Girlfriend, maybe you've been struggling with disordered eating for decades and you don't want to put your life on hold to go into a full-blown treatment facility. Maybe you have kids at home, aging parents to care for, or a career you can't walk away from. Or maybe you don't even know what options are available, so you just stay stuck thinking you'll manage it all by yourself.
Girl, you weren't meant to do this alone.
In this episode, host Lindsey Nichol breaks down the 6 different levels of eating disorder treatment and care - from outpatient support to acute medical stabilization - so you can understand what's available and what might be best for YOUR unique situation and life circumstances.
Lindsey shares her own treatment journey through IOP and day treatment, and why finding the right level of care that fits your life is so important. Whether you're a busy mom, working woman, caregiver, or someone who simply can't leave home for residential treatment, this episode will help you understand all your options - including recovery coaching as a personalized support option.
You deserve a life free from the chains of disordered eating. And it starts with knowing what treatment options are out there.
In This Episode, You'll Learn:
The 6 Levels of Eating Disorder Treatment:
What it is: Weekly sessions with a care team while living at homeWho it's for: Those deemed medically stable who need ongoing supportWhat's included: Dietitian, therapist, medical doctor, support groupsBest for: Maintaining school, work, family life while getting treatmentLevel 2: Intensive Outpatient Program (IOP)
What it is: Multiple sessions per week in specialized settingsWhere it happens: Treatment centers or hospitalsWhat's included: Group therapy, individual therapy, structured programmingLindsey's experience: This is where she spent the majority of her recoveryLevel 3: Partial Hospitalization Program (PHP) / Day Treatment
What it is: 5-6 days per week, 6-8 hours per dayStructure: More intensive than outpatient, includes meals and therapiesWhat happens: You return home in the eveningsLindsey's experience: Combined with IOP while in school - included therapies and support groupsLevel 4: Residential Treatment
What it is: 24-hour care and supervision (inpatient experience)Who it's for: Those medically stable but requiring intensive supportWhere it happens: Medical hospitals, centers, or homelike facilitiesStructure: Full-time structured environment with comprehensive careLevel 5: Inpatient Hospitalization
What it is: Most appropriate for high-intensity medical/psychiatric needsStructure: 24-hour medical psychiatric facilityWho it's for: Those not responding to other treatments, experiencing self-harm, severe depression, or needing intensive medical oversightLevel 6: Acute Medical Stabilization
What it is: The highest level of critical care for eating disordersWho it's for: Those medically unstable due to severity or medical complicationsPrimary focus: Physical stabilization before moving to other treatment levelsPlus: Recovery Coaching as a Treatment Option
What it is: One-on-one virtual support for guided accountability and actionable recovery stepsWho it's for: Those who can't or won't go into residential but need supportHow it works: Weekly sessions focused on action, not diagnosisCan be layered: Works alongside therapy, dietitian, and medical careKey Takeaways:
✨ Treatment is personalized - what works for someone else may not work for you, and that's okay
✨ You don't have to choose residential - there are multiple levels of care that allow you to stay home
✨ Recovery is NOT black and white - you can get support at various levels based on your life circumstances
✨ You weren't meant to do this alone - even if you can't go to residential, you need SOME level of support
✨ Everyone's recovery is their own - your journey is unique and valid regardless of which level of care you choose
✨ Recovery coaching is a valid option - especially when layered with other care team members
✨ You owe you, sister - putting yourself first isn't selfish, it's necessary
✨ More options exist now - compared to years ago, there are so many more treatment options available
Powerful Quotes from This Episode:
"You deserve a life that's free from the chains of disordered eating""Maybe you don't even know what options are available for you, so you just stay here thinking you're gonna manage it all by yourself""Everyone's recovery is your recovery. Your journey is your journey""What's best for you might not be best for me. What worked for me might not work for someone else""You weren't meant to do life alone. You definitely weren't meant to do the hard things alone""You owe you, sister""It's not black and white. There's so many other options""What matters is that you're standing up for you""You are worth it. You deserve it""Everyone else in your life is gonna benefit when you can start putting you first"Important Information About Each Treatment Level:
When to Consider Outpatient:
You're medically stableYou can maintain work/school/family responsibilitiesYou need ongoing support and accountabilityYou're in maintenance or relapse prevention phaseWhen to Consider IOP:
