Eating Disorders Nutritionists and Dietitians in Skagit County, WA

Photo of Morgan McDonnell, Nutritionist/Dietitian, RD
Morgan McDonnell
Nutritionist/Dietitian, RD
1 Endorsed
Online Only
Solid food introduction/Baby led weaning, Picky eating, Adolescent and Adult Eating Disorders, Athletes, Body Image
When I work with clients, I like to think that I offer a compassionate and non judgmental environment where we can explore what individual goals might look like and discover barriers to getting there. I focus on building confidence and comfortability at the eating experience instead of fear and anxiety. I use an anti diet, HAES aligned approach. If I help clients learn one thing, I hope that it might be: Fear has no place at the dinner table anymore!
Solid food introduction/Baby led weaning, Picky eating, Adolescent and Adult Eating Disorders, Athletes, Body Image
When I work with clients, I like to think that I offer a compassionate and non judgmental environment where we can explore what individual goals might look like and discover barriers to getting there. I focus on building confidence and comfortability at the eating experience instead of fear and anxiety. I use an anti diet, HAES aligned approach. If I help clients learn one thing, I hope that it might be: Fear has no place at the dinner table anymore!
(360) 516-4653 View (360) 516-4653
Photo of Karl Mincin, Nutritionist/Dietitian, BS, MS
Karl Mincin
Nutritionist/Dietitian, BS, MS
Mount Vernon, WA 98273
With 40 years clinical experience, the spectrum of my professional nutrition services range from basic nutrition counseling/education for those who simply want to improve their diet & lifestyle, on up to therapeutic nutritional support for specific health conditions - everything from indigestion to cancer (see list of specialties below). A functional medicine nutrition approach seeks to identify & resolve the root cause. Professional nutrition services determine your personal health profile. One size does not fit all. Anyone can sell you vitamins, few can tell you precisely which nutrients best meet your actual, individual need.
With 40 years clinical experience, the spectrum of my professional nutrition services range from basic nutrition counseling/education for those who simply want to improve their diet & lifestyle, on up to therapeutic nutritional support for specific health conditions - everything from indigestion to cancer (see list of specialties below). A functional medicine nutrition approach seeks to identify & resolve the root cause. Professional nutrition services determine your personal health profile. One size does not fit all. Anyone can sell you vitamins, few can tell you precisely which nutrients best meet your actual, individual need.
(360) 228-2882 View (360) 228-2882

Online Dietitians and Nutritionists

Photo of Julia Hollenberg, Nutritionist/Dietitian, RD
Julia Hollenberg
Nutritionist/Dietitian, RD
Seattle, WA 98109
If you're feeling like you're losing a longstanding battle with your body, or perhaps your constant attempts to control food end up feeling like food is controlling you, you are not alone. You do not have to live a life that is limited by food rules, even if they're in the name of health. You do not have to live in constant worry about what others will think of your body. Learn to release ruminating on food & body and free up your precious mental & emotional capacity! And get support if you're on GLP-1 medication to avoid unintended consequences from malnutrition. Let food SUPPORT your innate goodness & beauty, not deplete you.
If you're feeling like you're losing a longstanding battle with your body, or perhaps your constant attempts to control food end up feeling like food is controlling you, you are not alone. You do not have to live a life that is limited by food rules, even if they're in the name of health. You do not have to live in constant worry about what others will think of your body. Learn to release ruminating on food & body and free up your precious mental & emotional capacity! And get support if you're on GLP-1 medication to avoid unintended consequences from malnutrition. Let food SUPPORT your innate goodness & beauty, not deplete you.
(206) 792-1073 View (206) 792-1073
Photo of Cynthia Angulo - Retrospect Nutrition Counseling, Nutritionist/Dietitian, RDN, CD
Retrospect Nutrition Counseling
Nutritionist/Dietitian, RDN, CD
Online Only
Helping you leave diet culture behind so that you can folks on all of the moving parts of food/eating! In nutrition counseling sessions with me you can expect: guidance with gaining autonomy and confidence with food choices, collaborative and individualized nutrition care, zero weight-loss recommendations, and support with demystifying nutrition information.
Helping you leave diet culture behind so that you can folks on all of the moving parts of food/eating! In nutrition counseling sessions with me you can expect: guidance with gaining autonomy and confidence with food choices, collaborative and individualized nutrition care, zero weight-loss recommendations, and support with demystifying nutrition information.
