Personalized Therapy & Nutrition Services
Whether you’re navigating anxiety, disordered eating, burnout, or trauma, our integrated care team offers personalized support for your mind, body, and self. We combine trauma-informed therapy with compassionate nutrition counseling to help you feel safe, seen, and nourished.
Get Started TodayNutrition Services
Disordered eating goes far beyond food—it’s often a way to cope with stress, perfectionism, and emotional pain. Our Boston-area dietitians partner with your therapist to replace restrictive and binge cycles with balanced, sustainable strategies for lasting well-being.
PCOS and hormone imbalances can cause irregular cycles, acne, fatigue, and stubborn weight. Our Boston-area dietitians craft whole-food meal plans to stabilize blood sugar, reduce inflammation, and restore hormonal balance—with therapeutic support to navigate the emotional toll of symptoms.
Managing blood sugar requires more than just carb counting. We offer medical nutrition therapy for Type 1, Type 2, and prediabetes—paired with behavioral support to prevent burnout, reduce diabetes distress, and help you build sustainable eating and self-care habits.
Our integrated care model supports heart health through Mediterranean-style eating plans and lifestyle strategies. Whether you’re navigating high cholesterol, blood pressure concerns, or heart disease risk, we help you make heart-protective changes that stick—without fear or restriction.
Digestive issues like IBS, IBD, bloating, and food sensitivities can affect every part of your life. Our team helps you identify triggers, explore low-FODMAP or anti-inflammatory diets, and reduce anxiety-driven symptom cycles using gut-brain healing strategies.
When a child’s eating is severely restricted due to sensory sensitivities or fear, it can take a toll on the whole family. Our team addresses ARFID with gentle food exposure, behavioral support, and family guidance—creating safety, structure, and progress.
Picky eating is a normal developmental phase—but when it leads to mealtime battles, power struggles, or inadequate nutrition, support can help. Our team works with families to build confidence and reduce pressure at the table. We help parents understand food preferences, develop creative exposures, and foster autonomy in a way that’s developmentally appropriate. With guidance, children can expand variety without coercion, and mealtimes can become more peaceful and playful.
Mental Health Services
Anxiety isn't a personal failing—it's your system on overload. From racing thoughts and restlessness to panic or persistent worry, chronic anxiety can disrupt life and relationships. Our therapists help you explore root causes, regulate your nervous system, and learn coping tools like CBT, exposure therapy, and mindfulness.
Depression and burnout can make everyday tasks feel impossible. Whether it’s due to long-term stress or deeper emotional pain, therapy offers a path forward. We use CBT, DBT, and insight-based approaches to rebuild energy, restore meaning, and help you reengage with life.
Struggles with body image often reflect deeper issues of shame and self-worth—not just appearance. Therapy helps dismantle unrealistic beauty standards, heal critical internal voices, and develop a sense of value rooted in who you are—not how you look.
Childhood Emotional Neglect (CEN) can leave invisible scars: difficulty identifying emotions, low self-trust, and relational struggles. Our team supports healing through IFS, attachment repair, and trauma-informed care—helping you build boundaries, emotional fluency, and a grounded sense of self.
Whether you’re navigating family dynamics, communication issues, or struggling with codependency, therapy can help you build healthier connections. We support boundary-setting, assertiveness, and emotional attunement for deeper, more reciprocal relationships.
Perfectionism often masks a deep fear of not being good enough. Therapy can help you identify shame-driven patterns, cultivate self-compassion, and shift toward goals that reflect your values—not fear of judgment. Let go of impossible standards and embrace a more authentic life.
Nutrition Services

Eating Disorders & Disordered Eating
Eating disorders aren’t about vanity—they’re about pain. We help uncover the root of disordered eating and support holistic recovery.
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PCOS & Hormonal Health
Hormonal health is more than cycles and symptoms. Our integrated team supports sustainable nutrition and emotional balance.
