Jamie M. Joseph, Ph.D.
Weston Cognitive Behavior Therapy & Evaluation
Helping you navigate the path of your life...

Eating Disorders

Dr. Joseph has extensive experience working with individuals with eating disorders and provides a safe and confidential environment where they can address eating and body image issues. Dr. Joseph is a specialist in Cognitive Behavioral Therapy (CBT) which has been shown to be highly effective in helping those who are struggling with eating disorders and assists them in decreasing destructive behaviors and emotions, and replacing them with more productive, healthy and helpful behaviors and emotions.

An eating disorder is characterized by severe disturbances in eating behavior. Presently, the professional community recognizes and names several different types of eating disorders.

1) Anorexia Nervosa: Individuals with anorexia nervosa have a distorted body image that causes them to see themselves as overweight even when they are not. They may even be extremely thin and they will still see themselves as overweight. This is called a ‘distorted body image’ and it is one of the central features of anorexia nervosa. These individuals have an intense fear of gaining weight and becoming ‘fat.’

Refusing to eat (self-induced starvation), exercising compulsively, and developing habits such as refusing to eat in front of others are, at times, characteristic of this disorder. Despite refusing to eat, these individuals often do not lose their appetite. They spend tremendous amounts of time and energy attempting to control their weight, shape and size through their food intake and behavior. People with anorexia lose large amounts of weight and may even starve to death, or die of other medically related complications. Anorexia has the highest mortality rate among all of the psychological disorders.

2) Bulimia Nervosa: Individuals with bulimia nervosa eat excessive amounts of food (binge) and then rid (purge) themselves of the food and calories consumed using various methods such as laxatives, enemas, diuretics, vomiting, fasting or exercising. These methods aimed at eliminating the calories and food consumed during the binge are called ‘compensatory behaviors.’ The person feels out of control during the binge and it may occur in secrecy. Feelings associated with the binge include disgust, shame, and fear. The purging behaviors serve to reduce these negative emotions. Disturbance of the perception of one’s size and shape are also a central feature of bulimia nervosa.

3) Binge Eating Disorder: Individuals with a binge eating disorder experience frequent episodes binging, which is eating excessive amounts of food. However, the major difference with binge eating disorder from bulimia nervosa is that binge eaters don't purge their bodies of excess food and calories.

4) Eating Disorders Not Otherwise Specified: Individuals that fall into the diagnostic category of an eating disorder not otherwise specified have eating-related issues, but they don't meet the official criteria for anorexia, bulimia or binge eating.