 This research seeks to identify barriers and facilitators of positive patient provider interactions for individuals with anorexia nervosa, AAM. The study used a mixed method approach, including qualitative interviews and quantitative surveys, to assess the experiences of 29 participants. Participants were between the ages of 18 and 74, at a mean age of 36.3, and a mean body mass index, BMI, of 39.8. They also reported an average of 12.75 years of treatment delay. Qualitative analysis revealed four main barriers to positive patient provider interactions, experiences of provider weight bias, low specificity in ED screening questions, lack of indicated screening procedures, diagnostic tests, orthostatic screening, EKG, food log, labs, and provider praise of ED behaviors. For facilitators who were identified as well, lower BMI at presentation, provider education in eating disorders, community provider collaboration, and patient self and family advocacy. These findings suggest that interventions at the provider level, such as increasing ED education, building community partnerships, and increased ADHER. This article was authored by Erin Nicole Harop.