Eating Disorder & DBT Therapy Services

Individual therapy, eating disorder treatment, DBT-informed work, trauma-informed care, and clinical consultation.

  • What This Page Covers:
    • How to schedule a free consult
    • Individual eating disorder therapy
    • DBT-informed care
    • Trauma-informed treatment
    • Clinical consultation support

Rates and insurance details are available on the Payments, Fees & Insurance Information page.

Therapy spelled out with block letters

INDIVIDUAL THERAPY

Individual therapy is the cornerstone of my practice. My therapeutic style is informed by many modalities and is informed by my personality and values (see the philosophy page for more info about that). The short version, though, is that I am the kind of therapist that will be straightforward and goal focused much of the time. My goal is to learn something at every session, teach you something at every session, laugh with you at every session, and connect with you in a genuine way that works well for both of us.

How well you connect with your therapist has a lot to do with how much you will get out of the therapy experience. We call it “goodness of fit” and it has been proven to be a more important factor in the recovery process than any modality ever is. Some of it is about rapport or trust or values – the rest is different for everyone.

This may not be a good fit if:

  • You are looking for therapy that is primarily supportive and affirming, without challenge, direct feedback, or thoughtful disagreement.
  • You prefer a therapist who avoids naming patterns, asking difficult questions, or offering alternative perspectives when it may support change.
  • You’re seeking therapy focused solely on symptom management, without attention to values, meaning, or accountability.
  • You need therapy support more than twice per week or are seeking ongoing high-frequency contact beyond the scope of outpatient care.

This doesn’t mean your needs aren’t valid – only that a different level or style of support may be a better match.

Clients who tend to do well here:

  • You want a therapist who is engaged, honest, and willing to challenge you when it supports growth.
  • You value direct feedback and are open to examining patterns, values, and choices, even when it feels uncomfortable.
  • You are interested in therapy that integrates insight, accountability, and practical tools rather than symptom relief alone.
  • You see productive tension and thoughtful disagreement as part of the work, rather than a rupture in the relationship.
  • You’re seeking weekly or biweekly therapy and want the work to be focused, intentional, and sustainable over time.

Most of my clients fall into one of these specialty categories:

Eating Disorder Treatment

Clinical Eating Disorder Specialist & Supervisor (CEDS-S) through the International Association of Eating Disorder Professionals (iaedp™)

I am a certified eating disorder specialist and supervisor (CEDS-S) through iaedp™, and have been working with clients struggling with eating disorders for decades. That often means that I work with clients who have, in addition to issues with eating and body image, other mental health concerns like depression and anxiety.

Dialectical Behavioral Therapy (DBT)

Certified Dialectical Behavior Therapy Specialist (C-DBT)

Since 2004, I have been using DBT in my practice – I really like the philosophy of DBT – more on that here. I’ve developed groups, higher level of care curriculum, and been a trainer in DBT, though I only got around to getting certified in 2017. To some degree or another, I use DBT in my practice every day.

Trauma Informed Therapy

Certified Trauma Clinical Professional (CCTP)

I also work with clients with histories of traumatic experience and issues of over control or dysregulation. There is a fairly significant overlap between people struggling with eating disorders and those with a history of traumatic experience, and this is the biggest reason why I decided to add this certification to my repertoire in 2022.

Couples & Family Counseling

Certified Gottman Educator

Though I have trained as a couple’s counselor, I do not specialize in family or couples counseling outside of eating disorder education and therapy. In the course of treatment, though, it is sometimes useful to have couples or family therapy sessions with my existing individual clients, so I do provide those session when clinically appropriate. I have also facilitated several types of groups, but do not offer that currently.

Clinical Consultation

Sometimes, providers need someone to evaluate the extent of someone’s eating disorder to determine the appropriate course of treatment and level of care. I enjoy collaborating with other providers, and often provide consultation based on the provider’s presentation of the client or conduct a consultation session (much like an intake interview) to try to help the therapist, client, and other members of the team decide on the best course of action for a client. The fees for this type of consultation are the same as an intake interview with a client, and usually takes 60-90 minutes.

SUPERVISION

I love to work with new clinicians and help them figure out what they really want out of their careers, whether it is a certification, specialization, or something else. As an iaedp CEDS supervisor and a certified supervisor in Virginia, I have worked with students, interns, new clinicians, and clinicians seeking a specialty in eating disorders. The fees for this service are generally the same as my self-pay rate for clients. Please email me if you are interested in CEDS or LCSW supervision – kwilson@windoverwater.net.