(206) 495-6133 View (206) 495-6133
Photo of Maria Isabel Ramirez Zamora - Holistika Nutrition and Wellness, Nutritionist/Dietitian, MS, CN, CNSc
Holistika Nutrition and Wellness
Nutritionist/Dietitian, MS, CN, CNSc
Online Only
At Holistika Nutrition & Wellness, our clinic provides compassionate, evidence-based nutrition care for individuals seeking to understand and heal the root causes of their health concerns. We specialize in supporting women through hormonal changes, PCOS, pregnancy, postpartum recovery, and menopause, as well as adults managing diabetes, high cholesterol, metabolic syndrome, and gut health concerns. Our team of dietitians and nutritionists offers clarity, balance, and sustainable guidance tailored to your unique health journey.
At Holistika Nutrition & Wellness, our clinic provides compassionate, evidence-based nutrition care for individuals seeking to understand and heal the root causes of their health concerns. We specialize in supporting women through hormonal changes, PCOS, pregnancy, postpartum recovery, and menopause, as well as adults managing diabetes, high cholesterol, metabolic syndrome, and gut health concerns. Our team of dietitians and nutritionists offers clarity, balance, and sustainable guidance tailored to your unique health journey.
(206) 457-1558 View (206) 457-1558
Photo of Riley Smith, Nutritionist/Dietitian, RDN, CD
Riley Smith
Nutritionist/Dietitian, RDN, CD
1 Endorsed
Online Only
Riley specializes in eating disorders ( bulimia nervosa, anorexia nervosa, binge eating disorder, ARFID, orthorexia, other specified feeding and eating disorder), sports nutrition, digestive health, nutrition for dancers and aerial artists, adolescent and pediatric nutrition, women’s health (PCOS, menstrual disorders, menopause, amenorrhea, pregnancy, lactation), lifestyle nutrition, and intuitive eating.
Riley’s approach is grounded in health at every size and Intuitive Eating. Riley uses a holistic approach to recovery and wellbeing to provide respectful care and collaboration with her clients utilizing evidence-based medical nutrition therapy, nutrition education, food exposure challenges, goal setting, coordinating care, and integrating family into care.
Riley specializes in eating disorders ( bulimia nervosa, anorexia nervosa, binge eating disorder, ARFID, orthorexia, other specified feeding and eating disorder), sports nutrition, digestive health, nutrition for dancers and aerial artists, adolescent and pediatric nutrition, women’s health (PCOS, menstrual disorders, menopause, amenorrhea, pregnancy, lactation), lifestyle nutrition, and intuitive eating.
Riley’s approach is grounded in health at every size and Intuitive Eating. Riley uses a holistic approach to recovery and wellbeing to provide respectful care and collaboration with her clients utilizing evidence-based medical nutrition therapy, nutrition education, food exposure challenges, goal setting, coordinating care, and integrating family into care.
(425) 584-5940 View (425) 584-5940
Photo of Sydney Carroll, Nutritionist/Dietitian, RD, CD
Sydney Carroll
Nutritionist/Dietitian, RD, CD
Seattle, WA 98103
It is my mission to support those that are ready to choose themselves and their healing. Your intentions and goals will guide us our way to your body liberation and healing. I trust your experience as the expert of your own body and will work by your side bringing my nutrition expertise to the table. My work is weight neutral, meaning that we will work towards your health and healing goals without centering or suggesting weight loss. I will also never suggest food restriction.
It is my mission to support those that are ready to choose themselves and their healing. Your intentions and goals will guide us our way to your body liberation and healing. I trust your experience as the expert of your own body and will work by your side bringing my nutrition expertise to the table. My work is weight neutral, meaning that we will work towards your health and healing goals without centering or suggesting weight loss. I will also never suggest food restriction.
(425) 321-3833 View (425) 321-3833
Photo of Vivianne Swart, Nutritionist/Dietitian, MPH, RDN, CD
Vivianne Swart
Nutritionist/Dietitian, MPH, RDN, CD
10 Endorsed
Online Only
I’m best suited for people seeking flexible, realistic support for cancer prevention or survivorship, chronic conditions (like CKD, diabetes, GI disorders), eating disorders, or women’s health and hormone transitions—who want sustainable change and a more supportive relationship with food.
