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Oliver-Pyatt Centers

When were you there: April-Aug
Describe the average day:wake up, breakfast at the apartments around 8, go to the center at 9. There are 2 morning groups. Morning snack is in between the groups, usually around 10.30. The pregroup, lunch around 12.30 or 1, post group. from 1.30-5.30 are individual sessions. You meet with the nutritionist 1x/wk, your primary therapist 4x/wk, clinical director 1x/wk, and Wendy Oliver Pyatt 1x/wk. There’s a psychaitrist to fill in for Wendy if shes gone, but she usually handles meds and therapy. Afternoon snack is anytime before 4.30. Pregroup at 6, dinner at 6.30, post group, then an evening group ). After the group the therapist on call for the night does a closing circle to wrap up the day, then we head back to the apartments around 9, have snack there and sleep. oh and you get your vitals done every day.
What were meals like? Positively delicious!!! the chef is incredible. they’re really good about working with you and accomadating specifc needs. Im vegetarian and lactose intolerant and they were extremely nice and helpful. You eat with all the other patients and two recovery coaches, and usually a therapist. Before the meal, you do pregroup to rate your hunger level, talk about any feelings coming up for you around the meal, and set an intention (i.e., enjoy the food, not let emotions take over, be present, etc) and ask for support if you think you need. post group is the same, rating your fullness, and talk about how the meal went for you.
What sorts of food were available or served? oh my goodness, like EVERYTHING. Pizza, tofu, pasta, rice, couscous salad, sandwiches, veggie or turkey burgers, tempeh, chicken, fish, risotto, baked eggplant parm, baked french fries, mac n cheese, lasagna, curry, tabbouleh, falafel, quesadillas, pb&j; basically if you request it, it can be made for you.
Did they supplement? How did that system work? NOOOO supplements, however, if you have a VERY large meal plan, then you can have a shake at night.
What privelages are allowed? you can have your phone and laptop from the begining, then as you progress, you request any privleges you want (like overnight passes to go home, i went to a hip hop dance class) its all REALLY indivualized.
Does it work on a level system? Nope.
What sort of groups do they have?yoga, body image, process, psychodrama, cooking, therapeutic opportunity sharing, music and meditation, self-esteem, relapse prevention, therapeutic opportunity sharing, cbt, art, dbt, or my favorite, yogarhythmics!!! it was like interpretive/freeform dance
What was your favorite group? yogarhythmics! such a good release! we danced like seaweed, the color yellow/orange/purple, with a elbows; it sounds really crazy but you totally get into it.
What did you like the most? how loving and caring everone is- both the staff and the other girls. i learned so much in my time there and the envioronment is so nurturing and it was really different than the many other programs i had been to. its so individualized too, that they really work with your needs and listen to you.
What did you like the least? it took a long time to get anything done, there was no sense of urgency. you have to go through a lot of people for your request to be met.
Would you recommend this program? YESSSS without a doubt!
What level of activity or exercise was allowed? yoga 3x/wk (if youre medically stable) and yogarhythmics 1x/wk. also, we get an outing every day, which is liek shopping or going to a park.
What did people do on weekends? saturday is yoga, cbt, art, we go to the movies, and then after dinner is target/michaels. sunday is spirituality group, and after lunch we have a 4 hour outing to a mall or the zoo, beach,
Do you get to know your weight? definately not.
How fast is the weight gain process? they aim for 1-2 lbs/wk, but there arent consequences if you dont gain. a lot of girls are hypermetabolic, so it can take a while before you gain any weight.
What was the average length of stay? you have to stay a minimum of 6 weeks, but i think about 3 months is average. Everyone’s process is different though.
What was the average age range? 16-40
What kind of aftercare do they provide? Do they help you set up an OP treatment team? you have a 1 wk check in and a 1 month followup check in. before you leave, they help you set up a VERY strong support system/OP team. they wouldn’t let me leave untill i did that.
How many IP beds? How many patients in PHP or IOP? there are 8-10 girls in the program. there are 8 beds at the apartments, and then 2 spaces for girls who live locally who can go home at night.


