Body image and eating concerns

Therapy for Eating Disorders and Body Image Issues in Miami, FL

Your relationship with food and your body touches almost everything: how you feel when you wake up, how you move through a meal, how freely you live your day. When that relationship becomes a source of stress, shame, or constant monitoring, it can be exhausting and isolating. You do not have to keep carrying it alone, and you do not have to have it all figured out before reaching out.

I offer personalized therapy for adults who are struggling with body image and their relationship with food. My approach is collaborative and we work as a team. Therapy will focus on the underlying patterns related to your relationship with food and your body. Together we will work to ease the shame and help you build a steadier, kinder relationship with yourself.

White letter tiles spelling the words I am enough
This may feel familiar if

You have been trying to manage this quietly.

If some of this resonates and you are curious about change, I can help.

  • Food and eating have become a source of stress rather than nourishment or pleasure.
  • You think about your body, or judge it, more than you would like to.
  • You have tried many diets or plans, and the cycle leaves you feeling worse.
  • You eat to soothe difficult feelings, and later feel guilt or frustration.
  • You are working on recovery and want steady outpatient support alongside your life.
Eating-disorder and related concerns

Support for more than one kind of struggle.

I provide outpatient therapy for adults navigating anorexia, bulimia, binge-eating and compulsive-overeating concerns, orthorexia, ARFID, disordered eating, emotional eating, chronic dieting, and body image distress. You do not need a formal diagnosis for these patterns to deserve care.

Each person’s experience is different. We can talk about the food and body concerns themselves, as well as anxiety, perfectionism, grief, relationship patterns, or difficult experiences that may be connected to them. If you need a higher level of medical or eating-disorder care, I will help you connect with the appropriate resources and treatment team.

How I work

Relational, integrative, and built around you.

I believe the relationship between us matters as much as any technique. I take time to understand your history, your circumstances, and what you actually need, and we build a plan together that fits you. My work is relational and integrative, drawing on approaches that fit the person in front of me rather than a one-size-fits-all script.

We move away from the tyranny of numbers and toward body respect, self-compassion, and a way of eating and living that feels more free. For many people, difficulties with food and body are connected to anxiety, past hurt, perfectionism, or hard messages absorbed long ago. We create the space to understand all of that, gently and at your pace.

Understanding the whole picture

Food and body concerns are rarely just about food or appearance.

For some people, eating concerns show up as rules, restriction, bingeing, avoidance, secrecy, or a sense that food takes up far too much mental space. For others, the hardest part is the constant body checking, comparing, or pressure to change themselves before they feel allowed to participate fully in life. These experiences can be exhausting even when they do not fit neatly into a diagnosis.

Therapy gives us room to slow down and understand the pattern rather than treating you like a problem to solve. We can look at what food and body thoughts have come to mean in your life, what tends to make them louder, and what support may help you feel less alone with them. The pace and focus are shaped together, with respect for your history and your current life.

What we might focus on together

Support for the patterns underneath.

Food stress

Your relationship with food, and easing stress, secrecy, or rigidity around eating.

Emotional eating

Emotional and stress eating, and building other ways to meet difficult feelings.

The diet cycle

Stepping off the diet cycle and moving toward body respect and self-trust.

What sits underneath

The anxiety, grief, or old patterns that often sit underneath.

Between sessions

When reflection helps, the no-storage Journal Tools page can offer gentle prompts to bring back to therapy.

Outpatient support

A steady place to work on change in the middle of real life.

Outpatient eating disorder and body image therapy can be a fit when you are looking for consistent support while continuing with work, school, relationships, and the ordinary responsibilities of your week. Sessions can make space for the emotional patterns around eating, the impact of body image on daily life, and the practical questions that come up as you work toward a more flexible relationship with food and yourself.

Some situations call for more intensive or medically supported care. If that is what you need, your safety comes first. I will help you connect with the appropriate resources and treatment team, and outpatient therapy can be reconsidered when it is the right level of support.

There is room for the questions

You do not need to know exactly what to call it before you ask for support.

