Services
Nutrition Therapy
Whether you have an eating disorder or simply want to find a stress-free way to eat, we will work together to help you meet your body’s needs while cultivating a peaceful relationship with food.
What are you struggling with?
Binge Eating Disorder
You might feel out of control around food, guilt and shame about how much you eat, and try and fail to fight unstoppable urges to eat despite extreme fullness. Much of your eating might take place in the evenings or late at night. You likely try to avoid all your binge triggers, don’t keep your binge foods in your house, but still find yourself eating despite extreme fullness. After a poor night of sleep, you wake up feeling awful in the morning and promise to not let it happen again, only to find yourself living out the same pattern. Whether this has been going on for decades or just a few weeks, recovery from binge eating is possible and targeted treatment is extremely effective.
Binge eating is the most frequent issue that my clients come to me with and the common eating disorder in the US. Binge eating is massively misunderstood, and common weight-loss focused treatments prescribe restrictive approaches (keeping binge foods out of the house, following restrictive meal plans, and weight loss drugs) that ultimately worsen binge eating over time. Many people with BED unknowingly engage in restrictive eating habits that build a hunger debt. This, coupled with modern stressors and history of trauma, often develops binge eating habits as both an adaptive response to restriction and need for comfort.
Posy supports your recovery from Binge Eating/Binge Eating Disorder in the following ways:
Identifying times of day and types of foods you may be under-eating, leading to increased likelihood of binge eating later in the day.
Personalized support in creating a regular and adequate eating pattern from morning to evening.
Recognition of the ways in which binge eating has been emotionally helpful to you (yes, really!). This allows us to identify alternative means of meeting your needs so that you can let go of binge eating.
Exploring and understanding how various systems of oppression (racism, sexism, transphobia, classism, anti-fatness, healthism, ableism, ageism, heterosexism, colorism, and more) may have contributed to and maintained the development of your binge eating behaviors
Specifically, exploration of where body shame has played a role in the development and maintenance of binge eating behaviors and learning to let go of this shame.
Re-incorporation of binge trigger foods in a safe and mindful way to eliminate the emotional chokehold these foods have had on you. Yes, you will ultimately be able to keep ice cream in the freezer and sometimes forget about it so long that it gets freezer burnt.
Anorexia Nervosa
It might have started with a desire to lose weight, a way of coping with a trauma, or even your doctor’s seemingly innocent feedback on your weight at an annual check-up. Eventually, you may find yourself compelled to eat less and move more, and even though part of you might recognize things are spiraling out of control, a louder part of your brain is telling you to keep going. You might be struggling with brain fog, low energy, and missed periods. All you think about is food and how to avoid weight gain. You may never feel “sick enough” to warrant treatment and this is exactly what your anorexia voice wants you to believe. Fortunately, it’s lying to you.
Anorexia nervosa can affect people of any body size, type, and shape, and the harms can be life-threatening if left untreated. The amount of weight loss does not necessarily indicate whether one has anorexia nervosa or its severity. Treatment of anorexia nervosa requires considerations of all biopsychosocial factors that contribute to and maintain the illness.
Posy supports your recovery from Anorexia Nervosa in the following ways:
Family-Based Treatment (FBT) for clients with family support under age 20. FBT is the gold standard approach to treating anorexia nervosa in young people.
Personalized nutrition support for nutrition rehabilitation and recovery from energy deficit
Evidence-based nutrition education
Cognitive Behavioral Therapy for addressing restrictive behaviors and beliefs that maintain the illness
Guided exposure therapy for challenging fear foods
Collaboration with members of your healthcare team (physician, therapist, etc.) to ensure medical stability and consistent care
Harm reduction approaches for those not ready to embrace an all-in approach. You get to move through recovery at your own pace – my job is to meet you where you are.
Exploring and understanding how various systems of oppression (e.g., racism, sexism, transphobia, classism, anti-fatness, healthism, ableism, ageism, heterosexism, colorism, and more) may have contributed to and maintained the development of your restrictive eating
Guided re-integration of physical activity if desired and a reimagining of what it means to move your body
Meal support (eat a meal or snack together in session)
Building age-appropriate grocery shopping, cooking, and plating skills
Ultimately transitioning to Intuitive Eating if appropriate
Orthorexia Nervosa
At some point, you might have prided yourself on being an extremely “healthy” or “clean” eater. Others may ask you for nutrition or diet advice and marvel at how well you have your eating under control. You might struggle with health anxiety and work hard to avoid “lifestyle” illnesses that run in your family, only to find yourself spending far too much time planning, shopping, cooking, prepping, and avoiding “unclean” ingredients. I have lived experience in suffering and recovering from orthorexia nervosa. Only in retrospect did I realize how much I missed out on while obsessing over my health, and ironically how profoundly my health suffered during this time.
People struggling with orthorexia may develop a rigid and fearful way of eating, often abstaining from foods and ingredients deemed “unclean” or “unhealthy.” Over time, focus on eating “perfectly” can become so extreme that it interferes with day-to-day living, socializing, relationships, and physical health. If you struggle with orthorexia, you may have eliminated certain ingredients, foods, or even entire food groups. Orthorexia can often develop in folks who are already health-focused (hello, fellow yoga instructors!), athletes, people diagnosed with OCD, and those placed on elimination diets.
