Adult Services

Anorexia, ARFID, bulimia and binge eating disorder are serious, potentially life threatening disorders that require specialized treatment. The clinicians at Sierra Center for Wellness offer comprehensive and evidence based treatment that enables you to receive expert care while remaining at home continuing your day-to-day activities including  school or work.  

Utilizing your personal strengths, we build a treatment plan unique to your individual needs. You will participate only in the services that directly contribute to your recovery. We will be with you during each stage of the recovery process until you reach your goal of freedom from an eating disorder.  

After an assessment you will meet  with a clinician to discuss treatment options. The core elements of our program include:

  • Individual and Family Therapy
  • Family Education Classes
  • Coordination of Care with Your Primary Care Physician

The Adult Services we Offer

Individual and Family Therapy

Individual and family therapy are typically the cornerstones of a treatment plan. It is during individual therapy that the patient explores the meaning of the eating disorder in his or her life and problem solves ways of living without it. In addition, individual therapy gives patients an opportunity to explore other ways of experiencing and managing their thoughts, emotions, and behaviors. 

Family therapy is a place where families can learn and practice supporting their loved one's recovery. In family therapy barriers to the patient's recovery are identified and removed. In addition, families learn the important role they play in their loved one's long term recovery. 

Family Support

We strongly believe everyone recovering from an eating disorder needs support outside of the treatment environment. Our experience has shown patients who have an active support system are more likely to reach and maintain their treatment goals. Because of the importance of having an active support system, we also offer a virtual support group for family members, friends, and other loved ones who are supporting your recovery. This virtual group is an opportunity for your support team to get additional information and to better understand what you are going through so they can be there for you on your path to recovery.

In addition we offer the following services to enhance your treatment and facilitate recovery

  • Family Based Treatment
  • Telehealth Sessions
  • Nutrition Therapy
  • Psychiatric Services
  • Supervised Meals
  • Daily Telephone Support
  • Weekly Text Messages Encouraging Recovery 

Helpful Books


 It Was Never About The Food

Contained in It Was Never about the Food are the stories of four individuals who developed and struggled with an eating disorder and then overcame it. Sprinkled throughout their words are clinical explanations for what is happening as their stories unfold. The reader will be able to see both the personal experiences and the clinical explanations of how an eating disorder can develop, how harmful it can be, and what the road to recovery might look like. It Was Never about the Foodis written for eating-disordered patients, their loved ones, and clinicians to provide a better understanding of what it is like to struggle with disordered eating and how to move on

Why She Feels Fat

Dr Tony Paulson and Dr Johanna Marie McShane authored Why She Feels Fat: Understanding Your Loved One's Eating Disorder and How You Can Help.  Sprinkled with over 100 quotes from revcovering individualsWhy She Feels Fat explores eating disorders from the inside out to convey the emotional experience and perspectives of those who have them. Decoding the deeper meaning of the statement "I feel fat" is at the heart of this simple and straightforward book that also includes basic information, such as signs, symptoms, medical complications, causes, approaches to treatment and states of recovery.


img Reviews

"In Why She Feels Fat, McShane and Paulson give parents the all-important perspective of their suffering child-this book explains the incomprehensible. When read an open mind and heart, it brings to friends and family alike much needed understanding and guidance." - Doris Smeltzer, MA, author, Andrea's Voice: Silenced by Bulimia   

"Like never before, this book takes the reader into the mind of someone with an eating disorder and explains the unexplainable. Combining personal insight from the sufferers with clinical expertise, the authors provide step-by-step guidance form maneuvering the long and winding path from illness to full recovery. Why She Feels Fat is an essential resource fro all families and friends." -Jenni Schaefer, author, Life Without ED 

"With a plethora of books on eating disorders these days, few are dedicated to the loved ones of those suffering from these illnesses. Why She Feels Fat is a welcomed addition to the field... From understanding medical issues to grasping why a person with anorexia says she feels fat, this book will help guide those lost in the quagmire that dealing with someone else's eating disorder inevitably brings." - Carolyn Costin, director, Monte Nido Treatment Center, author, The Eating Disorder Sourcebook 

"Why She Feels Fat provides an inside view of the intense struggle and emotions behind an eating disorder...we look forward to adding Why She Feels Fatto our patient library." -Martha Levine, MD & Richard Levine, MD, Eating Disorder Program Penn State Milton S. Hershey Medical Center 

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