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Diabetes & Blood Sugar Regulation
Diabetes is not just a numbers game. We help address the mental load and nutrition needs of life with diabetes.
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GI & Digestive Concerns
IBS, IBD, reflux or bloating—we guide you toward calm digestion, less fear, and more freedom with food.
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ARFID & Pediatric Feeding Concerns
Feeding struggles impact everyone at the table. We offer gentle structure to support kids and families.
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Cholesterol & Heart Health
Heart health is personal. Let’s reduce fear and build habits that protect your body and mind.
Learn more →Finding Freedom with Food:
Eating Disorders & Disordered Eating
Eating disorders are not a diet gone too far, a quest for attention, or a phase. They are complex brain-based illnesses that often arise as ways to cope with unbearable emotions, trauma, anxiety, or a desperate need for control. For many, food becomes both the battleground and the balm—something feared and longed for at once.
What’s often misunderstood is that people with eating disorders don’t “look” a certain way. Many live in bodies that society doesn’t expect to be struggling. The behaviors—restricting, bingeing, purging, obsessing over food or movement—are not about vanity. They’re about managing something deeper. And often, they’re invisible to those around them.
The shame, secrecy, and self-criticism can be relentless. It’s common to hear internal thoughts like: “I’m not sick enough to get help,” or “If I let go, everything will spiral.” But those are the very lies the eating disorder tells to keep its grip. And over time, what started as a coping mechanism can turn into a prison.
At Actualize, we approach eating disorder recovery through both the body and the mind. Our dietitians work gently to restore nourishment, dismantle food rules, and bring safety back to the eating experience. Our therapists guide clients through the deeper emotional work: body image healing, shame resilience, perfectionism, trauma, and identity reconstruction. Recovery is not linear—but it is possible.
You don’t have to wait until you’re “sick enough.” You don’t have to do this alone. Whether you’re in the early stages of struggle or deep in the cycle, there’s a way forward—and we’re here to walk it with you.
Reclaiming Your Rhythm:
PCOS & Hormonal Health
PCOS is one of the most common endocrine disorders—and yet many people go years without a diagnosis, often dismissed or told to "just lose weight." But PCOS isn’t caused by something you did. It’s a complex hormonal condition that impacts metabolism, ovulation, mental health, and more. It’s not your fault, and you’re not alone.
What surprises many is the range of symptoms PCOS can cause: irregular or painful periods, persistent acne, unwanted hair growth, thinning scalp hair, fatigue, mood swings, and intense cravings. It can also affect fertility and increase long-term risks for insulin resistance, Type 2 diabetes, and cardiovascular conditions. And yet, too often, treatment is reduced to weight loss advice that overlooks the emotional toll.
Living with PCOS can feel confusing and invalidating—especially when your efforts are met with little change or judgment. Many experience grief around their body or their fertility, along with anxiety, depression, and shame that is rarely addressed in conventional care. But PCOS isn’t just a physical condition. It requires emotional and psychological support as well.
At Actualize Counseling & Nutrition, we offer an integrated approach. Our dietitians focus on improving insulin sensitivity, managing inflammation, and supporting hormone balance through practical, sustainable nutrition—not restriction. Meanwhile, our therapists help you explore body image, identity, emotional regulation, and the mental toll of chronic health struggles. It’s care that sees the full picture.
You deserve care that supports all of you—not just your symptoms. PCOS doesn’t define you, and it doesn’t have to control your relationship with your body. We’re here to walk with you toward clarity, balance, and self-trust.
More Than a Number:
Diabetes & Blood Sugar Regulation
Diabetes is often reduced to numbers—A1C, glucose, carbs. But behind the numbers is a human experience: the invisible math at every meal, the fear of going too low in the middle of the night, the guilt after eating something spontaneous. Few people talk about the emotional toll that constant vigilance takes.
