Eating Disorder Treatment


Lake House Eating Disorders Programs

This program offers individualized treatment for adults age 18+ who are suffering from a variety of eating disorders including anorexia nervosa, bulimia nervosa, compulsive eating, and binge eating disorder. The program is designed to treat co-occurring disorders and problems such as addictions, mood/anxiety disorders, trauma, self-injury and personality disorders. The program is small, no more than 9 clients, to facilitate greater participation. Clients are treated by a comprehensive team comprised of therapists, psychiatric nurse practitioners, physician and nutritionist. The Ranch Eating Disorders Program is unique in its experiential approach as well as a focus on spiritual development. Program elements include:

Eating Disorder Treatment:

  • Direct exposure to food, labels, “fear foods” and “binge foods.”
  • Individualized food plans designed by registered dietician including weekly, hour-long appointments with the dietician
  • Staff-assisted meals and after meals emotional processing
  • Food logs which track amount and type of food and accompanying emotions
  • Mindful eating practices including gentle meals
  • Exposure to a variety of social situations including restaurant meals, group dinners, dessert and dining with other Ranch residents.
  • Weekly body image group and yoga
  • Eating Disorder Anonymous meetings with staff-assisted 12-step work
  • Emphasis on integrating body with mind and spirit
  • Process group therapy, adventure therapy, equine therapy and individual therapy

Trauma Treatment and Self-Injury

  • EMDR, art therapy, psychodrama, Gestalt and sensory therapy
  • Coping skills based on sensate re-focusing including activities designed to replace self-injurious behavior Addictions
  • Education on causes, effects and relationship to eating disorders
  • Alcoholics Anonymous and Narcotics Anonymous meetings
  • 12-step walk and staff-assisted 12-step work
  • Adventure therapy activities focused on cost of addictions, powerlessness, connection to a higher power and personal inventory
  • Relapse analysis

Mood and Anxiety Disorders

  • Psychiatric evaluation and medicine management
  • Psychotropic medications
  • Coping skills to manage debilitating symptoms
  • Education on causes, effects and relationship to eating disorders

Spiritual Development

  • Development of awareness and connection to a Higher Power
  • Shamanic questions
  • Labyrinth
  • Medicine Wheel
  • Native American Ceremonies
  • Sweat Lodge

Learn about The Link Between Sex, Love and Relationship Addiction and Disordered Eating

Extended Care Eating Disorders Program at The Lake House

Extended Care Eating Disorders Program at The Lake HouseIn addition to our regular program, the highlights of our extended care eating disorders program includes:

  • Consultations with nutritionist ED-specific groups focusing on food issues
  • EDA “Eating Disorders Anonymous” 12 step support groups
  • Friday night 12-step Bonfire speaker meeting
  • Presentations of didactic and educational materials designed to assist in ED recovery
  • Guidance for meal preparation
  • Mealtimes supported and monitored
  • Exploration of issues of distorted body image, self worth, perfectionism and control
  • Weekly weighing of clients by staff physician, without client knowledge of weight
  • Specific groups addressing fears, feelings and relationship to food
  • Health, wellness and support for healthy exercise
  • Groups focused in Family of Origin and trauma resolution

Our Eating Disorder Team

Lee Roach

Lee Roach

Courtney Phifer

Courtney Phifer

Our Typical Week

Structured weekly program:

  • Equine-Assisted Psychotherapy
  • Individual psychotherapy
  • Structured metaphor/ Experiential groups
  • Expressive therapies (Art, Music, Writing, Dance)
  • 12 Step Support
  • Adventure/ Ropes therapy
  • Nutritional Counseling
  • Body Image Groups

Adjunct Workshops and Presentations:

  • Tai chi, Yoga and Meditation
  • Healthy Boundaries Groups
  • Art Therapy
  • Native plants for Health and healing
  • Human Energy System
  • The Four Agreements and Toltec teachings
  • Native American Spiritual Paths to Wellness,
    including Sweat Lodge Ceremony
  • Family of Origin Program
  • Equestrian Skills and Riding Instruction


Eating Disorder PhilosiphyAt The Ranch, we believe in the power of Nature to heal. Time for oneself, nurturing care, guidance and structure from skilled helpers balanced with choices for solitude and reflection allow an individual to discover or rediscover a relationship to themselves and their place in the great natural order. In the varied exposure to many kinds of healing and spiritual modalities, the client can experience a new vision of self. As a multi-faceted being, with a new vision freed from the bonds of limiting beliefs and underlying causative factors, the whole person can emerge, embracing one’s true nature, vitality and wholeness.

Equine Therapy and Eating Disorders

Eating Disorder Equine TherapyRound pen work with the horses provide residents with internal experiences in reaction to a horse’s often extreme forms of communication (balking and bolting.) For instance, these behaviors can be seen as freezing or refusing to move (balking) and impulsive, uncontained energy in movement (bolting).

Residents gain insight, self-compassion, and support through their own similar extreme reactions to food and self-esteem issues. The common ‘flight or flight’ mechanism well known in the equestrian world as the horse’s primary survival skill becomes a powerful metaphor for residents with eating disorders.

Dede Beasley, M.Ed.
Licensed Professional Counselor
Equine Assisted Psychotherapist

Adventure Therapy and Eating Disorders

Eating Disoder Adventure TherapyAdventure therapy is a moving way to assist you with connection to people and use of community. Much of the indoor metaphor work assists with increasing introspective work and owning of your issues. Through action and movement, you are reconnected and perhaps reconciled with your body in many animated ways. Principles of recovery from eating disorders emerge during the course in ways that are more apt to lead to an “Oh, so now I get it” experience.

Robert Chapman, MSSW, L.A.D.A.C.
Adventure/Challenge Course Therapist



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Insurance Accepted

Insurance Accepted