Karyn Hall's Blog

s a parent, you naturally watch for signs your child is healthy and thriving. But while we’re quick to notice a fever or scraped knee, recognizing mental health struggles in young children can feel much harder. Is this just a phase? Am I overreacting? When should I actually seek help?

If you’re asking these questions, you’re not alone. Many parents struggle to know when typical childhood emotions cross into concerning territory. This guide will help you recognize mental health warning signs in young children and understand how early intervention���including powerful therapeutic approaches like sand tray therapy���can make a lasting difference.

Why Early Mental Health Intervention Matters for Your Child

Early childhood mental health intervention refers to professional support for children (typically ages 2-8) experiencing emotional, behavioral, or psychological challenges. The earlier these concerns are addressed, the better your child’s long-term outcomes.

Here’s why timing matters: Your child’s brain is developing rapidly during these early years. Neural pathways are forming that will influence how they handle stress, regulate emotions, and navigate relationships throughout life. Mental health support during this critical window can literally reshape brain development in positive ways.

Research shows that children who receive early mental health intervention experience:

Better emotional regulation and coping skillsImproved relationships with family and peersGreater school readiness and academic successReduced risk of mental health problems in adolescence and adulthoodStronger resilience when facing future challenges

The good news? Young children are remarkably responsive to treatment. What might become a deeply ingrained pattern later can often be addressed more easily when caught early.

Mental Health Red Flags: When to Seek Help for Your Child

Every child has bad days, tantrums, and fears���these are normal parts of development. But certain patterns signal that your child needs professional support. Trust your parental instincts, and watch for these warning signs.

Childhood Anxiety Symptoms

Normal childhood fears (like being scared of the dark) are different from anxiety disorders in children. Seek help if your child shows:

Separation anxiety ��that persists beyond age 5 or worsens over timeExtreme distress about attending preschool or daycare, even after months of adjustmentPhysical complaints (stomachaches, headaches) with no medical cause, especially before school or social eventsConstant worry about everyday situations (what if the car breaks down, what if you forget to pick me up)Avoidance of age-appropriate activities they previously enjoyedDifficulty sleeping due to fears or worryExcessive need for reassurance (“Are you sure nothing bad will happen?”)Panic attacks in children (rapid heartbeat, difficulty breathing, overwhelming fear)Depression in Young Children

Yes, preschool depression and childhood depression are real. Watch for:

Persistent sadness or irritability lasting two weeks or longerLoss of interest in playing, friends, or favorite activitiesChanges in energy (either lethargy or agitation)Frequent crying or emotional meltdownsSelf-criticism unusual for their age (“I’m bad,” “Nobody likes me”)Withdrawal from family and friendsConcerning statements about wanting to disappear or not wanting to existChanges in appetite or sleep patternsTrauma Symptoms in Children

Childhood trauma��from abuse, neglect, violence, frightening medical procedures, natural disasters, or loss requires immediate attention. Trauma symptoms in young children include:

Nightmares, night terrors, or sleep problemsRepetitive trauma play���reenacting scary experiences through play over and overBeing constantly on edge or easily startledRegression (acting like a younger child, bedwetting after being potty-trained)Increased aggression or sudden fearfulnessSeeming emotionally “flat” or detachedPTSD in children (flashbacks, avoidance, hypervigilance)Behavioral and Emotional Regulation Problems

While tantrums are developmentally normal for toddlers, certain patterns need attention:

Frequent, intense tantrums beyond age 4Aggression that endangers the child or others regularlyEmotional dysregulation���inability to calm down even with parental supportExtreme reactions that seem way out of proportionDifficulty transitioning between activities without major meltdownsOppositional defiant behavior that disrupts family functioningImpulsive behaviors that create safety concernsTrouble understanding social cues or others’ emotionsWhen Your Gut Says Something’s Wrong

Here’s the most important guideline: If you’re consistently worried about your child’s emotional wellbeing, that concern deserves professional attention. You know your child better than anyone. Trust yourself.

Don’t wait for problems to become severe. Early assessment either provides reassurance or opens the door to helpful support���it’s a win either way.

What Is Sand Tray Therapy? A Powerful Tool for Children’s Mental Health

Sand tray therapy for children (also called sandplay therapy) is a specialized form of play therapy that’s incredibly effective for young children struggling with mental health issues. If your child’s therapist recommends this approach, here’s what you need to know.

How Sand Tray Therapy Works

Imagine a shallow box filled with sand and hundreds of miniature figures���people, animals, houses, trees, vehicles, monsters, bridges, fences, and more. In sand tray therapy, your child uses these materials to create scenes in the sand that represent their inner world.

There are no rules about what to create or how to play. The child has complete freedom. They might:

Build elaborate worlds with clear storiesCreate abstract designs or patternsStage battles, rescues, or everyday scenariosBury objects, build mountains, dig riversPlace figures carefully or change scenes repeatedly

The child therapist observes closely but lets your child lead. This isn’t about talking through problems���it’s about giving form to feelings and experiences that are too big, scary, or confusing for words.

Why Sand Tray Therapy Is Perfect for Young Children

Young children think concretely and communicate naturally through play. Child psychology research confirms that children process experiences and emotions differently than adults. Their language centers are still developing, but their emotional brains are fully active.

Sand tray therapy meets children where they are developmentally:

Play is children’s natural language. When kids play, they’re not just having fun���they’re working through experiences, testing ideas, and making sense of their world. Sand tray therapy harnesses this innate process for healing.

No talking required. A four-year-old with anxiety may not know how to explain the tight feeling in their chest. But they can show a small animal surrounded by bigger, scary ones. The symbolic play communicates what words cannot.

Safe distance from scary stuff. The miniature figures let children explore difficult experiences without confronting them directly. A traumatized child might stage a car crash with toy vehicles, processing the event at a comfortable psychological distance.

Sensory and calming. The sand itself is therapeutic. Its texture is naturally regulating for many children. The ability to shape and transform it provides a sense of control���powerful medicine for kids who feel powerless.

Mastery through repetition. Children naturally repeat experiences they’re working to understand. A child might create similar scenes session after session, gradually changing details as they process and heal.

What Can Sand Tray Therapy Treat?

Sand tray therapy has strong research support and clinical evidence for treating:

Childhood anxiety disorders (separation anxiety, generalized anxiety, specific phobias, social anxiety)Childhood trauma and PTSD (abuse, neglect, witnessing violence, medical trauma, natural disasters)Depression in children and griefBehavioral problems (aggression, defiance, impulsivity)Emotional regulation difficultiesSocial-emotional challenges and relationship problemsStress from family transitions (divorce, new siblings, moves)Selective mutism and communication difficultiesWhat to Expect from Sand Tray Therapy Sessions

Sessions typically last 45-50 minutes and follow a gentle, child-led structure:

1. Your child chooses figures and creates a scene. The therapist provides the materials and a safe, non-judgmental space. Your child has complete freedom to create whatever they wish.

2. The therapist observes and sometimes asks gentle questions. They might say, “Tell me about this part” or “What’s happening here?” But they never criticize, correct, or direct the play.

3. Your child shares if they want to. Some kids narrate their entire process. Others work silently. Both are fine. The act of creating is therapeutic even without verbal explanation.

