Ezer Psychotherapy, PLLC Blog
Virtual Therapy for children, adolescents, and young adults in Minnesota, Wisconsin, North Dakota, and Florida
Welcome to the Ezer Psychotherapy Blog!
The Ezer Psychotherapy Blog is a resource for individuals, parents, and families seeking trustworthy information about mental health, eating disorder recovery, and emotional well-being. Here, you’ll find thoughtful articles written by licensed therapist Hallie Orton, offering practical guidance, clinical insight, and compassionate encouragement for navigating life’s challenges.
At Ezer Psychotherapy, we specialize in supporting children, adolescents, young adults, and families facing concerns such as eating disorders, anxiety, depression, trauma, functional neurologic disorder, and the emotional impact of medical conditions. Our blog is designed to extend that support beyond therapy sessions by providing helpful tools, education, and evidence-based strategies you can use in everyday life.
You’ll find articles covering topics such as:
Eating disorder recovery and family support
Parenting guidance for teens and young adults
Mental health education and coping strategies
Functional Neurologic Disorder (FND) and related conditions
Anxiety, trauma, and emotional resilience
Faith-integrated mental health perspectives
Whether you’re a parent supporting a child, a young adult navigating life transitions, or someone seeking clarity about mental health, our goal is to provide clear, compassionate, and clinically grounded information that helps you feel less alone and more empowered.
Healing and growth are possible. We hope these articles offer insight, encouragement, and practical support as you move toward a healthier and more fulfilling life.
Does My Child Have ARFID? Signs Parents Shouldn’t Ignore
Avoidant/Restrictive Food Intake Disorder (ARFID) is an eating disorder that affects children, adolescents, and adults. Unlike other eating disorders, ARFID is not driven by concerns about body weight or shape, but instead by severe food avoidance, sensory sensitivities, fear of negative consequences from eating, or lack of interest in food.
ARFID can significantly affect nutrition, growth, emotional wellbeing, and daily functioning, but effective treatment is available. With the right therapeutic support, individuals with ARFID can expand their food variety, reduce anxiety around eating, and restore a healthy relationship with food.
This guide explains what ARFID is, the symptoms to look for, what causes it, and how therapy can help.
Christian-Based Eating Disorder Therapy: Integrating Faith and Healing in Recovery
Eating disorder recovery is not only a physical and psychological journey—it is often a deeply personal and spiritual one as well. Many individuals and families navigating eating disorder treatment find themselves wrestling with questions of identity, worth, suffering, control, hope, and meaning. For those who desire it, Christian based counseling can be a powerful source of grounding and encouragement during recovery.
At Ezer Psychotherapy, clients and families have the option to thoughtfully integrate Christian faith into treatment alongside gold-standard, evidence-based eating disorder therapies such as CBT-E, CBT-AR, FBT, FBT-TAY, RO-DBT, and Adolescent-Focused Therapy (AFT). Faith integration is always collaborative, respectful, and guided by the client’s values and preferences.
Understanding RO-DBT for Eating Disorders
Not all eating disorders are driven by impulsivity or emotional overwhelm. For many children, adolescents, and young adults, eating disorder symptoms are rooted in too much control—perfectionism, emotional inhibition, rigidity, and a deep fear of making mistakes or burdening others. These individuals are often high-achieving, responsible, and outwardly “doing fine,” even as they struggle intensely on the inside.
Radically Open Dialectical Behavior Therapy (RO-DBT) is an evidence-based treatment designed specifically for this pattern, known as overcontrol. At Ezer Psychotherapy, RO-DBT is an important approach we use to support clients whose eating disorders are maintained by rigidity, isolation, and emotional loneliness.
Understanding Adolescent-Focused Therapy (AFT) for Eating Disorders:
Eating disorders often emerge during adolescence and young adulthood—developmental periods marked by rapid physical changes, emotional intensity, identity formation, and increasing independence. For some young people, an eating disorder becomes a way to cope with overwhelming feelings, assert control, or manage distress when words feel insufficient.
Adolescent-Focused Therapy (AFT) is an evidence-based, individual therapy approach designed to help adolescents and young adults recover from eating disorders by strengthening emotional awareness, autonomy, and healthy coping. At Ezer Psychotherapy, AFT is offered as a developmentally attuned option for clients who benefit from a more individual, insight-oriented therapeutic space.
