Helping Professionals Interview Series: Somatic Experiencing with Melissa Koch, MA, LPC

This time of year can trigger a lot of emotions for people struggling with eating disorders.

As the semester winds down, things can get pretty overwhelming for those who deal with anxiety. The pressure of exams, finishing projects and gearing up for the holidays can be a lot to take on. This time can also be really overwhelming for those who struggle with eating disorders.

It’s important to get help from a specialized therapist which is why we reached out to Melissa Koch, MA, LPC to discuss Somatic Experiencing and how she uses this approach with her clients. We are thrilled to share her expertise with you! Read more below about how this approach can really help when dealing with eating disorders and anxiety.

Why did you choose to become a therapist specializing in eating disorders in St. Louis?

I chose to become a therapist specializing in eating disorders in St. Louis, because I have seen loved ones struggle with and overcome various eating disorders.  I know the challenges that eating disorders can present and the amazing life that can be had in recovery

What kind of treatment do you provide?

I am in my second year of Somatic Experiencing training.  I use a combination of Somatic Experiencing and attachment theory in the treatment I provide.

What ages do you work with?

I work with clients from the ages of 12 & up. 

What can parents expect to leave with after working with you?

Parents can expect to have a clearer understanding of how eating disorders can develop and how they are way for their child to find a sense of internal regulation when nothing else worked for them.  Parents can also expect to feel supported and not feel blamed for their child’s eating disorder as this is a common fear for parents.

How long have you been working with teens and eating disorders, and how long have you been in St. Louis?

I’ve been working with teens and eating disorders since 2015.  I’ve been in St. Louis my entire life, so I have many resources within the area for added support if needed. 

Can you speak a little on Somatic Experiencing and when a teen or parent would want to consider getting this type of therapy?

Somatic Experiencing is a body centered approach.  The reason it is so beneficial in treating eating disorders is because eating disorder behaviors serve the client by helping them feel more internal regulation.  Somatic experiencing works to regulate the nervous system without the need for maladaptive behaviors.  

I typically see clients who report trying other cognitive based therapies without any relief.  I think any person struggling with an eating disorder could benefit from Somatic Experiencing, because body centered work is often the missing link. 

Who are your favorite types of clients to work with?

My favorite types of clients to work with are those looking for deeper healing, not just symptom management.  I tend to work well with clients who are high achievers with perfectionistic traits. 

What happens during a first appointment with you?

The first appointment with me is a time for me to get to know your story.  That means I’ll be asking about family history, what the client’s eating disorder is like, and what their goals are.  It is also a time for my client to ensure I’m a good fit for them.  

Could you talk a little about your approach and how it plays into your work with people recovering from anxiety?

Anxiety often goes hand in hand with eating disorders.  When viewing anxiety through a Somatic Experiencing lens, it is another form of internal dysregulation.  SE is great way to reduce anxiety as well as other common diagnoses that come along with eating disorders such as depression and PTSD. 

What do you wish parents knew about getting therapy for their child's eating disorder?

The number one thing parents should know about getting help for their child’s eating disorder is the sooner therapy begins, the quicker and better the outcome.  This means if a parent has the slightest concern about their child’s comments, eating habits, body image or anything else, call a professional to get a sense if they should be seen before it develops into something more severe.  I’m always happy to have a free consultation with a parent.

How can people learn more and contact you?

You can learn more about me and the therapies I use on my website.  You can also email me or call/text at 314-328-9228.

Share one fun fact about you that most people don’t know

Before I was a therapist, I used to teach pre-school.


Curious to learn more about getting treatment for an eating disorder or anxiety? Wondering if you need to connect with an eating disorder specialist in St. Louis? Contact Compassionate Counseling St. Louis to set up a free 15-minute phone consult. We’ll talk about what’s going on and best next steps - and if we’re not the right fit, we’ll connect you with other wonderful St. Louis-based therapists, like Melissa!

Compassionate Counseling St. Louis provides specialized anger management and anxiety therapy in St. Louis for kids, teens, and college students. We work in Clayton, MO and serve kids, teens, and college students throughout St. Louis City, St. Louis County, Ladue, University City, Town and Country, Webster Groves, Creve Coeur, Kirkwood, Richmond Heights, and Brentwood.

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