4. The therapist documents the tray (usually with photos) to track themes and progress over time.

5. Your child dismantles the scene (or the therapist does after the session), returning to a blank slate for next time.

Seeing Progress in the Sand

Over multiple sessions, healing becomes visible in the trays themselves. Early sessions might show:

Chaos, with figures scattered randomlyViolence, crashes, or scary scenariosSeparation themes or trapped figuresEmpty trays or minimal engagement

As therapy progresses, trays often shift toward:

More organization and structureProtective elements (fences, safe houses, helper figures)Resolution of conflicts within the scenePeaceful coexistence of previously threatening elementsMore integrated, cohesive scenes

These changes in play reflect internal changes in your child’s emotional world. The chaos they felt inside is becoming more organized. The overwhelming feelings are becoming manageable.

 

Many therapists integrate multiple methods based on your child’s needs. The best approach is whatever helps your child feel safe and engaged.

��What About Therapy for Parents?

Parent coaching or family therapy often accompanies child therapy. Your child’s therapist may:

Teach you strategies for supporting your child at homeHelp you understand what your child is working throughAddress family dynamics that impact your child’s wellbeingProvide education about childhood mental health

Your involvement matters tremendously. The most effective treatment happens when therapy room and home reinforce each other.

Questions Parents Ask About Sand Tray Therapy

Will I be in the room during sessions?
Usually no. Children express themselves more freely without parental presence. Your therapist will provide updates about progress.

What if my child creates violent or scary scenes?
This is actually common and therapeutic. Children use play to work through difficult material. Trained therapists know the difference between healthy processing and concerning content.

How long does sand tray therapy take?
It varies. Some children show improvement in 8-12 weeks; others benefit from longer-term support. Your therapist will discuss goals and timeline.

Does sand tray therapy really work?
Yes. Research supports its effectiveness, and many parents report remarkable changes in their children’s emotional regulation, anxiety levels, and behavior.

Is my child too young (or too old) for sand tray therapy?
Sand tray therapy works well for ages 3-12, though approaches vary by age. Younger children use it more freely; older children (and adults) might combine it with talk therapy.

 

Call us at 713-973-2800 if you are interested in play therapy/sand tray therapy.����

The post Early Intervention with Sand Tray Therapy appeared first on Houston DBT Center.

Borderline Personality Disorder (BPD) is a complex mental health condition that affects how people think, feel, and connect in relationships. Individuals with BPD often struggle with intense emotions, impulsive behaviors, self-harm, or fears of abandonment. These challenges can feel overwhelming for both the individual and their loved ones. Fortunately, Dialectical Behavior Therapy (DBT) is one of the most effective, research-based treatments available for BPD.

Let’s explore how DBT works, why it���s considered the gold standard for BPD, and how programs such as DBT Intensive Outpatient Programs (IOP) offer a structured alternative to hospitalization.

What Is Borderline Personality Disorder?

Borderline Personality Disorder impacts approximately 1.6% of the population, though some studies suggest it may be higher. Common symptoms include:

Intense, rapidly shifting emotions

Fear of abandonment

Self-harm or suicidal behaviors

Unstable or chaotic relationships

Impulsive or risky behaviors

Chronic feelings of emptiness

Left untreated, BPD can significantly impact daily life. However, with the right treatment, recovery and stability are possible.

Learn more about BPD from the National Institute of Mental Health.

What Is DBT?

Dialectical Behavior Therapy (DBT) was developed by Dr. Marsha Linehan specifically to treat individuals with chronic suicidality and borderline personality disorder. DBT combines cognitive behavioral therapy (CBT) techniques with mindfulness practices to help individuals regulate emotions, reduce harmful behaviors, and build healthier relationships.

DBT focuses on four core skill areas:

Mindfulness ��� learning to stay grounded in the present moment.

Distress Tolerance ��� coping with crisis situations without making them worse.

Emotion Regulation ��� understanding and managing intense emotions.

Interpersonal Effectiveness ��� building healthier, more stable relationships.

These skills give clients practical tools to replace self-destructive behaviors with healthier coping strategies.

For an overview of DBT, see the American Psychological Association.

��Why DBT Works for Borderline Personality Disorder

Research consistently shows that DBT is one of the most effective treatments for BPD. Studies have found DBT reduces:

Frequency and severity of self-harm behaviors

Suicide attempts

Hospitalizations

Emergency room visits

At the same time, DBT improves:

Emotion regulation

Relationship stability

Overall quality of life

A 2014 study published in JAMA Psychiatry found that DBT significantly reduced suicide attempts compared to other treatment approaches (source).

��DBT IOP: An Alternative to Hospitalization

When someone with BPD experiences severe symptoms, hospitalization is often considered. However, repeated or extended hospital stays can sometimes be disruptive and may not provide the skills needed for long-term stability. In fact, research has shown that for individuals with BPD, frequent hospitalization can be associated with poorer outcomes (Paris, 2004).

That���s where a DBT Intensive Outpatient Program (IOP) comes in.

DBT IOP provides the intensity of care often needed during crisis without removing individuals from their daily lives. Clients attend multiple sessions each week, including:

DBT skills groups

Individual therapy

Skills coaching between sessions

This structured, supportive environment helps clients build the skills to manage emotions and relationships while staying connected to work, school, and family.

��DBT and BPD: Hope and Healing

Living with borderline personality disorder can feel overwhelming, but it���s important to know that effective treatment exists. DBT offers a pathway to healing, helping individuals replace destructive patterns with healthier coping tools and more fulfilling relationships.

If you or a loved one is struggling with symptoms of BPD, seeking out a qualified DBT program���such as a local outpatient or intensive outpatient program���can be life-changing.

At the Houston DBT Center, our experienced clinicians offer comprehensive DBT programs for teens and adults. We are committed to providing evidence-based, compassionate care that supports lasting recovery.

713-973-2800

The post DBT for Borderline Personality Disorder appeared first on Houston DBT Center.

The answer is yes. When people think of eating disorder treatment, they often imagine long hospital stays or residential programs, away from their homes and families. For some this can get in the way of seeking treatment. No doubt about it, while inpatient care can be life-saving in medical or crisis situations,��not every individual with an eating disorder requires inpatient treatment. For many teens and adults, outpatient options like an��Intensive Outpatient Programs (IOP)���combined with a supportive treatment team���can provide effective, compassionate care while allowing clients to continue with school, work, and daily life.

When Is Inpatient Care Necessary?

Inpatient or residential programs are typically recommended when:

Medical stability is at risk (dangerously low weight, heart issues, electrolyte imbalances).A person is unable to maintain safety without 24-hour support.Previous outpatient attempts with treatments for complex eating disorders have not been effective.

In these situations, 24-hour monitoring ensures that both the physical and psychological risks of an eating disorder are addressed.

The Role of Outpatient & IOP Treatment

For individuals who are medically stable but still struggling with eating disorder thoughts and behaviors,��outpatient therapy or an IOP can be highly effective and allows the individual to remain with friends and family members and learn coping skills that meet the needs of their everyday life. Outpatient programs can be created to fit the needs of the client.

Standard Outpatient

Standard outpatient treatment is typically one individual session a week, and possibly a skills or other group. This can often be effective for mild eating disorder symptoms.

