Bulimia

Online Bulimia Treatment Program

Nourish is the easiest way to find a personalized program for patients with bulimia and get it covered by your insurance. We provide virtual sessions with a registered dietitian to help you take control of your eating disorder.

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Find recovery from your eating disorder

If you are concerned that you – or a loved one – may have an eating disorder, we are here to help.

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Overcome Binge Eating Disorder

Your dedicated dietitian will work with you to create an individualized treatment plan that implements proven ways to overcome binge eating disorder. Your care plan will take into account all aspects of your BED journey and your life to best meet your needs.

Convenient, virtual appointments

Receive the highest quality care wherever you are most comfortable. You get access to your dietitian virtually anytime, anywhere. No more driving to appointments. No more waiting around. Just join your video call and immediately get high quality care.

Coordination with your care team

We know it’s important to have ongoing collaboration with your care team - that’s why coordination of care is a key pillar at Nourish. We work with your other health care professionals to ensure a single, consistent approach to the eating disorder recovery process.

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Discover a healthier, happier you.

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Binge Eating Disorder Signs and Symptoms

Binge eating disorder is often associated with symptoms of depression. There are several signs that someone might be battling with BED, including insisting on eating alone, overeating when not hungry, or eating until uncomfortably full. Episodes of binge eating are usually followed by feelings of guilt or shame, and often lead to more serious health complications.

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Causes of Binge Eating Disorder

Binge eating disorder (BED) is caused by a complex combination of genetic, psychological and cultural factors. Family history, long term dieting, and a disrupted relationship with food may increase the risk of binge eating disorder. Binge eating disorder sufferers often struggle with co-occurring mood and anxiety disorders, have experienced some kind of trauma, or struggle to navigate developmental milestones and life changes.

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Binge Eating Disorder Health Risks

There are serious health risks associated with binge eating disorder (BED), including: Cardiovascular disease, Type II diabetes, Metabolic Syndrome as well as Sleep Disorders, GI Disorders, Pain Disorders, Menstrual Dysfunction and Pregnancy Complications. That’s why it’s important to recognize that BED is a mental health illness, not a matter of trying to exercise more self-control.

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Find your dietitian

Online Bulimia Treatment Program

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How it Works

1. Tell us about yourself

Let us know what your goals are and we’ll find the right dietitian for you.

2. Get convenient care

Use telehealth to meet with your registered dietitian wherever you are.

3. Use your insurance

All dietitians are in-network. Relax and focus on your health.

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Success stories

See what people have to say about working with a dietitian
through Nourish.

"Now, I virtually never have stomach pain."

Balina

25, Texas

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"I’ve seen my A1C drop 3 points and I finally feel like I'm in control."

Lance

45, New York

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"I saw numerous specialists for my IBS symptoms, but no one could figure out how to heal my gut. After working with my dietitian for only a few weeks, I saw major relief from my pain!"

Michael

35, Washington

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"Nourish has helped me improve my numbers on my blood results and taught me so much about how I can maintain healthy food choices without making large sacrifices in what I like to eat."

John

71, New York

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"Her RD wasn't just just talking about meals and calories, but making a true connection"

Becca

10, Florida

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"To put it simply, Nourish has been a lifesaver for my daughter and me."

Julia

15, Massachusetts

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"For the first time in my ED journey, I feel like I am not alone."

Amelia

29, California

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"I always let my eating disorder define me, but for once I finally feel in control"

Kim

28, Texas

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When I first met with a Nourish dietitian, I was expecting the same treatment as usual. Any specialist I had met told me to just not eat certain foods, have a structured meal plan, and my problems would go away. All the recommendations felt so generic, and I was incredibly tired of hearing that my only option was to eat only a few ‘clean’ foods for the rest of my life. Instead, my dietitian listened to my whole history and all the issues that I was experiencing, then worked together with me to develop our plan of attack. I was tired of having the same experience over and over again - I needed someone who would actually improve my life and found that here.

Since that first meeting, my dietitian has completely changed my view around food. I’ve been able to work with her to find out what food, patterns, and other factors influence my stomach pain.

Every dietitian I had used prior had just given me suggestions on what to change, with no real plan or guide for how to implement the changes. My Nourish dietitian is the first one who has actually helped guide me through a true lifestyle change, and has been supportive and by my side every step of the way. Now, I virtually never have stomach pain, and on top of that, I have a much healthier and well-rounded mindset towards food in general.

