I was at the Pasadena house twice, as well as did virtual PHP/IOP. The last time, I was there and also pregnant.
While the dietitians I worked with did their best to accommodate me and work with me, I felt very much unsupported overall by most of the staff (with the exception of maybe 2 nurses). They were culturally incompetent, dismissive, and I felt quite disregarded.
The fact that I needed to get special permission to eat rice as part of breakfast was absolutely ridiculous. Especially when being told it's "not a normal breakfast item." When I brought up that they serve Breakfast for Dinner as a challenge and said to tell me the difference, they couldn't give me an explanation that made sense. Also I wasn't allowed to use chopsticks for the most part, because others supposedly use it so they slow down their eating? I eat much slower with a fork and a plate than a bowl with chopsticks or a spoon. I literally learned to use chopsticks at a similar time as forks and spoons and knives.
They enforce and encourage food rules that I didn't have prior to being there, and don't actually individualize care despite claiming they do. My eating disorder is more ARFID leaning and my aversions are texture and taste-based. You don't treat texture based aversions the same way you treat fear-based ones.
Additionally — just like most treatment centers — you're forced into a ton of exposure therapy. Except, it's immorally-based. When undergoing exposure therapy for trauma or anxiety, there is constant checks of consent to continue. And while they try to insist that you have that right to say no, they disregard the fact that there's a huge power dynamic at play.
Additionally, not being able to bring up triggering topics regarding food during group therapy while in residential makes no sense. If people are triggered by those topics, residential is probably the safest place to exist during that. You can't expect people to learn to cope with conversation triggers if you only avoid it and don't allow the one space to learn to safely cope to even exist.
I did reach out after almost a year to give feedback and explain how to improve their program, but I doubt they took any of it to implement.
I know that even if I ever needed treatment again, I wouldn't be able to go there because I developed mobility issues unrelated. But even if that were not the case, I would never choose to go there again. I don't think I could ever learn to trust a place that once asked me "How can we self soothe during this moment of overwhelm?" even though I was going into my 3rd trimester of pregnancy and was crying because I felt unsupported.
It also isn't okay that I was dropped at the Emergency Department alone and told to call when I was done. (I had an autistic meltdown and couldn't verbalize while I was there so I had to text several others to communicate for me instead).
The only positive that came out of me going back was that I learned to identify all the areas that tended to be disregarded in terms of "individualized care" for those with ARFID or cultural concerns.
Edit to respond: As I said in my review, almost a year after I was there I had reached out and given feedback and suggestions on how to improve. I also followed up multiple times and I have zero reason to believe based on those follow ups that my concerns had been taken seriously. The fact that I made those efforts is why over two years later I'm finally writing this review. It's important to realize if you're reading this, that while this program has helped a lot of people, it's damaged and hurt most who comes outside of a euro-white centric background or who is neurodivergent and deals with ARFID based symptoms. I have no further reason to reach out to you directly and offer specific feedback that you'll do nothing with. I just want people who need genuinely individualized care to know they would not do well here, and that's not their failure just because this place has been helpful to others. It's not for everyone and it certainly was not for anyone like me.