You need more structure than weekly appointmentsYou can still live at homeYou benefit from group supportYou need multiple therapy modalitiesWhen to Consider PHP/Day Treatment:
You need daily structure but can return home at nightYou require meal supportYou need more intensive care than IOPYou're transitioning from residential or preventing residentialWhen to Consider Residential:
You need 24-hour support but are medically stableYour home environment isn't supportive of recoveryYou need complete immersion in treatmentOutpatient options haven't been effectiveWhen to Consider Inpatient:
You're experiencing severe symptomsThere's self-harm or suicidal ideationYou need medical and psychiatric oversightYou require the highest level of structureWhen to Consider Recovery Coaching:
You can't or won't do residential treatmentYou have kids, aging parents, or career obligationsYou want actionable support, not diagnosisYou're looking for relapse preventionYou want to layer support with existing care teamWhat Makes Recovery Coaching Different:
Not therapy: Coaches don't diagnose or address trauma - they focus on forward action
Accountability structure: Weekly sessions keep you committed to your recovery goals
Actionable support: Focused on practical steps like facing fear foods, getting off the scale, eating out with family
Virtual and flexible: Fits into busy lives with kids, work, caregiving responsibilities
Layered care: Works alongside dietitians, therapists, and medical professionals
Relapse prevention: Helps maintain recovery after intensive treatment
Questions to Ask When Choosing Treatment:
What level of medical stability am I at currently?What are my life circumstances? (Kids, work, caregiving, school)Can I leave home for treatment, or do I need to stay local?What treatment options are available in my area?What does my insurance cover?Do I need 24-hour support or can I manage with weekly sessions?Am I willing to commit to doing the work required at each level?What has or hasn't worked for me in the past?Do I have a support system at home?What does my healthcare team recommend?Action Steps After This Episode:
Assess where you are: Are you medically stable? What symptoms are you experiencing?Talk to a healthcare professional: Schedule appointments with your doctor to discuss which level of care is appropriateResearch local options: Google treatment centers, IOP programs, PHP programs in your areaConsider online options: Virtual recovery coaching, online support groups, telehealth therapyBuild your care team: Even if you can't do residential, assemble support (dietitian, therapist, coach, doctor)Stop doing this alone: Commit to getting SOME level of support starting todayReach out: If recovery coaching interests you, visit lindseynickel.com to learn moreWho This Episode Is For:
This episode is essential listening if you:
Don't know what eating disorder treatment options existThink residential is your only option (and you can't do it)Have been doing this alone and need to know what help is availableAre a busy mom, working woman, or caregiver who can't leave homeHave been in treatment before and need to know what's nextAre researching options for a loved one struggling with disordered eatingWant to understand the difference between IOP, PHP, and residentialNeed permission to choose the treatment level that fits YOUR lifeAre looking for alternatives to inpatient treatmentWant to layer recovery coaching with your existing care teamResources Mentioned:
National Alliance for Eating Disorders: Information on treatment levels and resources
National Eating Disorders Association (NEDA): Comprehensive treatment information and support
Recovery Coaching with Lindsey: One-on-one virtual support, weekly sessions, actionable recovery tools
Her Best Self Facebook Community: Support group for women in recovery
Important Reminder:
Lindsey is NOT a medical professional. The information in this episode is based on her personal experience and education but should not replace consultation with a licensed healthcare professional. Always speak with your doctor, therapist, or treatment team to determine which level of care is most appropriate for your specific situation.
Connect with Lindsey
Website: www.herbestself.co Private Facebook Community: Her Best Self Society www.herbestselfsociety.com Client Applications: HBS Co. Recovery Coaching - Client Application - Google FormsAbout the Host
Lindsey Nichol is a former competitive figure skater turned God-led entrepreneur, boy mom, and digital CEO. She understands how core beliefs formed in childhood can create and maintain eating disorder patterns, and she's passionate about helping women identify and transform these beliefs to find lasting freedom.
If this episode helped you identify the core beliefs feeding your eating disorder, please share it with someone who needs to hear this message. Your support helps more women break the chains of limiting beliefs.
*While I am a certified health coach, anorexia survivor & eating disorder recovery coach, I do not intend the use of this message to serve as medical advice. Please refer to the disclaimer here in the show & be sure to contact a licensed clinical provider if you are struggling with an eating disorder.