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Childhood Eating Disorders

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Eating Disorder therapy for children and teens in New York

Eating disorders occur when a person’s relationship with food spirals out of control, with symptoms usually starting sometime in late childhood or early adolescence. Left untreated, eating disorders can have a significant impact on a child’s mental and physical health and development. Eating disorders are serious but treatable conditions that require a multi-faceted approach to manage day-to-day food intake while compassionately addressing underlying issues that are driving the eating disorder.

At Union Square Practice, we understand the complexities of these disorders and tailor our approach to the individual child’s context and needs. We offer expert, comprehensive eating disorder treatment for children and teens at our Chelsea offices as well as telehealth services to clients throughout New York State.

What are the symptoms of an eating disorder for kids?

Eating disorders come in several forms and can sometimes be difficult to spot. Common indicators include:

  • Restricting food intake or refusing to eat
  • Significant weight loss or gain
  • Binge eating, with or without purging
  • Abuse of laxatives or diuretics
  • Excessive exercise
  • Distorted body image
  • Preoccupation with weight or size
  • Intense fear of gaining weight
  • Social withdrawal
  • Significant changes in mood or behavior


Note that an eating disorder does not necessarily result in noticeable weight fluctuations, and other symptoms can also remain well hidden. 

USP: Teen & Child Eating Disorders - Young girl looking uninterested in her food

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What causes eating disorders in kids and teens?

The exact causes of eating disorders are complex and not fully understood. Contributing factors in any given case might include:

  • Genetic predisposition
  • Psychological factors such as low self-esteem, perfectionism, anxiety, and depression
  • Social and cultural factors including media portrayal of ideal body image and societal pressure to be thin
  • Trauma, abuse, or a critical or controlling environment
  • Certain medical conditions or neurological conditions such as autism that can cause aversion to a wide range of foods, general disinterest in eating, or lack of appetite


One of our child therapists with expertise in eating disorders will work with your child to identify underlying causes and tailor a treatment plan accordingly.

Over time, eating disorders can result in serious physical health issues including nutrient deficiencies, electrolyte imbalances, cardiac problems, gastrointestinal issues, bone loss, and growth and developmental delays. Eating disorders are also associated with an increased risk of suicide, and often occur alongside mood disorders such as anxiety and depression.

At Union Square Practice we recognize the seriousness of eating disorders and the need for a team approach to treatment. This usually includes a combination of psychotherapy, parental guidance, meal support, and, where appropriate, medication management. Our eating disorder experts include a registered dietitian, ED-focused psychiatrist, and licensed master social workers. They collaborate closely to ensure treatment is covered on each front and coordinated in alignment with your child’s unique needs.

Medication is not typically a primary treatment for eating disorders in children, but there are certain instances when medication might be recommended in conjunction with psychotherapy and meal planning guidance, for instance:

  • Addressing moderate to severe co-occuring conditions such as anxiety, depression, or OCD
  • Managing symptoms such as nausea or vomiting associated with certain eating disorders
  • Treating underlying medical conditions that may be contributing to the eating disorder


If our team does recommend medication as part of treatment, we will explain our recommendations thoroughly. We always respect parental choices concerning medication and will work to develop a plan that aligns with your values and priorities.

Treatment Session with clinician and subject

Eating disorder therapy

for your child

If you know or suspect that your child struggles with an eating disorder, don’t wait to seek professional support. At Union Square Practice’s New York offices and online via telehealth, you’ll find a warm and welcoming team of eating disorder specialists ready to help your child and family tackle this complex issue. Early intervention prevents long-term physical health issues and helps your child or teen build a healthier relationship with food that will serve them for the rest of their life.

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