I offer integrative, functional nutrition care grounded in Health at Every Size (HAES). Our work will be collaborative, compassionate, and evidence-based, focused on identifying root contributors and creating achievable plans that support health and quality of life across all stages.
I’m best suited for people seeking flexible, realistic support for cancer prevention or survivorship, chronic conditions (like CKD, diabetes, GI disorders), eating disorders, or women’s health and hormone transitions—who want sustainable change and a more supportive relationship with food.
I offer integrative, functional nutrition care grounded in Health at Every Size (HAES). Our work will be collaborative, compassionate, and evidence-based, focused on identifying root contributors and creating achievable plans that support health and quality of life across all stages.
(206) 312-4466 View (206) 312-4466
Photo of Marissa Beck, Nutritionist/Dietitian, MS, RDN
Marissa Beck
Nutritionist/Dietitian, MS, RDN
2 Endorsed
Online Only
I’m Marissa Beck, a non-diet dietitian specializing in eating disorders, weight concerns, and sports nutrition.
Whether you’re navigating binge or emotional eating, or concerns about weight, or seeking support for your child, I provide practical, evidence-based guidance. My approach is compassionate, judgment-free, and rooted in science, so you can feel more at peace with food and your body.
I’m Marissa Beck, a non-diet dietitian specializing in eating disorders, weight concerns, and sports nutrition.
Whether you’re navigating binge or emotional eating, or concerns about weight, or seeking support for your child, I provide practical, evidence-based guidance. My approach is compassionate, judgment-free, and rooted in science, so you can feel more at peace with food and your body.
(206) 483-2365 View (206) 483-2365
Photo of Jacklyn Jensen, Nutritionist/Dietitian, RDN, CD
Jacklyn Jensen
Nutritionist/Dietitian, RDN, CD
10 Endorsed
Online Only
While my journey in dietetics began with a focus on eating disorders, it has naturally grown to include gastrointestinal concerns like constipation, diarrhea, and IBS.
Whether you've been caught in the endless scroll of "eat this, not that" articles or constantly feel like you're falling short with your eating habits, my job is to help you cut through the noise and break things down into manageable, realistic steps. Together, we will work toward a way of eating that truly supports you without sacrificing your relationships, hobbies, or overall joy in life. My approach to nutrition counseling is rooted in curiosity and compassion. Your habits around food are unique to your experiences and upbringing. The healing goes far beyond just counting calories and hitting goal weights.
While my journey in dietetics began with a focus on eating disorders, it has naturally grown to include gastrointestinal concerns like constipation, diarrhea, and IBS.
Whether you've been caught in the endless scroll of "eat this, not that" articles or constantly feel like you're falling short with your eating habits, my job is to help you cut through the noise and break things down into manageable, realistic steps. Together, we will work toward a way of eating that truly supports you without sacrificing your relationships, hobbies, or overall joy in life. My approach to nutrition counseling is rooted in curiosity and compassion. Your habits around food are unique to your experiences and upbringing. The healing goes far beyond just counting calories and hitting goal weights.
(206) 984-8687 View (206) 984-8687
Photo of Ashley Fitzgerald, Nutritionist/Dietitian, RD, RDN
Ashley Fitzgerald
Nutritionist/Dietitian, RD, RDN
6 Endorsed
Online Only
I’m a plant-based dietitian and nutritionist specializing in vegan and vegetarian diets. Having lived plant-based and gluten-free for over ten years, I understand both the benefits and the challenges of this lifestyle. Through personalized Zoom consultations, I provide support ranging from nutrition counseling to custom meal plans. My services cover weight management, balanced eating, meal prep strategies, and more specific areas such as sports nutrition, digestive health, pregnancy, and menopause. Every consultation is tailored to your goals, lifestyle, and needs so that you can save time and feel confident in your choices.
I’m a plant-based dietitian and nutritionist specializing in vegan and vegetarian diets. Having lived plant-based and gluten-free for over ten years, I understand both the benefits and the challenges of this lifestyle. Through personalized Zoom consultations, I provide support ranging from nutrition counseling to custom meal plans. My services cover weight management, balanced eating, meal prep strategies, and more specific areas such as sports nutrition, digestive health, pregnancy, and menopause. Every consultation is tailored to your goals, lifestyle, and needs so that you can save time and feel confident in your choices.
