Manhattan Wellness

mw editorial

What is Bulimia?

November 18, 2025

Black and white image of woman eating at table.
Woman eating a burger.

Bulimia is a serious eating disorder characterized by a cycle of binge eating followed by compensatory behaviors to rid the body of the consumed calories. Individuals with bulimia often struggle with intense feelings of guilt, shame, and a distorted body image. This disorder primarily affects adolescents and young adults, and it can have significant physical and psychological consequences.

One of the hallmark features of bulimia is binge eating, where individuals consume large amounts of food in a short period, feeling a loss of control during these episodes. Following a binge, feelings of self-disgust, shame, and fear of weight gain drive the person to engage in compensatory behaviors. These can include self-induced vomiting, excessive exercise, fasting, or misuse of laxatives or diuretics. Despite these efforts, individuals with bulimia often maintain a normal or slightly above-normal body weight, which can make the disorder more difficult to recognize.

Person sitting over plate with tape measure.

Bulimia is influenced by a combination of factors, including genetics, psychological factors, and sociocultural pressures. People with a family history of eating disorders or other mental health conditions may be at a higher risk. Low self-esteem, perfectionism, impulsivity, and difficulties in managing emotions are common psychological factors contributing to bulimia. Societal emphasis on thinness and unrealistic body ideals portrayed in media can also contribute. 

The physical consequences of bulimia can be severe and detrimental to overall health. Frequent vomiting can lead to electrolyte imbalances, which can affect heart rhythm and lead to potential heart complications. The act of binge eating can cause gastrointestinal distress, including bloating, abdominal pain, and damage to the esophagus. The cycle of binge eating and compensatory behaviors can disrupt the body’s metabolism, impacting weight regulation and potentially leading to fluctuations in weight.

Effective treatment for bulimia involves addressing both the physical and psychological aspects of the disorder. Medical evaluation is often necessary to assess and manage any health complications resulting from the binge-purge cycle. Psychotherapy, particularly cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT), is commonly used to help individuals understand and challenge their unhealthy thought patterns, develop healthier coping mechanisms, and improve their relationship with food.

Woman happily eating pizza.

Support from loved ones is also crucial in the recovery process. Family and friends can provide emotional support, encouragement, and help create an environment that promotes a positive body image and healthy eating habits. In some cases, medication may be prescribed to address underlying mood or anxiety disorders that often coexist with bulimia.

Recovery from bulimia is possible with dedication, support, and appropriate treatment. It involves breaking the cycle of binge eating and purging, developing a healthier relationship with food and body image, and addressing the psychological factors contributing to the disorder. As individuals learn to cope with emotions in healthier ways and develop a more balanced approach to eating, they can regain control over their lives and achieve long-term well-being.

FIND FREEDOM FOR EAST DISORDERS FOR WOMEN IN BROOKLYN & MANHATTAN, NEW YORK

At Manhattan Wellness, we understand that your relationship with food can be complicated. With all the messages and images we are bombarded with on social media, it can be difficult to navigate a positive relationship with food.  That’s why our female therapists want to support you in tackling your eating disorder with compassion and care. Let us help you create an empowering narrative that will benefit all aspects of your life. If you are interested in beginning counseling for women:

  1. Submit a Contact Form or Email Us at hello@manhattanwellness.org
  2. Learn More About Our Team and Our Areas of Expertise
  3. Prioritize Your Maternal Mental Health!

OTHER THERAPY SERVICES AT MANHATTAN WELLNESS IN MANHATTAN, WESTCHESTER, BROOKLYN & THROUGHOUT NEW YORK

Our therapists understand that life in New York City is not always easy, and that other issues can come up along the way. To better support you, we offer a variety of services to cater to your individual needs. The therapy services we offer are Therapy for Self Esteem, Anxiety Treatment, and therapy for dating and relationship issues. As well as therapy for college students, support for maternal mental health, body image therapy, and so much more. Are you feel like you’re not living the life you want and need to make changes? Let’s talk about it.

Skip to content