Center for Change in Orem, UT

Overall Rating

(3.8 of 5)
Treatment Effectiveness
Accommodations & Amenities
Meals & Nutrition
1790 North State Street
Orem UT 84057

Center for Change Philosophy

Center for Change is a treatment center specializing in helping women and adolescent girls struggling with eating disorders and related, co-occurring behavioral health issues, including substance abuse. Treatment options follow the 12-step model and include individual and group therapy, addiction education, life skills training and relapse prevention skills.

Areas of Specialization

  • Dual Diagnosis/ Co-Occurring Disorders Treatment
    These two terms describe a person who is not only addicted to drugs or alcohol, but also has a mental or emotional illness, such as depression, anxiety, bipolar disorder, etc. Facilities that treat patients with dual-diagnosis or co-occurring disorders provide psychiatric treatment in addition to drug and alcohol rehabilitation services.

  • Process Abuse Treatment
    Not all addictions involve mood-altering chemicals. The term “process addiction” describes the unhealthy use of behaviors (including eating, gambling, sexual activity, shopping, internet use, etc.) that has spiraled out of control and into the realm of addiction.

Facility Highlights

Independent Living Program

Residential Treatment

After Care Follow-Up

Meet the Staff

Natalie Sadler, RD, CD


Photo of Natalie Sadler, RD, CD

Natalie graduated from Brigham Young University in 2008 with her Bachelor of Science in Dietetics. She completed her dietetic internship through Brigham Young University in May 2009. During her internship she received training at Utah Valley Regional Medical Center, Primary Children's Medical Center, Intermountain Medical Center, WIC and Center For Change. This gave her experience in nutrition counseling, nutrition support, diabetes education, pediatric nutrition and eating disorders. Natalie reailzed her passion for the treatment of eating disorders during her internship and is happy to be working as a member of the team at the Center. Natalie enjoys working with clients to help them learn the principles of intuitive eating and enjoys teaching them how to have a healthy relationship with food and improve body image.

Paul Harper, PhD


Photo of Paul Harper, PhD

Dr. Harper received his PhD Degree in Instructional Psychology with emphasis in Instructional Design, Evaluation, Assessment, and Research from Brigham Young University and Purdue University in August 1996. His Masters Degree is in Organizational Communication and Organizational Behavior. Dr. Harper has taught at Purdue University and the University of Houston and as an adjunct faculty member at Brigham Young University. He has also had an active career in business including ownership in a variety of service businesses including, T.O. Paul Harper & Associates, a consulting firm. He has done extensive research in human and educational motivation and goal achievement. He developed the "HARPER Associated Review of Related Efficacy Resources", a series of tests designed to examine the resources an individual uses to judge their ability to accomplish specified behavior. He has designed programs to evaluate and educate individuals on personal efficacy. He has been instrumental in the conception and development of the education programs at the Center for Change. He has recently completed a PhD in Counseling Psychology at Brigham Young University and is completing his post doctoral residency at Center For Change. 360 Guide

Review by Contributors


Located 45 miles south of Salt Lake City, tucked below the Wasatch Mountains in Orem, Utah, Center for Change offers residential and outpatient treatment services for adults and adolescents struggling with eating disorders. Treatment for co-occurring disorders, such as depression, anxiety, and substance abuse, is provided on a case-by-case basis. The residential program is for women only, but men can participate in the outpatient program.


Center for Change distinguishes itself as being the first eating disorder treatment program to fully implement an intuitive eating recovery model. This method teaches clients how to gradually normalize their relationship with food by learning how to trust their bodies and get in touch with their hunger signals.

All treatment plans are highly individualized, and length of stay varies depending on each client, although residential stays are typically three to seven months for adults and four to fifteen months for adolescents.

After an initial assessment, clients with moderate suicide risk, co-occurring substance abuse issues, or serious medical issues are admitted to an acute inpatient stabilization unit. At this stage, adolescents and adults receive treatment together. Clients who have already engaged in an outpatient program but need immediate medical and/or psychiatric assistance will also be enrolled in the short-term inpatient unit.

Once stabilized, clients enter the residential program, where programming for teens (ages 13 to 17) is separate from adults. Both groups participate in individual counseling and family therapy, as well as one-on-one sessions with a registered dietitian twice per week.

Regular group therapy sessions include therapy techniques such as dialectical behavioral therapy (DBT), cognitive behavioral therapy (CBT), supervised eating, nutrition education, and several groups including an Art R.T. Group and a Body Image Group. Clients also participate in semiweekly 12-step meetings, and balance & awareness groups.

