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Lily is the founder of Thrope Therapy, a boutique group practice in Midtown Manhattan specializing in eating disorders, body image, and related concerns. She is a licensed clinical social worker and certified intuitive eating counselor, and the founder of the Recovery Supper Club, a free monthly dinner gathering for people in recovery in New York City.
Adolescence is genuinely a complicated time for food and bodies. Teenagers are undergoing real physiological changes. They are developing their own identities and testing independence, including around food choices. They are swimming in a social media environment that is saturated with diet culture, fitness content, and body commentary. Some food experimentation and self-consciousness about appearance is developmentally typical. This makes it genuinely hard to know when something has shifted from normal teenage behavior into something that warrants real concern. The line is not always obvious, and teenagers are often skilled at minimizing what is happening, whether or not they are doing so consciously.
In New York City, most therapists list eating disorders as one of many things they treat. You will find eating disorders alongside anxiety, depression, relationship issues, life transitions, and trauma on the same profile. That is not necessarily a red flag. A therapist can genuinely work well with a client whose eating disorder co-occurs with depression or anxiety. What matters is whether eating disorders are a genuine clinical focus, not just a checkbox. And there are ways to tell the difference.
