Find a DBT Therapist for Eating Disorders in Colorado
Discover clinicians across Colorado who use Dialectical Behavior Therapy to treat eating disorders with a structured, skills-based approach. Browse the listings below to explore therapists offering individual DBT, skills groups, and coaching options in major cities and statewide.
Sandra DeCarolis
LPC
Colorado - 10yrs exp
How DBT addresses eating disorders
If you are considering DBT for an eating disorder, you can expect a treatment approach that focuses on practical skills alongside individual therapy. DBT was developed to help people manage intense emotions and patterns of behavior that lead to harm. Many clinicians adapt these principles specifically to eating concerns by helping you notice the thoughts and feelings that trigger unhealthy eating or compensatory behaviors, and by teaching concrete skills you can use in daily life.
The four core DBT skill modules - mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness - all have clear applications to eating disorders. Mindfulness helps you develop clearer awareness of hunger, fullness, and emotional states without reacting immediately. Distress tolerance gives you alternatives when urges feel overwhelming - a range of strategies that can bring relief without reinforcing harmful behaviors. Emotion regulation offers tools to reduce the intensity and frequency of overwhelming affect that often drives disordered eating. Interpersonal effectiveness supports healthier communication and boundary-setting, which can reduce relational stress that may feed symptoms. Together these modules form a skills toolkit you can practice during moments of vulnerability.
Finding DBT-trained help for eating disorders in Colorado
When looking for DBT therapists in Colorado, you may find clinicians who offer standard DBT, DBT-informed therapy, or adaptations of DBT tailored for eating disorders. Standard DBT programs typically include individual therapy, skills training groups, and phone coaching. DBT-informed clinicians may combine elements of other evidence-based approaches with the DBT skills emphasis to address eating behaviors, body image, and related issues. In cities such as Denver, Colorado Springs, Aurora, Fort Collins, and Boulder you are more likely to find full DBT teams and specialized programs, while rural areas and smaller towns may offer individual practitioners who use DBT skills within a broader therapeutic plan.
Licensing and specialized training are important signals to look for. Therapists who have completed formal DBT training, ongoing consultation, or certification programs are often better equipped to deliver the full skills curriculum and to adapt it thoughtfully to the complexities of eating disorders. You can also consider whether a clinician has specific experience with anorexia, bulimia, binge-eating, or OSFED - each presentation may require nuanced application of DBT skills and careful coordination with medical and nutritional care when needed.
What to expect from online DBT sessions for eating disorders
Online DBT has become widely available across Colorado and can make consistent treatment possible even if you live outside larger metro areas. If you pursue telehealth, you can expect individual therapy sessions that focus on building a case formulation and translating DBT skills into your daily routine. Many DBT programs offer weekly skills groups online, where you learn and practice the modules with peers while a clinician teaches and troubleshoots. In addition to scheduled sessions, some DBT models include between-session coaching - brief, skills-focused support you can access during moments of crisis or high urges. Coaching can be delivered by phone, text, or secure messaging depending on the clinician's policies.
Online delivery does not mean a watered-down experience. You will still work on mindfulness exercises, learn concrete skills for managing distress and emotions, and practice interpersonal strategies during sessions. The group setting can be particularly valuable because it allows you to practice interpersonal effectiveness and to receive feedback about how others apply the same skills. If you are considering remote work, check that the therapist is licensed to provide telehealth in Colorado and that their scheduling and technology arrangements fit your needs.
Evidence and outcomes for DBT with eating disorders
Researchers and clinicians have adapted DBT for several types of eating disorders with encouraging outcomes, particularly for binge eating and bulimia nervosa where impulsive behaviors and emotion-driven episodes are common. Studies have shown that focusing on emotion regulation and distress tolerance can reduce the frequency of bingeing and purging by giving you alternative responses to intense affect. While individual results vary, many people report improved ability to notice urges without acting on them and to tolerate distressing feelings without resorting to harmful behaviors.
In Colorado, treatment teams in larger centers have incorporated DBT-informed programming into outpatient and partial hospitalization options, and many practitioners report that DBT skills complement nutritional and medical management. If you are seeking treatment, consider DBT as one part of a broader plan that may include medical monitoring and nutritional rehabilitation when appropriate. Evidence supports the clinical logic of teaching skills that address both emotional triggers and behavioral responses, and ongoing research continues to refine how DBT can be most effective for different eating disorder presentations.
Choosing the right DBT therapist for eating disorders in Colorado
Choosing a therapist can feel overwhelming, but focusing on a few practical considerations can help. You might start by looking for clinicians who specifically mention DBT and eating disorders in their profiles, and who outline how they integrate the four DBT modules into treatment. Ask about their experience with the particular eating concern you face and how they coordinate with medical and nutritional providers when required. Availability of skills groups is another factor - group learning is central to DBT and can accelerate skill acquisition and peer learning.
Location and format matter as well. If you live in Denver, Colorado Springs, Aurora, Fort Collins, or Boulder you may have a broader selection of in-person DBT teams that run full skills groups and offer multidisciplinary care. If you live farther away, online therapy can connect you with DBT-trained clinicians across the state. Consider practicalities such as scheduling, insurance or self-pay rates, and whether the therapist offers brief between-session coaching if that is important to you. A good match often comes down to feeling understood and having confidence that the clinician will help you translate skills into daily practice.
Preparing for your first DBT sessions
Before your first appointment you might reflect on the patterns you want to change and the situations that most reliably trigger urges. Preparing a brief history of symptoms, past treatments, and any medical concerns can help your therapist create a focused plan. In early sessions you will typically learn about the DBT structure and the skills you will practice. You may receive homework - small, concrete exercises designed to build fluency with mindfulness or distress tolerance - and you will work with your therapist to set short-term goals that align with safety and recovery priorities.
Throughout treatment you can expect gradual skill development rather than instant change. DBT emphasizes practice, iteration, and reinforcement. You will likely revisit the same skills in different contexts, learning to apply them to body image distress, restrictive patterns, binge urges, or interpersonal triggers that impact eating behavior. Over time you may find that the skills give you more options in moments that once felt automatic and overwhelming.
Finding ongoing support in Colorado
Recovery often requires a combination of clinical care, peer support, and practical planning. Many Colorado practitioners connect clients to local resources, support groups, and coordinated care teams as needed. If you live in an urban center such as Denver or Aurora you may find in-person DBT groups and multidisciplinary clinics. In more rural regions telehealth can bridge gaps and provide regular access to DBT skills training. Use the listings on this page to compare therapists by training, format, and location, and reach out for initial consultations to determine whether a clinician's approach feels like a good fit for you.
DBT offers a skills-based path to managing the emotional patterns that often contribute to eating disorders. By focusing on mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness you can develop practical tools to navigate urges and build a more stable way of living. Take your time exploring profiles, ask questions about training and group options, and choose a team or clinician who aligns with your goals and circumstances in Colorado.