Eating Disorder & Body Image Therapy
I provide online eating disorder and body image therapy for adults navigating anorexia, bulimia, binge eating disorder, and disordered eating.
I’m Sonya Sanmateu, LCSW, CEDS with specialized experience treating eating disorders across residential, PHP/IOP, and outpatient levels of care. My work is grounded in evidence-based treatment and tailored to meet you where you are in your relationship with food, your body, and yourself.
Eating disorders are not just about food
They’re about how you relate to your body, your emotions, and your internal experience. Together, we’ll work to better understand the patterns underneath these struggles, reconnect with your body, and begin relating to yourself in new, more supportive ways.
You feel trapped in cycles you can’t seem to break
If thoughts about food, weight, or your body occupy more space than you’d like, you’re not alone. You might find yourself stuck in patterns of restriction, bingeing, purging, or over-exercising—or exhausted by the pressure to constantly “get it right” around food, movement, or appearance.
Even everyday moments—like eating with others, looking in the mirror, or choosing what to wear—can feel charged with anxiety, guilt, or self-criticism. You’ve probably tried to eat “normally” or to simply accept your body, but it rarely feels that simple.
How this might be showing up for you.
Maybe you’re noticing…
Thoughts about food, weight, or your body taking up more mental space than you want them to
Guilt, shame, or anxiety after eating
Restrictive eating, bingeing, purging, or over-exercising
Feeling out of control around food or stuck in cycles of dieting
Avoiding social situations that involve food
Harsh self-criticism or constant body checking
Feeling disconnected from your body, your needs, or yourself
You’re ready for something to feel different.
You want food to feel more neutral.
Your body to feel less like something you’re fighting—and more like something you can live in.
And to have more mental and emotional space for the parts of life that matter most to you.
You’re not looking for another set of rules—you’re looking for a way forward that feels steady, realistic, and lasting.
Here’s what we’ll do together.
Therapy that meets you where you are—and helps you move toward where you want to be.
Together, we’ll begin to understand the deeper factors shaping your relationship with food and your body—what these patterns may be protecting, managing, or trying to communicate
From there, we’ll begin developing more supportive and sustainable ways of relating to yourself, your body, and your needs.
At times, we’ll also slow things down to notice what’s happening in your body—helping you reconnect with cues, emotions, and internal signals that may have been ignored, overridden, or difficult to trust.
Change happens gradually, as you begin to understand yourself more clearly and build trust in your ability to care for yourself.
What we will work on:
Imagine a life where…
Food no longer controls your thoughts or your day
Meals feel calm and satisfying—not stressful or guilt-filled
Movement feels supportive, not punishing
You feel more grounded and at home in your body
You feel more connected to your needs, emotions, and internal cues
You can speak to yourself with more kindness
You have more space—and energy—for what matters most
Get in touch
Change is possible.
You don’t have to navigate this alone.
If you’re ready to move beyond simply managing symptoms and begin creating meaningful, lasting change, I’m here to support you.
I offer online therapy to clients across Pennsylvania, New Jersey, and New York.
FAQs
Frequently asked questions
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No. You don’t need a diagnosed eating disorder to get support. Many people I work with experience distress around food, body image, or control without meeting full diagnostic criteria. What matters most is how it’s impacting your life—not whether it fits a label.
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If thoughts about food, eating, or your body feel intrusive, stressful, or all-consuming—or if your eating patterns feel tied to control, guilt, or anxiety—it might be time to explore support. You don’t need to meet any checklist to deserve help; what matters is how much space these thoughts take up in your life.
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I support individuals experiencing restriction, bingeing, purging, compulsive exercise, chronic dieting, and body image distress. Together, we’ll explore what these patterns may be communicating and begin developing more supportive ways of relating to yourself with care, curiosity, and understanding.
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No. You do not need to meet a certain level of severity to begin therapy. Many people reach out when they notice that thoughts about food, their body, or self-worth are taking up more space in their lives, even if they are still managing day-to-day life. Therapy can offer space to better understand these patterns, reconnect with yourself, and begin creating a more supportive and sustainable relationship with food and your body.