
In-Person & Virtual Eating Disorder Treatment for Adults
Compassionate, anti-diet nutrition counseling that meets you where you are. Available in our Raleigh and Durham offices, and virtually in several states.



You deserve a peaceful relationship with food and your body as an adult.
Maybe you’ve tried getting there on your own, but you just can’t break free from your eating disorder. Maybe you want to stop thinking about food and your body all the time, but you have no idea where to start.
You might even think recovery is impossible for you.

Our North Carolina dietitian nutritionists are trained to give you the support you need to recover from disordered eating behaviors and feel more confident about food.
We’re a group of anti-diet, Health at Every Size®-aligned dietitian nutritionists. We work with people from all walks of life who struggle with:
- Anorexia nervosa
- Avoidant-Restrictive Food Intake Disorder (ARFID)
- Binge eating disorder
- Bulimia nervosa
- Orthorexia nervosa
- Other specified feeding or eating disorder (OSFED)
- Avoiding certain foods or food groups (like sugar or carbs)
- Difficulty eating “normally” due to OCD, ADHD, ASD, etc.
- Disordered eating
- Experiencing guilt about eating
- Feeling out of control around food
- Obsessively counting calories or macros
- Yo-yo dieting
Although having a diagnosis can be useful in guiding recovery, you don’t need a diagnosis to seek help. If you’re struggling with food and body, that’s reason enough to reach out.
How virtual eating disorder counseling works
Step 1:
Request an appointment with one of our dietitians
Fill out our appointment request form with some information about yourself and what you need help with. You’ll indicate whether you want a virtual appointment, or an appointment in our Raleigh office. We’ll send an email with more information and a booking link within 48 hours. We’ll also give you a call, since we know some people prefer scheduling over the phone.
Step 2:
Confirm your appointment, fill out the required paperwork, and verify your insurance benefits
Once you’ve booked an appointment, we’ll send you forms to fill out prior to your session.
Before your first session, you’ll reach out to your insurance company to confirm your in-network benefits (if you have Blue Cross Blue Shield) or out-of-network benefits (if you have Aetna, Cigna, United Healthcare, or another insurer). Most Blue Cross Blue Shield Plans cover nutrition counseling in full, but it’s always best to check.
Step 3:
Have your initial nutrition counseling session
The nutrition counseling process looks pretty much the same whether you meet with your dietitian virtually or in person. During the initial session, your dietitian will introduce themselves, share more about our practice and office policies, and make sure to answer any questions you have. Then, they’ll ask you lots of questions to get a sense of who you are, what you’re struggling with, and what your goals are for nutrition counseling. By the end of your initial appointment, you and your dietitian will agree on some long-term goals and a plan for reaching them. (Of course, all of this is subject to change — and often does! — as you continue to work together.)
Step 4:
Continue meeting regularly with your dietitian
Because eating disorders are so complex, your dietitian will probably want to meet with you weekly (at minimum) to start. This way, you get the support you need to start the recovery process. In some cases, your dietitian might be OK with meeting less often. You’ll have a standing appointment time (for example, 4 PM on Thursdays), and each week you’ll take small steps towards your long-term goals.
Nutrition counseling is a process, not a quick fix. You won’t get much out of just a couple sessions. Most clients work with us for at least four months, and many stay for over a year.

Fees and Insurance for Virtual Eating Disorder Treatment
85-minute intake: $215*
55-minute intake: $195*
55-minute follow-up: $140*
*This is a discounted rate only for clients paying out of pocket on the day of service. It is not the full rate billed to insurance plans.
Ruby Oak Nutrition dietitians are in-network providers with most Blue Cross and Blue Shield insurance plans. Many plans cover nutrition counseling at little or no to you.
To verify whether your insurance benefits cover my services, call the phone number on the back of your insurance card and use the script provided here.
Our dietitians are considered out-of-network providers for Cigna, Aetna, United Healthcare, and other insurance plans. That means you’re responsible for payment at the time of service. Many clients are able to get some reimbursement from their insurance companies after submitting receipts (AKA superbills) for nutrition counseling.
Check out the FAQ page for more about billing and reimbursement.
Work with us for in-person or virtual eating disorder treatment
Virtual nutrition counseling
Available across several states in the US, via a HIPAA-compliant video platform. Our dietitians are licensed in North Carolina, Georgia, and Montana. We can see clients virtually in Arizona, Colorado, Connecticut, Georgia, Indiana, Michigan, Montana, New York, North Carolina, Oregon, Pennsylvania, Texas, and Vermont.
In-person nutrition counseling in Raleigh and Durham, North Carolina
Appointments are available at our two North Carolina offices:
Downtown Raleigh Office: 219 S. East Street, Raleigh, NC, 27601
Downtown Durham Office: 3001 Academy Rd, Ste 130, Durham, NC, 27707
Other resources for eating disorder support
Project Heal, Families Empowered And Supporting Treatment for Eating Disorders, Carolina Resource Center for Eating Disorders