Our services
Each service says who it helps, how sessions run, the method, what it is not, and how it is paid.
Individual therapy
For adults who binge eat and feel stuck in a loop of rules, bingeing and shame. Sessions are 50 minutes and start with what is happening now: when it happens, what comes before, and what you need afterward.
Method: CBT-E, a cognitive behavioral treatment developed for eating problems
Not a diet: no weighing, counting or meal plans from the therapist
Dr. Wakefield sets the pace with you, with no promised number of sessions
Paid out of network; see How fees work
Working with a dietitian
For people who want help with the food itself: regular meals, hunger and fullness, and eating without rules. The registered dietitian partner has her own practice and her own fees.
Method: nutrition counseling that does not use weight goals
Not a diet plan, and not a substitute for therapy
She and Dr. Wakefield talk only with your written permission
Billed by her practice; plans often cover less than for therapy
Skills for hard moments
For the minutes before a binge, when the urge is loud. We practice noticing it, pausing, and having something to do with the feeling, in session and between sessions.
Method: DBT-informed skills, such as urge surfing and distress tolerance
Not a promise that urges stop
Practiced at your pace, with no homework you did not agree to
Paid out of network; see How fees work
Body image and self-trust
For people whose thoughts about shape and weight run the day. We look at where those thoughts came from and what they ask of you, with no goal of changing your body.
Method: cognitive behavioral work on body image
Not a program to change how you look
Alongside, not instead of, your regular medical care
Paid out of network; see How fees work
Coordinating your care
For people who see a doctor, a prescriber or another clinician. With your written permission, Dr. Wakefield shares what helps. If outpatient therapy may not be enough, she says so and helps you find a higher level of care.
Method: shared care, with your permission in writing
Not an emergency service; see Crisis and resources
Your doctor stays your doctor
Ask us what we can and cannot do before you book
How it works
Getting started is simple. Here is what to expect.
Write to us
Send a note. A reply comes on a weekday, with the fee in writing.
First session
Fifty minutes to say what you want and hear how Dr. Wakefield works. Nothing is weighed or measured.
The dietitian, when you want her
Once you are both ready, you can add sessions with the registered dietitian, in her own practice.
Ongoing sessions
A rhythm you set with Dr. Wakefield, spaced out as things steady.
Ready to talk it over?
Write to Dr. Wakefield and she will reply on a weekday.