Online Eating Disorder Therapy: Specialized Treatment Across 40+ States

You finally found a therapist who actually understands eating disorders. Someone who gets the complexity, the shame, the way this thing has woven itself into every part of your life. But they’re in Florida, and you’re not.

That used to be a dealbreaker. It’s not anymore.

Dr. Kait Rosiere at Bloom Psychological Services is a PSYPACT-authorized psychologist, which means she can provide telehealth therapy to clients in over 40 U.S. states and territories. If you’ve been searching for an eating disorder specialist who truly understands the intersection of disordered eating, trauma, and body image—and you don’t live in Florida—this page is for you.

What Is PSYPACT and Why Does It Matter?

PSYPACT (the Psychology Interjurisdictional Compact) is an interstate agreement that allows licensed psychologists to practice telehealth across state lines. Before PSYPACT, a psychologist licensed in Florida could only treat clients physically located in Florida. PSYPACT changed that.

As a PSYPACT-authorized provider, Dr. Rosiere can legally and ethically provide therapy to anyone located in a PSYPACT-participating state at the time of their session. This means you get access to specialized eating disorder treatment regardless of where you live—no need to settle for a generalist therapist in your area when you need someone with deep expertise.

Which States Are Covered?

PSYPACT currently includes over 40 states and territories. As of 2025, participating jurisdictions include:

Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

New states are joining regularly. If your state isn’t listed here, contact us to check current availability—it may have joined since this page was last updated.

Note: You must be physically located in a PSYPACT state at the time of your session. Your permanent address doesn’t matter—what matters is where you are when we meet.

Why Online Therapy Works for Eating Disorders

There’s a misconception that therapy for eating disorders has to be in-person to be effective. Research consistently shows that telehealth therapy produces comparable outcomes to in-person treatment for most mental health conditions, including eating disorders.

In some ways, online therapy for eating disorders offers unique advantages. You’re in your own environment—the place where your eating behaviors actually happen. You don’t have to perform wellness in a therapist’s office and then go home to a completely different reality. Your therapist sees you in context. That matters.

Online therapy also removes barriers that keep people from getting specialized help. You don’t need to drive an hour to see someone who understands eating disorders. You don’t need to rearrange your entire day. You don’t need to sit in a waiting room feeling exposed. You just need a private space and a reliable internet connection.

What Happens in an Online Session

Sessions with Dr. Rosiere happen over secure, HIPAA-compliant video. The experience is very similar to in-person therapy—you talk, you process, you do the deep work of understanding your relationship with food and your body. The only difference is that you’re doing it from the comfort of your own space.

A typical session is 50 minutes. Dr. Rosiere uses an integrative approach that draws on evidence-based modalities tailored to your specific needs. This might include exploring the trauma underlying your eating disorder, working on nervous system regulation, challenging the beliefs your eating disorder has built, and developing a relationship with food that isn’t rooted in fear or control.

If you’ve never done telehealth before, the technology is simple. You’ll receive a secure link before each session. Click the link at your appointment time, and you’re connected. No downloads, no complicated setup.

Who Is This a Good Fit For?

Online eating disorder therapy with Dr. Rosiere is a good fit if you’re dealing with any of the following:

• Binge eating disorder — You feel out of control around food, eat past the point of fullness, and feel shame afterward.
• Bulimia — You cycle between binge eating and compensatory behaviors like purging, over-exercising, or restricting.
• Anorexia — You restrict food intake, fear weight gain, and your relationship with food has become rigid and consuming.
• ARFID — You have a limited range of foods you can eat, experience anxiety around eating, or avoid food based on sensory characteristics.
• Other specified eating disorders (OSFED) — Your eating disorder doesn’t fit neatly into one category, but it’s affecting your life.
• Disordered eating rooted in trauma — Your relationship with food is tangled up with past experiences of abuse, neglect, or chronic stress.
• Body image distress — You struggle with how you see and feel about your body, and it’s affecting your daily life and self-worth.

You don’t need a formal diagnosis to start therapy. If your relationship with food or your body is causing you distress, that’s enough.

How to Get Started

Getting started is straightforward:

1. Schedule a free 15-minute consultation. This is a brief call where you can share what you’re going through and ask any questions. Dr. Rosiere will help you determine if this is the right fit.

2. Complete intake paperwork. If you decide to move forward, you’ll fill out intake forms online before your first session. Everything is secure and confidential.

3. Begin therapy. Your first full session (50 minutes) will focus on understanding your history, your current struggles, and what you want from treatment. From there, you and Dr. Rosiere will build a treatment plan tailored to you.

You Deserve a Specialist

Eating disorders are complex. They’re tangled up with identity, trauma, control, shame, and survival. You deserve someone who understands that complexity—not a generalist who treats eating disorders as one item on a long list of things they kind of work with.

Dr. Rosiere is a Certified Eating Disorder Specialist (CEDS) and a licensed clinical psychologist who has dedicated her career to working at the intersection of eating disorders, complex trauma, and body image. She understands that your eating disorder didn’t develop in a vacuum and that treating it requires attending to everything underneath.

PSYPACT means geography is no longer a barrier to getting the specialized help you need. Whether you’re in Texas or Tennessee, New Jersey or New Mexico, you can access the same quality of specialized eating disorder treatment that Dr. Rosiere provides to her Florida-based clients.

Ready to take the first step? Schedule a free 15-minute consultation with Dr. Kait Rosiere today. Specialized eating disorder therapy is available wherever you are.

Bloom Psychological Services provides telehealth therapy to clients located in PSYPACT-participating states. Dr. Kait Rosiere is licensed in Florida and authorized to practice telepsychology via PSYPACT. Clients must be physically located in a participating state at the time of each session. For the most current list of PSYPACT states, visit psypact.org.