(832) 653-9698 View (832) 653-9698
Photo of Sophia Tasler, Nutritionist/Dietitian, RDN, CD
Sophia Tasler
Nutritionist/Dietitian, RDN, CD
Puyallup, WA 98372
Do you feel trapped in the cycle of dieting, wondering if ease with food and your body is possible? You may feel overwhelmed by body pressures, frustrated by confusing health advice, or unsure how to eat in a way that feels good. You’re not alone. In our work, we ease the stress around food, ditch the body shame, and help you feel more aligned in your choices. Imagine enjoying meals without fear, trusting your body’s signals, and having more vitality for daily life. Whether you’re managing health concerns, recovery from an eating disorder, or simply tired of dieting, our work will build ease, confidence, and lasting self-compassion.
Do you feel trapped in the cycle of dieting, wondering if ease with food and your body is possible? You may feel overwhelmed by body pressures, frustrated by confusing health advice, or unsure how to eat in a way that feels good. You’re not alone. In our work, we ease the stress around food, ditch the body shame, and help you feel more aligned in your choices. Imagine enjoying meals without fear, trusting your body’s signals, and having more vitality for daily life. Whether you’re managing health concerns, recovery from an eating disorder, or simply tired of dieting, our work will build ease, confidence, and lasting self-compassion.
(253) 231-7834 View (253) 231-7834
Photo of Alexis Swartz, Nutritionist/Dietitian, RDN, MS, CD
Alexis Swartz
Nutritionist/Dietitian, RDN, MS, CD
10 Endorsed
Online Only
I’m a registered dietitian with a passion for helping people build a healthier, more peaceful relationship with food—whether that means supporting recovery from eating disorders, fine-tuning performance nutrition for athletes, or diving into the latest nutrition research.
My approach is compassionate, evidence-based, and grounded in the belief that all bodies are worthy of care. I’ve worked in a wide range of settings - from treatment centers and university athletics to labs and lecture halls - which gives me a unique lens on how nutrition, psychology, and performance intersect.
I’m a registered dietitian with a passion for helping people build a healthier, more peaceful relationship with food—whether that means supporting recovery from eating disorders, fine-tuning performance nutrition for athletes, or diving into the latest nutrition research.
My approach is compassionate, evidence-based, and grounded in the belief that all bodies are worthy of care. I’ve worked in a wide range of settings - from treatment centers and university athletics to labs and lecture halls - which gives me a unique lens on how nutrition, psychology, and performance intersect.
(206) 693-4885 View (206) 693-4885
Photo of Nataly Nislow, Nutritionist/Dietitian, MS, CNS, CN
Nataly Nislow
Nutritionist/Dietitian, MS, CNS, CN
Online Only
Nataly Nislow is a Certified Nutrition Specialist and Certified Intuitive Eating Counselor specializing in supporting individuals navigating the complexities of eating disorders, disordered eating, intuitive eating, body acceptance, and recovery from chronic dieting.
Nataly strives to assist clients in reconnecting to their inner body wisdom, rediscovering internal body cues, rebuilding body trust, and establishing a healthy relationship with food and their bodies. She also incorporates engaging activities such as grocery store tours and therapeutic cooking lessons and enjoys collaborating with the client's care team.
Nataly Nislow is a Certified Nutrition Specialist and Certified Intuitive Eating Counselor specializing in supporting individuals navigating the complexities of eating disorders, disordered eating, intuitive eating, body acceptance, and recovery from chronic dieting.
Nataly strives to assist clients in reconnecting to their inner body wisdom, rediscovering internal body cues, rebuilding body trust, and establishing a healthy relationship with food and their bodies. She also incorporates engaging activities such as grocery store tours and therapeutic cooking lessons and enjoys collaborating with the client's care team.
(425) 230-6029 View (425) 230-6029
Photo of Dilbar Murtazina - Nutrition and Wellness Institute, Nutritionist/Dietitian, MD(RU), MS, CN
Nutrition and Wellness Institute
Nutritionist/Dietitian, MD(RU), MS, CN
Bellevue, WA 98004
Hello, I'm Dr. Murtazina - welcome to my practice! I offer advanced nutrition services based on medical and holistic functional approach. My goal is to help clients achieve the best health and wellness, while maintaining enjoyable relationship with food.