bathrooms are locked at all times except for shower time in the morning. there is no way to purge there and there are no sinks ect. you never gain independence in the bathroom area from the time u arrive to the time u leave. they are always locked at the center. there is very little exercise. yoga and walks once you get to a certain level.depending on ur weight u can’t really walk around or carry your own bags and once in the center u are required to sit on couch. they do not let you know your weight. weight gain per week is 2-3 pounds depending on how much u need to gain. some people only gain like 1 or 2 depending on their circumstaances and how fast they want it to go.
no extra massages even if u pay for them. all the therapists are great. u can’t go on pass by yourself until like the very end and that has to be earned. you can get off building status when u can like go outside and stuff. average length of stay is 2-4 months. yes to family therapy but only if u want it. they do have family weekends. you can’t exclude whole food groups unless it is a medically document illness. there are no supplements unless on huge MP and then they do shakes or am early meals before breakfast. weekend outings are like to the mall, movies, park, nail salon, ceramics, ect.
the food is good. the meals plans are all individualized. there are 4 levels of snacks, orange, blue, green, or pink and u pick from a sheet.
the only snack not eaten as a group is night snack. night snack is in the apartments and the night rc makes it for you and portions it and serves it to you. u just have to eat it before 11pm. staff is always present when eating.


Ok outings-yes, you do have to be a certain level to be able to do certain things on the outings…for instance-if you are “level 1″ and go to target, you can only go to get what you need (shampoo/conditioner, etc) and then you have to sit up front and wait with a recovery coach until the other levels are done…also level 1 and 2s have a lot of activity/outside restrictions–like if you were to go bowling on a saturday outing, level 1s couldn’t bowl-just watch…and level 2′s could maybe granny bowl or something…

Levels are based on if you’ve completed your meals and weight primarily…if you have to weight restore, you will probably be on level 0 or 1 for awhile (I’m level 1 still after being here a month)…there are alot of girls then that stay on level 2 for awhile once their weight has started showing improvement…level 3s and 4s are pretty much those who have been here a couple months or who have achieved close to their weight range…

Meals-no choices really…that’s a bittersweet thing…we don’t find out what we are having for lunch or dinner until about 5 minutes before the meal during “pre” when we all go around in a circle in a side room and say what our level of hunger/fullness is and what we anticipate about the meal (“sounds good”…”sounds scary”…”I’m anxious”…etc.-it’s free for all)…the cool thing is that everyone is doing the meal together so you are all in it together-the good and the bad…some days are good and the meal sounds good-grilled chicken salad, wraps for lunch, fish and rice or ground turkey chilli for dinner…and other days suck or seem intimidating…creamy seafood potpie, pasta and chicken, dark meat chicken and veggies with gravy…but after awhile, the food doesn’t become such a focus and you get to try a lot of different things your ed, or you may have never tried before…

as for breakfast-it’s on a rotating schedule:
mondays-english muffin day
tues-frozen waffle day
wed-bagel day
thurs-cereal day
and on…

saturdays-every sat. is pizza night and they order a takeout pizza
and every sunday is restaurant outing night, and one of the girls gets to pick a place from a list of area restaurants to go to (don’t worry, fast food is really not on there)…

movement/observations-RCs are pretty nice and are all about in their 20s or early 30s so they feel more like friends then anything..

sitting outside-depends on your level-level 0-no…but 1s…you get about 10-15 min outside…and as time goes on that becomes more…

it’s a tough program, but in the same way, more lax then Remuda that i went to…it’s no vacation for sure, but you will make it through…the girls are a huge support

i just have to keep reminding myself-this won’t last forever, and i will have an awesome life without ed and not in treatment when all is said and done…


Overall, the people are really really nice and seem to genuinely care about the girls. The staff also seem to be great role models of real health..and often times I have to reality check my crazy brain and say-”If they can eat like this…or not workout…and look like that (beautiful, normal)…then I am going to be OK!!”

