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The "Enough" Eating Disorder Treatment Program

 The Enough Program is a structured, evidence-informed outpatient eating disorder treatment program designed to provide a level of care similar to an Intensive Outpatient Program (IOP) while operating within a single-provider model. The program emphasizes individualized care, skill-building, accountability, and measurable progress while maintaining transparency about scope and limitations.

Philosophy and Core Principles:

  • Weight-neutral, recovery-oriented care

  • “Enough” framework: reducing extremes (restriction, bingeing, compensatory behaviors)

  • Evidence-based psychotherapy (CBT-E informed, with DBT and ACT skills integration)

  • Family/support system inclusion when appropriate

  • Stepped-care approach: least restrictive, highest effective level

  • Radical transparency about what the program does and does not provide

Who this program is best for:

  • Adults and older adolescents with:

    • Anorexia nervosa (medically stable)

    • Bulimia nervosa

    • Binge eating disorder

    • OSFED

  • Appropriate for:

    • Patients not progressing in standard outpatient therapy

    • Step-down from higher levels of care

  • Not appropriate for:

    • Medical instability

    • Active need for inpatient/PHP level care

    • Severe suicidality requiring higher level monitoring

Level of Care Positioning:

  • Positioned as: “Enhanced Outpatient / Intensive Outpatient Program (IOP)-Informed Care”

  • NOT a full IOP due to:

    • Limited group availability

    • Single-provider structure

  • Designed to approximate IOP intensity through:

    • Increased session frequency

    • Structured curriculum

    • Behavioral accountability

How Does this Work?

Program Structure

Example Curriculum:

How to make the most of this program:

  • Attend scheduled sessions consistently

  • Complete self-monitoring (food logs, behaviors, thoughts)

  • Participate in exposure-based work

  • Engage support system if applicable

  • Maintain medical safety (labs, vitals as required)

Duration:

  • 8–12 weeks (flexible based on progress)

 

Weekly Time Commitment:

  • 2–4 clinical sessions per week (total ≈2–4 hours)

 

Core Components:

  1. Individual Therapy (Primary Modality)

    • 1–2 sessions per week (45–60 min)

    • CBT-E informed structure:

      • Regular eating

      • Cognitive restructuring

      • Exposure to feared foods

      • Body image work

  2. Skills-Based Sessions (Individual or Small Group if available)

    • 1 session per week

    • Topics rotate:

      • Emotion regulation (DBT-informed)

      • Distress tolerance

      • Body image and self-worth

      • Cognitive distortions

      • Relapse prevention

  3. Meal Support (Adapted Model)

    • Individual meal coaching (live or asynchronous review)

    • Family-supported meals when applicable

    • Focus:

      • Normalization of eating patterns

      • Reducing avoidance and rituals

  4. Medical/Psychiatric Monitoring

    • Regular weight monitoring (as clinically indicated)

    • Symptom tracking (bingeing, purging, restriction)

    • Medication management when appropriate

  5. Care Coordination

    • Referral and collaboration with:

      • Registered dietitian (strongly encouraged)

      • PCP for labs/medical clearance

    • Clear documentation of external supports

Program Curriculum (Example Weekly Themes):

  • Week 1–2: Assessment, psychoeducation, regular eating

  • Week 3–4: Interrupting behaviors, self-monitoring

  • Week 5–6: Cognitive restructuring, body image

  • Week 7–8: Exposure work, flexibility with food

  • Week 9–10: Identity, values, relapse patterns

  • Week 11–12: Relapse prevention and transition planning

This program does NOT provide:

  • Daily group therapy

  • Full-day structured programming

  • Continuous meal supervision

This program relies on:

  • Patient engagement

  • External supports when needed

Discharge Criteria:

  • Reduction in eating disorder behaviors

  • Improved nutritional consistency

  • Increased cognitive flexibility

  • Ability to maintain progress with lower level of care

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The Enough Program provides structured, evidence-based eating disorder treatment that bridges the gap between traditional outpatient therapy and higher levels of care. It prioritizes clinical effectiveness, accessibility, and honesty about scope, while delivering meaningful, measurable intervention within a single-provider model.

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The Enough Program: Pricing

The Enough Program is designed to provide a higher level of structure and support than traditional weekly therapy, without the time and financial demands of a full Intensive Outpatient Program (IOP).

Traditional IOP programs often require daily attendance and can cost several thousand dollars per month. The Enough Program offers a more flexible, accessible option while still delivering meaningful, evidence-based care.

 

Program Options:

1. Core Program
$1,400 per month

Designed for patients who need more than weekly therapy but do not require daily structured care.

Includes:

  • 1–2 individual sessions per week

  • 1 structured skills-based session per week

  • Guided self-monitoring and accountability

  • Limited between-session messaging support

  • Care coordination with outside providers as needed

 

2. Higher Support Program:
$1,900 per month

Designed for patients who would benefit from increased frequency, structure, and support.

Includes:

  • 2 individual sessions per week

  • 1 structured skills-based session per week

  • Meal support sessions (as clinically indicated)

  • Increased between-session support

  • Ongoing symptom monitoring and accountability

  • Care coordination with outside providers as needed

 

3. Step-Down / Maintenance Option:
$700–$900 per month

For patients transitioning out of the program who still benefit from structure and continued support.

Includes:

  • Weekly individual therapy

  • Ongoing skill reinforcement

  • Reduced monitoring and support

 

What Is Included:

  • A structured, evidence-informed treatment approach (CBT-E informed with skills integration)

  • Individualized care tailored to your needs

  • Regular monitoring of eating disorder behaviors and progress

  • Coordination with dietitians, primary care, or other providers when appropriate

 

What Is Not Included:

  • Daily programming or full-day treatment

  • Guaranteed group therapy sessions

  • 24/7 support or crisis services

  • Continuous meal supervision

 

Payment Information:

  • This is a self-pay program and is not billed to insurance

  • Payment is due monthly

  • HSA/FSA cards may be used if applicable

  • Superbills can be provided upon request for possible out-of-network reimbursement

 

A Note on Fit:
This program is best suited for individuals who are medically stable and able to participate actively in outpatient care. If a higher level of care is needed at any point, appropriate referrals will be provided.

 

Getting Started:
Enrollment begins with an initial assessment to determine fit and appropriate level of support within the program.

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