Hello, I'm Dr. Murtazina - welcome to my practice! I offer advanced nutrition services based on medical and holistic functional approach. My goal is to help clients achieve the best health and wellness, while maintaining enjoyable relationship with food.
(425) 610-9883 View (425) 610-9883
Photo of Kate Webb, Nutritionist/Dietitian, BS, RDN, LD
Kate Webb
Nutritionist/Dietitian, BS, RDN, LD
Online Only
I specialize in eating disorders, disordered & emotional eating, sports/active lifestyle nutrition, prenatal/postpartum, weight concerns, menu and meal planning, and health concerns related to nutrition.
NOTE: the best way to reach me/schedule is via email as my office hours are limited. I will work with you to develop healthy eating behaviors that will help you improve your health while also building a positive relationship with food. I take an individualized and longevity-focused approach working with my clients to ensure that they feel confident with their nutrition for the long haul. I do not believe in "quick fix" diets. All the work I do with my clients is sustainable and realistic, providing them knowledge and confidence throughout all seasons of life.
I specialize in eating disorders, disordered & emotional eating, sports/active lifestyle nutrition, prenatal/postpartum, weight concerns, menu and meal planning, and health concerns related to nutrition.
NOTE: the best way to reach me/schedule is via email as my office hours are limited. I will work with you to develop healthy eating behaviors that will help you improve your health while also building a positive relationship with food. I take an individualized and longevity-focused approach working with my clients to ensure that they feel confident with their nutrition for the long haul. I do not believe in "quick fix" diets. All the work I do with my clients is sustainable and realistic, providing them knowledge and confidence throughout all seasons of life.
(360) 300-8951 View (360) 300-8951
Photo of Ash Linxwiler, Nutritionist/Dietitian, MPH, RD, CD
Ash Linxwiler
Nutritionist/Dietitian, MPH, RD, CD
Online Only
Hi. I'm Ash! I'm here to help make eating feel less challenging. In our sessions, I focus on understanding the complex and unique struggles each patient is experiencing to help guide them towards sustainable and manageable solutions to last a lifetime. My approach is neuro-affirming and weight inclusive. This approach can be particularly beneficial for patients who are neurodivergent (ADHD/Autism/OCD/SPD) and those with auto-immune conditions. I have experience treating patients with all manner of disease states including diabetes, digestive disorders, heart disease, and kidney disease.
Hi. I'm Ash! I'm here to help make eating feel less challenging. In our sessions, I focus on understanding the complex and unique struggles each patient is experiencing to help guide them towards sustainable and manageable solutions to last a lifetime. My approach is neuro-affirming and weight inclusive. This approach can be particularly beneficial for patients who are neurodivergent (ADHD/Autism/OCD/SPD) and those with auto-immune conditions. I have experience treating patients with all manner of disease states including diabetes, digestive disorders, heart disease, and kidney disease.
(253) 465-4975 View (253) 465-4975
Photo of Dr. Cristen Harris, Nutritionist/Dietitian, PhD, RDN, CEDS, CSSD, CEP
Dr. Cristen Harris
Nutritionist/Dietitian, PhD, RDN, CEDS, CSSD, CEP
Online Only
Dr. Harris (she/her) is passionate about empowering clients to nourish the joy in eating, feeding, and moving. Dr. Harris' weight-neutral and trauma-informed approach to counseling, education, and parenting are grounded in the evidence-based Eating Competence model that incorporates flexibility, attunement, trust, and embodiment in eating and moving.
Dr. Harris (she/her) is passionate about empowering clients to nourish the joy in eating, feeding, and moving. Dr. Harris' weight-neutral and trauma-informed approach to counseling, education, and parenting are grounded in the evidence-based Eating Competence model that incorporates flexibility, attunement, trust, and embodiment in eating and moving.
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Photo of Jill Kott, Nutritionist/Dietitian, RDN, CD
Jill Kott
Nutritionist/Dietitian, RDN, CD
Online Only
I provide compassionate, evidence-based nutrition care to support individuals recovering from eating disorders such as Anorexia Nervosa, Bulimia Nervosa, Binge Eating, ARFID (Avoidant/Restrictive Food Intake Disorder), and OSFED (Other Specified Feeding or Eating Disorder).
I am passionate about empowering clients to break free from rigid food rules and find a way of relating to food and body that fosters trust, balance, and recovery. My approach prioritizes compassionate, personalized care in a safe and judgment-free space where your story is valued, and you feel empowered to make meaningful progress.
