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Center for Discovery provides residential treatment for children, adolescents, and teens dealing with eating disorders.
For over 15 years, we have been dedicated to helping teens and adolescents with eating disorders achieve long-term recovery and live happy, productive lives.
Center for Discovery is located in a home-like setting within a residential neighborhood in Menlo Park. If your child, teen, or adolescent is dealing with an eating disorder, know that recovery is possible and that Center for Discovery can help. Remuda Ranch was founded on the belief that complete and lasting recovery from an eating disorder was possible. Every woman or girl who comes to us for treatment remains important to us, long after she returns home.
Everyday we receive letters and messages from professionals in the field, former patients and their families. Whether you are a professional in need of resource material, or a potential patient with questions about treatment, we are always here for you.
The type of treatment offered depends on the particular kind of eating disorder, and takes into account the severity, timeline, patients’ age and other potentially complicating factors. Generally speaking, treatment falls into two areas; in-patient care (in some circumstances day care may be offered as an alternative to in-patient care) and out-patient care.
Please see here to find eating disorder treatment, eating disorder clinics, treatment for eating disorders. For example, a patient diagnosed with anorexia may need to be admitted to a specialist hospital in order to receive specialist care to stabilise and address physical factors such as low weight. Most patients suffering from eating disorders would not receive such intensive treatment and are more likely to receive some form of psychotherapy or counselling. CBT is a type of therapy commonly offered by NHS eating disorder services, both for in-patients and out-patients. Courses of CBT usually last six months and certain types have been developed to be particularly effective for helping some people with their Bulimia. Here the therapists’ task is to help to slowly and carefully support the patient in understanding this pattern and exploring what this may mean in order to lessen the need for rigid defences. This is a brief therapy usually lasting 16 sessions, making use of both psychodynamic and cognitive principles in order to develop a shared understanding of the patient’s difficulties. Some patients may choose to access help outside of the NHS, for example through student counselling services or private therapists.
Psychotherapy and counselling are interventions that aim to help an individual (or if in a group setting) help the person develop insight. Psychodynamic psychotherapy helps the patient to gain a greater understanding of themselves, particularly the way they form and maintain relationships. Learning that a son, daughter, partner or friend is suffering from an eating disorder can be very difficult. It is important to remember that an eating disorder is a mental illness and that vomiting or starving are symptoms of the illness.
In-patient care will include families and partners in treatment, including being invited to ward rounds and care meetings or taking part in family therapy.
Out-patient care and in particular psychotherapy or counselling may not necessarily include partners or family members, as treatment is confidential. The British Association for Counselling and Psychotherapy (BACP): The BACP website will give a better understanding of counselling and help you find a suitably qualified local counsellor.
The Royal College of Psychiatrists has an excellent feature on eating disorders on its website (type Royal College of Psychiatrists into your search engine and then navigate to the appropriate section).
With thanks to The Manchester Mental Health and Social Care Trust for writing this article for Uncovered magazine issue 3. There was a study published this month that showed what many of us have been saying for a long time: eating disorder treatment is massively ineffective in many cases and the industry is badly in need of some sort of overhaul. The study was published under the title Clinicians’ Attitudes, Concerns, Adherence and Difficulties Delivering Evidence-Based Psychological Interventions and it outlined the fact that many clinicians do not use evidence-based therapies when treating eating disorder patients. The report went on to very politely state the reasons as to why eating disorder treatment is in dire need of an overhaul. One of the reasons stated in the study was that treatment centers have their own cultures and beliefs and that they don’t want to change—the majority of the resistance usually coming from staff.
The study also pointed out that clinicians have a delusional view of their own effectiveness. This might, however, explain why a number of doctors tried to convince me that my parents simply must have abused me in order for me to have an eating disorder. Wanting to recover from an eating disorder is not the same as deciding that you are going to be better at organizing your closets, or that you want to be a brunette rather than a blonde. That is a really good point and I too have experience of being treated as if my eating disorder is an addiction.
We believe that children, teens, and adolescents with eating disorders need and deserve specialized treatment. Over that time, we have developed and refined our proprietary treatment model, which has provided a legacy of successful treatment outcomes. Center for Discovery is an established leader in the field of residential treatment for eating disorders, and we understand how difficult it can be to seek residential treatment for your child.
