red-s
treatment
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red-s treatment for adults and adolescents
Relative Energy Deficiency in Sport (RED-S) is a condition that occurs when an individual’s energy intake is insufficient to support the demands of exercise and daily living. This energy imbalance can affect physical health, mental well-being, and athletic performance.
At Galen Hope, we provide compassionate, evidence-based care for adolescents and adults dealing with RED-S, helping clients restore energy balance, optimize health, and safely return to their athletic or daily activities.
what is red-s?
RED-S, or Relative Energy Deficiency in Sport, occurs when the calories consumed are insufficient to meet the body’s energy needs for training, daily functioning, and overall health. This can lead to hormonal imbalances, decreased bone density, fatigue, and impaired performance. RED-S can affect anyone engaged in high levels of physical activity, including athletes, dancers, and fitness enthusiasts, and may also impact emotional health, sleep, and metabolic function.
our approach to red-s treatment
At Galen Hope, we address RED-S through a multidisciplinary approach that combines medical monitoring, nutritional support, and therapy. Treatment focuses on restoring adequate energy intake, improving physical and mental health, and safely returning to sport or physical activity. We also help clients address underlying issues such as disordered eating, body image concerns, or performance pressure, ensuring a holistic path to recovery.
what red-s treatment might look like at galen hope
1. connect
Connect with us: A compassionate care coordinator will listen and help you take the first step towards healing and moving forward with your life.
2. Collaborate
Collaborate on your treatment plan: Our expert clinical team will design a personalized roadmap based on your goals, needs, and life circumstances.
3. Engage
Engage in our healing community: Participate in a structured, supportive treatment program alongside peers and professionals who understand trauma.
4. Healing
Begin your journey toward lasting healing: As symptoms ease, you will develop skills, insight, and a renewed sense of self to carry with you long after treatment ends.
typical red-s clients we work with
Galen Hope serves clients from across the United States and beyond, offering compassionate, expert care to individuals from states like: Florida, New York, Texas, California, Connecticut, Massachusetts, New Jersey, Pennsylvania, Georgia, Illinois, Wisconsin, Montana, North Carolina, South Carolina, Arizona, Tennessee, Washington, Maryland, Virginia, and more. Many clients travel nationally and internationally to receive personalized treatment in our welcoming, supportive environment. Our programs are designed to meet the diverse needs of those seeking deeper healing—no matter where they’re coming from.
At Galen Hope, we provide care for adolescents, teens, college students, and adults who struggle with energy deficiency related to high levels of physical activity. Our clients often include athletes, dancers, and fitness enthusiasts who are experiencing physical, emotional, or performance-related effects from inadequate energy intake.
We also support a diverse population, including men and women, LGBTQ+ clients, BIPOC and Latin/Hispanic communities, and those navigating trauma or high-performance pressures. Families and caregivers can be included in treatment when appropriate, creating a collaborative environment that promotes lasting behavioral change, improved health, and sustainable performance.
we invite you here to heal in your own very special way
At Galen Hope, every client is immediately acknowledged as an individual whose story may not be represented by traditional diagnostic criteria. We seek to fully understand their life experience and to provide them with an affirming environment where they feel accepted and supported.
For someone struggling with an eating disorder or mental illness, finding a place in the world, forming connections, developing meaning and purpose in life, and having day-to-day support is vital to better outcomes, long-term health, and well-being. We create a sense of community inside our doors, where we facilitate a commitment to recovery. We find tremendous meaning in bringing someone into our circle and helping them recognize the importance they play in it. It is through these relationships that healing takes place and clients begin to develop the skills to live both independently and in relation to others.
red-s faqs
how do I know if I have red-s?
RED-S is often identified by a combination of physical, emotional, and performance-related signs. If you experience fatigue, unexplained weight changes, decreased performance, menstrual irregularities (for women), or frequent injuries, it may indicate an energy deficiency. A medical and nutritional evaluation can help confirm RED-S and rule out other causes.
what are the signs and symptoms of red-s?
Common signs include fatigue, poor recovery, frequent injuries, hormonal imbalances, menstrual irregularities in women, decreased bone density, and impaired immune function. Emotional symptoms like irritability, anxiety, or depression may also occur. Awareness of these patterns, especially when combined with high physical activity, is important for early intervention.
how does red-s differ from the female athlete triad?
The female athlete triad focuses specifically on low energy availability, menstrual dysfunction, and decreased bone density in women. RED-S is a broader concept that includes these factors but also recognizes that men and non-athletes can be affected and that additional physiological systems, including metabolic, cardiovascular, and immune function, can be impacted. RED-S takes a more comprehensive, holistic view of energy deficiency.
can men experience red-s too?
Yes, men can experience RED-S, often showing symptoms like decreased energy, low testosterone, decreased bone density, and impaired performance. Men may not exhibit menstrual-related symptoms, so other signs like fatigue, injuries, or decreased recovery can be key indicators. Awareness among male athletes is essential, as the condition is frequently underdiagnosed in men.
what causes red-s in athletes?
RED-S is caused by a mismatch between energy intake and energy expenditure. High training loads combined with inadequate nutrition, intentional restriction, or disordered eating behaviors can all contribute. Stress, competition demands, and pressure to maintain a certain body composition may also play a role.
how does red-s affect athletic performance?