What Is an Intensive Outpatient Program (IOP)?

When you think of an IOP you may think about groups meeting for several hours a day, often 2 or 3, for multiple days a week. But an IOP can be multiple sessions of individual therapy or multiple individual sessions, a family session, and a group session. An IOP provides structured, evidence-based treatment several days per week, usually in the afternoons or evenings. At Houston DBT Center, our IOP is flexible and depends on the needs of the client

Individual Sessions:�� to work on personal goals and coping strategies.

May be DBT or RO DBT, or may focus on a specific treatment such as CBT for anxiety.

Group therapy sessions��using DBT and RO DBT, , and other evidence-based approaches.

Individual therapy��to work on personal goals and coping strategies.Family support and education, which research shows significantly improves recovery outcomes.

.

Where to Start: Building a Treatment Team

A key part of successful outpatient eating disorder care is creating a��collaborative treatment team. At the DBT Center we will work with you to build your team:�� This often includes:

Therapist specializing in eating disorders (DBT, RO DBT, CBT-E).Dietitian/Nutritionist��experienced in eating disorder recovery and nutrition rehabilitation.Medical provider��(primary care doctor or psychiatrist) to monitor physical health and medications if needed.Family members or trusted supports, included in therapy when appropriate.Client with their values and goals

This team works together to address the physical, emotional, and relational aspects of the eating disorder���providing��comprehensive care without requiring inpatient hospitalization. They will work with you to help you build your treatment plan.

Therapist

A psychotherapist plays a central role in eating disorder treatment by helping clients understand and change the psychological and behavioral patterns that keep the disorder going. While medical providers and dietitians focus on physical health and nutrition stabilization, the therapist works with the emotional, cognitive, and relational aspects of the illness. They create a safe space for clients to explore underlying issues such as perfectionism, shame, trauma, or difficulties with emotional regulation, all of which can fuel disordered eating behaviors.

Therapists also provide evidence-based treatments���such as Dialectical Behavior Therapy (DBT), Radically Open DBT (RO DBT), Cognitive Behavioral Therapy for Eating Disorders (CBT-E), or Family-Based Treatment (FBT)���depending on the client���s needs. These approaches help individuals identify and challenge distorted thoughts about food, body image, and self-worth, while also teaching coping skills to manage urges, regulate emotions, and build healthier relationships.

Another key part of a psychotherapist���s work is coordination with the treatment team. Eating disorder recovery often requires collaboration with physicians, psychiatrists, and dietitians. The therapist communicates with these providers to ensure consistent care and to monitor risks, such as medical instability or suicidality.

Finally, psychotherapists support families or loved ones who may be struggling to understand how to help. In family or couples sessions, they teach validation, communication, and boundary-setting skills, and provide education about the disorder. This relational work is especially important for adolescents, where parental involvement can significantly improve outcomes.

Nutritionists

Registered dietitians and nutritionists who take part in your treatment can help you learn more about your eating disorder and create a plan to regain and maintain healthy eating habits. It’s important to seek treatment from someone who has specialized training in eating disorders because this training is not standard for dietitians. Goals of nutrition education may be to:

Work toward a healthy weight for your personal history and body type.Learn how nutrition affects your body, including knowing how your eating disorder causes nutrition issues and physical problems.Practice eating flexibly and with sufficient portions to support health and development.Set consistent eating patterns ��� generally, at least three meals a day with at least one to two snacks.Correct health problems due to poor nutrition.Challenge food phobias and/or myths

Medical Professionals

In eating disorder treatment, a medical doctor (MD) plays an essential role in keeping recovery safe and supported. Because eating disorders can impact the entire body���including the heart, digestive system, hormones, and bones���regular medical check-ins are a key part of treatment. Even when someone doesn���t ���look sick,��� eating disorders can cause serious health problems that aren���t visible on the outside.

The doctor���s role is to monitor physical health and make sure your body is stable enough to focus on recovery. This may include checking vital signs, reviewing lab work, tracking weight changes, and looking for complications such as dehydration or nutrient imbalances. If a higher level of care is ever needed, the doctor helps determine when inpatient or residential treatment might be the safest option.

Your doctor also works closely with the rest of your treatment team���including therapists, dietitians, and sometimes psychiatrists���so that every part of your recovery is covered. They may adjust medications, answer medical questions, and provide education for both you and your family about how eating disorders affect the body.

In short, the MD is there to make sure your health is protected while you do the important emotional and nutritional healing in therapy and dietitian sessions. This team approach allows you to move toward recovery with both safety and support.

You, the Client

In eating disorder treatment, the client is not just a recipient of care���they are an active and vital member of the treatment team. Recovery is most effective when clients are engaged in the process and see themselves as partners alongside their therapist, medical doctor, dietitian, and other providers.

The client���s role includes being honest about thoughts, feelings, and behaviors, even when it feels difficult or uncomfortable. This openness helps the treatment team understand what is really going on and tailor support in the most helpful way. Clients are encouraged to share what���s working, what feels overwhelming, and what goals matter most to them. Their voice is central in shaping the direction of treatment.

Another important part of the client���s role is practicing new skills and strategies outside of sessions. Therapy offers tools for managing emotions, challenging unhelpful thoughts, and improving relationships with food and body. But real change happens when those skills are applied in daily life, meal by meal, choice by choice. Even small steps forward are meaningful progress.

Clients also play a role in self-advocacy and collaboration. This might mean asking questions, setting boundaries, or working with the team to adjust treatment plans as recovery evolves. By actively participating, the client builds self-trust and strengthens a sense of ownership over their healing journey.

Most importantly, the client brings courage and commitment to the process. While the treatment team provides guidance, expertise, and support, the client is the one who ultimately does the brave work of recovery���reclaiming health, freedom, and hope for the future.

Families

In outpatient eating disorder treatment, families play a crucial role in supporting recovery. Eating disorders don���t just affect the individual���they often impact the entire family system. When families are included in treatment, recovery tends to be stronger and more sustainable, especially for children, teens, and young adults living at home.

The family���s role begins with creating a safe, supportive home environment. This might mean helping with meal support, reducing diet talk at home, and encouraging balanced routines around rest, activity, and self-care. Families can also help by learning about eating disorders, so they understand that the illness is not a choice and recovery takes time, patience, and compassion.

At the Houston DBT Center, families may be invited to participate in therapy sessions, depending on the needs of the client. These meetings provide a space to improve communication, strengthen validation skills, and learn how to respond effectively to the challenges of recovery. Parents or partners often work closely with therapists and dietitians to practice skills that reduce conflict and increase support during meals and daily life.

Another important family role is consistency. Recovery can bring ups and downs, and it���s normal for clients to feel ambivalent about change. Families who remain steady, compassionate, and firm in their support help keep treatment on track.

Ultimately, families are partners in healing. By showing up with empathy, patience, and willingness to learn, loved ones help create the kind of environment where lasting recovery is possible.

Benefits of Outpatient & IOP Care

Remain connected to daily routines and responsibilities.Learn and practice recovery skills in real-life situations.Involve family members or partners more easily in treatment.More flexible and cost-effective compared to residential care.