What surprises many is how strongly mental health and blood sugar regulation are connected. Stress can raise glucose levels. Depression can reduce motivation for self-care. Food guilt can lead to restriction, which may result in dangerous blood sugar swings. These are not signs of failure—they're signs that diabetes isn’t just physical. It’s relational, emotional, and cognitive.
People with diabetes are also at increased risk for anxiety, burnout, and eating disorders, especially when the pressure to be “perfect” overshadows self-compassion. If you've ever felt exhausted by the grind of managing it all, you're not alone. “Diabetes distress” is a real, research-backed experience—one that affects nearly half of all people with diabetes at some point.
At Actualize Counseling & Nutrition, we take a holistic approach. Our dietitians help you stabilize blood sugar with flexible, realistic strategies that work in everyday life—not just on paper. And our therapists offer space to process the weight of it all: the overwhelm, the shame, the perfectionism, the grief. We believe care should feel human, not clinical.
This is about more than numbers. It’s about reclaiming your relationship with food, your body, and your life. And you don’t have to do it alone.
Calming the Gut-Brain Connection:
GI & Digestive Concerns
Digestive distress is more than discomfort—it can feel like a daily battle. IBS, IBD, reflux, chronic bloating, and food sensitivities can disrupt routines, limit food choices, and heighten anxiety. You might find yourself avoiding social events, struggling with unpredictability, or fearing meals altogether.
Many people with GI conditions fall into restrictive eating out of necessity, but over time this can lead to nutritional gaps and increased food fear. At Actualize, we take a balanced approach to gut healing—helping you discover your triggers, broaden your safe food list, and restore your relationship with food.
Our dietitians can guide you through tools like the low FODMAP diet (when appropriate), identify patterns contributing to symptoms, and ensure your body gets the nutrients it needs. Simultaneously, our therapists address the stress and anxiety that often amplify digestive symptoms. This gut-brain connection is real—and healing it requires compassion and strategy.
You don’t have to tiptoe around food forever. With integrated support that respects both your biology and your emotions, we’ll help you move from digestive distress to freedom and function.
Nourishing with Trust:
ARFID & Pediatric Feeding Concerns
Feeding challenges are often misunderstood—and deeply stressful. Whether your child eats only a handful of foods, avoids entire textures, or becomes distressed at the table, you’re not alone. Avoidant/Restrictive Food Intake Disorder (ARFID) and complex picky eating can cause nutritional deficiencies, social stress, and major anxiety for families.
ARFID is not a behavioral issue or a phase. It often stems from sensory sensitivities, medical trauma, or fear of choking or vomiting. And picky eating that doesn’t improve over time—or that impacts weight and growth—deserves more support than just “keep offering veggies.”
At Actualize, our dietitians and therapists work together to support both the child and their caregivers. We help increase variety and nutrition without force or pressure, using food chaining, gentle exposure, and mealtime strategies that build confidence—not conflict. For parents, we offer education and emotional support so you can stop feeling like you’re failing and start feeling empowered.
If every mealtime feels like a battle—or if your child’s growth or health is being affected—know that change is possible. With a tailored, compassionate plan, we help kids and families reconnect with the joy of eating.
Caring for Your Heart:
Cholesterol & Heart Health
High cholesterol and heart health concerns often come with fear, overwhelm, and lifestyle confusion. But your numbers don’t tell the full story. We help you make sense of what’s happening physiologically—while also supporting your emotional well-being in the process.
Nutrition can absolutely make a difference, but that doesn’t mean cutting out everything you love. We focus on sustainable shifts—balancing fats, fiber, and anti-inflammatory foods—rather than unsustainable diets. We’ll help you navigate conflicting advice and find what works for your body and your life.
What many don’t realize is how stress, trauma, and emotional load can affect cardiovascular health. Grief, anxiety, and anger all have physiological impact. That’s why our therapists work alongside our dietitians to support heart health from the inside out.
