Palmetto Psychology Clinic

Online therapy · all of California

Body image and disordered eating therapy

Motherhood changed your body. It may have changed your relationship with it, too.

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Body image & disordered eating — online therapy across California with Palmetto Psychology Clinic.

If you’ve spent years fighting a battle with food, your body, or both, some of these might feel familiar:

Maybe thoughts about food, weight, or your appearance take up more mental space than you’d like to admit.

Your mood changes depending on the number on the scale, what you ate that day, or how your clothes fit.

You feel exhausted by the constant self-criticism, body checking, comparison, guilt, or anxiety that comes with your changing figure.

Or maybe you’ve become so used to these thoughts that they’ve started to feel normal. You’ve almost forgotten what it was like not to be so preoccupied by what you ate, how to “make up” for it, and how your body looks (to yourself and others).

But constantly worrying about food and your body isn’t something you have to live with.

Many women struggle silently with disordered eating, chronic dieting, body image concerns, or eating disorders, convinced that their struggles aren’t “serious enough” to deserve help — especially in the years surrounding new motherhood. But you don’t have to meet a certain threshold of suffering before you deserve support.

At Palmetto Psychology Clinic, we provide specialized online therapy for disordered eating and body image concerns throughout California. We help women develop a healthier relationship with food, their bodies, and themselves so they can feel more free, present, and connected in their lives.

We have particular expertise in supporting high-achieving women whose perfectionism has become intertwined with food, exercise, or body image, as well as mothers navigating body image changes during pregnancy and the postpartum period.

Recovery isn’t just about changing behaviors around food. It’s about creating a life where your self-worth is no longer determined by your weight, appearance, or what you ate today.

If this resonates with you, you’re not alone, and we can help.

How disordered eating and body image struggles can affect your life

Difficulties with eating and body image are rarely just about food or appearance.

Over time, they can impact your confidence, relationships, self-worth, and overall quality of life. What starts as a desire to be healthier, more disciplined, or more in control can gradually become exhausting, taking up far more mental and emotional energy than you realize.

You may notice yourself:

  • Constantly thinking about food, weight, calories, or your appearance
  • Feeling out of control around eating, followed by guilt or shame
  • Starting over every Monday with a new plan to "be better"
  • Avoiding social events because of food, eating, or body image concerns
  • Feeling anxious after meals or preoccupied with what you ate
  • Struggling to trust your body's hunger and fullness cues
  • Following rigid rules around food, exercise, or weight
  • Comparing your body to other people's throughout the day
  • Feeling like your self-worth rises and falls based on your appearance, productivity, or ability to stay in control
  • Feeling disconnected from your body rather than at home in it

These experiences can feel incredibly isolating, especially when it seems like everyone else has a “normal” relationship with food and their body. But you’re not alone, and there is nothing unusual about struggling in a culture that places so much value on appearance, achievement, and self-control.

Therapy can help you untangle these patterns, develop a more peaceful relationship with food and your body, and reclaim the mental space they’ve been taking up for far too long.

By the end of therapy, many clients tell us they’re spending far less mental energy thinking about food and their bodies. They feel more flexible around eating, less consumed by self-criticism, and more connected to themselves and the people around them.

Most importantly, they no longer feel like food and body image are running their lives. Instead, they have the freedom to focus on what truly matters to them.

We’d love to help you get there, too.

Therapy for body image and disordered eating

At Palmetto, we help you understand the deeper patterns driving your relationship with food, your body, and yourself.

Many of our clients come to therapy believing their struggle is about food, weight, or willpower. But often, there’s much more beneath the surface: perfectionism, anxiety, self-criticism, a need for control, difficulty trusting themselves, or years of tying self-worth to appearance and achievement.

In therapy, we may work on:

  • Understanding the thoughts, beliefs, and emotions that fuel disordered eating patterns
  • Challenging the inner critic and reducing self-judgment
  • Developing a more flexible relationship with food
  • Learning to trust your body's hunger, fullness, and internal cues
  • Untangling self-worth from weight, appearance, or productivity
  • Addressing perfectionism, anxiety, and the pressure to "get it right"
  • Reducing body checking, comparison, and obsessive thoughts about food or weight
  • Building self-compassion and body acceptance
  • Feeling more present in your life instead of constantly thinking about food, exercise, or your appearance
  • Creating more space for relationships, hobbies, rest, and the things that matter most to you

Our approach is compassionate, collaborative, and tailored to your unique experience. We know how vulnerable it can feel to talk about food, body image, and the thoughts you’ve been carrying for years. Therapy provides a nonjudgmental space to explore these struggles and begin making meaningful, lasting changes.

We’ve helped hundreds of women with exactly these types of concerns. We’d be honored to support you, too.

Support for body image & disordered eating, online, anywhere in California.
Online, from wherever you are Sessions happen at home, in a parked car, on the nursery floor. Babies are welcome on screen.

Who you'd work with

These clinicians work with this specifically. Not sure who to pick? Start with Anni and let her match you.

Questions about body image & disordered eating

Do I have to have a diagnosed eating disorder to get help?

Disordered eating exists on a spectrum, and you don't need a diagnosis to deserve support. If your relationship with food is causing you distress, that's enough and we are here to meet you where you are. Book an appointment to get started.

What's the difference between disordered eating and an eating disorder?

An eating disorder is a clinical diagnosis. Disordered eating refers to patterns like restricting, bingeing, obsessing, guilt around food. These may not warrant a full diagnosis but still significantly affect your life. Both come with very real challenges, and both are treatable. We can help you understand and reclaim your experience when it comes to food, bodies, and anything else that might be distressing for you.

Is it possible to have a healthy relationship with food after years of struggling?

Yes. It takes time and support, but it's absolutely possible, and we’ve helped many women build a more flexible, compassionate relationship with food and body. Many women are surprised by how much lighter life feels when this area of life stops feeling like a battleground.

I restrict what I eat to feel in control. Is that a problem?

It's worth exploring. Using food or restriction as a way to manage anxiety or feel in control is very common, and therapy can help you find that sense of control in healthier ways.

I binge eat when I'm stressed. Is that an eating disorder?

It may or may not meet the criteria for a diagnosis, but it's something worth talking about. Emotional eating is usually a coping mechanism, and therapy helps you understand what's underneath it. Whether it’s a full diagnosis or not, we can help you build new patterns that work better in your life.

I know my body image thoughts are irrational but I can't stop them. Is that normal?

Completely. Knowing something isn't rational doesn't make it less powerful. Therapy gives you tools to work with those thoughts instead of being controlled by them.

I hate my body after having a baby. Will I ever feel like myself again?

This is one of the most common things we hear from new moms. Your body did something extraordinary, but appreciating that doesn’t always translate into body love. Therapy helps you process the grief, the change, and the pressure to "bounce back" so that you can find a new, healthier, more compassionate relationship with the body you're in now.

I'm nervous to talk about this. What if I'm not ready?

That's okay. You don't have to have it all figured out before you reach out. A free consultation is just a conversation and a huge first step. There’s no pressure or commitment. If you’re curious to learn more, we’d love to connect.

You don't have to keep carrying this on your own.

Schedule a session or a free consultation with one of our clinicians. We can't wait to connect.

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