For many clients, IOP combined with a strong treatment team offers the��right balance of support and independence.

Finding the Right Level of Care

Every eating disorder is unique, and treatment should be tailored to the individual. At Houston DBT Center, we begin with a careful assessment to recommend the most effective level of care���whether that���s outpatient therapy, IOP, or referral to a higher level of support.

Recovery is possible. With the right care, many people can heal from an eating disorder��without inpatient treatment, while still receiving the structure and expertise they need.

Are you ready? ��Call us at 713-973-2800.

The post Can Eating Disorders Be Treated Without Inpatient Care? appeared first on Houston DBT Center.

The answer is yes. When people think of eating disorder treatment, they often imagine long hospital stays or residential programs, away from their homes and families. For some this can get in the way of seeking treatment. No doubt about it, while inpatient care can be life-saving in medical or crisis situations,��not every individual with an eating disorder requires inpatient treatment. For many teens and adults, outpatient options like an��Intensive Outpatient Programs (IOP)���combined with a supportive treatment team���can provide effective, compassionate care while allowing clients to continue with school, work, and daily life.

When Is Inpatient Care Necessary?

Inpatient or residential programs are typically recommended when:

Medical stability is at risk (dangerously low weight, heart issues, electrolyte imbalances).A person is unable to maintain safety without 24-hour support.Previous outpatient attempts with treatments for complex eating disorders have not been effective.

In these situations, 24-hour monitoring ensures that both the physical and psychological risks of an eating disorder are addressed.

The Role of Outpatient & IOP Treatment

For individuals who are medically stable but still struggling with eating disorder thoughts and behaviors,��outpatient therapy or an IOP can be highly effective and allows the individual to remain with friends and family members and learn coping skills that meet the needs of their everyday life. Outpatient programs can be created to fit the needs of the client.

Standard Outpatient

Standard outpatient treatment is typically one individual session a week, and possibly a skills or other group. This can often be effective for mild eating disorder symptoms.

What Is an Intensive Outpatient Program (IOP)?

When you think of an IOP you may think about groups meeting for several hours a day, often 2 or 3, for multiple days a week. But an IOP can be multiple sessions of individual therapy or multiple individual sessions, a family session, and a group session. An IOP provides structured, evidence-based treatment several days per week, usually in the afternoons or evenings. At Houston DBT Center, our IOP for ED is flexible and depends on the needs of the client

��Individual Sessions:�� to work on personal goals and coping strategies. May be DBT or RO DBT, or may focus on a specific treatment such as CBT for anxiety.

Group therapy sessions��using DBT and RO DBT, , and other evidence-based approaches.

Individual therapy��to work on personal goals and coping strategies.Family support and education, which research shows significantly improves recovery outcomes.

Where to Start: Building a Treatment Team

A key part of successful outpatient eating disorder care is creating a��collaborative treatment team. At the DBT Center we will work with you to build your team:�� This often includes:

Therapist specializing in eating disorders (DBT, RO DBT, CBT-E).Dietitian/Nutritionist��experienced in eating disorder recovery and nutrition rehabilitation.Medical provider��(primary care doctor or psychiatrist) to monitor physical health and medications if needed.Family members or trusted supports, included in therapy when appropriate.Client with their values and goals

This team works together to address the physical, emotional, and relational aspects of the eating disorder���providing��comprehensive care without requiring inpatient hospitalization. They will work with you to help you build your treatment plan.

Therapist

A psychotherapist plays a central role in eating disorder treatment by helping clients understand and change the psychological and behavioral patterns that keep the disorder going. While medical providers and dietitians focus on physical health and nutrition stabilization, the therapist works with the emotional, cognitive, and relational aspects of the illness. They create a safe space for clients to explore underlying issues such as perfectionism, shame, trauma, or difficulties with emotional regulation, all of which can fuel disordered eating behaviors.

Therapists also provide evidence-based treatments���such as Dialectical Behavior Therapy (DBT), Radically Open DBT (RO DBT), Cognitive Behavioral Therapy for Eating Disorders (CBT-E), or Family-Based Treatment (FBT)���depending on the client���s needs. These approaches help individuals identify and challenge distorted thoughts about food, body image, and self-worth, while also teaching coping skills to manage urges, regulate emotions, and build healthier relationships.

Another key part of a psychotherapist���s work is coordination with the treatment team. Eating disorder recovery often requires collaboration with physicians, psychiatrists, and dietitians. The therapist communicates with these providers to ensure consistent care and to monitor risks, such as medical instability or suicidality.

Finally, psychotherapists support families or loved ones who may be struggling to understand how to help. In family or couples sessions, they teach validation, communication, and boundary-setting skills, and provide education about the disorder. This relational work is especially important for adolescents, where parental involvement can significantly improve outcomes.

Nutritionists

Registered dietitians and nutritionists who take part in your treatment can help you learn more about your eating disorder and create a plan to regain and maintain healthy eating habits. It’s important to seek treatment from someone who has specialized training in eating disorders because this training is not standard for dietitians. Goals of nutrition education may be to:

Work toward a healthy weight for your personal history and body type.Learn how nutrition affects your body, including knowing how your eating disorder causes nutrition issues and physical problems.Practice eating flexibly and with sufficient portions to support health and development.Set consistent eating patterns ��� generally, at least three meals a day with at least one to two snacks.Correct health problems due to poor nutrition.Challenge food phobias and/or myths

Medical Professionals

In eating disorder treatment, a medical doctor (MD) plays an essential role in keeping recovery safe and supported. Because eating disorders can impact the entire body���including the heart, digestive system, hormones, and bones���regular medical check-ins are a key part of treatment. Even when someone doesn���t ���look sick,��� eating disorders can cause serious health problems that aren���t visible on the outside.

The doctor���s role is to monitor physical health and make sure your body is stable enough to focus on recovery. This may include checking vital signs, reviewing lab work, tracking weight changes, and looking for complications such as dehydration or nutrient imbalances. If a higher level of care is ever needed, the doctor helps determine when inpatient or residential treatment might be the safest option.

Your doctor also works closely with the rest of your treatment team���including therapists, dietitians, and sometimes psychiatrists���so that every part of your recovery is covered. They may adjust medications, answer medical questions, and provide education for both you and your family about how eating disorders affect the body.

In short, the MD is there to make sure your health is protected while you do the important emotional and nutritional healing in therapy and dietitian sessions. This team approach allows you to move toward recovery with both safety and support.

You, the Client

In eating disorder treatment, the client is not just a recipient of care���they are an active and vital member of the treatment team. Recovery is most effective when clients are engaged in the process and see themselves as partners alongside their therapist, medical doctor, dietitian, and other providers.

The client���s role includes being honest about thoughts, feelings, and behaviors, even when it feels difficult or uncomfortable. This openness helps the treatment team understand what is really going on and tailor support in the most helpful way. Clients are encouraged to share what���s working, what feels overwhelming, and what goals matter most to them. Their voice is central in shaping the direction of treatment.

Another important part of the client���s role is practicing new skills and strategies outside of sessions. Therapy offers tools for managing emotions, challenging unhelpful thoughts, and improving relationships with food and body. But real change happens when those skills are applied in daily life, meal by meal, choice by choice. Even small steps forward are meaningful progress.