Speaking, Seminars & Education

Over the years, I have presented on eating disorders, DBT, and compliance numerous times with local and national organizations. I love to do webinars of all types because I love to connect with others in the community. Also, because I think education about mental health, and eating disorders in particular, is imperative to getting adequate and appropriate care for those with these issues.

I have been training other providers in large and small groups since 2003. These presentations and workshops are related most to eating disorders, ethics, and compliance. Since 2021, I have been focusing on 2-3 hour online workshops focused on eating disorders, weight stigma, and DBT/RO-DBT.

Depending on your organization’s needs, I will develop and facilitate anything from small lectures and round-tables to large full day seminars. These presentations (as all of us know) generally take many more hours to prepare than they do to present, and I always tailor my presentations to my audience and topic. Despite this, and in order to make myself more accessible for smaller practices, I only charge for the presentation (and travel time, if not online), which is the same as my hourly client rate. My main goal is to provide information and interact with other professionals!

If you think your staff needs more information about eating disorders, weight stigma, DBT, RO-DBT, HIPAA compliance, or general mental health, please email me so we can connect – kwilson@windoverwater.net.

Compliance CONSULTING

Since 2010, I have been a Compliance Officer for private practices in North Carolina and Virginia. I have learned so much about HIPAA, Joint Commission, state regulations, documentation compliance, security, and technology that has been simultaneously helpful and daunting. I understand how difficult it is to manage all of these complicated, sometimes contradictory, details. Though it was never what I had planned to focus on when I became a therapist, I am happy to help other behavioral and mental healthcare professionals, especially those who focus on eating disorders, with the process.

In 2009, I also became a feng shui practitioner – hence the name of my business. I have intermittently provided feng shui services as a side gig and really enjoy doing that work as well. I find the role of a feng shui consultant to be somewhere between therapist, decorator and personal organizer. But with all of these, the most important thing is to listen to what my clients are saying with compassion and to meet them where they are in their lives with mindful attention.

I want to make sure to provide the most up-to-date, ethical services to all of my clients, which means attending continuing education. All of the certifications I have make sure that I take a certain number of continuing education on each topic every year.

*a note about the team approach to eating disorder care

To treat clients struggling with eating disorders well, you need a team: this consists of (minimally) a dietitian and a doctor you can work well with. I have worked hand in hand with many dietitians over the years and they have an immeasurable impact of recovery success. Having a doctor you trust (an OB-Gyn, psychiatrist, PCP, or NP) is a huge part of managing medical stability, which is absolutely necessary in this type of work. I will help you find a dietitian and a doctor, preferably ones you can see in person, so that you have that support. You may also need family or couples therapy, medical specialists, higher levels of care, or other therapy specialists during the course of your recovery and I will help facilitate that whenever possible. Once you find providers, we will sign the appropriate releases of information so we can communicate as a team, andwe’ll work together for you to receive the most accurate and comprehensive assessment, productive treatment plan and positive recovery outcomes. 

Services FAQ

  1. Do you offer virtual therapy?
    Yes. All sessions are delivered via secure telehealth for clients in Virginia, Maryland, and North Carolina.
  2. Do you work with eating disorders even if I’m “not sick enough”?
    Yes. All eating disorders should be taken seriously, and there are a lot of misconceptions about what it means to have an “eating disorder.” If food, body image, or shame is running your life, you deserve care. You don’t have to prove severity to be taken seriously.
  3. Are you a DBT therapist?
    Yes. I use DBT-informed work regularly, and I’m certified. We’ll use skills in a way that fits your nervous system and your goals. I also use other modalities like RO-DBT, ACT, MSC, CBT, and CPT.
  4. Do you take insurance?
    I’m out-of-network. I can provide a superbill for reimbursement depending on your plan, and full details are on the Payments page or the FAQ on How Out-of-Network Benefits Work.
  5. How do we start?
    Begin with a free 15-minute consult. If we’re a good fit, we’ll schedule an intake and build a plan together.
  6. What if I need a higher level of care?
    If you need more support than outpatient therapy can offer, I’ll help you identify appropriate options and coordinate next steps.
  7. Who is this not a good fit for?
    This practice may not be the best fit if you are seeking meal plans, weight-focused treatment, or a primarily prescriptive model of care. My work is trauma-informed and shame-free, with an emphasis on autonomy, collaboration, and meaning-making rather than behavioral control.
  8. What if I’m not sure outpatient therapy is enough?
    If we determine that a higher level of care would be more supportive, we’ll talk through it and help you explore appropriate options. My role is to support safety, dignity, and the level of care that best fits your needs.

Contact me!

There is so much more to the therapy process than I can express on the page. I love being a therapist and helping people with complex problems so that they can live the life they are looking for, healthy and connected.