About Prelude

Prelude provides evidenced-based, trauma-informed eating disorder treatment in an outpatient setting for adults, adolescents and families. We create a nurturing, accepting community where clients can start their recovery journey in a supportive environment. We provide a safe space to do the hard work of recovery. Prelude staff are professionals in the field with many years of education, work and lived experience.

Prelude About Hero Image

Treatment and Hope for Eating Disorders

Eating Disorder recovery can feel elusive, but the staff here at Prelude have assisted many clients on their paths to recovery.

We welcome clients of all genders, socioeconomic statuses, races, and sexual orientations.

  • Evidence-based treatment 
  • DBT Skills groups
  • Supported meals with pre- and post- process groups
  • Experiential food groups
  • Trans and Non-Binary specific body image groups
  • Body image and affirmation work
  • Social justice lens
  • Family therapy and multi-family groups

What We Treat

Eating disorders are a life-threatening disease that can affect people of any age, gender, religion, race, ethnicity, socioeconomic status, sexual orientation, size, ability or background.

Anorexia Nervosa:

  • Restriction of energy intake often leading to a decrease in a person's body weight.
  • Intense fear of gaining weight.
  • Body image disturbance.

Bulimia Nervosa:

  • Loss of control over eating behavior
  • Often eating larger than usual amounts of food in a specific amount of time, such as over a 
2-hr period.
  • Recurring compensatory behavior.
  • Self-evaluation influenced by body shape 
and weight.

Binge Eating Disorder:

  • Often eating larger than usual amounts of food
in a specific amount of time, such as over a 
2-hr period.
  • Eating rapidly, eating beyond fullness or secret eating marked with distress around binges.
  • Sense of lack of control over eating during 
the episode.
  • Self-evaluation influenced by body shape 
and weight.

Orthorexia:

  • A hyper-focus on eating only what the person considers to be "healthy" to the point that it interferes with daily life. 
  • Difficulty to eat any food that isn’t 
designated “pure”.
  • Obsessions about checking ingredients and following lifestyle bloggers.

Avoidant/Restrictive Food Intake Disorder (ARFID):

  • A disrupted eating pattern that prevents a person from meeting nutritional needs.
  • Disrupted eating is not explained by a lack of food availability.
  • Disrupted eating pattern is not related to persons’ perception of size, shape or weight.
  • The disrupted eating pattern is not caused by a medical condition.

Other Specified Feeding or Eating Disorder (OSFED):

  • Individuals that are experiencing distress due to symptoms related to the disorders above 
  • Extent of symptoms doesn’t meet the full criteria for a diagnosis of one of these disorders.

Co-Occurring Disorders:

  • Eating disorders often co-occur with other psychiatric disorders. The most common are: mood and anxiety disorders, substance use disorder, OCD and PTSD. Our team is trained and ready to assess and treat any other diagnoses that occur alongside the eating disorder.

The Prelude Approach

Prelude uses a BioPsychoSocial framework as the model for our treatment programs. Our work is rooted in evidence-based and trauma-informed research using principles of Health at Every Size, anti-oppression and weight and size inclusivity.

We use the following modalities:

Prelude – About – Approach – FBT

Family Based
Treatment
(FBT)

FBT is considered the gold standard for treatment of adolescents with eating disorders. FBT is “agnostic” about the cause of eating disorders and does not try to find underlying issues or causes:

  • Parents are asked to take over decisions about food for the first part of treatment
  • Siblings are included
  • Therapists coach parents in finding their own solutions to challenges
  • Food is medicine
Prelude – About – Approach – DBT

Dialectical Behavior Therapy (DBT)

DBT is a well-established therapy designed to address behavioral and emotional regulation disorders. Developed by psychologist Marsha Linehan, Ph.D., it integrates practical behavior science with mindfulness and contemplative practices to provide effective treatment.

Prelude – About – Approach – CBT

Cognitive Behavior
Therapy
(CBT)

CBT primarily focuses on modifying thinking patterns. This approach involves recognizing and re-evaluating distortions in thinking, gaining insight into the behavior and motivations of others, and implementing strategies to align thinking with reality.

Prelude – About – Approach – ERP

Exposure and Response Prevention Therapy (ERP)

ERP is a behavioral therapy that systematically exposes individuals to situations triggering their obsessions in a controlled environment. This therapy equips individuals with coping skills 
to manage and prevent compulsive behaviors.

Prelude – About – Approach – Psychodynamic Therapy

Psychodynamic Therapy

Psychodynamic therapy delves into the psychological underpinnings of emotional distress. It emphasizes self-reflection and self-examination, and uses the therapist-client relationship as a means to explore problematic relationship patterns in the client’s life.

Nutrition Philosophy

The nutrition component of our program provides evidenced-based nutrition care for optimal nourishment of all our clients. Prelude takes a non-diet approach, believes that all foods fit and that food and food choices are not moral decisions. Our program is body positive, weight-inclusive, and uses Health At Every Size principles to support client recovery.

We Offer

  • Daily supervised meal
  • Initial nutrition assessment
  • Weekly dietitian sessions
  • Psychoeducation nutrition classes
  • Food exposure challenges
  • Hands-on experiences with menu planning, food shopping and cooking
  • Restaurant outings

We accommodate vegetarian, kosher and halal dietary needs.

Frequently Asked Questions

Eating disorders are a life-threatening disease that can affect people of any age, gender, race, ethnicity, socioeconomic status, sexual orientation, size, ability or background.

Do you take insurance?

We are in network with many insurance plans, ask us for more information about yours.

What is your cancellation policy?

We require a 24-hour notice for cancellations. Failure to provide this notice will result in a charge for the session.

How long are your programs?

Our Intensive Outpatient Program (IOP) is 12-16 weeks. Clients attend 4 hours per day 4 days per week. In addition there are weekly individual, nutrition and family sessions outside of the regular program hours.

Our Structured Outpatient Program (SOP) is a 3-6 month program that clients can step down to from our IOP or come into it from the community. It includes 2 groups per week and weekly individual, family and nutrition sessions.

Can I get a good faith estimate?

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. For clients who don't have insurance or who are not using insurance, we provide an estimate of the bill for receiving treatment in our programs.

What role do families play within the programs?

Families play an important role in treatment. We use Family Based Treatment in the adolescent program which includes a lot of family involvement in groups, meals and at home. Adult clients also have family sessions weekly and more family involvement when appropriate.

How long will it take for me (or my child) to get better?

Each client is an individual and everyone has their own path. In terms of time, staying in treatment and following your treatment team's guidance is the quickest way to a solid recovery. That being said, people with eating disorders do get better and can live wonderful lives in recovery.