Clients also play a role in self-advocacy and collaboration. This might mean asking questions, setting boundaries, or working with the team to adjust treatment plans as recovery evolves. By actively participating, the client builds self-trust and strengthens a sense of ownership over their healing journey.

Most importantly, the client brings courage and commitment to the process. While the treatment team provides guidance, expertise, and support, the client is the one who ultimately does the brave work of recovery���reclaiming health, freedom, and hope for the future.

Families

In outpatient eating disorder treatment, families play a crucial role in supporting recovery. Eating disorders don���t just affect the individual���they often impact the entire family system. When families are included in treatment, recovery tends to be stronger and more sustainable, especially for children, teens, and young adults living at home.

The family���s role begins with creating a safe, supportive home environment. This might mean helping with meal support, reducing diet talk at home, and encouraging balanced routines around rest, activity, and self-care. Families can also help by learning about eating disorders, so they understand that the illness is not a choice and recovery takes time, patience, and compassion.

At the Houston DBT Center, families may be invited to participate in therapy sessions, depending on the needs of the client. These meetings provide a space to improve communication, strengthen validation skills, and learn how to respond effectively to the challenges of recovery. Parents or partners often work closely with therapists and dietitians to practice skills that reduce conflict and increase support during meals and daily life.

Another important family role is consistency. Recovery can bring ups and downs, and it���s normal for clients to feel ambivalent about change. Families who remain steady, compassionate, and firm in their support help keep treatment on track.

Ultimately, families are partners in healing. By showing up with empathy, patience, and willingness to learn, loved ones help create the kind of environment where lasting recovery is possible.

Benefits of Outpatient & IOP Care

Remain connected to daily routines and responsibilities.Learn and practice recovery skills in real-life situations.Involve family members or partners more easily in treatment.More flexible and cost-effective compared to residential care.

For many clients, IOP combined with a strong treatment team offers the��right balance of support and independence.

Finding the Right Level of Care

Every eating disorder is unique, and treatment should be tailored to the individual. At Houston DBT Center, we begin with a careful assessment to recommend the most effective level of care���whether that���s outpatient therapy, IOP, or referral to a higher level of support.

Recovery is possible. With the right care, many people can heal from an eating disorder without inpatient treatment, while still receiving the structure and expertise they need. ��Are you ready? ��Call us at 713-973-2800.

The post Ca Eating Disorders Be Treated Without Inpatient Care? appeared first on Houston DBT Center.

Perfectionism often carries a heavy reputation. It���s frequently linked with stress, anxiety, and burnout���but the truth is, perfectionism isn���t all bad. In fact, loving your perfectionism can mean embracing its strengths while learning to soften its edges. By understanding both the positives and negatives, you can find a healthier balance and use your perfectionism to thrive.

The Positives of Perfectionism

Perfectionism can fuel incredible achievements. Many of the qualities tied to perfectionism are the same traits that lead people to excel in academics, careers, and creative pursuits.

Strengths of perfectionism include:

High standards: Striving for excellence often results in high-quality work.

Persistence: Perfectionists rarely give up, showing determination even in difficult situations.

Attention to detail: Precision can help avoid mistakes and deliver exceptional results.

Reliability: Others often see perfectionists as dependable and conscientious.

Research has shown that conscientiousness and striving for achievement are strongly associated with positive outcomes in education and career success (American Psychological Association).

When balanced well, these traits become assets���not burdens.

The Negatives of Perfectionism

The other side of perfectionism, however, can take a toll on mental and physical health.

Challenges of perfectionism include:

Self-criticism: High standards can easily turn into harsh self-judgment.

Fear of failure: Perfectionists may avoid risks, fearing they won���t meet expectations.

Burnout: Overworking to ���get it right��� can lead to exhaustion.

Strained relationships: Constant focus on flaws (in self or others) can create tension.

Perfectionism Paralysis: Stuck because you fear you can’t do it or be good enough

Perfectionism has been linked to anxiety, depression, eating disorders, and other mental health challenges (National Library of Medicine). Left unchecked, it can prevent people from enjoying life and embracing imperfection.

Finding Balance: Loving Your Perfectionism Without Letting It Rule You

The key isn���t to eliminate perfectionism���it���s to love it in balance. You can keep its strengths while loosening its grip on your happiness.

Strategies for balance:

Practice self-compassion: Learn to treat yourself with the same kindness you���d offer a friend. Dr. Kristin Neff���s work offers excellent tools.

Set flexible goals: Aim high, but allow room for mistakes and growth.

Celebrate progress, not just results: Shift focus from ���perfect outcomes��� to effort and learning.

Check your inner dialogue: Replace critical thoughts with supportive reminders.

Seek support if needed: Therapy approaches like Dialectical Behavior Therapy (DBT) and Radically Open DBT (RO-DBT) can help perfectionists build self-acceptance and resilience (Behavioral Tech).

Loving the Whole Picture

Loving your perfectionism means recognizing that it���s part of you���but not all of you. It���s about embracing the motivation and dedication it gives you, while gently addressing the rigidity and self-criticism it can bring.

When you learn to balance your perfectionist traits, you free yourself to enjoy both success and peace of mind. Striving for excellence and loving yourself���imperfections included���can coexist beautifully.

If your perfectionism has become maladaptive, the goal isn’t to “fix” it. The goal is to have a balance so that perfectionism works for you and not against your mental health and joy in life.

If you want help with your perfectionism, call us at 713-973-2800. We offer IOP and regular outpatient options.��

The post Loving Your Perfectionism: Don’t “Fix” It-Find a Balance appeared first on Houston DBT Center.

One of the hardest parts of living with Borderline Personality Disorder (BPD) is the deep fear of being abandoned or left behind. For someone with BPD, even small things���like a friend canceling plans, a partner not answering a text quickly, or a loved one seeming distracted���can feel terrifying.

This fear is not just a little worry. It feels overwhelming and painful, and it often leads to behaviors that can be confusing to others. Let���s look at how fear of abandonment shows up, why it happens, and how Dialectical Behavior Therapy (DBT) can help.

��Why Fear of Abandonment Happens in BPD

The official definition of BPD (from the DSM-5-TR) includes ���frantic efforts to avoid abandonment.��� This means that people with BPD often do whatever they can, including extreme behaviors, to stop people from leaving.

This isn���t about being ���clingy��� or ���dramatic.��� For someone with BPD, the fear of abandonment feels real and intense, like their whole sense of safety depends on it. Their brain reacts as if being left behind is an emergency, a life or death crisis.

Behaviors Caused by Fear of Abandonment

Fear of abandonment can show up in many different ways. Here are some common behaviors:

Needing constant reassurance

Sending lots of texts or calls to check in.

Asking, ���Do you really love me?��� again and again.

Pushing people away before they leave

Breaking up suddenly.

Starting fights to protect themselves from being hurt.

Ups and downs in relationships

One minute believing someone is perfect, the next minute thinking they don���t care at all.

Big reactions to small separations

Feeling panicked if a partner is late.

Melting down if plans change.

Testing loyalty

Picking fights or creating situations to ���see if the person will stay.���

Self-harm or threats

Sometimes, when fear feels unbearable, the person may hurt themselves or threaten to as a way to show their pain or keep someone close.