People often arrive with questions rather than a clear label. You may wonder whether your relationship with food has become too stressful, whether body image is affecting your confidence or relationships, or whether something that feels manageable on the outside has become much harder on the inside. You may have tried to handle it alone for a long time. All of that is meaningful information, and it is enough to begin a conversation.

Our work can include noticing the moments when food or body thoughts become especially demanding, naming the self-criticism that has become familiar, and making room for the feelings those patterns may be trying to manage. We can also talk plainly about what support would be useful outside the therapy room, including when another level of care or another provider should be part of the picture.

There is no requirement to arrive with a diagnosis, a complete history, or a promise that you are ready to change everything at once. Sometimes the first useful step is simply becoming less alone with what has been happening and identifying one place where life could feel a little less governed by fear, shame, or rules.

The goal is not perfection, a prescribed body, or a new set of rules. It is a more honest and workable relationship with yourself, shaped at a pace that respects your life and your safety.

Care that fits your life

Coral Gables and telehealth across Florida.

I see clients in person in Coral Gables, within walking distance to the University of Miami. If a commute is a barrier, or you simply feel more at ease at home, online sessions offer the same care with more flexibility. You can choose what feels right, and it can change over time.

A note on fit and level of care

Outpatient therapy is a good fit for many people working on body image and disordered eating. If you are facing a medically acute eating disorder that needs a higher level of care, your safety comes first, and I will help you connect with the right treatment team and resources. If and when outpatient support is the right next step, I am glad to be part of your recovery.

Now accepting new clients

A first conversation can be simple.

If you have been looking for a therapist who sees you as a whole person, not a problem to fix, I would love to hear from you. Reaching out is often the hardest part, and it can also be the beginning of something gentler.

I am an out of network provider and can provide you with a superbill to submit to your insurance for reimbursement. A good faith estimate of costs will be provided for you.

Jennifer Pankow-Martinez seated in her therapy office
What to expect first

No pressure and no script.

A first consultation is simply a conversation. You share what brings you in, I answer your questions, and together we get a feel for whether we are a good match. There is no pressure and no script, just a chance to be heard and to decide what feels right for you.

Frequently asked questions

Body image and eating concerns therapy.

What kinds of eating issues do you work with?

I treat a range of eating and body image concerns, such as, but not limited to, anorexia, bulimia, binge eating, orthorexia, and ARFID. I also work with disordered eating, emotional eating, chronic dieting, and body image distress. You do not need a formal diagnosis to begin. If someone needs a higher level of care because of acuity, I will refer them to the appropriate resources.

Do you offer online therapy for eating and body image concerns in Florida?

Yes. I offer secure telehealth to clients located anywhere in Florida, along with in-person sessions in Coral Gables.

Do I need to have a diagnosed eating disorder to come in?

No. Many people I work with are struggling with body image, chronic dieting, or a difficult relationship with food, without a formal diagnosis. You are welcome exactly as you are.

What does an eating disorder therapist do?

An eating disorder therapist helps you understand the emotional, relational, and practical patterns shaping your relationship with food and your body. Outpatient therapy can make room for body image distress, food anxiety, disordered eating, recovery support, and the feelings or experiences connected to them. When a higher level of care is needed, the appropriate treatment team and resources come first.

What happens in a first consultation?

A first consultation is a conversation about what brings you in, the questions you have, and whether outpatient therapy feels like a good fit. There is no pressure to have the right words or a complete plan before reaching out.

Do you accept insurance?

I am an out-of-network provider and can provide a superbill to submit to your insurance for reimbursement. A Good Faith Estimate of costs is available before scheduled care or upon request.

If you need support right now

Support is available.

If you are in emotional crisis or thinking about harming yourself, you can call or text 988 to reach the Suicide and Crisis Lifeline, or contact your local emergency services. For eating disorder support and referrals, the National Alliance for Eating Disorders offers a therapist-staffed helpline at 1-866-662-1235, Monday through Friday, 9:00 am to 7:00 pm EST.