Evidence-Based Comprehensive Psychological, Nutritional and Medical Care

Outpatient, Intensive Weight Management, Binge Eating Disorder Programming at McCallum Place

Why Is It So Hard to Lose Weight and Keep It Off?

Research shows us that not everyone with high weight is at medical risk for diabetes and other obesity-related illnesses like high blood pressure or high cholesterol. Often these things go together, but not always. Weight loss can help minimize the risk of developing these conditions, but it’s not as simple as calories in, calories out – if it were, the problem would already be solved.

The “mind over matter” approach to weight loss often promotes shame, not health. Once you’ve been at a higher weight, no matter how it is you got there, research also suggests that your biology might try even harder to keep you there. So it’s no wonder that even if you are successful at this uphill battle and get to the top of the mountain, it’s pretty easy to fall off…and hard.

Each time you recover and start the weight loss journey again is more difficult. It’s easy to feel like it’s your fault. But it isn’t. Physical and mental well being is not about a number. It takes more than just a “weight loss” approach, and that’s where we come in.

Treatment Philosophy

Our program is designed to help individuals who have had a chronic struggle with weight and binge eating. We believe that health and happiness comes from creating and living a balanced lifestyle, not from a number or a size. Our primary goal is to work with you to build skills and habits that will promote both physical and mental well-being.


We are a multidisciplinary group of experts who aim to provide individualized consultation and treatment planning for weight management and disordered eating. Patients are seen for 1-2 diagnostic visits and then for 2-4 additional visits for medical stabilization as needed. Services include child, adolescent and adult psychiatry, family practice and dietitian consultation.

We are a teaching clinic lead by eating disorder specialists who are faculty members at Washington University and St. Louis University. Resident doctors from both institutions rotate with us to learn how to treat the unique combination of weight and eating behavior concerns.

We coordinate with your doctor to build a sustainable treatment plan that you can then refer to for long-term management. Additional visits can be scheduled for routine annual or semi-annual check-ups, and our doctors are available for telephone consultation with your doctor to problem-solve any treatment questions.

Behavioral Support

Our weekly Behavioral Support programming will focus on learning important strategies to promote weight stabilization and balance in your life. Some of the core topics include harm reduction, energy balance, emotion regulation, body image and mindfulness. Groups will consist of weekly goal setting, learning and applying a new strategy for behavior change, and in some cases simple homework to consolidate learning and provide an opportunity for practicing new skills between sessions.

Meal Support

Our core Meal Support programming will involve an experiential process lead by a registered dietitian where participants develop strategies for feeling full and satisfied by learning a balanced approach to portioning, pacing, meal planning and meal preparation. Participants will bring meals from home for basic meal support and planning groups, and will also have the opportunity to participate in a meal outing to practice ordering and meal pacing in a restaurant setting. Finally, participants will engage in the process of meal planning from choosing a menu to go grocery shopping next door at the local Straub's Grocery Store. The group will then prepare a meal in one of our teaching kitchens before eating together as a group.

Exercise Support

In our core Exercise Support programming, we will incorporate education on how to prepare for being active, like learning your personal fitness level and needs, understanding safety and even how to choose clothes that will allow you to move comfortably and safely. We will promote gentle movement and support for safe physical activity in a group setting that empowers you to feel confident and strong in your own body.

You Can Do This

The hardest decision is whether to start on the journey to recovery, not when. Sometimes asking questions and talking with a real person can help, and is the first step towards reclaiming your life. Contact us by calling 800-828-8158, or send us an email. We’re here to help, when you’re ready.


Treating Eating Disorders: Anorexia  •   Bulimia  •   Binge Eating  •   Emotional Eating  •   Compulsive Exercising

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