Example: Maria���s Story

Maria, age 26, loved her partner deeply. When he didn���t answer her text for several hours, Maria started to panic. She felt sure he didn���t care anymore. She sent dozens of messages, accused him of pulling away, and then threatened to leave the relationship herself. Later, when he reassured her, Maria felt ashamed and afraid he might actually leave for good.

��This cycle is common with BPD. It makes relationships like a rollercoaster. Fear of being left drives behaviors that can actually push people away, which then makes the fear even stronger.

How DBT Helps With Fear of Abandonment

The good news is that there is a treatment that works. Dialectical Behavior Therapy (DBT) is the most effective therapy for BPD (Behavioral Tech).

DBT Outpatient Treatment

Outpatient DBT usually includes:

Weekly individual therapy to work on specific struggles, like abandonment fears.

Weekly skills group to learn coping skills.

Phone coaching to get help in the moment when emotions feel too big.

DBT Intensive Outpatient Program (IOP)

A DBT IOP is a more structured program for people who need extra support. It usually includes:

Several DBT groups each week.

Individual therapy.

A safe space to practice skills with others who understand.

DBT teaches skills that help with abandonment fears, including:

Mindfulness: staying in the present instead of spinning into fear.

Distress tolerance: calming down without acting on impulse.

Interpersonal effectiveness: asking for closeness or support without pushing people away.

Emotion regulation: learning how to lower the intensity of anger, panic, or despair.

Building Healthier Relationships

With DBT, people with BPD can learn to understand their fears and handle them in healthier ways. Instead of panic, fights, or self-harm, they can learn to ask for support, trust others, and feel more secure in relationships.

 

At the Houston DBT Center, we offer both outpatient DBT and DBT IOP programs. We help people with BPD face abandonment fears, build coping skills, and create stronger, more stable relationships.

Conclusion

Fear of abandonment is painful���but with the right treatment, it doesn���t have to control your life. DBT helps people with BPD break the cycle of fear and learn healthier ways to connect with others. Healing is possible, and stability in relationships can become a reality.

The post How Fears of Abandonment Show Up in BPD appeared first on Houston DBT Center.

By Karyn Hall, Ph.D., Founder

At the��Houston DBT Center, we offer specialized treatment for��adolescents and adults struggling with eating disorders, including��anorexia nervosa,��bulimia nervosa,��binge eating disorder,��compulsive overeating, and��orthorexia.

Our eating disorders treatment is included as part of treating a wide variety of diagnoses. Providing eating disorder treatment in a setting that includes individuals with a variety of mental health concerns, rather than limiting care to groups made up only of those with eating disorders, offers unique benefits for recovery. A mixed-diagnosis environment allows clients to hear different perspectives and learn from a wide range of coping skills, which can broaden insight and foster hope. It helps reduce the risk of a person���s identity becoming centered solely on the eating disorder, supporting a more well-rounded sense of self. Exposure to peers navigating different challenges can also encourage cognitive flexibility, empathy, and openness���qualities that are essential for long-term change. Moreover, the therapeutic skills taught in these settings, such as managing emotions, tolerating distress, and improving relationships, are applicable across all diagnoses, creating a dynamic learning space that better reflects the diversity of situations clients will face in everyday life.

Our evidence-based, level-based care ensures each individual and family get the right level of support at the right time while continuing with their individual therapist.We work closely with��adults, teens and their families��to address the complex emotional, behavioral, and relational factors that contribute to disordered eating. From outpatient care to more intensive support, our program is built around treatments proven to help you recover, including��Family-Based Treatment (FBT),��Cognitive Behavioral Therapy for Eating Disorders (CBT-E),��Exposure and Response Prevention (ERP),��Dialectical Behavior Therapy (DBT), and��Radically Open DBT (RO DBT).

Assessment

At the��Houston DBT Center, an eating disorder assessment��is the first step toward lasting recovery. Whether you are concerned about��anorexia nervosa,��bulimia nervosa,��binge eating disorder,��ARFID,��orthorexia, or another eating-related concern, our goal is to understand your unique experience so we can create a treatment plan tailored to your needs.

What to Expect During Your Assessment

Our evaluation process helps us identify the nature of the eating disorder, any co-occurring conditions, and the safest and most effective level of care. This includes:

Clinical Interview����� We listen to your story, exploring current symptoms, eating patterns, body image concerns, medical history, and important life circumstances.Standardized Screening Tools����� We use evidence-based questionnaires to assess eating disorder symptoms, mood, anxiety, personality style, and related mental health concerns.Medical and Nutritional Review����� With your consent, we coordinate with your medical provider and, when needed, a registered dietitian to address physical health and nutritional needs.Risk and Safety Evaluation����� We assess for any urgent medical complications, suicidal thoughts, or self-harming behaviors to determine if��outpatient therapy or intensive outpatient (IOP) is indicated. If residential care is needed, we will refer you to trusted facilities.Strengths and Goals����� We identify what matters most to you so your��eating disorder treatment plan��reflects your values and supports long-term recovery.

Why a Comprehensive Assessment Matters

An accurate assessment is essential for��diagnosing eating disorders��and guiding effective treatment. Many individuals with eating disorders also experience��anxiety,��depression,��obsessive-compulsive disorder (OCD), or��personality-related coping styles��that influence recovery. Understanding the full picture allows us to recommend the right combination of therapies���such as��Dialectical Behavior Therapy (DBT),��Radically Open DBT (RO DBT),��Cognitive Behavioral Therapy for Eating Disorders (CBT-E),��Family-Based Treatment (FBT), or��Exposure and Response Prevention (ERP)���to help you heal both body and mind.

At the Houston DBT Center, our assessment process is not about judgment���it is about listening deeply, providing compassionate support, and building a clear plan for your recovery journey.

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Our Level-Based Approach to Treating Eating Disorders

We start with the least intensive level of care that can be effective, based on an assessment of needs, and level up support only when needed. This often allows you to stay involved in treatment while minimizing disruption to school, work, and daily life.

Teens

Most younger teens begin treatment with weekly individual sessions and family sessions, where Family-Based Treatment (FBT), the gold standard for adolescents with anorexia or bulimia, is indicated. In FBT, parents are the main support for helping their teen eat regular meals and restore health. If regular outpatient treatment is not enough, or families need more structure, we offer skills classes that address coping needs for the teen. We also have an IOP for a more intensive treatment. When needed, we include a nutritionist who specializes in ED and a medical professional to manage and oversee physical health needs.

Even as teens move into more intensive treatment,��families remain a central part of the healing process. Parents receive coaching on how to support eating at home and learn to apply FBT principles during key meals. At the same time, teens continue working on their recovery through daily CBT-E sessions and targeted group support.

For older teens, weekly individual sessions and group sessions are often the starting point, in either RO DBT or DBT.

Adults

Adults may begin their recovery with an individual weekly session. Depending on the need, it could be an individual session and a group skills session weekly. We can add additional individual sessions or IOP if needed. We have the flexibility to create a program that fits your needs.