The decision to enter inpatient treatment may be difficult; however, the decision regarding who to trust with your care is easy. Even more important, they are caring, compassionate women who truly understand what it’s like to have an eating or anxiety disorder.

In time, we extended that same belief to those with anxiety disorders.Learn more about how this small company became the leading treatment program in the country today. For most patients this begins with their GP, who will make a referral to a specialist or specialist service where appropriate.
This will be a specialist hospital or department with a team of staff who are skilled in the treatment and management of patients with Anorexia. This may be in conjunction with specialist advice from a skilled and experienced dietician. As not all patients with an eating disorder will access help through a specialist eating disorder service or even through the NHS, it is worth saying more about psychotherapy and counselling. The types of therapy available are usually Cognitive Behavioural Therapy (CBT), Psychodynamic Therapy, and Cognitive Analytic Therapy (CAT).
There is a good evidence base for its use, particularly for patients with certain Bulimic presentations, and it helps patients to understand unhelpful ways of thinking and how these trigger and maintain eating disorders. CBT uses diaries and homework exercises to begin to understand and challenge the unhelpful thoughts and feelings that can maintain an eating disorder. These may include elements of one’s difficulties which may be unconscious or outside of our awareness. It is also an active therapy where the patient and therapist work together to understand how difficulties have emerged and developed over time and how they can then be better adapted and less damaging. Within these settings psychotherapy or counselling may not be of the above types, although due to the complex nature of eating disorders there may still be a need for ongoing medical monitoring. This means that during therapy the patients learn to understand themselves and their difficulties better. It can also be very confusing to understand why someone may vomit after eating or refuse to eat full stop.
Carers may feel anxious, guilty, helpless or even angry and want their friend, daughter or partner to be given help to make them change straight away. However, it is usually possible for carers to have a discussion with the therapist to consider their worries during the assessment phase.
There are a range of services available including an excellent website (type BEAT into your search engine), support lines for young people and carers and a service directory which includes both NHS eating disorder services and individual therapists.
The BABCP website is a useful place to gain more information and Behavioural and Cognitive Psychotherapies. The UKCP website is helpful in understanding better the different types of psychotherapy available and help you find a suitably qualified therapist in your local area. This, by the way, is despite the general consensus that these therapies are by far the most effective and have a high rate of success when compared to non-eveidence-based practices.
Treatment centers therefore don’t push the issue, and here is where the problem lies. As a recovered Anorexia sufferer, I advocate for proper understanding of eating disorders in my spare time. The ED world just expects treatment to be paid for whether evidenced based or not while the rest of the medical world is busting their asses doing studies to get stuff paid for.
Like you’ve said, each individual case is complex and every person has their own reasons for having the eating disorder and for wanting or not wanting to recover.
I enjoy your site and I LOVED this article- and I have to say the line about Donald Trump made me laugh out loud. It’s so important that we change the way that treatment is offered as soon as possible! I too get encenced about this topic as I can speak from my personal experience had a patient living in recovery. I would like to add that society and the medical world needs to stop associating mental illness to drug addiction and treating the two as similar issues.
For me, this was another experience that created distrust in those who were supposed to be helping me. People can pay a lot of money to go to a treatment centre and in some cases come out worse than when they went in! That’s why our program is specialized to provide treatment for adolescents and teens, both male and female, ages 10 to 19.
At Center for Discovery, our process is highly family based closely involves family members as a support system for recovery.
Our home-like setting and location in a residential neighborhood allow teens and adolescents to focus on treatment for their eating disorder without the other environmental factors and distractions. Today, women and girls come to Remuda Ranch to regain strength, restore health and enter recovery. Their goal is to answer all of your questions, then make treatment as accessible and affordable as possible. For example, a patient’s belief that they are fat can lead to them restricting and controlling their diet and when this becomes unsustainable can lead to binge eating and vomiting. The aim is to develop greater understanding of these difficulties or defences and the way in which they negatively impact on our lives.
Through this patients develop the skills and understanding to challenge and change unhelpful patterns. For example a patient with bulimia who vomits quite frequently may need regular blood monitoring, which could be supervised by their GP. For instance, CBT can be effective in helping understand the thoughts and feelings which lead to the episodes of binge eating and vomiting, and thus begin to break the cycle of bulimia. For example, patterns of relating that emerge within childhood can be played out during later life without any awareness.

