Psychotherapy is a proven method to treat mental health issues. Hayley uses evidence based techniques that have been proven to help people reach recovery from eating disorders, trauma, substance abuse, and mood disorders. Some of these include DBT, CBT, ACT, and trauma-informed treatment.
Registered Dietitians (RD) have not only a background in science such as biology, chemistry, biochemistry, anatomy and physiology but we also have education on how the body processes nutrients of all types. We are uniquely educated to create meal plans, nutrition requirements, and have the knowledge to help people achieve lasting changes regarding physical health and repairing an individual's relationship with food.
Certified Eating Disorders Registered Dietitians and Supervisors (CEDRD-S) are considered eating disorder specialists. Hayley has obtained this certification meaning she has completed 4 additional classes on eating disorders, passed an exam, written a case study on treating people with eating disorders, has written articles and has been quoted in articles in the media on eating disorders, has given educational presentations on eating disorders, has completed continuing education on treating people with eating disorders keeping up with the current research, has received 3 years of supervision on treating people with eating disorders. She has been working with people with eating disorders since 2012 and in addition to that continues to read and research best practices for treating people with eating disorders. She is credentialed to provide supervisor to dietitians pursuing the CEDRD credential through iaedp.
Nutritional counseling focuses solely on the relationship with food and learning how to identify when you're physically hungry and what to eat/how to eat/cook. Basically everything having to do with the skills involved in preparing food, eating, and medical issues caused by disordered eating, chronic dieting, and eating disorder behaviors.
Psychotherapy sessions focus on the emotional content of the mental health struggle and ways to cope with life and relationships. We also go over skills to process upset feelings and emotions as well as body image concerns and how to improve the view of the body. Psychotherapy focusing on healing an eating disorder focuses on emotions and how the eating disorder has helped you cope with life as well as ways to move beyond coping with food. Think of psychotherapy also as processing life's struggles like unhealthy coping with drugs and alcohol, reprocessing traumatic events so you can move beyond them, and processing ways to cope with depression and anxiety. Psychotherapy focuses on your mental health and nutritional counseling focuses on physical health issues.
Eating disorders are mental health issues that are psychological as well as medical. When you don't eat enough or purge or binge or use other unhealthy forms of weight control, your physical body is greatly affected. This involves not just a therapist and dietitian but also a medical doctor and for many people a psychiatrist. This multidisciplinary team works together to treat the eating disorder from all sides and is the best chance to reach full recovery.
Hayley has always worked in a team so she will decide with you which specialty either therapist or dietitian would be best to work with you on and will refer out to another clinician to work as your dietitian or therapist. She will not work with the same client as both disciplines at the same time as this constitutes a dual relationship and is unethical according to her profession's ethics code. It is also best for your care to have two different individuals treating different aspects of your eating disorder.
Hayley Miller Counseling is only in network with insurance for nutritional counseling. She is considered out of network for psychotherapy.
Hayley Miller is in network with Cigna commercial plans (PPO, HMO, and OAP) though 12/1/2021 and Aetna EPO, PPO, HMO plans for nutritional counseling in person in CA state and virtual for NY state only. We will stop taking Aetna insurance 10/31/21. If you have Cigna or Aetna, please call them and ask if they cover dietitian sessions for the condition you would like covered. Some insurance plans cover nutritional counseling across the board and some are diagnosis specific. If they ask you for the codes you need covered please let them know the following codes we will bill: 97802, 97803, 97804.
If you have another insurance plan or are seeking services for psychotherapy, we can provide a superbill to submit to your insurance for out of network coverage. The codes we bill for psychotherapy are: 90791 and 90834. Please call your insurance to see if you have coverage for out of network nutrition sessions.
That depends on the reason for the visit, the severity of the eating disorder or medical issues, and the goals you would like to achieve. Typically people with a shorter dieting history see me for a less time potentially 3-4 months and people with more severe dieting, trauma, mood disorders, substance abuse, and eating disorder histories need a longer length of treatment. We will determine the course of treatment after the first session since we will make a treatment plan and decide on the course of treatment.