ERP

We also integrate��ERP (Exposure and Response Prevention)��when indicated to help adults and teens face food-related fears and anxieties. This approach is especially effective for teens and adults ��who also struggle with��OCD or anxiety disorders, both of which commonly occur with eating disorders. ERP helps individuals learn that they can tolerate distress, eat more flexibly, and reduce fear-based rituals around food.

��

Individual Therapy for Eating Disorders: CBT-E

In addition to family therapy, teens and adults ��in our program can receive��Enhanced Cognitive Behavioral Therapy (CBT-E). CBT-E helps teens:

Identify unhelpful thoughts about body image, food, and weightUnderstand how these thoughts affect their behavior and emotionsLearn healthier patterns of thinking and coping

CBT-E is especially effective for treating��the over-evaluation of body shape and weight���a core feature of many eating disorders. This tendency to base self-worth on appearance can lead to intense anxiety, perfectionism, and isolation. CBT-E gives tools to challenge these beliefs and build a healthier identity.

Advanced Treatment Options: DBT and RO DBT Tracks

Some teens and adults benefit from extra support for��underlying personality traits��that maintain their eating disorder. That���s why we offer two specialized therapy tracks as part of our higher levels of care:

Our��DBT Track��helps teens and adults who struggle with��emotion dysregulation��and��impulsivity���traits often seen in those who binge eat, purge, or self-harm. DBT teaches skills to:

Manage intense emotionsCope with distress in healthy waysImprove relationshipsReduce impulsive or self-destructive behavior

Through a structured program of��mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness, DBT supports you in building a life worth living and sharing.

Radically Open DBT (RO DBT)

What is RO DBT?

RO DBT is transdiagnostic evidenced-based therapy developed by Dr. Thomas Lynch. RO DBT targets disorders of over-control, such as certain eating disorders. It focuses on building connections and reducing an internal sense of loneliness and isolation, which underlies many disorders.

Our��RO DBT Track��is designed for those who tend to be��overcontrolled. These are individuals who may appear “fine” on the outside but suffer quietly with:

Social withdrawalExcessive self-control or rigidityLoneliness or perfectionismDifficulty expressing emotions

RO DBT focuses on increasing openness, emotional expression, and connection with others. It helps you become more flexible, spontaneous, and socially engaged���what we call ���rejoining the tribe.��� This treatment is especially helpful for those with anorexia or orthorexia who find it hard to let go of control.

Returning to Outpatient Care with Ongoing Support

As you make progress in our IOP (either adult or teen), you can transition back to��weekly therapy where they continue practicing the skills they���ve learned. Because our approach is��fully integrated, teens and families work with the same individual therapist throughout the process, ensuring��continuity of care��and a smoother return to everyday life.

��

Why Choose the Houston DBT Center?

At the Houston DBT Center, we are committed to:

Evidence-based treatment��rooted in the latest researchPersonalized care��tailored your needsFamily involvement��for teensSupport for co-occurring conditions, such as anxiety, OCD, or traumaA compassionate, experienced team of clinicians

Get Help Today

If you or your teen is struggling with an eating disorder, early intervention makes a difference.

������Contact us today at 713-973-2800��to schedule an intake or learn more about our eating disorder treatment programs. You can email us at administration@dbtcenterhouston.com

The post Comprehensive Eating Disorder Treatment for Teens and Adults at the Houston DBT Center appeared first on Houston DBT Center.

By Karyn Hall, Ph.D., Founder of the Houston DBT Center

Last Update August 20, 2025

 

Understanding Panic Attacks

A panic attack can feel like your body and mind are being hijacked without warning. Many people describe it as a��sudden wave of intense fear or discomfort��that peaks within minutes. Even though panic attacks aren���t dangerous, the symptoms can feel so overwhelming that they���re often mistaken for a heart attack or other medical emergency. Most panic attacks��peak within 10 minutes��and start to ease within 20���30 minutes, though milder aftereffects like fatigue or shakiness can last for hours.

Here���s what you might experience during a panic attack:

Physical SensationsRacing or pounding heartbeat��(palpitations)Shortness of breath��or feeling like you can���t get enough airTightness or pain in the chestSweating, trembling, or shakingDizziness��or lightheadednessNausea��or stomach discomfortChills or hot flashesTingling or numbness��in hands, feet, or face

Although panic attacks are not life-threatening, they can feel terrifying in the moment. Knowing exactly what to do can help you move through the episode more quickly and reduce its intensity.

Step 1: Remind Yourself That You Are Safe

The first step is to��acknowledge what���s happening��and remind yourself that a panic attack, while uncomfortable, is not dangerous. Labels help activate a ���brake��� in the brain that can help you regulate.

���This is my body���s fight-or-flight system. It will pass.���

Repeating a calming statement like the above can help interrupt the spiral of catastrophic thoughts.

 

Step 2: Focus on Your Breath

Shallow, rapid breathing can intensify panic symptoms. Try��slow, controlled breaths:

Inhale through your nose for a slow count of 4.Hold your breath for a count of 1���2.Exhale gently through your mouth for a count of 6.Repeat for 1���2 minutes.

Tip: Place your hand on your belly and feel it rise and fall to ensure you���re breathing deeply from your diaphragm.��Breathing this way really makes a difference. Breathing seems like such a simple strategy���but it is amazingly helpful!

 

Step 3: Use Grounding Techniques

Grounding helps shift your focus away from panic and into the present moment.

5-4-3-2-1 Method:5 things you can see4 things you can touch3 things you can hear2 things you can smell1 thing you can tasteTemperature Shift: Splash cold water on your face or hold a cool object to help regulate your nervous system.

Focusing on the panic can escalate the symptoms. Distractions with your sense can help.

Step 4: Relax Your Body

Panic attacks trigger muscle tension. Try��progressive muscle relaxation:

Start at your feet, tense the muscles for a count of 5, then release.Move upward through your legs, abdomen, shoulders, arms, and face.

This sends a signal to your brain that it���s safe to relax.

 

Step 5: Visualize a Safe Place

Close your eyes and picture a calming scene ��� a beach, forest, or any place where you feel secure. Focus on the details: sounds, smells, temperature, and textures. You might consider making a recording of you describing your calm place to keep with you (such as on your phone) to play when you feel tension and panic.

Step 6: Stay in the Moment

Avoid running away from the situation unless you���re in genuine danger. Leaving can reinforce the idea that the environment is unsafe. If possible, remain where you are until the wave of panic passes.

Step 7: Practice Self-Compassion

After the attack subsides, be gentle with yourself. You may feel drained or emotional. Hydrate, rest if needed, and remind yourself that experiencing panic does not mean you are weak or broken.

 

When to Seek Professional Help

If panic attacks are frequent, intense, or interfere with your daily life, it���s important to reach out to a mental health professional. Treatments like��Cognitive Behavioral Therapy (CBT),��exposure therapy, and sometimes medication can significantly reduce symptoms.

Quick Panic Attack Calming Checklist

Acknowledge it���s a panic attack ��� you are safe Slow, deep breathing (4-1-6 pattern) Use grounding techniques Relax your muscles Visualize a safe place Practice self-compassion after

��If you suffer from panic attacks, contact us at the DBT Center. We are ready to work together to help.

713-973-2800 or complete the “make appointment form on our website.