Posy supports your recovery from Orthorexia Nervosa in the following ways:
Personalized nutrition support for nutrition rehabilitation and recovery from energy deficit, if applicable
Evidence-based nutrition education to challenge food myths and misconceptions about nutrition and health
Cognitive Behavioral Therapy for addressing distorted beliefs and food anxiety
Guided exposure therapy for challenging fear foods
Collaboration with members of your healthcare team (physician, therapist, etc.) to ensure medical stability and consistent care
Meal support (eat a meal or snack together in session)
Exploring and understanding how various systems of oppression (e.g., racism, sexism, transphobia, classism, anti-fatness, healthism, ableism, ageism, heterosexism, colorism, and more) may have contributed to and maintained the development of your restrictive eating
Ultimately transitioning to Intuitive Eating if appropriate
Bulimia Nervosa
Struggling with the cycle of binge/purge behaviors often feels lonely, shameful, and scary. You might fear what your disorder is doing to your body but feel unable to resist engaging in the compulsive behavior that your brain tells you will “undo” your binges. The first step to breaking the cycle is de-stigmatizing it through understanding the function this behavior has in your life and approaching it with compassion.
Bulimia is characterized by a pattern of binge eating followed by a purging behavior (whether through self-induced vomiting, overexercise, and/or the use of laxatives/diuretics). Often, folks struggling with bulimia also struggle with depression, anxiety, and substance use issues.
Posy supports your recovery from Bulimia Nervosa in the following ways:
Personalized nutrition support for developing a regular, adequate eating pattern
Collaboration with a physician to ensure medical stability
Building distress tolerance skills in collaboration with work done in therapy
Engaging in fear food exposure, if appropriate
Harm reduction approach to purging behaviors
Exploring and understanding how various systems of oppression (e.g., racism, sexism, transphobia, classism, anti-fatness, healthism, ableism, ageism, heterosexism, colorism, and more) may have contributed to and maintained the development of your eating disorder
Meal support (eat a meal or snack together in session)
Building grocery shopping, cooking, and plating skills
Ultimately transitioning to Intuitive Eating if appropriate
Chronic Dieting & Disordered Eating
There is no one way in which eating can be disordered. Just because you don’t fall neatly into a DSM eating disorder description does not mean you aren’t suffering. You might have bounced between dieting and overeating, tried every fad from keto to intermittent fasting, lost and regained the same x pounds for years. You might have starved, overexercised, and weighed in daily in hope of finally achieving your dream body, only to feel like a failure over and over again. Guess what? A lack of willpower is not the problem.
Additional Offerings
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Intuitive Eating is a beautiful antithesis to chronic dieting. If you think that while it might sound like a great idea for others, you may doubt it would ever work for you. IE involves 10 Principles that help you let go of a disordered mindset, and learn to connect with hunger, fullness, satisfaction, understand cravings, break restrictive food rules, and honor your health. (And yes, it can be modified to work with your AuDHD brain!)
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You’ve been told your body is all wrong. Or maybe you’ve been this close to the beauty standard and are terrified to lose that power! What if you were able to care less about what your body looked like? What if you were able to connect instead to the things that make you, you? How might shifting your energy, resources, and time from fixating on shrinking and “beautifying” yourself enrich your one precious life? What could you gain in freeing yourself from oppressive standards that perpetuate systems of white supremacy, sexism, and ableism?
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Yoga can build self-compassion, body trust, and empowerment. Building and maintaining a movement practice is a wonderful ally to making peace with your every-changing body. I have over 10 years’ experience teaching folks of all levels and abilities and can work with you to build deeper connection and respect for your body.
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Staying consistent in feeding yourself while in recovery can feel daunting. You might struggle with motivation (it’s hard to eat when you’re nauseated, scared, distracted, or anxious!). Let me be your accountability buddy in getting that lunch or snack in.
Logistics
Discovery Call (15 min) - free
This free introductory call allows you to ask questions about what it would be like to work together and helps us both assess whether we’re a good fit.
Initial Session (75 min) - $300
Our journey begins with an in-depth assessment and exploration of your relationship with food, movement, and your body, as well as your medical history and personal goals.
If appropriate, I will work with your team of allied health professionals to deliver the most comprehensive, consistent care.
Follow-up Sessions (50 min) - $225
We will work together to identify tools and interventions that support your progress and continue to build awareness around your relationships with food, movement, and your body.
Follow-up sessions are available at a frequency that supports your goals and needs. We will work together to identify an appropriate schedule to accommodate your needs and progress.
Please note, all nutrition sessions take place virtually via telehealth.
Limited reduced fee openings available for those in financial precarity.
Insurance
I am an out-of-network provider with all insurance companies. I will provide a superbill (invoice) for each appointment, as many of my clients are partially reimbursed by their insurance plan or flexible spending account. If your plan declines to reimburse you, you are still responsible for the cost of services provided to you, payable at time of service.
If you plan to use insurance to pay for your sessions via superbill, please contact your insurance company prior to your initial assessment for information on how your plan covers outpatient nutrition therapy. When you call your insurance to ask about superbill options, please refer to the relevant information below:
Provider name: Evelina Miropolsky, MS, RDN, CD
Evelina’s NPI: 1609462076
Common CPT codes:
97802 (nutrition counseling intake appointment)
97803 (nutrition counseling follow-up appointment)
Cancellation & No Show Policy
Please notify me as soon as possible if you need to cancel our session. Sessions canceled less than 48 hours in advance will be charged the full session fee. If you arrive more than 15 minutes late to our scheduled session, you will be charged the full session fee.
“Before working with Evelina, I was deep into an eating disorder and had no joy in living. With her knowledge of nutrition, care and passion I started to detach from diet culture and become confident in my own skin for the first time in my life.”
—former Posy client