About eating disorders
Eating disorders such as anorexia, bulimia or binge eating are serious and treatable. Care is usually multidisciplinary: psychological therapy, medical follow-up and nutritional support. If there is significant weight loss or physical symptoms, seek medical attention promptly.
Therapist is the everyday word for a professional who offers talking therapy: depending on the country it can be a psychologist, a psychotherapist, a licensed counsellor, a marriage and family therapist or a clinical social worker. Profiles show each therapist’s actual title, training and registration.
Getting mental health care in the United States
Public health system · No single public system (Medicaid, Medicare, community mental health centers)
There is no universal public mental health service. People with low incomes may be covered by Medicaid, older adults by Medicare, and publicly funded community mental health centers and treatment facilities can be located through the federal SAMHSA locator. More information
How to check that a professional is licensed
- State boards of psychology (umbrella body: ASPPB). Psychologists are licensed by each state board; check the board of the state where you live. Use of the title psychologist generally requires a state license.
- State medical boards (umbrella body: Federation of State Medical Boards). Psychiatrists are physicians licensed by each state medical board. The FSMB DocInfo service lets you look up a physician's license and disciplinary history. Search the official register
- State licensing boards. Clinical social workers, counselors and marriage and family therapists are licensed state by state; check the relevant board in your state.
Insurance and coverage
Federal parity law (MHPAEA) requires most group health plans that cover mental health to do so on terms no more restrictive than for physical health; deductibles, copays and in-network rules still apply.
Online therapy in the United States
The clinician must normally be licensed in the state where the patient is located. Psychologists in PSYPACT member states may practice telepsychology across those states.
Urgent help in the United States
If your life or someone else's is in danger, call the emergency number now. These services can help at any time:
- 911 · Emergency (911)
- 988 · 988 Suicide & Crisis Lifeline
Information reviewed in November 2026 · Sources: findtreatment.gov, docinfo.org
Signs to look out for
Concern about food or weight becomes worrying when it takes up a lot of thought and affects daily life: strict dieting or skipping meals, episodes of eating large amounts with loss of control, vomiting or using laxatives or excessive exercise to compensate, rapid weight changes, avoiding eating in front of others, or intense fear of gaining weight. Eating disorders affect people of all sizes, genders and ages.
What helps: treatments and professionals
Eating disorders are best treated by a team that combines psychological, medical and nutritional care. Approaches with good evidence include enhanced cognitive-behavioural therapy (CBT-E), family-based treatment for children and adolescents, and specialist supportive clinical management. Clinical psychologists, psychiatrists, doctors and dietitians with eating disorder experience usually work together. Early help tends to make recovery easier.
When to seek urgent help
Eating disorders can have serious physical effects. Contact your local emergency services or go to the nearest emergency department for fainting, chest pain, a very slow or irregular heartbeat, severe weakness, confusion, vomiting blood, or if someone is unable to eat or drink at all. Seek urgent help too for thoughts of suicide. Regular medical check-ups are important during treatment.
What you can do in the meantime
Try to eat regular meals and avoid long periods without food, even if it feels hard. Reduce exposure to content that promotes dieting or body comparison, and avoid weighing yourself frequently. Tell someone you trust. If you are supporting someone, express concern calmly, focusing on feelings rather than food or weight, and encourage them to seek professional help.
What does a therapist do?
A therapist helps you talk through what is worrying you and find practical ways to feel and cope better. In sessions they listen, ask questions, help you notice patterns in your thoughts, emotions and relationships, and agree goals with you. Depending on their training they may use cognitive-behavioural, humanistic, systemic, psychodynamic or other evidence-based approaches, with individuals, couples, families or groups.
When to see a therapist
It makes sense to look for a therapist when stress, anxiety, low mood, grief, relationship problems, a difficult change or the effects of past experiences start to weigh on your daily life, or when you simply want space to understand yourself better. If symptoms are severe, you may need medication or there are signs of a medical cause, involve your doctor or a psychiatrist as well.
How to choose
When choosing, check the licence and training, the approach they use and whether they have experience with what you need. Consider practical aspects too: language, price, location or online sessions and availability. The relationship with the professional matters a great deal; if after a few sessions it does not feel right, it is fine to change.
Frequently asked questions
Does the public health system in the United States cover psychological care?
There is no universal public mental health service. People with low incomes may be covered by Medicaid, older adults by Medicare, and publicly funded community mental health centers and treatment facilities can be located through the federal SAMHSA locator.
How do I check that a therapist is licensed in the United States?
State boards of psychology (umbrella body: ASPPB): Psychologists are licensed by each state board; check the board of the state where you live. Use of the title psychologist generally requires a state license.
Can I have online therapy in the United States?
The clinician must normally be licensed in the state where the patient is located. Psychologists in PSYPACT member states may practice telepsychology across those states.