Preventive & Step-Down Care
We bridge the gap between standard weekly therapy and highly disruptive institutional programs. Our outpatient model acts as a preventive shield to stabilize symptoms early and prevent escalation to residential care. We also provide a robust step-down framework, partnering directly with PHP and residential facilities to give individuals a safe, structured clinical bridge back to daily life.
De-Complexifying the Logistics
True recovery requires a team—therapists, dietitians, pediatricians, and psychiatrists. In standard private practices, the exhausting burden of managing communication between these providers falls entirely on the family. At PPG, we handle the logistics for you. Dr. Rosen leverages a vast professional network to seamlessly coordinate every branch of your care team, de-mystifying the clinical process so you can focus entirely on healing.
Treating the Whole Person
Eating disorders rarely exist in a vacuum; they are almost always fueled by underlying anxiety, depression, trauma, or OCD. As a multi-specialty clinical group, we don't just treat food behaviors. We seamlessly integrate gold-standard, evidence-based frameworks (like FBT, CBT-E, and DBT) to address co-occurring conditions simultaneously, ensuring a deeply rooted, long-lasting recover
A note from our program director
Eating disorder recovery is inherently complex, and it is easy for families to feel completely lost in the system. At PPG, we want to take that complexity away. Our outpatient program is designed to bridge the gaps that traditional therapy misses by providing the very best in evidence-based care. Whether we are intervening early to stabilize behaviors before a higher level of care becomes necessary, or providing a secure, structured bridge back to daily life after residential treatment, we ensure every step is rooted in the best available science. You don't have to carry the burden of coordinating doctors, dietitians, and therapists by yourself. Not only do we provide the highest possible standards in treatment, we also handle the moving parts, so you can focus entirely on healing.
How We Treat
Family-Based Treatment (FBT)
Family-Based Treatment (FBT) offers some of the highest rates of long-term recovery for adolescents struggling with eating disorders. This highly structured, non-blaming approach empowers parents to take an active role in their child's recovery — temporarily taking charge of nutrition and meals to restore health at home, then gradually returning independence to the adolescent as they get better.
Emotion-Focused Family Therapy (EFFT)
Emotion-Focused Family Therapy (EFFT) is a therapeutic approach designed to help caregivers support loved ones struggling with mental health challenges. It provides caregivers with tools to respond to their loved one’s emotions with empathy, strengthen their connection, and reduce emotional distress.
Adolescent-Focused Therapy (AFT)
Adolescent-Focused Therapy (AFT) focuses on improving self-esteem, self-efficacy, and motivation to engage in adolescent development in the context of Anorexia Nervosa. The goal is to support the adolescent in decreasing behaviors and thoughts that maintain the eating disorder while promoting the adoption of new skills that foster autonomy and sense of agency.
Enhanced CBT (CBT-E)
Enhanced CBT (CBT-E) is considered one of the most effective treatments for eating disorders in adults, and has been modified to involve parental support for adolescents. This approach works to identify and disrupt the thoughts, feelings, and behaviors related to eating, body weight/shape, and the self that maintain the individual’s eating disorder.
Exposure-Based Treatment
Exposure-based treatment for eating disorders is a cognitive behavioral approach that helps individuals confront and reduce fears, worries, and avoidance behaviors related to food, eating, body image, and weight.
Dialectical Behavior Therapy (DBT)
Dialectical Behavior Therapy (DBT) helps individuals regulate intense emotions, tolerate the distress and discomfort associated with eating, and improve their interpersonal relationships. It builds concrete skills in mindfulness, distress tolerance, and emotion regulation that interrupt the cycles maintaining disordered eating.
What is Family Based Treatment (FBT)?
Clinical research consistently shows that Family-Based Treatment (FBT) offers the highest rates of long-term recovery for adolescents struggling with eating disorders. Discover how this highly structured, non-blaming approach utilizes the home environment to restore health and build a lasting foundation for wellness.
What to Expect from PPG Treatment:
Our first priority is to address the physical consequences of the eating disorder. We work with you and your medical team to stabilize your health and develop a structured yet flexible eating plan that nourishes your body and breaks disordered eating cycles.
Lasting recovery goes beyond behaviors. We guide you in exploring and challenging negative beliefs about food, weight, and self-worth to help you build a more compassionate, accepting, and trusting relationship with yourself.
Eating disorders often serve as a way to cope with overwhelming feelings. We help you build a toolbox of effective strategies from evidence-based therapies to manage stress, regulate emotions, and navigate perfectionism in a healthier way.
We understand that eating disorders rarely exist in a vacuum. Our integrated approach addresses co-occurring conditions like anxiety, depression, trauma, and OCD that may be underlying or fueling the disordered eating, ensuring a more comprehensive treatment.
Recovery thrives in a supportive environment. We offer family therapy and guidance on how to involve your loved ones in your healing process, helping to mend relationships and build a strong support network for the journey ahead.
Our goal is to help you build a life of lasting wellness. We work collaboratively with you to identify potential triggers and create a detailed relapse prevention plan, empowering you with the confidence and skills to sustain your recovery long after treatment.
The Key: Early Intervention & Evidence Based Treatment
80%
Bulimia recovery rate for those who receive treatment within the first 5 years
75%
Up to 3/4 of adolescents with anorexia nervosa achieve significant improvement through FBT
