Eating Disorder and Body Image Therapy

 Who This Is For

Dr. Smith works with individuals navigating a wide range of eating and body-related concerns, including:

• Those already diagnosed with eating disorders, or looking to be evaluated for the diagnoses of any of the following:

• • • Anorexia nervosa

    • Bulimia nervosa

    • Binge eating disorder

    • Avoidant/restrictive food intake disorder (ARFID)

    • Atypical anorexia and subclinical or mixed presentations

You may also recognize yourself here if you are:

• • Stuck in binge–purge or restrict–overeat cycles

  • A lifelong or chronic dieter who feels burned out, frustrated, or confused

  • Frequently thinking about food, weight, or appearance

  • Struggling with body image, comparison, or dissatisfaction

  • Feeling conflicted about exercise (rigid, compulsive, or avoidant patterns)

  •  Experiencing persistent stress about perceived flaws, including body dysmorphic disorder (which may or may not involve weight or shape concerns)

Dr. Smith also frequently works with:

• • • • Athletes navigating performance, fueling, and body image

      • Adults who are only later in life recognizing longstanding patterns with food or body image

      • Individuals using or considering GLP-1 medications who feel unsure how to think about food, weight, and health, and want support maintaining a more stable and grounded relationship with food and their bodies

      • Teens or adults who aren’t sure what level of support they need and would benefit from guidance and referrals, if appropriate

Dr. Smith’s Approach

Dr. Smith provides individualized, evidence-based treatment for eating disorders and body image concerns, grounded in CBT-E and informed by ACT, intuitive eating, and a Health at Every Size (HAES) framework. Her work focuses on helping clients move out of rigid, exhausting patterns with food, body image, and exercise, and toward a more flexible, sustainable, and values-aligned way of living.

Treatment addresses both the behaviors themselves (such as restriction, bingeing, purging, or compulsive exercise) and the underlying factors that may keep them going, including perfectionism, self-criticism, shame, past or relational experiences (such as trauma or bullying), and/or the broader messages we may have absorbed about bodies, food, and worth.

For individuals with body dysmorphic disorder or more severe body image concerns, Dr. Smith also incorporates structured CBT and exposure-based interventions.

When helpful, Dr. Smith refers clients to and collaborates with other providers (e.g., dietitians, medical providers, prescribers) to support comprehensive and team-based care.

Getting Started

If you’re looking for eating disorder or body image therapy in Acton, MA, you can contact Dr. Smith to learn more or get started.