RED-S can lead to decreased endurance, strength, and recovery, increasing the risk of injury and illness. Cognitive focus, reaction time, and motivation can also be impaired. Addressing energy balance and supporting physical and emotional health are essential to restoring optimal performance.
what’s the difference between an inpatient vs outpatient treatment center?
Inpatient centers provide 24/7 supervision, structured nutrition, and intensive therapy, which may be necessary for severe or medically complicated cases of RED-S. Outpatient centers, like Galen Hope, offer individualized therapy, nutrition counseling, and medical monitoring while allowing clients to maintain their daily routines. This approach provides professional support while helping clients practice recovery strategies in real-world settings.
how can I help a friend or family member with red-s?
Offer support with understanding and empathy, encouraging them to seek professional evaluation if you notice signs of energy deficiency. Avoid judgment or pressure regarding weight or performance. Providing practical support, like helping them maintain balanced meals, managing training schedules, and attending appointments if appropriate, can reinforce their recovery journey.
does galen hope take insurance?
Yes. Galen Hope accepts insurance for mental health and eating disorder treatment. We are in-network with ComPsych, Claritev (formerly called Multiplan), Aetna, First Health, and Optum/UnitedHealthcare plans. We also work with many out-of-network insurance providers and offer benefit verification to help you understand your options.
What insurance plans does Galen Hope accept for eating disorder and mental health treatment?
In-Network: Galen Hope is currently in-network with ComPsych, Multiplan, Aetna, First Health, and Optum/UnitedHealthcare plans. Through our Optum contract, we may also be able to work with commercial plans such as UHC, AvMed, and Oscar.
Out-of-Network: We also support many clients through out-of-network benefits with providers like Blue Cross Blue Shield (BCBS), Cigna, Evernorth, and others. To determine how your specific plan may apply to treatment, please contact us for a complimentary insurance verification.
Can I use out-of-network insurance to pay for treatment at Galen Hope?
In some instances, we can accept out-of-network (OON) as full payment while in others, we provide a scaled partial payment. This may also be connected with your out or pocket max, as well as co-pays and co-insurance. The degree to which out of network benefits cover the full cost of treatment varies greatly from policy to policy. In some instances it can serve as full payment, while others may cover a portion. In all cases, individuals using out of network benefits will be subject to paying their out-of-network deductible and other fees such as the out of pocket max, co-insurance or co-pays as dictated by your insurance policy.
Does Galen Hope help verify insurance benefits for treatment?
Absolutely. We offer free insurance benefit verification to help you understand what your policy may cover before you begin treatment. We aim to provide full transparency around coverage and any potential out-of-pocket costs.
Can I get a Single Case Agreement (SCA) for treatment at Galen Hope?
When clinically indicated and appropriate, we pursue Single Case Agreements (SCAs) to help families access in-network-level coverage with an out-of-network provider. Our team advocates on your behalf and provides clinical documentation to support the request. We encourage you to call us so that we can determine if a SCA is warranted.
What happens if my insurance stops covering treatment early?
If your insurance coverage ends unexpectedly and we believe the denial of care is not in your best clinical interest, our team will work directly with your insurance carrier to appeal the decision. You will receive timely notification of any changes in authorizations for care in order to explore financial options and clinical recommendations to help minimize any disruption in care.
How can I find out what my insurance covers for eating disorder or mental health treatment?
Our admissions team will assess your insurance policy, the recommended level of care, and your treatment location to give you a clear understanding of what your plan is likely to cover. We’ll guide you every step of the way.
Are insurance benefits different depending on where I live?
Yes. Insurance coverage may vary by state and plan type. We consider your plan’s regional requirements when evaluating your benefits.
Will I know my treatment costs before starting at Galen Hope?
Yes. Before admission, we’ll walk you through all anticipated costs, including what insurance is likely to cover and any out-of-pocket expenses, so there are no surprises.
Can Galen Hope help me understand my insurance coverage?
Yes. Our experienced admissions team will break down your policy, explain your mental health or eating disorder benefits, and help you make the most informed decision possible.
our red-s treatment centers in florida
With two state-of-the-art RED-S treatment centers in Florida, Galen Hope is dedicated to helping individuals restore energy balance and overall well-being while addressing co-occurring mental health conditions. Our programs integrate medical monitoring, nutritional guidance, therapy, and behavioral strategies to safely support recovery and optimize physical performance.
Whether you are local or traveling from out of state, Galen Hope offers a supportive, structured environment where clients can develop practical tools to maintain energy balance, improve resilience, and achieve lasting health and wellness. Our approach focuses on long-term recovery rather than temporary symptom management, ensuring clients can thrive both in their sport and in daily life.
Galen Hope proudly serves clients across South Florida through our two conveniently located treatment centers. Our Coral Gables location, just south of Miami and ~30 miles south of Fort Lauderdale, offers accessible care in a vibrant, culturally rich setting. In Delray Beach—just south of Palm Beach—clients will find a serene and supportive environment ideal for healing and growth. Whether you’re local to Florida or traveling from out of state, our programs offer a safe, welcoming space for true healing and growth.
coral gables
Address: 806 Douglas Road, Suite 625
Coral Gables, FL 33445
delray beach
Address: 4600 Linton Blvd.
Delray Beach, FL 33445