Eating Disorder & Body Image Therapist in Wellesley, MA
Improving your relationship with food and your body is a deeply personal process that requires a safe, supportive space. At Irena Cafasso Counseling, we offer specialized care for adults who are tired of the cycle of dieting, body shame, and disordered eating patterns. While our base is in Wellesley, MA, we provide high quality virtual therapy to clients in nearby cities and accross Massachusetts.
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Our goal is to help you move away from the weight of self criticism and toward a life of inner peace and self acceptance. We utilize a warm, relational style paired with practical behavioral skills to support your path to recovery.
A Health At Every Size (HAES) Approach
We believe that every person deserves respectful, weight neutral care. Our work is grounded in the principles of HAES (Health At Every Size), which means we focus on well being and sustainable habits rather than numbers on a scale.
In our sessions, we look at:
Food Relationship
Moving away from "good" and "bad" food labels to find a more balanced way of eating.
Intuitive Eating
Learning to listen to your body's natural hunger and fullness signals.
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Body Image
Building self compassion and finding ways to respect your body as it is right now.
Emotional Regulation
Building DBT informed tools to manage the intense feelings that often drive disordered eating.
We prioritize your safety and pacing, making sure we move through these sensitive topics at a speed that feels secure for you.
How We Support Your Recovery
Our therapy approach is integrated; we combine deep insight into your history with the tools you need to make changes today.
Gaining Insight through Relational Therapy
We explore how early life experiences and core attachment patterns might have influenced how you view your body and food. By understanding these roots, we can identify the patterns that keep you stuck and begin to build new, healthier ways of relating to yourself.
Finding Flexibility with ACT
We use Acceptance and Commitment Therapy (ACT) to help you handle difficult thoughts about your body without letting them control your actions. Through values work, we help you identify what truly matters to you, allowing you to take committed action toward a meaningful life that is not defined by your weight or appearance.
Building Skills for Regulation
Recovery involves learning how to manage emotional distress. We provide practical distress tolerance and emotion regulation skills. These tools help you manage difficult moments and body image triggers without returning to self defeating behaviors.
Specialties and Services Offered
We provide support for a wide range of challenges to help you achieve a healthier life and inner peace.


Areas We Serve
We are proudly serving the neighborhood of Wellesley and the following nearby cities through our secure virtual platform. Our virtual office makes it easy to access specialized care without the stress of a commute.​
Wellesley
Weston
Needham
Newton
Westwood
Telehealth Across Massachusetts
Whether you are in the MetroWest area or located anywhere else in the state, our Massachusetts licensed counseling is available to support you.
Ready to Heal Your Relationship With Your Body?
You do not have to continue the struggle with food and body image alone. Professional support can provide the clarity and tools needed for lasting change.
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Start your journey toward a more peaceful life today.
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Schedule a virtual consultation to learn more about our approach and how we can support your specific needs in recovery. We look forward to helping you build the life you value.