In-person therapy in Midtown Manhattan. Virtual therapy across New York and New Jersey.

Binge Eating & Binge Drinking Therapy in Midtown Manhattan

Binge Eating & Binge Drinking Therapy • Midtown Manhattan • New York & New Jersey

SOUND LIKE YOU?

You feel caught in a cycle of turning to food and alcohol for comfort, only to feel worse afterward.

A night out may begin with the intention to “just have a little,” but drinking lowers your guard and eating starts to feel out of control. You might restrict food beforehand, then find yourself intensely hungry and eating past the point of comfort later. At other times, shame after bingeing leads you to drink, while the aftermath of drinking sends you back to food for comfort.

Food and alcohol offer temporary comfort—but afterward, you’re left with guilt, shame, and another promise to do better.

Therapy can help you slow this pattern down, understand what is driving it, and find new ways to cope that do not leave you feeling worse afterward.

Young adult reflecting over food and a drink
Young adult reflecting over food and a drink

Does This Sound Familiar?

  • You're constantly thinking about food

  • You feel out of control around eating

  • You use food to cope with stress, anxiety, loneliness, or difficult emotions

  • You find yourself stuck in a binge/restrict cycle

  • You feel guilt or shame after eating

  • You hide parts of your eating from others

  • You feel disconnected from your body's cues

  • You're successful in most areas of your life, but food feels different

Signs You May Be Struggling With Binge Eating & Binge Drinking

The pattern may be easy to hide—especially when you appear successful, productive, and in control everywhere else.

You might:

  • Feel out of control around food

  • Think about food constantly

  • Eat to cope with stress, anxiety, loneliness, or difficult emotions

  • Feel intense guilt or shame after eating

  • Swing between restriction and bingeing

  • Hide food or eat in secret

  • Feel disconnected from your hunger and fullness cues

  • Struggle with all-or-nothing thinking around food and eating

You might:

  • Restrict food before drinking, then binge during or afterward

  • Lose touch with hunger and fullness cues while drinking

  • Use food and alcohol together to cope with difficult emotions

  • Wake up feeling physically uncomfortable, guilty, or ashamed

  • Compensate the next day by restricting, dieting, or overexercising

  • Notice that restricting food increases your urge to drink

You might also:

  • Binge eat more when you try to drink less

  • Be “good” all week, then binge eat and drink on weekends

  • Plan your eating around alcohol—or your drinking around food

  • Replay what happened and think about how to make up for it

  • Hide the full pattern because you fear being judged or misunderstood

  • Feel the cycle affecting your mood, relationships, work, or daily life

You may feel you need more self-control. It usually isn’t as simple as that—especially when food and alcohol have become ways of coping when life feels difficult.

Midtown Manhattan skyline at sunset

Why Do Binge Eating and Binge Drinking Happen Together?

Binge eating and binge drinking can become linked because both offer fast, temporary relief from difficult emotions. Together, they may help you disconnect from stress, quiet anxious thoughts, escape loneliness, or give yourself permission to stop holding everything together.

Alcohol can also change awareness, judgment, and inhibition around food. At the same time, restricting food before or after drinking can increase hunger and make another binge more likely. The guilt that follows may fuel new rules and promises, setting up the next round of restriction, drinking, and eating.

The result is a self-reinforcing cycle: distress or restriction leads to drinking and eating; temporary relief gives way to shame; shame leads to compensation or renewed control; and the pressure builds again.


Sometimes the balance shifts without the underlying cycle changing.

You may get your drinking under control and find yourself increasingly dependent on food for relief. Or you may focus on stopping binge eating while alcohol becomes the easier way to cope. Therapy looks at how the behaviors work together so one does not simply replace the other.

The pattern serves a purpose—even when it is hurting you. Understanding that purpose is where change can begin.

How Therapy Can Help With the Combined Cycle

How Therapy Can Help With the Cycle

In therapy, we’ll look at how food and alcohol have become connected in your life—what tends to set the cycle in motion, what keeps it going, and what you may be trying to cope with in those moments. We’ll also work on practical ways to manage difficult emotions and respond differently when familiar triggers come up.

Recovery Is Possible

Many people begin therapy still questioning how serious the pattern is or what they want to change. We’ll start by understanding how food and alcohol have become ways of coping, then identify realistic goals and skills that help you feel steadier around both. You don’t need to have everything figured out before reaching out.


Benefits of Binge Eating & Binge Drinking Therapy

Clients may begin to notice:

  • Fewer episodes in which binge eating and binge drinking occur together or trigger one another

  • A clearer understanding of how food, alcohol, emotions, and restriction interact

  • More ability to pause and make choices before the cycle takes over

  • Less guilt, secrecy, and self-criticism after eating or drinking

  • Healthier ways to cope without one behavior replacing the other

  • More consistent eating and less need to compensate after drinking

  • Greater presence and confidence in relationships, work, social plans, and daily life

FAQs

Have questions? We’ve got answers…

Kendall Bierman, therapist in Midtown Manhattan

Work with Kendall

You may look high-functioning on the outside while privately organizing weekends, meals, social plans, and recovery time around binge eating and drinking. You may have tried to change one part of the pattern, only to watch the other part become stronger.

You do not have to keep treating this as two unrelated problems—or wait until the consequences become more severe. Therapy can help you understand the connection, respond differently to the triggers underneath it, and build a more balanced relationship with food and alcohol.

Are you ready to step out of the combined binge-eating-and-binge-drinking cycle?

I provide binge eating and binge drinking therapy in Midtown Manhattan, NYC, with virtual therapy available throughout New York and New Jersey.

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