At Actualize, we believe lifestyle change should feel empowering, not punishing. We’re here to help you build habits you can live with—habits that support your long-term vitality, joy, and peace of mind.
Mental Health

Depression & Burnout
Persistent sadness, exhaustion, and cynicism can feel isolating. Our therapists help you restore energy, motivation, and meaning through compassionate care.
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Work & Caregiver Burnout
When giving to others leaves you depleted, therapy can help you replenish. Learn to manage burnout, create boundaries, and restore emotional energy.
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Childhood Emotional Neglect
Unmet emotional needs in childhood often echo in adulthood. Therapy helps you reconnect, heal, and build secure emotional connection and self-worth.
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Perfectionism & Shame
Perfectionism often masks deeper shame. We help you unlearn these patterns and cultivate self-worth rooted in compassion, not achievement.
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Relationships & Boundaries
Therapy helps you identify unhealthy patterns, assert your needs, and build fulfilling, respectful connections—starting with yourself.
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Body Image & Self-Worth
We help you challenge internalized shame and build self-worth based on your values and strengths—not your appearance.
Learn more →Lifting the Fog:
Addressing Depression and Burnout
Feeling weighed down by persistent sadness, lack of energy, and a loss of interest in activities you once enjoyed? This could be depression. Are you also experiencing overwhelming exhaustion, cynicism, and a reduced sense of accomplishment, particularly related to your work or daily responsibilities? This sounds like burnout.
Depression and burnout often overlap, affecting both emotional and physical well-being—and even your relationship with food and self-care.
At Actualize Counseling, we understand the intricate connection between mental and physical health. Our therapists provide a supportive space to explore the root causes of depression and burnout. Using evidence-based approaches like Cognitive Behavioral Therapy (CBT), we help you identify and challenge negative thought patterns while developing sustainable, healthy coping tools.
In therapy, we can help you:
- Set realistic boundaries and navigate stress more effectively
- Rediscover energy, purpose, and motivation
- Break patterns of emotional depletion and guilt-driven productivity
- Address disordered eating or self-care struggles rooted in emotional overwhelm
Our integrated approach—blending mental health and nutrition care—empowers you to reclaim joy, restore balance, and reconnect with your deeper values. You don’t have to navigate this alone. We're here to walk alongside you.
Let’s lift the fog together.
When Work Takes Its Toll:
Finding Relief from Work Fatigue Through Counseling
Work fatigue is more than just needing a good night's sleep. It's a pervasive sense of exhaustion, lack of motivation, and emotional depletion that stems from overwhelming demands—especially when you're constantly giving to others or held to high expectations in your role.
When left unaddressed, chronic work fatigue can erode your mental, emotional, and even physical health.
At Actualize Counseling, we help you identify the root contributors to burnout—whether it's long hours, high pressure, a sense of being undervalued, or blurred boundaries between work and personal life. Our goal is to guide you toward balance, clarity, and meaningful replenishment.
Therapy can help you:
- Clarify your limits and set healthy boundaries
- Address perfectionism or people-pleasing tendencies that fuel depletion
- Rebuild a sustainable rhythm of rest, nourishment, and productivity
- Reconnect with your values and sense of purpose beyond performance
For many, work fatigue doesn't just impact energy—it also shapes eating habits, self-care routines, and self-worth. Our integrated model blends mental health and nutrition support so you can heal on every level.
You're not lazy. You're depleted. Let's replenish you.
Healing the Echoes of the Past:
Addressing Childhood Emotional Neglect in Therapy
Childhood emotional neglect (CEN) doesn’t always come from what happened—it often stems from what didn’t. It’s the quiet absence of validation, nurture, and emotional presence from caregivers. And while it can be subtle, its impact can echo through adulthood in powerful, painful ways.
You may feel empty, disconnected, or unworthy—and never know why. That’s the legacy of emotional neglect.
