Eating Disorder Intensive Outpatient Program

Currently Accepting Referrals for IOP Assessment
Treatment Hours
Monday through Friday
8am to Noon


Our Intensive Outpatient program is intended to provide a higher level of care treatment option for adults struggling with an eating disorder who also need more support than a typical weekly outpatient therapy service or are ready to ‘step-down’ from a residential or PHP program.  Our program is built firmly on a Dialectical Behavior Therapy (DBT) foundation and is provided in a DBT-adherent setting by DBT trained clinicians. We will help you plan for the week and the coming weekend and work to understand what is getting the way of the changes you need to make to follow your path to recovery.

Treatment hours: During treatment hours you will attend groups focused on acquisition and practice of DBT skills with a focus on eating disorders, and will eat 1-2 meals with your co-group members.  Weekly individual therapy will typically occur during program hours, and meetings with our Psychiatric Mental Health Nurse Practitioner (PMHNP) and Nutritionist will be scheduled outside of group hours.  Clients attending the IOP will typically spend 20 hours a week at PDBTI.

The IOP program at PDBTI has been developed to serve members of our community who can benefit from more support than our Standard Program.  It is open to adults of all genders and all eating disorder diagnoses.  If you answer ‘yes’ to any of the following, this may be a great fit for you:

  1. Have you recently been discharged from a residential or PHP eating disorder program with a recommendation for either IOP or DBT treatment?
  2. Has your current therapist recommended that you engage in IOP and that DBT would be beneficial?
  3. Are you trying to prevent a referral to a PHP or residential treatment setting?
  4. Do you need extra support to consistently eat meals without engaging in eating disordered behavior?
  5. Are you committed to recovery AND still struggle with stopping your disordered eating behaviors?
  6. Would extra structure on a daily basis help you be more effective in other parts of your life?

Clients who admit to our program will be required to have regular and frequent monitoring by a physician who knows you are involved in an eating disorder treatment program and who is willing to commit to caring for you for the duration of your time in the program. If you or your physician has questions about what it means to medically treat an individual with an eating disorder, please see the Academy of Eating Disorder’s Guide to Medical Care.

For more information please read our ED IOP frequently asked questions.


We want to make sure that everyone attending our IOP is as safe as possible, so the following are very important indicators that this IOP may not provide enough support:

  1. Medical instability requiring extensive medical monitoring and intervention such as (though not limited to) IV fluids, NG tube feedings, heart rate below 40 beats per minute, very low blood pressure (below 90/60mmHg), and electrolyte imbalances.
  2. Poor motivation to recover.
  3. Unable or unwilling to participate in treatment.  Examples of this might be not working to avoid eating disorder behaviors and not attending treatment sessions with consistency.
  4. All meals require supervision during and after to avoid engaging in eating disorder behaviors (such as purging, restriction, over-exercise).

Unfortunately, We are unable to accept clients who are extremely underweight, unless medically monitored weight restoration has already safely begun and close medical supervision continues. We are unable to accept clients who are medically unstable and require hospitalization because of electrophysiological abnormalities, electrolyte imbalances, or other potentially dangerous conditions.

At this time, we are contracted with the following insurance carriers

  • United Behavioral Health
  • Providence Behavioral Health
  • Blue Cross Blue Shield
  • Moda Health
  • Kaiser Permanente
  • Pacific Care Behavioral Health
  • Oregon Health Plan through Health Share
    • Multnomah County 
    • Clackamas County 
    • Washington County

We are actively working to develop contracts with more insurance companies to increase access for our clients.  

If your insurance company is not currently contracted with us, you may choose to pay out of pocket for treatment in the IOP and apply to your insurance company for reimbursement at the out-of-network provider rate.  Please call your insurance company to get more information on this option.  


The first step in getting started is filling out our electronic referral form.

For general information about the program, please contact
Charlotte Thomas, LCSW, Path to Mindful Eating program manager. or (503) 290-3277

For registration, insurance, and billing questions, please contact our Intake Team or (503) 290-3291