About 100 miles from WacoAdults 18+In person in Austin
An eating disorder IOP for Waco adults: a commute for some, a step-down in Austin housing for others.
Empowered Treatment offers an eating disorder intensive outpatient program for adults in Austin, about 100 miles from Waco: 9 hours a week of groups, plus weekly individual and dietitian sessions. From Waco there are two honest ways to do it. A commute down I-35 with nights at home is realistic for some; for others, IOP fits as a step down from PHP while still living in our Hyde Park house.
about100miles
About 1.5 to 2 hours each way by car. I-35 south the whole way, traffic-dependent through Temple and Round Rock.
Other Texas cities we serve, by distance
- 30 hrsa week in partial hospitalization: supported meals, groups, therapy, dietitian, medical and psychiatric care
- 9 hrsa week of group programming in IOP, plus weekly individual and dietitian sessions
- 1 housein Hyde Park, alongside PHP or IOP, with shared meals and a room of your own
- 18+adults only, with every hour of care in person at our Austin center
Enough structure to change the pattern, enough room to keep a life going.
Intensive outpatient care sits between standard outpatient eating disorder treatment (a weekly therapist, perhaps a dietitian) and a full treatment day. You attend group programming at our center, see your therapist and dietitian individually each week, and see a psychiatric provider when that is part of your plan. The rest of the week is yours: work, classes, children, the ordinary meals where recovery has to prove itself. Our IOP at our Austin center describes the program in full, and how our levels of care compare puts it beside PHP.
From Waco, IOP has two shapes. As a starting point, it suits adults who are medically stable and whose eating disorder has outgrown weekly therapy but not their whole week. As a step down, it follows the eating disorder PHP for Waco adults, keeping structure in place while support eases back gradually instead of stopping all at once.
The drive is the honest variable. About 1.5 to 2 hours each way is a real commitment on top of 9 hours a week of IOP, and whether it is sustainable depends on your work, your energy, and how the eating disorder behaves on long stretches of highway.
Signs IOP is the right amount, and signs the drive will decide it.
From Waco, IOP tends to fit when these hold true, the drive included:
- Weekly therapy is not moving things.You see a therapist in Waco, maybe a dietitian too, and the behaviors have held steady or grown.
- Your labs and vitals are steady.The Waco doctor who checks on you between drives is content with routine visits and is not asking for the closer watch that comes with PHP.
- Stopping work or school is not realistic.Treatment has to fit beside a job, a semester at Baylor, or a household that depends on you.
- The commute is protected, or you are staying in Austin.Either the I-35 round trip fits your week without wearing you down, or you will be living at the house.
If behaviors are daily, or meals rarely happen without help, PHP is usually the safer place to start.
Group work at the center, and the week around it put to use.
IOP works because you practice in your real life and bring back what happened. Each week combines group work at the center with individual care that follows your plan closely.
Skills and process groups
Emotional regulation, distress tolerance, and relationship skills in skills groups, and a community of people doing the same work in process groups.
Your own therapist and dietitian
A weekly individual session and a weekly dietitian session, so the plan adjusts to the meals you are actually facing in Waco or at the house.
Supported meals and outings
Eating together with clinical support, plus practice in grocery stores and restaurants, the real settings where an eating disorder usually wins.
Binge eating often responds well to the evening practice IOP allows, which binge eating disorder treatment for Waco adults explains. For ARFID, ARFID treatment for Waco adults describes how exposure continues at this level.
Commute down I-35, or step down from the house.
The center is about 100 miles from Waco, about 1.5 to 2 hours depending on traffic. An IOP commute is realistic for some adults, particularly from Hewitt, on the south edge of town along I-35, where the trip shortens a little. For others, especially when IOP follows PHP, it makes more sense to keep the room in our transitional housing in Hyde Park for a while, then move home and commute once the new routine has held.
- A first callWe talk through your week, your drive, and whether IOP or PHP is the better start.
- A benefits checkWe can check your benefits before you decide, including IOP coverage and out-of-network care.
- Assessment in AustinYou meet the team and settle on IOP, with a plan for commuting or staying.
- A plan for the driveYour dietitian builds in what you eat before and after the highway, so the commute does not become a reason to skip meals.
- Moving from the house to homeIf you started in the house, you choose with your team when to switch to commuting from Waco.

Inside our center on Spicewood Springs Road, Northwest Austin.
The first weeks back in Waco are planned like the rest.
IOP is often the last structured level before you are on your own, so the end of it deserves as much planning as the start. Your team builds a relapse prevention plan with you: the meals that will be hardest, the early warning signs, and who you contact when they appear.
With your written permission, we hand that plan to your own Waco therapist, dietitian, or doctor, and if you are a Baylor student, to the campus counseling team. Our guide on relapse prevention in eating disorder recovery is worth reading before your last week.
Support you can lean on from McLennan County:
- NAMI TexasPeer support groups that can keep the group habit going after IOP ends.
- 988 Suicide and Crisis LifelineCall or text 988 any time things feel unmanageable after you are home.
More for Waco adults, in one place.
Everything for Waco: every service, the drive, the house →Or find your Texas city →
- Eating disorder IOP for Waco adultsNine hours a week of groups, plus weekly individual and dietitian sessions.This page
- Eating disorder treatment for Waco adultsThe full picture: levels of care, the team, and how adults decide what fits.→
- Eating disorder PHP for Waco adultsThirty hours a week of structured care at our Austin center.→
- Binge eating disorder treatment for Waco adultsBinge eating treated as an eating disorder, not a failure of willpower.→
- ARFID treatment for Waco adultsAdult care for food avoidance driven by fear, texture, or low appetite.→
What Waco adults ask before they call.
Straight answers to the questions we hear most. If yours is not here, call and ask it.
Who in Waco actually commutes for IOP, and who stays in Austin?
Commuting fits adults from Waco who are medically stable, can protect about 1.5 to 2 hours each way, and do not need the evening support of the house. Staying in Austin fits when IOP is a step down from PHP, when the drive would cut into meals or sleep, or when home is part of what keeps the eating disorder going. The assessment helps you choose.
Can I return to Baylor classes while still in IOP?
Clinically, IOP is designed to fit beside school, which is part of why it exists. Whether that works for you depends on your course load, the drive from Waco, and how stable your eating is. Baylor decides questions about enrollment and accommodations, so talk with the dean of students office, then ask us what paperwork they need and we will tell you what we can provide with your written permission.
What does a good first week back in Waco look like after IOP ends?
Planned, not perfect. Meals are scheduled with the same structure you practiced, you have already booked at least one appointment with a Waco therapist or dietitian, and someone you trust knows the warning signs. You know which situations are risky and what you will do about them. A slip is information to bring to your next session, not a sign that treatment failed.
I have never been in group therapy. What is an IOP group like for someone driving in from Waco?
After 1.5 to 2 hours alone on I-35, walking into a room of people you have not met can feel like the hardest part of the day, so nobody is asked to share before they are ready. Groups are led by clinicians and built around skills and honest conversation, and you can listen for a while before you talk. Recognizing yourself in another adult working through the same illness is often where the isolation starts to lift. Our post on the first day of IOP walks through it.
Tell us about your week and your drive, and we will help you weigh both.
One confidential call to decide whether IOP fits from Waco, and whether commuting or the house makes more sense.
