ‘Will you love me now?’
And you know recovery means saying ‘Yes.’

But the hunger... it is still there.
It sits inside you waiting.
Like a toxic relationship,
it informs you coolly
it is not going anywhere.

This is what it means to defeat
an eating disorder, you take out
a restraining order against it
but prepare yourself for the worst
by not relying on it.

And even when someone thinner
walks by, remind yourself
how beautiful you are
without feeding tubes
pumping food into your veins.

Recovery means actually
believing that your body
weight is your kindness
and your resilience and your talents
instead of numbers on a scale.

But recuperation means different things
to unalike people.
It means survival to some.
It means healing to others.
And to others still it just means alive.

What to Do If COVID-19 Health Guidelines Are Triggering Your Anxiety or OCD

“1. Limit your news and updates to ONE verified, trusted source (such as the WHO if international, and the CDC if in the United States).

2. Put a time limit on how long you spend looking at this trusted source, including the number of times you consult them per day.

Focus on the facts these sources are telling you, rather than emotions you or others may be feeling about them.
3. Avoid searching online, media sourcing or having conversations throughout the day around the virus as this will cause increased anxiety that may lead to panic.

4. Give yourself permission to set a basic safety plan based on the recommendations of trusted health organizations, and do not add to it:

Disinfect surfaces once a day.
Wash your hands with soap and water for 20 seconds after being outside or in public, before eating and after you’ve coughed/sneezed/blown your nose. If soap and water are not available to you, use hand sanitizer that contains at least 60% alcohol.
If you want to do more than this, pick a person to help you figure out what might be a reasonable and rational safety measure to take.
Engage in quarantine if recommended by a credible source (CDC or WHO) due to your level of exposure.
5. Stick to (or create new) healthy habits — exercise, good nutrition and quality sleep are all helpful things for both your mental and physical health.

6. Take breaks and allow yourself to do things you enjoy.

7. Maintain your daily routines as much as possible, and take comfort in them.

8. If you are currently in treatment, stay in treatment and talk about COVID-19 with your provider and how it may be affecting you.

If you are not currently in treatment, live with OCD and are experiencing increased symptoms, consider reaching out and getting connected to someone. The IOCDF’s Resource Directory is an excellent place to start, and you are welcome to call or email The Peace of Mind Foundation if you need help navigating it.” "For many of us living with a mental health condition, the current situation may be worsening or intensifying your symptoms."

Beating Eating Disorders

We wanted to take a moment to acknowledge the current state of our world. This is a scary and difficult time for everyone. For all of you struggling, whether it be with your eating disorder, depression, anxiety, or just overall fear, we hear you, we see you, and we are with you. In the midst of this chaos, it can be easy to fall into old patterns and behaviors. That urge, those thoughts, that’s normal. It’s normal to want to turn to something that once offered you control and/or a sense of safety. Remember, you can have those urges and thoughts AND not engage in them. You can want that sense of control or safety AND recognize that it is not worth all the distress it brings. This is obviously easier said than done. And, if you do notice yourself struggling more or engaging in behaviors, we encourage you to have compassion for yourself. We hope you can reach out and lean on people and/or things in your life that bring you love, comfort, and support. We are here and we will get through this together.

The Coronavirus Outbreak Is “Like A Nightmare” For People With Eating Disorders “Eating disorders do thrive in silence. This is kind of like the perfect storm for that silence to get as loud as humanly possible.”

I Tried Intuitive Eating and It’s Definitely Not as Intuitive as It Sounds The experience has been both transformative and harder than I expected.

The Hope Chest

Love it! 💜

If You're Happy And You Know It A meme a day keeps the doctor away

Eating Recovery Center

For anyone who exercises, it’s important to ask ourselves broadly: Are there any negative consequences occurring from the exercise for which we are completing? Read more today.

We Need To Love ALL Addicts The Way We Love Famous Addicts Famous addicts aren't the only ones who deserve our recognition and support.

The American Academy Of Pediatrics On Spanking Children: Don't Do It, Ever. According to the AAP, research shows that spanking is harmful to child development in the long run. The AAP also says to avoid nonphysical punishment that is humiliating, scary or threatening.

It’s lazy medicine

Beating Eating Disorders

You deserve much better. Keep on fighting!

Reimagining Recovery

Strong people of all genders, I might add.

Positive Vibes

Nettleham Police

Alcohol Is Killing More People Than The Opioid Epidemic. But Why Aren’t We Talking About It?

In recent years, we have been hearing a lot about the opioid epidemic that is sweeping the nation. The Center for Disease Control reported that over 47,000 people died in the United States alone from an opiate overdose in 2017, that is almost 5 times the amount of deaths caused by opiates in 1999. This is important, and yes it is good this is getting the attention that it deserves. However, in the same year, an estimated 88,000 people died from alcohol related causes — Did anyone hear about that? In recent years, we have been hearing a lot about the opioid epidemic that is sweeping the nation. The Center for Disease Control reported that over 47,000 people died in the United States alone from an opiate overdose in 2017, that is almost 5 times the amount of deaths caused by opiates in 1999. T...

Our Story

Caroline holds clinical licensure as a social worker in both Missouri and Illinois with additional post-graduate training in the assessment, treatment, and medical management of eating disorder populations. She is skilled in crisis intervention, behavioral and psychodynamic approaches and evidence-based practices for the treatment of trauma, eating disorders, and personality disorders. Caroline primarily utilizes a person-centered, strengths-based, feminist, integrative approach in practice. As a clinician Caroline's specialities include crisis intervention, complex trauma, dissociative disorders, personality disorders, and eating disorders. Her clinical practices include structured integrative techniques encompassing both behavioral and psychodynamic treatments. She utilized modalities including Dialectical Behavioral Therapy, Cognitive Behavioral Therapy, Applied Behavior Therapy, Interpersonal Psychotherapy, Trauma-Focused Cognitive Behavior Therapy, Prolonged Exposure Therapy, and Motivational Interviewing. She completed a research-oriented foundation practicum in the Department of Anthropology at Washington University in St. Louis under Associate Professor and psychotherapist, Dr. Rebecca Lester where she assisted with research and writing related to eating disorders, the treatment of eating disorders, and managed care. Her concentration practicum was at the Schiele Clinic at St. Louis Psychoanalytic Institute where she conducted individual therapy with a small caseload (average 8 clients) of clients struggling with symptoms of depression, anxiety, bipolar disorder, PTSD, disordered eating, and personality disorders. Caroline assisted these clients in resolving symptoms, building coping skills, grief resolution, and building interpersonal skills. Caroline is passionately involved in policy-making, research, education, outreach, and fundraising, and holds professional memberships with a number of international, national, and community organizations. She is also engaged in freelance writing, professional blogging, and academic writing.

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St. Louis, MO

Opening Hours

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