Before I started with Nourish, diabetes was seriously hurting my entire life. My A1C was much higher than I was hoping and it was creating stress and pain. I really did not feel like myself, so I was desperate to find a solution that worked for me. Luckily, I found Nourish online and was able to get the perfect dietitian that would work for my specific situation.

From day 1, Nourish helped turn my life around. Yes, my dietitian was incredibly knowledgable about type 2 diabetes, but more importantly, she also took a big interest in my whole life. She helped me better understand my own diagnosis and where that fit into my overall nutritional journey. We worked together to create a clear path forward that made sense for me. It was the first time in my life that I truly felt like I understood my diabetes, and it has had a lasting impact on my mental wellness.

I am so thankful that my dietitian was able to help me in such an impactful way. I’ve already seen my A1C drop 3 points, but perhaps most importantly, I am starting to finally like I am in control. Without Nourish, I know I’d still be feeling completely physically and emotionally drained. I have felt so much better mentally and physically since I started seeing a dietitian with Nourish.

The part of her care team that my daughter Becca always struggled with the most was her dietitian, because that was the one member who was forcing the most change. That’s why I was so thrilled when Becca actually came to me about a new RD that she had seen on instagram - I thought there may finally be an opportunity for Becca to connect with her dietitian.

Immediately, things were much easier at Nourish than our experiences elsewhere. Our dietitian was able to find a time that worked within Becca’s difficult schedule. With sports, school, friends, and all her other extracurriculars, it can often be hard to fit important appointments in, but with Nourish it was easy.

There was an immediate impact. She’s been feeling better, which I’ve had the opportunity to hear both from her and from her dietitian because Nourish involves the parents in their own sessions, too. Her improvement in health has led to her getting a lot of her confidence back, and I have finally been able to see her happy again. It feels like such a relief to watch my happy girl back with her friends.

My daughter Julia had been going to a psychiatrist to deal with her disordered eating, and the topic of getting a dietitian had come up. I was completely desperate to help her in any way I could, so I jumped at the opportunity and was connected with Nourish by her psychiatrist.

Immediately, the dietitian connected on a teenage-level with my daughter, which I think has been crucial for my daughter’s recovery. She was incredibly kind and really engaged with Julia, which I know can be difficult at times with teenagers. Our dietitian went above and beyond to 'meet Julia where she was at’ - going so far as to adjust appointment times to align with Julia's school schedule, and being flexible with any goals or strategies she set with Julia so that Julia could accomplish them while still getting to experience a ‘normal’ teenage life. I could finally start to see Julia turn a corner, and seeing the hope in her eyes finally return was incredible for me to watch.

I have appreciated how much I am kept in the loop by Julia's dietitian. We finally have someone helping both of us deal with the nutrition challenges that she is constantly facing. My daughter went from eating basically nothing to having 3 meals and 4 snacks a day consistently. So much of her pain is gone, and that is all thanks to our dietitian. I highly recommend anyone looking for a guiding and supportive figure in their child’s life get a Nourish dietitian.

My dietitian has been with me every step of the way the last year and a half as I have battled my eating disorder and countless other health issues that I have. Oftentimes, my doctor or other health care professionals will only focus on the problem that they are treating me for, but my dietitian has really considered everything about my health and life when determining the best path forward for my treatment.

Having an eating disorder can be really complicated, and sometimes other doctors do not understand exactly what I am going through. They’ll ask me questions or prescribe treatment plans that go completely against all the progress I’ve been able to make with my eating disorder. Every time I have had an issue, my dietitian has been there to speak with my doctors to ensure I am getting the best treatment across the board.

I finally feel like I have a champion who believes in me, and my dietitian believing in me has allowed me to believe in myself. The progress I’ve made in 18 months is more than I could have imagined, and I cannot wait to continue my journey with Nourish.

I have had a long battle with my eating disorder, with time spent with dietitians in both residential and outpatient care. I had felt like I was at a pretty good place in my recovery, but then during Covid everything took a turn for the worse. I was quickly slipping back into some of my bad habits. I was stuck in an overly structured recovery program and I needed to find a new approach that worked for me.

