Our Program


Family Therapy Program

Each family is a central feature of successful treatment. From the time of admission, family members receive:

  • A personal program orientation which includes an introduction to the team members and a tour of the facility.
  • Individualized family therapy including specialized eating disorder education to improve supportive family communication and relationships. The influence of an eating disorder creates significant stress in the family. Understanding how to work toward the process of healing will improve many of the areas of concern and create a non-judgmental environment.
  • Skills training for family members will include the areas of communication, emotion management, and positive coaching of the patient as they begin the recovery process.

Psychotherapy, Nutrition, Psychiatric and Medical Care


Our interdisciplinary team members collaborate to provide a multi-faceted treatment approach:

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Psychotherapy Program

The psychotherapy program is designed around healthy relationships. The assigned therapist will begin the patient’s treatment program by first gaining a full understanding of their family, developmental, social, psychological, and emotional histories. The therapist strives to understand the patient’s complexities and determine the core issues facilitating the eating disorder. Through the skillful application of the psychotherapy resources and pro-recovery relationship skills, the therapist will guide the patient to consider that recovery is possible.

The integrative and comprehensive psychotherapy program includes:

  • Individual psychotherapy two times weekly
  • Family Therapy one time weekly
  • Group psychotherapy five to six times weekly
  • Art Therapy group one to two times weekly
  • Anxiety and Depression reduction education and skills-based groups
  • A behaviorally progressive program that provides a structured path to support the patient in gaining increasing degrees of independence and responsibility of recovery
  • The specialized treatment applied by the therapy team to interrupt unhealthy eating behaviors and promoting improve their coping skills is trauma informed therapy that includes:
    • Family Systems Therapy
    • Psychodynamic Therapy
    • Cognitive Behavioral Therapy
    • Experiential Therapy
    • Exposure Response Prevention Therapy
    • Communication Therapy
    • Dialectical Behavioral Therapy

Nutrition Counseling and Education

  • Comprehensive nutrition evaluation by registered dietitian (RD)
  • Individualized meal plans prescribed by RD and physician to aid nutritional rehabilitation
  • Staff-supported meals and snacks including exposure to food-related challenges and practicing portioning when clinically appropriate
  • Meals prepared by in-house chefs
  • Individual nutrition counseling 2-3 times per week
  • Weekly nutrition education group
  • Mastery of a variety of practical and social situations involving eating, such as restaurant outings, take-out, cooking and meal preparation
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Psychiatric Treatment

  • Comprehensive psychiatric evaluation
  • Psychotropic medication management as clinically indicated, targeting the eating disorder and any co-occurring psychiatric disorders
  • Individual visits with psychiatrist, at least weekly
  • Family meetings with psychiatrist

Medical Assessment and Treatment

  • 24-hour nursing care
  • Daily medical monitoring and addressing of any medical complications related to the eating disorder
  • Normalization of general medical status
  • Medical management of the nutritional rehabilitation process
  • Weekly nursing education group
  • Guidance in developing and encouragement of sustaining a healthy lifestyle

Additional Therapeutic Activities


  • Supervised physical exercise when clinically appropriate, with emphasis on integrating healthy exercise into daily living
  • Greenhouse gardening group
  • Therapeutic leisure outings and passes
  • Restaurant outings as clinically and medically appropriate
  • Recreational activities on our grounds: expanded walking trail, frisbee golf course, and other outdoor games.

School Program

Each Hidden River patient in middle school or high school receives individualized academic programming 2 hours per day, Monday through Friday.  School sessions are led by a certified teacher who consults with the patient's school district and guidance counselor to determine what assignments are needed.  Our goal is to assist each patient in catching up or staying up to date with her school’s course curriculum for her grade level.