Sara Burchfiel, LMFT

Sara Burchfiel, LMFTSara Burchfiel, LMFTSara Burchfiel, LMFT

Sara Burchfiel, LMFT

Sara Burchfiel, LMFTSara Burchfiel, LMFTSara Burchfiel, LMFT
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In-person eating disorder therapy in Newport Beach, CA | Online therapy in California and Texas

From the outside, it may look like you’re managing things well — maybe even doing well.
But inside, your relationship with food, your body, and yourself feels exhausting, disconnected, and out of control.


Constant comparisons.
Your mind racing ahead, already calculating the next meal.
Relentless guilt after eating.
Food noise that won’t turn off.


Rigid rules. Endless rituals.
Promising you’ll get it “right” tomorrow — holding yourself to impossible standards.


Still feeling at war with your body.


You may even understand your patterns around food or your body quite well — and still find yourself feeling stuck in them.


You don’t have to carry this alone.


Therapy offers a space to slow down, understand what’s been happening beneath these patterns, and begin developing a more peaceful relationship with food, your body, and yourself.

Next Steps

Understanding your experience

When assessing an eating disorder, I look beyond appearance, weight, or visible behaviors.


I pay close attention to how food, exercise, and body image are impacting your daily life — how much space these thoughts take up in your mind, whether there’s a sense of feeling out of control (or afraid of losing control), and the emotional weight you carry around eating and your body.


We explore how your sense of self-worth may be tied to food or appearance. How these struggles affect your relationships, your ability to be present, and your engagement with life. And how these patterns may have developed as ways to cope, protect yourself, or feel safe.


Above all, I listen for your pain — including the suffering that may not be visible on the surface.


I say this because there are so many misconceptions about eating disorders. People often minimize their struggles because they feel they are “not sick enough,” don’t fit neatly into a diagnosis, or don’t “look like” someone with an eating disorder.


If you are struggling with food or body image in any way, your experience matters. You deserve support.

Body Positivity. Every Body is Beautiful. Eating Disorder Recovery.

We will start where you are.

Our work starts by exploring how the eating disorder lives in your life — the pain it has caused, and the ways it may have offered comfort, protection, or hope along the way.


For many people, disordered eating begins as an attempt to solve something:
If I were thinner… healthier… more disciplined… I would finally feel confident, happy, worthy.


It’s important to acknowledge the meaning and sense of safety your eating disorder has provided — while gently opening space for something new to emerge.


Together, we’ll strengthen the part of you that longs for healing and clarify what recovery truly means for you. We’ll approach the parts that feel hard to release, while honoring any fear of who you might be without them.


We’ll look at what you’ve already tried, where you feel stuck or overwhelmed, and begin exploring new ways of relating to food, your body, and yourself.


Healing can feel slow at times. It can feel vulnerable. And it is worth it.


Over time, eating out with friends can feel fun instead of overwhelming — and food and your body can become sources of nourishment rather than stress.


Our therapy becomes a thoughtfully held space to explore your unique relationship with food and your body in all its complexity — helping you reconnect with your authentic self in a way that feels grounded and sustainable.

To Anyone Navigating Life In A Larger Body...

If you live in a larger body, you may have spent years navigating messages about what you “should” eat, how you “should” look, or who you’re supposed to be in order to be worthy. You may have tried diets, sworn them off, gone back again, or simply felt exhausted by the constant noise around food and weight.

Wherever you are in your relationship with food and your body, you are welcome here.


This is a space where we can explore that relationship in all its complexity — without judgment, shame, or being handed another plan to fix yourself. If dieting has left you feeling defeated, confused, or disconnected from your own cues, you’re not alone. Many people come to realize that while diets promise control, they often deepen struggle and erode trust in the body.


In our work together, we’ll gently explore your lived experiences and the messages you’ve absorbed about food, weight, and worth. We’ll look at how those messages have shaped your self-concept and your relationship with eating. With curiosity and compassion, we can begin to understand what food has meant in your life — not to pathologize it, but to honor the ways it may have helped you cope, soothe, celebrate, or survive.


Together, we’ll identify the needs beneath your patterns and explore new ways of meeting them that feel aligned with self-respect and care.

Individualized eating disorder therapy in Orange County, CA

I specialize in supporting individuals experiencing:


  • Anorexia Nervosa treatment
  • Bulimia Nervosa treatment
  • Binge Eating Disorder therapy
  • ARFID (Avoidant/Restrictive Food Intake Disorder)
  • OSFED (Other Specified Feeding or Eating Disorders)
  • Chronic dieting and disordered eating
  • Orthorexia and rigid food rules
  • Body image distress and body dysmorphia
  • Eating disorders in athletes and high-performance individuals
  • Eating disorder therapy for LGBTQ+ clients (affirming care for queer and transgender individuals)
  • Eating disorders in neurodivergent individuals, including ADHD, autism, and sensory-related feeding differences


Whether your experience fits neatly into a diagnosis or feels more complex than a label, eating disorders are rarely just about food. They often develop in response to trauma, anxiety, overwhelm, perfectionism, identity stress, or nervous system differences. Therapy addresses both behaviors and underlying patterns, helping you build a more grounded, sustainable relationship with food, your body, and yourself.

