I happen to have just recently collaborated with Dr. Rosen as we shared a mutual patient... I was very grateful for her care, and am always happy to collaborate with her!
— Rita Aronov, MD
Three Core Pillars of Treatment
Evaluate and Stabilize Early
We help identify eating disorder concerns early and provide structured support before symptoms become more severe. For people who are still being assessed, our goal is to clarify what’s happening and determine the right next step in care.
Simplify Coordinated Care
Eating disorder treatment often involves multiple providers, which can feel overwhelming for families. We coordinate care across therapists, dietitians, pediatricians, and psychiatrists so the process feels cohesive, supported, and easier to navigate.
Treat the Whole Person
We address more than eating behaviors alone. Our evidence-based approach supports emotional health, co-occurring concerns, and the day-to-day realities of recovery so patients can build a stronger foundation for lasting progress.
A note from our program director
Eating disorder recovery is complex, and families are often left to navigate a fragmented system on their own. At PPG, we bring clarity to that process. Our outpatient program is designed to bridge the gap between standard weekly therapy and higher levels of care, offering evidence-based support for people who need early intervention or a structured transition home after treatment. We coordinate the care, and assemble a care team when needed, so families can focus on healing.
What people say
In their own words.
Ways We Deliver Care
In person
Structured outpatient support delivered face to face at our Chappaqua and Hartsdale offices. In-person visits can be especially helpful when a patient needs closer monitoring, a fuller read on progress, or more direct collaboration with their treatment team.
Virtual
Structured outpatient support delivered by secure video for people who need flexibility, easier access, or care from home. Virtual treatment can make it easier to stay engaged while balancing school, work, and family responsibilities, and may include therapy, care coordination, and ongoing support as part of an outpatient plan.
How We Evaluate
Before treatment begins, we complete a thorough eating disorder evaluation to understand what is happening clinically and what level of support is needed. This may include a screening questionnaire, a detailed conversation about eating patterns and behaviors, a review of medical and mental health history, and coordination with other providers when needed. We also assess for medical risk and co-occurring concerns so we can recommend the safest, most appropriate next step in care.
For some people, evaluation confirms a diagnosis such as anorexia nervosa, bulimia nervosa, or ARFID. For others, it helps clarify whether symptoms are subclinical but still serious enough to warrant support. In every case, our goal is to provide a clear, evidence-based assessment and a treatment plan tailored to the person’s needs.
After evaluation, we match each person with the level of support that best fits their needs. If you’re unsure where to begin, a consultation can help clarify the next step.
When to Seek Help
If eating, exercise, body image, or weight concerns are beginning to affect daily life, school, work, relationships, or physical health, it’s a good time to reach out. You do not need to wait until symptoms become severe. Research suggests that early intervention makes it easier to address concerns before they become more serious.
You may want to seek help sooner if you notice:
- Rapid or unexplained weight change
- Fainting, dizziness, weakness, or frequent fatigue
- Skipping meals or increasingly rigid food rules
- Frequent bingeing, purging, or compulsive exercise
- Withdrawal from friends, family, or usual activities
- Intense distress about food, weight, or body shape
If you’re unsure whether what you’re seeing is a concern, checking in early is a good choice. If someone is fainting, has chest pain, or is unable to keep food or fluids down, seek medical care right away.
What We Treat
Anorexia
Therapy for anorexia nervosa, including family-based treatment for children and teens, with medical and nutrition coordination.
Bulimia
OOutpatient therapy for bulimia nervosa, including support for binge-purge cycles, coping skills, and medical and nutrition coordination
Binge Eating Disorder
Outpatient therapy for binge eating disorder, with support for regular eating, coping skills, and medical and nutrition coordination.
OSFED
Therapy for eating disorders that don’t fit one diagnosis, including atypical anorexia and purging disorder, with medical and nutrition coordination.
ARFID & Selective Eating
Therapy for avoidant/restrictive food intake disorder in children, teens, and adults, including sensory sensitivity and fear of eating.
Body Image Concerns
Therapy for teens and adults who struggle with self-criticism and distress about their bodies, with sessions in person and online.
How We Treat
Family-Based Treatment
FBT is considered a first-line treatment for adolescents with anorexia nervosa. This structured, non-blaming approach asks parents to take an active role in recovery, temporarily taking charge of nutrition and meals to restore health at home, then gradually returning independence to the adolescent as they improve. Learn more about FBT
Emotion-Focused Family Therapy (EFFT)
EFFT helps caregivers support a loved one who is struggling. It gives caregivers tools to respond to emotions with empathy, strengthen their connection, and reduce emotional distress.
Adolescent-Focused Therapy (AFT)
AFT focuses on improving self-esteem, self-efficacy, and motivation in the context of anorexia nervosa. The goal is to help the adolescent reduce the behaviors and thoughts that maintain the eating disorder, while building skills that support autonomy and a sense of agency.
Enhanced CBT (CBT-E)
CBT-E is a well-researched treatment for eating disorders in adults and has been adapted to include parental support for adolescents. It works to identify and change the thoughts, feelings, and behaviors related to eating, weight and shape, and self-worth that keep an eating disorder going. Learn more about CBT-E
Exposure-Based Treatment
A cognitive behavioral approach that helps people face and reduce fears, worries, and avoidance related to food, eating, body image, and weight.
Dialectical Behavior Therapy (DBT)
DBT helps people regulate intense emotions, tolerate the distress that can come with eating, and improve their relationships. It builds practical skills in mindfulness, distress tolerance, and emotion regulation that interrupt the cycles that maintain disordered eating.
What to Expect from PPG Treatment
Understand the Full Picture
We begin by understanding symptoms, medical risk, and treatment needs so we can determine the most appropriate next step in care.
Get a Coordinated Outpatient Plan
We work closely with your broader care team to create a streamlined treatment plan that feels organized and manageable, whether care is delivered in person or virtually.
Receive Evidence-Based Support
We use evidence-based approaches to address eating behaviors, emotions, and the concerns that often sustain them, delivered in a format that fits the person’s needs and schedule.Build Stability for the Long Term
We help patients and families build practical tools for recovery, relapse prevention, and lasting progress through ongoing outpatient support.
Why Early, Family-Involved Treatment Matters.
Research supports starting treatment early and using evidence-based approaches such as FBT. Our care is built around both.
90%
For adolescents with an illness duration of less than 3 years, early family intervention achieved a 90% good outcome rate (defined as healthy weight maintenance and regular menstruation), compared to only 18% in the individual supportive therapy control group.
Russell et al., 1987, Archives of General Psychiatry; Eisler et al., 1997
More than 75%
More than 75% of adolescents treated with family therapy for anorexia had no eating disorder symptoms five years later.
Eisler et al., Journal of Child Psychology and Psychiatry, 2007 (IAEDP summary)