At Actualize Counseling, we help you uncover how unmet emotional needs shaped your inner world. You might struggle to name your feelings, ask for help, or trust your needs matter. Through gentle, validating therapy, we walk with you to rediscover your voice, emotional truth, and right to connection.
In therapy, you’ll learn how to:
- Recognize the signs and patterns of emotional neglect
- Develop emotional language and self-awareness
- Heal attachment wounds and build secure connections
- Practice self-compassion and meet your needs with intention
CEN often impacts not only relationships, but how you care for your body, feed yourself, and feel safe in your own emotions. Our integrated model helps you address these layers holistically—with both therapeutic and nutritional support.
You deserved emotional presence then. You can give it to yourself now.
Breaking Free from the Cycle:
Overcoming Perfectionism and Shame with Counseling
Perfectionism may look like ambition on the outside—but inside, it often masks a deep fear of not being good enough. It’s a survival strategy built on the belief that flawlessness will earn you love, safety, or approval.
Shame whispers, "You are only worthy if you are perfect." But perfectionism never lets you feel worthy.
At Actualize Counseling, we help you interrupt this loop. Through compassionate therapy, you’ll begin to separate your worth from your achievements—and create a life driven by authenticity instead of anxiety.
In therapy, we support you in:
- Understanding how shame and self-criticism fuel perfectionism
- Challenging the inner critic with curiosity and compassion
- Practicing permission, flexibility, and emotional self-acceptance
- Reclaiming joy and creativity without fear of mistakes
Perfectionism often affects your body image, food choices, and nervous system regulation. Our integrative care model helps you rebuild trust in yourself—physically, emotionally, and spiritually.
You don’t have to be perfect to be worthy. You already are.
Cultivating Healthy Connections:
Navigating Relationships and Boundaries in Therapy
Healthy relationships are rooted in mutual respect, communication, and emotional presence. But for many, relational patterns are shaped by past wounds—leaving you unsure how to speak up, protect your energy, or trust your needs matter.
Boundaries are not walls. They are bridges that preserve connection while honoring your selfhood.
At Actualize Counseling, we guide you in understanding your relational patterns and reshaping them with compassion. Whether you're navigating codependency, conflict, people-pleasing, or avoidance, therapy helps you build new skills for authentic, secure connection.
In counseling, you’ll learn to:
- Recognize and express your emotional needs
- Set and maintain healthy boundaries with clarity and care
- Develop assertiveness and self-respect without guilt
- Break free from unhelpful relational cycles and patterns
Relationship stress can impact your nervous system, sleep, self-care, and eating habits. Our integrative team supports you in healing relational trauma—so you can show up more fully in every space you enter.
You can love others without losing yourself. We’ll show you how.
Embracing Your Authentic Self:
Building Body Image and Self-Worth Through Counseling
Struggles with body image are rarely about vanity. More often, they reflect deeply ingrained beliefs about worth, safety, and belonging. In a culture flooded with narrow beauty ideals, it's easy to internalize the lie that your value is conditional—on your weight, shape, or appearance.
You are not a before-and-after photo. You are a whole human being—worthy of care now.
At Actualize Counseling, we support you in dismantling body shame and reconnecting with your inherent worth. Body image healing isn’t about loving every inch—it’s about shifting from judgment to compassion, from self-objectification to embodiment.
In therapy, you’ll explore:
- How cultural messaging and past experiences shaped your body image
- Core beliefs that tie self-worth to appearance or control
- Practices to cultivate respect, neutrality, and self-acceptance
- Ways to nourish your body from a place of care—not punishment
We blend therapeutic and nutritional care to help you tune into your body’s signals, reduce anxiety and disordered patterns, and find freedom from the exhausting cycle of body monitoring.
Your body is not the problem. Let’s rediscover its wisdom—and your worth.
Ready to Take the Next Step?
If any of these stories resonate with you—or if you’re simply feeling stuck and looking for support—our team is here to help. Let’s work together to move toward healing, clarity, and connection.