Yes…alot of sitting around-particularly your first couple weeks if you come in needing to gain weight.

They have movement levels (0-5)…level 0 (that’s me for now) means really NO outings, no outside time, no carrying your own bags.

They are big on being “intuitive” here and self reflection…they emphasize sitting with your thoughts, journaling, talking…

As you gain weight, take challenges, and your labs/medical stuff improves, you “move up” in your movement level…level 1 you can start going on outings and experience minimal movement (walk around 15 min./sit in sun 15 min)…level 2 you are able to actually go on outings like CVS/nails/target/pet co…level 3 you are able to go shopping and actually buy something too (DSW/Forever 21/Nordstroms)…they rarely if ever go to the beach even though it’s in Miami-and you rarely if ever see the city…

As for the food…ehh…it’s treatment so expect, of course, to be challenged…however, most everything is made fresh and the chef is really nice. It doesn’t taste bad, but it will for sure give your ED a run for its money…

Example day:

B- biscuit w/ egg and cheese, juice…cereal, dairy (milk, cottage cheese, yogurt), fruit…bagel or english muffin w/ spread (you choose nutbutter, cream cheese, jelly), fruit, dairy…Saturday is “surprise breakfast”…frozen waffle day w/ spread of choice, dairy, fruit..

S- you get to choose from a pretty extensive list…fruit or crackers paired with one option (cheese, nut butter, hardboiled egg, turkey, nutella, cottage cheese, milk); salty or sweet mixed nuts; yogurt and fruit; yogurt covered pretzels; chocolate covered almonds; ice cream; poptarts…

L- Mediterranean “plate” (falafel, hummus, grape leaves, pita, tomato slices)… tuna melt on wheat and sweet potato soup…pasta, chicken and tomato cream sauce…peanut butter and jelly…chicken on salad greens with poppyseed dressing…

S- (Same)

D-Twice loaded baked potato w/ cheese, chives & smoked turkey…pizza night on Saturdays…turkey chilli…

S- (Same)

Like I said…doesn’t taste bad…but I’ve found it very challenging for me personally with lots of carbs (as to be expected when you are trying to gain weight)…however, when I write this out…it doesn’t seem half as bad as it may seem in the moment when your ED is talking to you!

The nutritionists are super cool and you get a “dislike” list of 5 things…and the option of a “replacement” meal (one of 3 frozen dinner options-don’t sound too appetizing though–veggie lasanga, chicken pot pie, or fettucini alfredo) if you really don’t like the meal being served…

They don’t supplement here-and you just are prevented from going on outings/privilages/asked to leave if you don’t eat your meals…

The living accomodations are great! You live in an apartment with up to 4 girls (there are 10 total girls in your program at the Center)…the apartments are really cute and about 10 min. from the center where all the therapy takes place…it makes the experience seem like real life….

Overall, OPC is no vacation…but the girls in the program and your ultimate goal to say goodbye to ED make the experience justifyable…OPC is the best place I think I’ve been thus far (also been to Remuda and McCallum place–awful experience at McCallum in St. Louis!)…if you have any questions (i know I did!), don’t hesitate to ask!!

Permanent link to this article: http://www.edtreatmentreview.com/2012/06/22/oliver-pyatt-centers-2/


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  1. Paula

    Has anyone been in their adolescent program? I’m considering going into residential and if I do, that’s my number 1 at the moment..

  2. Marie

    Looking for a recent review. What’s the difference between res and PHP? Can you have a car there for passes? I’d heard you can’t. Are they strict with the 6 week minimum?

  3. Marie

    Does anyone have a current review of their PHP program? What are the differences between the PHP and Res?

  4. mm

    Does anyone have a recent review? Possibly going here soon for residential.

  5. Kate

    When were you there: May 2012 – August 2012

    How many patients on average? 10 per house (there are three houses: rosada, verde, and azul)

    Does it treat both males and females? Females only.

