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Health at Every Size® Healthcare Provider Listing

Tessa Komine, MS, RDN, LD, CD

(any/all pronouns, she/her)

Registered Dietitian Nutritionist

Fearless with Food, LLC
United States

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Takes Insurance
Waitlist Available
In-Network Insurance Companies:
- Blue Cross Blue Shield
- Oregon Health Plan (OHP)
- Cigna
- PacificSource
- Moda
- First Choice Health
Specialties & Areas of Focus:
- Eating Disorders
- Disordered Eating
- Intuitive Eating
- Orthorexia
- Dieting "burnout"
- Making peace with food
Modalities & Theoretical Lenses:
- Internal Family Systems
- Body Liberation
- Radically Open DBT (RO-DBT)
- Acceptance and Commitment Therapy (ACT)
- Window of Tolerance
- Trauma-Informed
Age Groups Served:
- Adults (18 years old and up)
Additional Populations Served & Allied Groups:
- Transgender and Non-Binary Folks
Languages Services Offered In:
- English

My Philosophy of Care

In my practice as a dietitian, I recognize that you are the expert of your body, not me. My goal is to support my clients in rejecting diet culture, healing their relationship with food, and re-connecting with their inner wisdom. I take a weight-inclusive, Health at Every Size® approach in my practice and I aim to cultivate an affirming, client-centered space. I recognize how diet culture perpetuates oppression, and I believe that each body is ENOUGH, just as it is. I believe each individual’s definition of health is different, and I also believe that health itself is not a moral obligation. I recognize that eating disorders do not discriminate and can affect ANYONE. I reject the idea that you can tell someone’s health status by looking at them, and believe that everyone has the right to access compassionate healthcare. I recognize and honor the efforts of activists who have fought for the fat acceptance movement. I take a trauma-informed approach and hope to help cultivate a space in which radical self-love and body liberation can thrive for all folx.

About Me & My Practice

My work is rooted in a Health at Every Size®/weight-inclusive, anti-diet approach, and I will often incorporate principles of Intuitive Eating within my practice (learn more about my approach here). I am passionate about helping my clients heal their relationship with food and re-connect with their body’s inner wisdom. I moved to Portland in 2018 but I am originally from Massachusetts (grew up in a town southwest of Boston and went to undergrad at Northeastern University) so I am a New Englander at heart. I completed my Master’s program at Colorado State University in Fort Collins, and did my dietetic internship at the Mayo Clinic in Jacksonville, Florida. Before moving to Portland I lived in Southern California for almost a year and a half where I worked at a small eating disorder treatment center and also for a public health agency that provided services for individuals diagnosed with HIV/AIDS. Prior to starting my solo private practice, I worked with an outpatient group practice called Ruby Health and Wellness where I was able to cultivate my deep passion for this work. I am a mixed race (Japanese and white), cisgender, demisexual, pansexual, non-monogamous/polyamorous, small/thin-bodied, able-bodied, US-born and documented healthcare provider. I recognize that I hold an incredible amount of privilege. I acknowledge these privileges (among others) and how they may impact the client-provider relationship.

Accessibility Considerations

I work in a virtual practice currently. The office I was seeing clients in previously is wheelchair accessible, the seating in the waiting rooms as well as in my office are size-inclusive. The front desk staff are welcoming of all sizes and gender identities.

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