Medications are prescribed, if necessary, and a week-long family program, where families learn how to best support their loved one, is held each month. The facility follows up with graduates for up to five years after treatment. Other aftercare options include alumni activities and an intensive three-day workshop.


The center’s treatment team consists of medical doctors, psychiatrists, and psychiatric nurses, as well as registered dietitians, licensed master's level or Ph.D. level therapists, experiential therapists, and care technicians.


In the 56,000-square-foot clinic, women live in comfortable, dorm-like rooms with one roommate. Each room either has a private bathroom or shares one with an adjacent room.

Exercise is permitted once clients are medically/psychologically cleared for it, and the facility offers a therapeutic activity called RIMBA (i.e. Reconnecting Intuitive Movement with Balanced Awareness), which is a yoga-based practice designed for eating disorder recovery.


Two alumni polled by to date rated Center for Change with mixed-to-high ratings, recommending it with 3.5 out of five stars, rating its staff’s level of experience and training and its cleanliness 4.5 out of five stars, yet its affordability only two stars. While alum S.K. admitted the program “despite its weaknesses, is the only one that helped,” alum K.B. criticized the facility’s high price and location in a Mormon community, which was “negative for some clients.”

On Google, seven reviewers rated Center for Change on average four out of five stars to date, with five five-star reviews, one two-star, and one one-star review.[1] While the five-star reviewers spoke favorably of their or their loved ones’ experiences at the facility, alum Baileigh felt she was “treated like a criminal” despite writing that “the center has wonderful staff who work there!”


The only former staff member polled by awarded four- and five-star ratings to the facility. The reviewer applauded the center for including families in the recovery process, and added: “I’ve seen so many people learn how to cope with PTSD, depression, anxiety and overcome their eating disorders through the Center for Change!”


Center for Change is in-network with some insurance providers, and accepts out-of-network coverage from others. Private payment is also accepted, and for those who have no insurance at all, discounts are available, though the center does not offer a sliding fee scale. TRICARE for military personnel and family is accepted. Fees do not cover the cost of medication, lab work, or external consultations.


Published on November 2017

User Reviews

Review this Center

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Militant, overbearing and over-religious. Definitely not an easy adjustment for a Jewish lower/middle-class girl from the East coast. My insurance began fighting my stay from day one, something the clinicians openly shared with me, making sure I knew that "today might be your last day." My therapist chastised me for the physical abuse I received from my mom, demanding we participate in family therapy and kicking me out of her office when I would cry. I spent about 45 days at CFC and came home weight-restored but worse than ever, self-harming and relying on drugs. I deeply wish that my family had chosen an alternative treatment location.

I am so grateful for CFC! Changed my life forever in a positive way. I can not imagine where Id be without the experience I had coming here. 10/10 would recommend. Recovery is hard, but its worth it

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They do not start you off easy... they throw you directly into treatment full force. That being said, the strictness and organization of the programming helped me through recovery. I no longer fear sugary foods and I am more at peace with my body. While eating disorder thoughts will always find ways into my head, I now have the skills to push them out and deal with my stressors in a healthy way.

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CFC is a truly amazing place that saved my life. It is very strict, but the staff was so loving, and I wouldn’t hesitate to recommend the Center to anyone that is struggling. If you are ready to recover, this is definitely the program for you!

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This is one of the most superficial, unprofessional and negligent facilities I have ever encountered! I hope the experience I had was rare for the sake of others well-being. They care about you while your there but after they treat you as if you are trash in a waste bin. Good luck and make sure you buy trip insurance and have a back up plan if they leave you to the streets.

Official Facility Response

KG, we are so sorry that you did not have a positive experience at CFC. Please contact us via DM or at 888-224-8250 so that we can get some specifics about your experience with us as we work to improve our process.

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this is the most unorganized treatment program that I have ever been to. They do not care about you unless you are Mormon.

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Plush with a chef on site. Extremely expensive. Just not affordable for needed length of stay. The community the program is located in is vastly Mormon and the presence of this "faith" was felt. This was negative for some clients.

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I did not know the person at the time.

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Good staff and overall treatment approach. Does not provide a realistic setting for real world recovery. I have been through several programs and CFC, despite its weaknesses, is the only one that helped.

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Family is encouraged and able to participate in patients recovery. Each patient has a personal M.D., Dietician, Therapist, Nurse Practioner, and Care Tech that meet with them individualy on a regular basis. Awesome/caring staff. Great art/music/rec therapy programs. Comfortable Home like facility. Inpatient, Residential Treatment, Day Patient, and out patient treatment all available. Unfortunately, only 2 locations, both located in Utah. Ive seen so many people learn how to cope with PTSD, depression, anxiety and overcome their eating disorders through the Center for Change!

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