    How often do you see a medical doctor, psychiatrist, psychologist (therapist), nutritionist, etc? You see your therapist every weekday (four days are therapy, one is treatment team), nutritionist once a week, psychiatrist once a week, medical doctor once a week.

    What is the staff ratio to patients? You have 1 recovery coach per every 4 girls generally. Then there are the therapists on staff.

    What sort of therapies are used? (DBT, CBT, EMDR) etc? CBT, DBT, some therapists are trained in EMDR (mine was, so we did it for trauma work), massage therapy, experiential therapy, art therapy

    Describe the average day: wake up and take a shower (they’re only open in the morning), breakfast at the apartments with a recovery coach at 8am, drive to the house where you have programming, labs on certain days of the week, group from 9:30am-10:30am, snack, group from 11am-12pm, lunch at about 12:30pm, free time/individual appointments/outing (with snack at 2:30pm) from 1:30pm to 4:30pm, group from 4:30pm-5:30pm, dinner at about 6pm, closing circle, back to the apartments and it’s free time and you have snack when you choose and then sleep when you are ready.

    What were meals like? The meals were really great. They have great chefs. It was “family style” meaning everyone had the same lunch and dinner, with essentially the same breakfast but with variation. Lunch and dinner had pre and post meal groups, breakfast only had post meal check in. At breakfast it was you and the girls in your apartment with a recovery coach, lunch and dinner were at the house with all the girls and recovery coaches as well as another staff member. They were pretty relaxed. Normal conversation. Sometimes games when you couldn’t think of anything to talk about. Thirty minutes for breakfast and lunch, 45 minutes for dinner.

    What sorts of food were available or served? All kinds of foods. I didn’t notice it on a rotating schedule (lunch and dinner, at least). We had variations of some of the same foods, but overall there was a decent variety. Wraps, sandwiches, pastas, soups, salads, and a lot more. You can request certain foods too and sometimes they can incorporate it. Breakfast rotated: Monday – waffles, Tuesday – English muffins, Wednesday – bagels, Thursday – cereal, Friday – biscuit sandwich and juice, Saturday – surprise, Sunday – cereal, and you always chose a dairy (milk, yogurt, cottage cheese), fruit (whatever they had, and you could tell them what fruit you like to put on the grocery list), and spread (Nutella, peanut butter, butter, cream cheese). Snacks were the same list everyday: banana and Nutella, apples and peanut butter, cheese and crackers, apples and cheese, graham crackers and peanut butter, bakery item and milk, twix/reeses/snickers and milk, ice cream, chocolate covered pretzels (MY FAVORITE!!), yogurt covered pretzels, and there was always a snack special of the week.

    Did they supplement? How did that system work? They didn’t supplement unless you had a high meal plan and then you could at a smoothie.

    What is the policy of not complying with meals? You don’t get to go on the outings for 24 hours.

    Are you able to be a vegetarian? Yes.

    What privileges are allowed? You can always have your computer and cell phone, they just can’t be used during groups, sessions, and meals. There’s an outing every day. During the week it’s shorter outings to like CVS, Target (always on treatment team day), park, barnes and noble or another store at the shops nearby. Weekends it’s longer outings to like the movies, botanical gardens, painting pottery, whatever y’all decide on as a group. You can do yoga up to 3x a week if you are medically stable, and then if you get to a certain movement level you can do hip hop class. You can do a lot of individual outings for challenging yourself, too. Oh one thing with residential: You never get your bathrooms unlocked, you’re always monitored. You can have one caffeinated beverage a day, either coffee at breakfast or soda (they allowed diet soda, too) at lunch. Starbucks on Sundays.

    Does it work on a level system? There aren’t levels aside from movement levels which is so individually decided. But you pretty much have all privileges, and then there are ones tailored for you and your treatment. OPC takes a very individualized approach.