Eating Disorder Therapy: Frequently Asked Questions

Many people arrive here with questions about their relationship with food, their body, or what therapy might look like. Here are a few of the questions I’m most often asked.

Eating disorders don’t always look the way people expect them to. Some people experience clear diagnostic symptoms like restricting, bingeing, purging, or compulsive exercise. Others find themselves caught in constant thoughts about food, weight, or body image—even if their behaviors don’t fit neatly into a specific diagnosis.


Many of the people I work with feel like something about their relationship with food or their body just isn’t working anymore. The thoughts may take up a lot of mental space, or eating patterns may begin to interfere with daily life, relationships, or your ability to feel present with yourself.


Sometimes, from the outside, everything appears fine. You may be managing work, school, or responsibilities while quietly carrying distress around food or your body that others don’t see.


If food, body image, or eating patterns are creating distress or taking up more space in your life than you want them to, therapy can help you understand what’s happening and move toward a more peaceful and sustainable relationship with food and your body.


Many people hesitate to seek support because they worry their experience isn’t “serious enough” to count as an eating disorder. They may tell themselves that others have it worse or that they should be able to handle things on their own.


Many of the people I work with are still functioning in their daily lives—showing up for work, school, or relationships—while privately struggling with constant thoughts about food, rigid food rules, body dissatisfaction, or cycles of restriction and overeating.


If your relationship with food or your body is creating distress or taking up more mental space than you’d like, it deserves attention and care. You don’t have to wait until things feel worse to seek support.


Many of the people I work with come to therapy feeling stuck in patterns around food, body image, or control that no longer feel sustainable. While eating behaviors may be the most visible part of the struggle, my approach looks beyond food itself to understand the deeper patterns that keep those behaviors in place.


Eating disorders rarely develop in isolation. Difficulties with food and body image are often intertwined with anxiety, perfectionism, trauma, identity, relationships, or the ways your nervous system has learned to cope.


In our work together, we explore these underlying dynamics while also developing practical tools to help you navigate triggers, food-related anxiety, and body image distress. Our sessions won’t only focus on food or behaviors—we’ll also make space for the broader context of your life, because healing rarely happens in isolation.


When helpful, therapy can also be part of a collaborative care team. Some clients choose to work with a dietitian or medical doctor alongside therapy, and I can provide referrals to trusted eating disorder specialists.


Many people come to therapy after trying for a long time to change their relationship with food or their body on their own. Some have been through previous treatment or periods of recovery that didn’t lead to the lasting change they were hoping for. When old patterns return, it can feel discouraging or even make you wonder if real change is possible.


Recovery is rarely a straight line. Often there are important reasons certain patterns have been difficult to let go of, and those reasons deserve understanding rather than judgment.


In our work together, we take time to gently explore what may have made change difficult in the past while creating space for a different kind of relationship with food, your body, and yourself to begin to take shape.


This experience is actually very common. Eating disorders often develop for important reasons. They may create a sense of control, offer structure, numb difficult emotions, or provide a way to cope when things feel overwhelming.


Because of this, it’s normal for one part of you to want change while another part feels unsure, protective, or even afraid of letting go.


In our work together, we make space for that ambivalence rather than pushing it away. We take time to understand what the eating disorder has been doing for you and what those parts of you may need moving forward. As that understanding deepens, many people find that new possibilities for change begin to open up in a way that feels more natural and sustainable.r a different kind of relationship with food, your body, and yourself to begin to take shape.


Many of the people I work with struggle with some aspect of their relationship with food or their body but don’t meet full criteria for an eating disorder. We live in a culture that places enormous pressure on dieting and promotes very narrow ideals about how bodies should look, and it’s easy to lose touch with your body’s natural rhythms, signals, and regulation.


You might notice constant thoughts about food—sometimes referred to as food noise—along with cycles of dieting, comparing your body to others, or feeling critical of how you look. Even when these patterns are common, they can still feel exhausting and take up more mental space than you’d like.


In our work together, we create space to slow down and explore your relationship with food and your body with curiosity rather than judgment. Over time, many people begin to develop a more balanced and compassionate relationship with eating and with their body.


Shame is incredibly common when someone is struggling with an eating disorder. Many of the people I work with have spent a long time carrying these experiences quietly, feeling embarrassed about their eating habits or worried about what others might think if they knew.


Shame tends to grow in silence, which can make these struggles feel even more isolating.


In therapy, you don’t have to hold that alone. Our work together creates a confidential and compassionate space where you can speak openly about your experience without judgment. Often, simply having these parts of your story seen, understood, and supported can be an important step toward healing.


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Counseling in Newport Beach & across California