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

Bulimia Therapy in Midtown Manhattan

SOUND LIKE YOU?

Food and body thoughts are taking up more space than anyone realizes.

You may spend much of the day thinking about what you ate, what you should eat, or how you will make up for eating later. You make bargains with yourself—allowing certain foods only if you compensate by purging, restricting, or exercising.

When eating feels out of control, guilt and shame can rush in. You promise yourself that next time will be different, but the same pattern keeps returning.

If you feel exhausted by the cycle, therapy can help. You don’t have to have everything figured out before reaching out, and you don’t have to work through this alone.

woman looks over nyc skyline
woman looks over nyc skyline

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 Bulimia

Bulimia does not always look the way people expect. Many people hide their symptoms while continuing to succeed at work, school, and in their relationships.

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:

  • Experience episodes of binge eating or feel out of control around food

  • Use compensatory behaviors such as self-induced vomiting, excessive exercise, or restriction

  • Feel consumed by guilt, shame, or anxiety after eating

  • Spend significant time thinking about food, weight, appearance, or your body

  • Eat alone or hide evidence of eating or purging

  • Make frequent bargains or rules about what you are allowed to eat

  • Feel irritable, fatigued, or have difficulty concentrating

  • Withdraw from relationships or activities to keep the behavior hidden

You may be high-achieving, perfectionistic, and used to handling things on your own. That can make it especially difficult to admit that your relationship with food feels out of control.

NYC Skyline at dusk. Empire state building is in view

Bulimia is not about a lack of willpower.

Why Does This Keep Happening?

Bulimia often develops as a way to cope with overwhelming emotions, stress, anxiety, or a sense of losing control. Bingeing may temporarily soothe or numb difficult feelings. Compensatory behaviors can then feel like a way to undo what happened, relieve anxiety, or regain control.

Body image can also play a significant role, with eating behaviors becoming tied to fears about weight, appearance, or self-worth. Over time, the brain and body can become stuck in the cycle because it briefly reduces emotional pain or body-related anxiety, even though it ultimately creates more shame and distress.


The cycle makes sense, even when it’s hurting you.

These behaviors may have helped you survive difficult feelings, pressure, or experiences when you did not have other ways to cope. Understanding that does not mean accepting the harm they cause. It means replacing shame with curiosity so real change can begin.

You are not broken, and recovery is possible.


How Therapy Can Help

Recovery involves more than changing eating habits. Together, we’ll work to understand the emotional and behavioral patterns beneath the binge-compensate cycle while building practical tools that support lasting change.

Bulimia Recovery Is Possible

Many people come to therapy believing they should be able to stop through discipline or willpower.

What they often discover is that recovery begins with understanding what the behaviors are doing for them and then building safer ways to meet those needs.

You don’t have to wait until your symptoms become more severe or until you have everything figured out before starting therapy.

We’ll move at a pace that feels supportive to you while working towards meaningful change in your world.


Benefits of Bulimia Therapy

Clients may begin to notice things like:

  • Experiencing fewer urges to binge, purge, restrict, or overexercise

  • Feeling less shame and anxiety around food

  • Recognizing triggers earlier and responding with new coping skills

  • Developing greater flexibility and trust around eating

  • Feeling more present in relationships, work, and daily life

  • Building self-worth that is not defined by weight, appearance, or eating habits

FAQs

Have Questions? We’ve got answers…

Kendall Bierman, eating disorder therapist, is seated on couch with coffee cup in hand

Work with Kendall

You don’t have to wait until things get worse—or until you feel completely ready—to reach out. Whether you have been hiding these patterns for years or are only beginning to wonder whether your relationship with food has become something more, you’re welcome here.

Are you ready to understand the binge-compensate cycle, develop healthier ways to cope, and rebuild trust with food and your body?

I provide in-person bulimia therapy from my Midtown Manhattan office, conveniently located for adults living or working in Midtown, Chelsea, Flatiron, Murray Hill, the Upper East Side, and surrounding New York City neighborhoods. Virtual therapy is available throughout New York and New Jersey.

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