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PHP or Day Treatment for Eating Disorders

Partial hospitalization (PHP) combines the independence of living in the real world with the structure and support of residential treatment for anorexia, bulimia and binge eating disorders. It's ideal for clients who are transitioning to independent living, or who are in recovery but need more assistance than conventional outpatient therapy can provide.

Each insurance plan is different, but many plans that will not pay for full-time residential treatment provide at least partial coverage for PHP.

Mirasol's PHP or day treatment program provides individual psychotherapy and nutrition consultation as well as psychiatric and medical follow-up and discharge planning.

The program is staffed by a multidisciplinary treatment team consisting of dietitians, therapists, adjunctive therapists, registered nurses, exercise consultants and our staff psychiatrist.

Mirasol's PHP is highly individualized, with an option to step down from seven to six to five days per week as the client transitions to part-time work, school or volunteer opportunities and practices living life free from an eating disorder.

The goals of the partial hospitalization include:

  • establishing normal eating behavior and healing unhealthy relationships with food
  • learning to maintain appropriate caloric intake and and honing skills in menu planning and meal preparation
  • developing new communication and coping skills in a supportive environment that promotes change

PHP Myths and Misconceptions

The term "partial hospitalization" is misleading, since Mirasol's PHP is neither "partial" nor does it involve hospitalization. Instead, you'll be either living at home or in a supportive community with other Mirasol clients!

In PHP, the focus of therapy shifts from analysis and discovery to development of practical skills that will help you live in the world after treatment without an eating disorder. PHP is often recommended for clients as a step-down from full-time residential treatment, or to provide additional support for clients already in recovery. The ultimate goal is to provide you with opportunities to practice the skills and tools you learned in treatment, with the support of clinical staff and your peers, in an environment as close to real life as possible. There's a sample program schedule on Mirasol's web site at PHP Day Program Schedule.

PHP Daily Schedule
Mirasol alumnus Ali Sherrill talks about her experience in PHP "day" treatment.

Daily process group topics include:

  • co-dependence
  • spirituality
  • emotional regulation
  • empowerment
  • communication and coping skills
  • boundaries
  • trauma/PTSD
  • body image
  • self-esteem
  • life skills
  • interpersonal relationships

PHP clients receive:

  • individual therapy
  • individual nutritional counseling
  • nutrition groups
  • art therapy
  • ecotherapy
  • EMDR (if indicated)
  • TRE
  • meals out
  • dietitian-supported menu planning and grocery shopping
  • yoga