I provide compassionate, evidence-based nutrition care to support individuals recovering from eating disorders such as Anorexia Nervosa, Bulimia Nervosa, Binge Eating, ARFID (Avoidant/Restrictive Food Intake Disorder), and OSFED (Other Specified Feeding or Eating Disorder).
I am passionate about empowering clients to break free from rigid food rules and find a way of relating to food and body that fosters trust, balance, and recovery. My approach prioritizes compassionate, personalized care in a safe and judgment-free space where your story is valued, and you feel empowered to make meaningful progress.
(425) 382-8979 View (425) 382-8979
Photo of Virginia May Everett, Nutritionist/Dietitian, MS, RDN, CD
Virginia May Everett
Nutritionist/Dietitian, MS, RDN, CD
Port Orchard, WA 98367
I help those who are looking for support for disordered eating or an eating disorder, such as anorexia nervosa, bulimia nervosa, binge eating disorder, ARFID, or OSFED.
I conduct individualized nutrition assessments that include review of medical history, labs, eating patterns, exercise and weight history, and lifestyle factors. Personalized care plans are made based on the clients currents needs and goals.
I help those who are looking for support for disordered eating or an eating disorder, such as anorexia nervosa, bulimia nervosa, binge eating disorder, ARFID, or OSFED.
I conduct individualized nutrition assessments that include review of medical history, labs, eating patterns, exercise and weight history, and lifestyle factors. Personalized care plans are made based on the clients currents needs and goals.
(253) 528-7193 View (253) 528-7193
Eating Disorders Nutritionists and Dietitians
What are the most common types of eating disorders?
The most common types of eating disorders include anorexia nervosa, bulimia nervosa, binge eating disorder, and avoidant/restrictive food intake disorder (ARFID). Individuals may also be diagnosed with "other specified feeding or eating disorder" (OSFED), which is a type of eating disorder diagnosed when a client does not meet the full criteria for anorexia, bulimia, or binge eating disorder but still experiences significant distress related to eating.

What diet is best for eating disorder recovery?
Because eating disorders vary widely in symptoms and severity, there is no single best diet for recovery. While not all individuals with eating disorders are underweight and require weight gain during recovery, those who do may particularly benefit from consuming balanced meals on a more structured schedule. This approach helps establish a regular eating pattern and regulate hunger cues. In general, eating disorder dietitians recommend that clients focus on improving their overall relationship with food and eliminating certain "food rules," while also ensuring they consume an appropriate amount. For example, clients with anorexia nervosa often have significant fears surrounding the consumption of high-calorie foods; dietitians may encourage these clients to include such foods in their diet in a balanced manner to help facilitate recovery and achieve a more normalized state of eating. Conversely, clients with bulimia or binge eating disorder may benefit from a diet that avoids foods that are particularly triggering for them to binge on. Many clients with eating disorders benefit from seeing a dietitian who specializes in eating disorders in order to ensure that their diet meets their specific recovery-related needs.

How are eating disorders treated?
Eating disorder treatment often involves a multidisciplinary team of clinicians working together to address the various aspects of the condition. A physician typically monitors physical changes and health problems, a therapist addresses underlying thoughts and emotions, and a dietitian develops a plan to help the patient achieve and maintain a healthy weight. While most individuals can be treated in an outpatient setting, some may require more intensive care provided by residential or inpatient facilities. In addition, early intervention for disordered eating can significantly increase the likelihood of a successful recovery, and ongoing support and monitoring are also crucial to prevent relapse and sustain progress.

How do dietitians help people with eating disorders?
Nutrition counseling is a crucial component of eating disorder recovery, and dietitians play a vital role in this process. They help clients develop personalized meal plans to meet their nutritional goals, which is particularly beneficial for those who need to gain weight after periods of food restriction. Dietitians also encourage healthier eating patterns by helping clients incorporate foods they may have previously avoided due to eating disorder behaviors. Additionally, eating disorder dietitians often collaborate with other members of the client's care team, such as medical doctors, psychiatrists, and therapists, to provide comprehensive support. This multidisciplinary approach is especially important for clients with medical conditions related to their eating disorder, such as heart issues or electrolyte imbalances, which require close supervision by a medical doctor in coordination with a dietitian.