Clinical overview
Eating disorders are psychiatric diagnoses with medical mortality risk. Anorexia nervosa, bulimia nervosa, and binge-eating disorder need a team: psychotherapy, nutrition, and medical monitoring. Peace & Heart Wellness can treat comorbid depression, anxiety, ADHD, and hormone-related mood change, and we can screen for medical danger. We are not a refeeding hospital, a PHP/IOP eating-disorder center, or a weight-loss clinic that 'treats anorexia with GLP-1s.'
How we evaluate
We ask about restriction, binge-purge, laxatives, compulsive exercise, last menstrual period, syncope, and rapid weight change. Unstable vitals, severe bradycardia, or suicidal intent transfer to emergency or specialty ED care. Wellness-weight pages on this site are for metabolic health in people without active restrictive illness — the Primary-Purpose Test is explicit.
Treatment stance
Psychiatric medications (for example an SSRI in bulimia or binge-eating, or ADHD treatment when indicated) are adjuncts to therapy and nutrition. We will not start a GLP-1 agonist as treatment of anorexia. Hormone work is paused or specialist-coordinated when underweight hypothalamic amenorrhea is likely.
When to seek care
Seek specialty eating-disorder care immediately for fainting, inability to eat, hematemesis, or rapid weight loss. Use this clinic when the primary need is psychiatric comorbidity in a medically stable patient with an existing ED team, or when body-image distress is part of depression or perimenopause without active medical instability.