Understanding CBT-AR for ARFID:
For children, adolescents, and young adults with Avoidant/Restrictive Food Intake Disorder (ARFID), eating challenges are rarely about weight or body image. Instead, food may feel frightening, overwhelming, or physically intolerable. Families often describe daily meals as stressful, exhausting, and confusing—especially when well-meaning encouragement or pressure seems to make things worse.
Cognitive Behavioral Therapy for ARFID (CBT-AR) is an evidence-based, structured treatment designed specifically to address these challenges. At Ezer Psychotherapy, CBT-AR is a cornerstone of how we help individuals and families expand food variety, reduce fear, and restore confidence around eating.
Understanding CBT-E:
Eating disorders affect children, adolescents, and young adults in complex and deeply personal ways. While symptoms may center on food, weight, or body image, eating disorders are maintained by powerful patterns of thoughts, emotions, and behaviors that can feel impossible to escape without support. Cognitive Behavioral Therapy–Enhanced (CBT-E) is one of the most effective, evidence-based treatments designed to address these patterns directly.
At Ezer Psychotherapy, CBT-E is a core treatment we use to help individuals and families move toward sustainable recovery with clarity, structure, and compassion.
Family-Based Treatment (FBT) and FBT for Transitional Age Youth (FBT-TAY):
Eating disorders impact not only the individual struggling, but the entire family system. Parents and caregivers are often left feeling overwhelmed, frightened, and unsure how to help—especially when food has become a daily battleground. At Ezer Psychotherapy, we specialize in evidence-based, family-centered approaches that restore health, strengthen relationships, and help young people return to their lives with confidence. Two of the most effective models we offer are Family-Based Treatment (FBT) and FBT for Transitional Age Youth (FBT-TAY).
Other Specified Feeding or Eating Disorder (OSFED): Symptoms, Diagnosis, and Effective Treatment
Many people assume that eating disorders only include conditions like Anorexia Nervosa, Bulimia Nervosa, or Binge Eating Disorder. However, many individuals experience serious eating disorder symptoms that do not fit neatly into these diagnostic categories.
These conditions are often diagnosed as Other Specified Feeding or Eating Disorder (OSFED)—a clinically significant eating disorder that deserves the same attention and treatment as other eating disorders.
Despite common misconceptions, OSFED is one of the most common eating disorder diagnoses and can have serious physical and psychological consequences if left untreated. With the right support and treatment, recovery is possible.
Binge Eating Disorder: Symptoms, Causes, and Effective Treatment
Binge Eating Disorder (BED) is the most common eating disorder in the United States, yet it is often misunderstood and underdiagnosed. Many people who struggle with binge eating feel intense shame or believe they simply lack willpower. In reality, binge eating disorder is a serious mental health condition that involves complex emotional, psychological, and biological factors.
The good news is that effective treatment for binge eating disorder is available, and recovery is possible with the right support.
How Malnutrition Changes Your Brain, Affects Mental Health, (And Why Recovery Feels So Hard)
Malnutrition has profound effects on the brain and mental health. When the body does not receive enough energy, nutrients, and fuel, the brain cannot function normally. This can lead to significant changes in mood, thinking, memory, behavior, and emotional regulation.
Malnutrition is common in individuals struggling with eating disorders such as Anorexia Nervosa, Bulimia Nervosa, and Avoidant/Restrictive Food Intake Disorder, but it can also occur due to medical conditions, chronic illness, or severe dieting. Regardless of the cause, the effects on the brain can be serious—but the good news is that many of these changes are reversible with proper treatment and nutritional rehabilitation.
In this article, we’ll explore how malnutrition impacts the brain, how it affects mental health, and how therapy and nutritional recovery can help restore healthy brain functioning.
Bulimia Nervosa: Symptoms, Causes, and Effective Treatment
Bulimia nervosa is a serious eating disorder characterized by cycles of binge eating followed by behaviors aimed at preventing weight gain, such as vomiting, excessive exercise, fasting, or misuse of laxatives. Although bulimia can be deeply distressing, it is a treatable condition, and many individuals recover with the help of specialized therapy.
Bulimia often develops during adolescence or young adulthood, but people of any age or gender can experience it. Because individuals with bulimia may maintain a typical body weight, the disorder can sometimes go unnoticed for long periods of time.
Understanding the symptoms, causes, and effective treatments for bulimia nervosa is an important step toward recovery.
Anorexia Nervosa: Symptoms, Causes, and Evidence-Based Treatment
Anorexia nervosa is a serious and potentially life-threatening eating disorder characterized by severe restriction of food intake, an intense fear of gaining weight, and a distorted perception of body shape or weight.