    How do you earn privileges? You don’t necessarily “earn” them. You can lose outing privileges if you don’t complete, but everything is evaluated on an individual basis.

    What sort of groups do they have? DBT, CBT, Body Image, Psychodrama, Art Therapy, Self Defense, Shame Resilience, Spirituality, Music and Meditation, Yoga, Mindful Eating, Relapse Prevention, Cooking Group, Family and Relationships, Interpersonal Process Group

    What was your favorite group? I really enjoyed Art Therapy with Ilene, Cooking Group with chef D, and Self Defense was so kick ass

    What did you like the most? I really appreciated their philosophy of intuitive eating. That was so beneficial for me. You start out with your meals plated but eventually move to plating your own meals and snacks and listening to your hunger cues. I was always so rigid with my meal plans. And I was so quick to discard it if I felt I’d messed up. It’s so much more applicable to life. I don’t classify food as “good” or “bad” anymore, I eat what I want and when I want it. I liked that the program took place at a house separate from where you slept so you didn’t get as stir crazy.

    What did you like the least? I’m so weird about bathrooms that the bathrooms always being monitored was really difficult for me.

    Would you recommend this program? I would 100% recommend OPC. It was individualized treatment in a homelike setting with amazing staff. I felt so cared for and supported. You get out of a treatment center what you put into it, and OPC was a great fit for me. I feel like it saved my life.

    What level of activity or exercise was allowed? Yoga 3x a week, Hip Hop on Fridays (if you’re Level 4), you can also individually go to a gym or take a dance class somewhere if you talk to your treatment team about it

    What did people do on weekends? Weekends were less structured, with longer outings. Also, Saturday night was pizza night at the apartments and Sunday night was a restaurant outing. You can go on passes if it’s approved by your team (but that can also happen any day of the week).

    Do you get to know your weight? Nope! And it is so much better that way.

    How fast is the weight gain process? I literally have no idea.

    What was the average length of stay? It varies so much, but minimum stay is 6 weeks. Most people are there at least three months.

    What was the average age range? I would say 20s, but I also met people up to their 50s.

    How do visits/phone calls work? There’s family Friday once a month which is when family tends to visit, but they can visit any time. There aren’t specific visiting hours, just whenever you aren’t in group or session. You can even arrange meals with family. Phone calls are also whenever you’re not busy, since you get your cell phone at all times.

    Are you able to go out on passes? Yeah! I did individual passes like a shopping mall and lunch, bookstore, cooked breakfast for myself at the apartment one morning after everyone left, ate pizza by myself one night at the apartment. I had a recovery coach take me jean shopping, went to Whole Foods and got lunch to bring back to the house, went for Mexican Food, Ice cream, Cupcakes with the dietitian. I went to a movie with my parents, day pass to South Beach (Lincoln Road) with my parents. It’s so individualized, so you get to do what’s helpful for you.

    What kind of aftercare do they provide? Do they help you set up an OP treatment team? I already had an outpatient team, but they helped me find groups and stuff. You can do IOP there and transitional living. They have a 4-day a week and 2-day a week IOP, in the afternoons and evenings. Also, they now provide regular outpatient.

    Are there any resources for people who come from out of state/country? Yep, they’re good at coordinating.

    Other? You live at apartments that house four girls each, but there’s always a recovery coach there with you (even through the night). During the day you go to your house for programming where all the staff will be.

  6. Sarah Jane

    I went there and had a very bad experience. They minimized severe medical problems (the doctor said previous doctors I had seen were wrong in their diagnoses) and so failed to treat them. Finally I was released- I am not sure if I was better or worse in their eyes, but they never did follow ups. I was much worse, in the hospital within days… after hundreds of thousands of dollars spent there.

  7. gdomenica13

    Hi. I’m on the wait list for OPC. Thank you for your candid review. The things you wrote were extremely helpful in my attempt to not chicken out. I do have a few questions for you…don’t know how this works but could I ask you a few things privately? Email me through this means if you’d like, or message me. Thank you!

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