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

Compulsive Exercise Therapy in Midtown Manhattan

SOUND LIKE YOU?

You want to take a day off. But you can’t stop thinking about the workout you’re missing.

You’re tired. Your schedule is full. Maybe something hurts. But skipping your workout feels harder than making yourself do it.

If you miss a class, you spend the day feeling guilty. If dinner runs late, you’re thinking about how you’ll still get your steps in. You might exercise more after eating something you feel you shouldn’t have, or feel like you need to work out before you can let yourself eat.

Other people may see you as disciplined or dedicated. They don’t see how anxious you feel when your plans change, or how much of your day goes into making sure you’ve done enough.

Maybe you used to enjoy exercise. Now, even when you don’t want to do it, resting doesn’t feel like an option.

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

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:

  • Feel guilty, anxious, or restless when you miss a workout.

  • Exercise to “earn” a meal or make up for something you ate.

  • Keep going when you’re exhausted, sick, or injured.

  • Feel like a workout doesn’t count unless you meet a certain goal.

  • Struggle to change your routine, even when you know you need a break.

Signs Exercise May Be Taking Over More of Your Life Than You Want

You don’t have to spend every day in the gym for your relationship with exercise to feel difficult. We’ll look at what drives you to move, how flexible your routine feels, and what happens when you try to rest.

You can care about movement and still want relief from the pressure you feel around it.

You might also:

  • Sacrifice sleep or cancel plans to fit in exercise.

  • Keep checking your steps and feel unable to stop until you reach your number.

  • Spend time at work thinking about when you’ll exercise next.

  • Rely on movement as the only way to handle a difficult feeling.

  • Tell yourself you’re just being healthy, while privately feeling trapped by the routine.

NYC Skyline at dusk. Empire state building is in view

How Does Exercise Start to Feel Like an Obligation?

Exercise may have become a way to manage anxiety, deal with stress, or feel in control when other parts of life felt uncertain. Maybe it gave your day structure or helped you feel better about yourself.

For some people, it also becomes tied to food and body image. You start making rules about how much you need to move before you can eat, or what you need to do after a meal to feel okay.

When exercise brings relief, it makes sense that you would keep turning to it. But over time, the rules can get harder to step away from. The thing you were using to feel in control starts to feel like it’s controlling you.

It can be hard to recognize when everyone calls it dedication.

In NYC, exercise can be woven into your friendships, commute, and social plans. There are boutique fitness classes before work, running clubs on the weekends, and conversations about who’s training for what.

You might enjoy being part of that. You might also feel pressure to keep up, even when you need something different.

Walking can become part of the same pattern. You may take a longer route because you feel you need to make up for lunch, or keep walking after you’re tired because you haven’t reached your step goal.

We can talk about the parts you enjoy and the parts that have started to feel difficult.


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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