Anorexia affects individuals across the lifespan, but it most commonly develops during adolescence and young adulthood. With early intervention and specialized therapy, recovery is absolutely possible.
In this guide, we will explore what anorexia nervosa is, common warning signs, what causes it, and the most effective treatments available.
Understanding Orthorexia: Signs, Symptoms, and Effective Treatment
Orthorexia, also called orthorexia nervosa, is an eating disorder characterized by an unhealthy obsession with eating foods perceived as “healthy” or “pure.” Unlike anorexia or bulimia, which focus on quantity or body weight, orthorexia centers on food quality, often leading to restrictive diets, nutritional deficiencies, and social isolation.
People with orthorexia may spend excessive time planning, purchasing, and preparing “clean” meals and feel extreme anxiety when their dietary rules are broken. Over time, these behaviors can interfere with daily life, relationships, and overall mental health.
Why Eating Disorder Recovery Feels So Hard (Even When You’re Trying)
If you’re in eating disorder recovery, you may be asking yourself:
“Why is this still so hard?”
“Am I doing something wrong?”
“Why do I feel worse sometimes, not better?”
Here’s the truth:
Eating disorder recovery is hard because you’re doing it right—not because you’re failing.
Recovery isn’t just about eating more or changing behaviors. It requires rewiring your brain, tolerating distress, and letting go of something that once felt protective.
Let’s break down why it feels so difficult—and what that actually means.
How to Respond to Psychogenic Non-Epileptic Seizures (PNES): A Complete Guide for Families, Caregivers, and Clinicians
Psychogenic Non-Epileptic Seizures (PNES), also known as functional seizures, are episodes that resemble epileptic seizures but are not caused by abnormal electrical activity in the brain. Instead, they are a manifestation of psychological distress and fall under the category of functional neurological symptom disorder (FND).
PNES are real, involuntary, and distressing—not faked or intentional. They often occur in individuals with underlying conditions such as:
Anxiety disorders
Depression
Trauma or PTSD
Eating disorders
Chronic stress
Understanding how to respond appropriately is critical for safety, recovery, and reducing reinforcement of symptoms.
Refeeding and Mental Health Symptoms: Why You Feel Worse Before You Feel Better in Eating Disorder Recovery
Feeling more anxious, depressed, or overwhelmed during refeeding? Learn why mental health symptoms intensify in eating disorder recovery—and how to cope. Get expert support in Minnesota.
Picky Eating vs. Eating Disorder: How to Tell the Difference (and When to Seek Help)
If your child or teen is struggling with food, you may be asking an important question: Is this just picky eating, or is it something more serious? Understanding the difference between picky eating and an eating disorder is critical—because early intervention can significantly improve outcomes.
Aggression and Anger Outbursts During Eating Disorder Treatment: A Guide for Parents Using Family-Based Treatment (FBT)
If your child is in eating disorder treatment and suddenly experiencing intense anger, aggression, or emotional outbursts, you are not alone.
Many parents search:
“Why is my child so angry in eating disorder recovery?”
“Is aggression normal during Family-Based Treatment?”
“How do I handle eating disorder meltdowns?”
The answer: this is incredibly common—and it makes sense.
In Family-Based Treatment (FBT), children are asked to do something that feels terrifying to their brain:
Eat regularly, gain weight (if needed), and give up eating disorder behaviors.
From your child’s perspective, this can feel like a loss of control, safety, and identity—which often shows up as anger.
How to Support a College Student with an Eating Disorder (Without Making Things Worse)
If you’re worried about a college student struggling with an eating disorder, you’re not alone—and your support can make a life-changing difference.
Eating disorders often intensify during college years due to stress, independence, identity development, and academic pressure. But knowing how to help isn’t always straightforward. What you say (and don’t say) matters.
This guide will walk you through exactly how to support a college student with an eating disorder in a way that is compassionate, effective, and grounded in evidence-based care.
High-Functioning Anxiety in High Performers: When Success Comes at a Cost
You look like you have it all together.
You’re responsible. Driven. Reliable. The one everyone depends on.
But underneath?
You’re exhausted, anxious, and constantly worried you’re not doing “enough.”
If this sounds familiar, you—or your child—may be dealing with high-functioning anxiety.
At Ezer Psychotherapy, we specialize in helping children, adolescents, and young adults who are high achievers on the outside but struggling internally. And the truth is: this pattern is far more common than people realize.