It can also be very frightening to see someone lose weight and feel like you are unable to help. An especially useful resource is the BEAT website, which has helpful and sensible information for carers and partners.
That would be rather like going into the hospital with a stomach ache and being given chemotherapy just because the doctor that you saw was primarily trained to specialize in cancer. If given the option, most eating disorder patients will opt for a treatment less likely to help them put on weight and recover. Likewise if you want someone with Anorexia to get better, you usually have to force them to do it. Until then, we’ll we have to hope that each eating disorder patient falls in the hands of a therapist who is willing to follow evidence-based treatment. Speaking as both someone who has struggled with anorexia and a future therapist, all my experiences (and the research I’ve read) have taught me that the number one factor in recovery is not the type of treatment but the therapeutic relationship. I shared it on my blog today in the hopes that more people can understand that the treatment for eating disorder recovery is still far from ideal. Michael Maley was able to guide and help me through all the chaos within the treatment system.
It made me feel very alone every time I did try and reach out to someone in the medical profession that they never seemed to understand my eating disorder. As someone who has dealt with EDNOS for years, I always used to wonder whether or not it was just me feeling that ED treatment, though largely necessary, is extremely ineffective.
Center for Discovery Menlo Park is accredited by the Joint Commission and maintains the highest licensure by the State of California. The aim of treatment is to help the patient begin to address their anorexia, including supervised and monitored eating managed by a dietician, and possibly use of medication to treat any depression or anxiety. This type of therapy can be longer term and is based on an understanding that relationship difficulties, including difficulties in the patient’s relationship with food, will be played out with the therapy and in the relationship with the therapist. Difficult or abusive relationships in early life can manifest themselves later as difficulties with food. Same as treating someone for child abuse is roughly the same as treating someone for anorexia.
However, this is not always the case and for someone like me who has never touched drugs in my life, I do not require the same medical treatment, as a drug addict. It seems that no one really knows how to treat them, centers included, but no one wants to admit it. Our Center for Discovery treatment center in Menlo Park is dedicated solely to providing the personalized treatment for teens and adolescents that is necessary to create emotional, behavioral, spiritual and social growth. During these meals, a resident will sit down to a meal with their family, therapist and dietitian and the therapist and dietitian provide a therapy session and individualized family coaching. Joint Commission accreditation and certification is a nationally recognized symbol of quality that reflects our commitment to the highest performance and treatment standards.
Psychological therapy is also offered to begin to tackle the reasons for the eating disorder developing and address the features that maintain the illness. For instance, a patient with anorexia who rigidly controls their food intake may similarly attempt to control the therapy. It is possible to begin to understand that if someone had little or no control over what happened to them they may in adolescence or adulthood begin to exert control over their relationship with food.
There’s got to be some dramatic change soon, and I hope that ppl like you will continue writing to spur it! Therapeutic family meals are an excellent model for families and residents to see how meals should be handled at home, after treatment. At Center for Discovery, many of our residents are referred from professionals in the medical community and the majority of stays are fully covered by insurance. Our team is particularly effective at addressing denial and lack of understanding about the severity of eating disorders. Eating disorder treatment at Center for Discovery also includes hands-on nutrition and food preparation training to help teens and adolescents become more familiar and comfortable with food and food preparation. For the highest continuity of treatment, we provide thorough information to your referring physician consistently, including comprehensive summaries and treatment goals, so treatment can transition seamlessly from residential treatment. More importantly those struggling , suffering and needing help get lost in the ineffective revolving door syndrome of treatment centers.
Every member of the Center for Discovery team is both deeply committed and passionate about the well-being and healing of our residents and their families.
Residents also receive a minimum of four hours per week is spent with a therapist in individual therapy sessions and an average of four hours each day is spent in group therapy sessions. All of our therapists are full-time Center for Discovery team members and our full treatment team meets at least once a week to discuss the progress and treatment plan of each resident.
This level of therapy is not possible in some treatment settings other than residential treatment.
In addition to the full meetings, our team communicates regularly throughout the week to coordinate, update, and monitor the treatment of residents.
At Center for Discovery, we are focused on helping teens and adolescents understand their eating disorder and identify the eating disorder cycle and the emotional contributors to their eating disorder.

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