Eating Disorder Help in St. Louis & Beyond

Support for When You’re Struggling With Food, Your Body, or Both

You don’t have to look a certain way or have a formal diagnosis to be struggling with an eating disorder. If you’re feeling overwhelmed around food, constantly thinking about your body, or just not okay in your relationship with eating, we want you to know this:

You’re not alone. And you deserve help.

At Balanced Nutrition Therapy, Registered Dietitians provide compassionate, expert support for individuals in St. Louis and virtually across the country. Whether this is your first time questioning your behaviors, or you’ve been secretly battling food rules for years, there is hope. Recovery is possible.

Woman slicing vegetables in a modern kitchen

Not Sure If You’re Struggling? You’re In the Right Place.

Many of our clients come to us saying things like:

  • “I feel out of control with food.”

  • “It’s not that bad, but I know it’s not normal.”

  • “I don’t want to gain weight, but I feel trapped by my own rules.”

  • “I just want to be healthy but I’m not sure what that even means anymore.”

Whether you're dealing with guilt after eating, skipping meals to "make up" for the night before, obsessing over clean eating, or purging for the first time these are all signs something deeper might be going on.

Why Eating Disorders Are Dangerous - Even When They Don’t Look Like It

Eating disorders impact every part of your life; emotionally, physically, socially. Even if your labs are “normal” or your weight hasn’t changed much, the damage may still be happening inside your body and mind.

Some of the risks include:

  • Hormonal disruption and menstrual irregularities

  • Fatigue, brain fog, and sleep disturbances

  • Gastrointestinal issues and nutrient deficiencies

  • Bone loss and heart complications

  • Isolation, secrecy, and shame

Eating disorders have the second-highest mortality rate of all mental health conditions. But early support makes a difference. You don’t have to hit “rock bottom” to get help.

Eating Disorders We Support and Treat

We work with individuals across the full spectrum of disordered eating whether you're newly struggling, in recovery, or unsure where you fit. Here's a look at some of the most common eating disorders we treat:

Anorexia Nervosa

Marked by restriction, weight loss, and an intense fear of gaining weight. This often includes obsessive thoughts about food, body checking, and ritualistic behaviors.

Bulimia Nervosa

Cycles of binge eating followed by purging, which might include vomiting, over-exercise, or laxative use. This pattern is often secretive and driven by feelings of shame or lack of control.

Binge Eating Disorder

Episodes of eating large amounts of food in a short time, often in secret, followed by distress or guilt. Unlike bulimia, there’s no compensatory behavior afterward.

OSFED (Other Specified Feeding or Eating Disorder)

When someone has significant disordered eating patterns that don’t fit the criteria of a specific diagnosis — but are still harmful and deserving of support.

ARFID (Avoidant/Restrictive Food Intake Disorder)

Extreme restriction or avoidance of food due to sensory sensitivities, fear of choking, or past trauma — not related to body image.

Orthorexia

An obsession with “clean” or “healthy” eating that leads to fear, rigidity, and social isolation. Not currently a formal diagnosis, but deeply impactful.

Compulsive or Compensatory Exercise

Using exercise to "earn" or "make up for" food, often with guilt or anxiety when rest is needed.

Our Approach: Compassionate, Individualized Care

At Balanced Nutrition Therapy, we meet you exactly where you are. You don’t need to fit into a diagnosis. You just need to be ready to feel better. We offer:

Located in Crestwood, MO, we serve the greater St. Louis area, with virtual services available in multiple states and worldwide support via recovery coaching.

Frequently Asked Questions About Eating Disorders

  • No way! In fact, most of our clients probably wouldn’t be considered “underweight.” Eating disorders don’t have a “look”, they show up in all body types. What really matters is how your relationship with food, your body, or movement is affecting your life. If it’s taking up too much mental space or stealing your joy, that’s reason enough to get support.

  • If you’ve been googling things like “do I have an eating disorder?”, “I just ate too much, what should I do?” or “why do I feel out of control with food?” That’s your sign. “I just ate too much, what should I do?”

    Maybe you’re skipping meals, overthinking everything you eat, or secretly struggling with binges or purging. Even if it doesn’t feel bad enough, if it’s making life harder, it’s worth talking to someone.

  • Disordered eating is a gray area; skipping meals, constantly dieting, obsessing over ingredients, feeling guilt after eating, or "starting over" every Monday. It may not meet full diagnostic criteria, but it can still be incredibly disruptive and harmful.

    An eating disorder is when those patterns become more persistent, extreme, or medically dangerous but both deserve support. You don’t need a label to get help.

  • Absolutely. You don’t need a diagnosis to work with us, and honestly, many people never get one. If you’re feeling trapped in food rules, constantly thinking about what you “should” or “shouldn’t” eat, or just exhausted by it all… let’s talk. You don’t have to figure it out alone. description

  • Please know that you’re not broken, and you’re not alone. That “oh no” feeling after purging or realizing you've been secretly avoiding food is very real and a powerful moment to reach out.

    The earlier you get support, the easier it can be to change the pattern. We’re here for you before it becomes something bigger.

  • We hear this a lot and it makes so much sense. In a world that constantly praises weight loss and fuels body shame, of course it feels scary.


    Recovery isn’t about forcing weight gain, it’s about finding freedom, peace, and re-establishing health that actually feels good. Does that mean that you won’t need to gain weight to recover, not necessarily,  but we can work with you to figure that out together.  Our team helps you explore those fears with compassion, not pressure.

  • That’s a beautiful goal but the word “healthy” can get tangled up in diet culture and misinformation. If your pursuit of health is starting to feel obsessive, isolating, or exhausting… let’s redefine what true health looks like. (Hint: It includes flexibility, satisfaction, mental peace, and nourishment.)

  • Yes. 100%. You can unlearn the rules. You can reconnect with your body. You can experience freedom with food even if you’ve been stuck for years. Our team walks with you step by step, no matter how long it’s been.

  • Yes we do! Our pediatric dietitian is here for littles, tweens, teens, and the families who love them. Whether you’re worried about picky eating, body image issues, or early signs of disordered eating, we’ve got your back - with evidence-based support and lots of compassion.

  • Absolutely. We’re based in Crestwood, MO, and proudly serve the St. Louis metro area, but our virtual services are available in many states and our recovery coach can work with you no matter where you live. Whether you're across town or across the globe, we're just a click away.

  • Yes! We are in network with Aetna, Blue Cross Blue Shield, Cigna, and United Healthcare.

    For other insurance providers, we can provide you with a superbill to claim out of network benefits.

You Don’t Have to Wait Until It Gets Worse

If your relationship with food, your body, or movement is making life harder, that’s enough reason to reach out. You don’t need to be “sick enough.” You just need to be ready for something different. Let us help you take the next step.

Dietitians for Eating Disorders in St. Louis | Balanced Nutrition Therapy
Serving Crestwood, Clayton, Des Peres, Kirkwood, Maplewood, and Valley Park