 

��

FAQ Section: Panic Attacks

Q1: What���s the difference between a panic attack and an anxiety attack?
A: While both can cause intense fear and physical symptoms, panic attacks are sudden and reach peak intensity within minutes, often without a clear trigger. Anxiety attacks usually build gradually and are tied to ongoing worry or stress.

Q2: Can panic attacks happen while I���m asleep?
A: Yes. These are called nocturnal panic attacks. They can wake you from sleep with symptoms similar to daytime attacks, such as rapid heartbeat, shortness of breath, and intense fear.

Q3: Can diet or caffeine trigger a panic attack?
A: For some people, high caffeine intake, blood sugar drops, or certain food sensitivities can trigger symptoms. Keeping a symptom journal can help identify personal triggers.

Q4: Are panic attacks dangerous to my health?
A: Panic attacks themselves are not dangerous, but their symptoms can mimic serious health issues like heart problems. If you���re unsure whether it���s a panic attack or a medical emergency, seek medical care.

Q5: Can I prevent panic attacks before they start?
A: While you can���t always stop them, practicing stress management, regular exercise, adequate sleep, and mindfulness can reduce frequency and intensity. Identifying and addressing triggers can also help.

��

Disclaimer:��This blog is for educational purposes only and is not a substitute for professional diagnosis or treatment. If you experience chest pain, difficulty breathing, or symptoms that could indicate a medical emergency, seek medical attention immediately.

The post What to Do During a Panic Attack: 7 Steps to Regaining Calm appeared first on Houston DBT Center.

Understanding Anorexia

Anorexia nervosa is a serious eating disorder that goes far beyond a desire to be thin. It���s not a choice, a phase, or about vanity. Instead, anorexia develops from a complex mix of biological, psychological, and social factors. If you’ve been searching for information, you may be overwhelmed. It can be so confusing as to what therapy is most effective and what step to take for yourself or for someone you love. I hope to share some clear information to help make your decisions easier and to help you gain the understanding that you need to go forward. I’ve also shared some links if you’d like more information. First let’s briefly look at the causes of anorexia. Then in later blogs we’ll explore more about treatment and the process of recovery.

At the Houston DBT Center, we know that understanding what causes anorexia is an important step in breaking free from its grip.

Biological Causes of Anorexia

Research shows that biology plays a major role in who is vulnerable to anorexia:

Genetics: Anorexia often runs in families. If a parent, sibling, or close relative has an eating disorder, the risk is higher.

Brain chemistry: Differences in brain chemicals like serotonin and dopamine may affect appetite, mood, and how rewarding eating feels.

Personality traits: People who are naturally more perfectionistic, cautious, or highly self-controlled may be biologically more prone to anorexia. This is referred to as an overcontrolled personality style.��

���� Learn more from the Mayo Clinic

Psychological Causes of Anorexia

Anorexia often develops alongside certain ways of thinking and coping:

Perfectionism: A drive to be flawless can lead to rigid eating rules and extreme self-criticism.

Low self-esteem: Many people with anorexia tie their self-worth to weight, shape, or appearance.

Emotional inhibition: Struggling to express sadness, anger, or fear can make food restriction a way to cope.

Need for control: Restricting food often becomes a way to feel in control when other parts of life feel overwhelming.

Social and Environmental Causes of Anorexia

The world we live in also has a powerful influence:

Cultural pressure: In many societies, thinness is equated with beauty, health, or success.

Family environment: Families with high expectations or limited emotional expression can unintentionally add to risk.

Peers and social media: Teasing, bullying, or constant comparison with others���especially online���can fuel body dissatisfaction.

Stressful events: Life changes such as starting college, moving, divorce, or trauma may trigger symptoms.

See the John Hopkins information about causes

Developmental Factors

Adolescence: Anorexia often begins during the teenage years, when identity, independence, and body changes create extra pressure.

Loneliness and attachment: Research shows anorexia can be connected to difficulties forming close, secure relationships���leading to isolation and using food restriction as a way to cope. ��This is one of the reasons that interventions such as RO DBT are showing success for treating anorexia.

Why This Matters

Understanding the causes of anorexia helps break the myth that it���s simply ���about food��� or ���a diet gone too far.��� Knowing that anorexia is rooted in biology, personality, and environment helps reduce shame and highlights the importance of professional treatment. The severity of the symptoms and the medical stability of the client will be important to consider in choosing treatment options.��

Hope and Recovery

While anorexia is a serious condition, recovery is possible with the right support. At the Houston DBT Center, we use evidence-based treatments like RO DBT to address not only eating disorder behaviors, but also the perfectionism, control, and emotional struggles that keep the cycle going.

��� If you or a loved one is struggling with anorexia, you are not alone.
���� Contact us today at 713-973-2800 to learn more about compassionate, evidence-based treatment in Houston.

�� �� �� ��You can also complete the “Make Appointment” form on our website.��

We are happy to talk with you and help you decide on the right fit for treatment for yourself or your loved one.

The post What Causes Anorexia: Understanding the Roots of An Eating Disorder appeared first on Houston DBT Center.

Does the photo above create emotions for you? ��Does it trigger a wish to consume sweets? ��Do you experience fear or disgust? Do you want to go exercise? An eating disorder is more than ���just wanting to lose weight��� or ���trying to be healthy.��� It���s a serious mental health condition that can affect your thoughts, emotions, and behaviors around food and your body. When you have an eating disorder, food is not just food. It is so much more and your emotions are triggered in many ways by the sight or thoughts of food.��

You can���t simply ���snap out of it,��� and it���s not about willpower or vanity. These struggles often start from a mix of factors���such as genetics, brain chemistry, personality traits, and life experiences.

The most common eating disorders include:

Anorexia nervosa ��� severely limiting food intake and often losing a dangerous amount of weight

Bulimia nervosa ��� cycles of binge eating followed by behaviors to ���undo��� the eating, such as vomiting or over-exercising

Binge eating disorder ��� regularly eating large amounts of food in a short time while feeling out of control

Avoidant/restrictive food intake disorder (ARFID) ��� eating very little variety or amount of food, not due to body image concerns

Signs You Might Have an Eating Disorder

Eating disorders often start small and build over time, so it���s easy to dismiss the early signs. But catching them early can make recovery much easier.

Here are some red flags to watch for:

1. You���re Always Thinking About Food or Weight

Counting calories or weighing yourself several times a day

Constant dieting or following strict food rules that leave no room for flexibility

Feeling guilt or shame if you eat something ���off-limits���

2. Big Changes in Eating Habits

Skipping meals often

Eating huge amounts of food in one sitting (binges)

Cutting out entire food groups without a medical reason

3. Trying to ���Make Up��� for Eating

Throwing up on purpose after eating

Exercising for hours to ���burn off��� calories

Using laxatives, diuretics, or diet pills in unsafe ways

4. Physical Changes You Notice

Weight loss or weight gain that���s not explained by other health reasons

Feeling tired all the time, dizzy, or faint

Hair loss, brittle nails, or dry skin

5. Emotional or Social Clues

Avoiding friends or events if food will be there

Feeling anxious, moody, or irritable at mealtimes

Tying your self-worth to the number on the scale or how you look

 

The post Do You Have an Eating Disorder? appeared first on Houston DBT Center.