After reading up on Nourish, I realized that it was the perfect fit for me - it wasn’t just a one-size-fits-all approach. My dietitian was exactly what I needed to finally start to feel more confident in my ED recovery progress. She has been incredibly compassionate and supportive throughout our time together. She knows about my unique battle with ED, and takes into account my personal preferences in every meeting we have together. She also never judges me for anything I say or do and makes sure I view our sessions together as a safe and supportive space to open up.

I know not every day will be easy, but since starting with Nourish I’ve had more wins than I can ever remember having before. I feel confident that I’ve found the right match to always support me when I struggle, and ultimately help me overcome my battle with ED. I never imagined I would be in such a good place and am finally so excited to see where the future takes me!

How Nourish can treat Bulimia

Personalized nutrition planning

We offer virtual one-on-one sessions with dietitians to discuss preventative actions that can be taken to address your health concerns. We educate, assess lifestyle changes, help plan your nutrition, and support our clients toward long-lasting success using personalized nutrition counseling.

Convenient, virtual appointments

Receive the highest quality care wherever you are most comfortable. You get access to your dietitian virtually anytime, anywhere. No more driving to appointments. No more waiting around.

Avoiding future complications

The payoff you’ll see for adjusting your lifestyle with nutrition counseling will be tremendous for your health. You’re less likely to suffer from a heart condition, kidney failure, and other serious conditions with the proper discipline and determination that we help provide.

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What is Bulimia?

Bulimia nervosa (also known as just bulimia) is a serious eating disorder characterized by a cycle of binging and behaviors such as self-induced vomiting to compensate for the effects of binge eating.Bulimia affects 1-2% of adolescent and young adult women and 80% of patients are female.

People with bulimia usually appear to be of average body weight and recognize that their behaviors are unusual. Bulimia is frequently associated with symptoms of depression and changes in social adjustment, and people with bulimia may attach self-esteem to body image and feel out of control during binge-eating episodes.Bulimia is a serious condition that can have severe complications if left untreated. With treatment, however, you can take back control of your body image and eating habits and manage the risks of living with bulimia.

What’s the Difference Between Anorexia and Bulimia?

The principal difference between anorexia and bulimia is that while a person with anorexia takes extreme measures to lose weight or avoid gaining weight, a person with bulimia employs strategies to consistently purge food from their body after an episode of binge eating by taking laxatives or making themselves throw up. People with anorexia and people with bulimia both tend to fixate on their body weight and shape and have trouble accurately assessing their body image.

Bulimia Signs and Symptoms

Some of the warning signs of bulimia include:

Evidence of binge eating: Disappearance of large amounts of food in short periods of time, finding wrappers and containers.
Evidence of purging behaviors: Frequent trips to the bathroom after meals, signs and/or smells of vomiting, presence of laxatives or diuretics packages.
Excessive, rigid exercise regimen despite weather, fatigue, illness, or injury; compulsive need to “burn off” calories
Unusual swelling of the cheeks or jaw area.
Calluses on the back of the hands and knuckles from self-induced vomiting.
Discoloration or staining of the teeth.
Creation of lifestyle schedules to make time for binge-and-purge sessions.
Withdrawal from usual friends and activities.
Behaviors and attitudes indicating that weight loss, dieting, and control of food are becoming primary concerns.

Click here to read more about other symptoms of bulimia.

Causes of Bulimia

The exact cause of bulimia is not fully understood, but a number of factors may contribute to its development.

One possible cause of bulimia is a combination of genetic, environmental, and social factors. Research suggests that people with certain genes may be more prone to developing bulimia and other eating disorders. Additionally, certain environmental and social factors, such as a history of trauma or abuse, low self-esteem, or a culture that places a high value on thinness, may increase the risk of developing bulimia.

Other potential causes of bulimia include psychological issues, such as anxiety, depression, or perfectionism, as well as physiological factors, such as imbalances in brain chemicals that regulate appetite and mood. It is also possible that bulimia may be triggered by dieting or attempts to control weight, which can lead to a cycle of binging and purging behaviors.

Bulimia Health Risks

Bulimia nervosa can be extremely harmful to the body. The binge-and-purge cycles can damage the entire digestive system, the heart and other major organ functions.

Some of the health consequences include:

Electrolyte imbalances (caused by dehydration from purging) can lead to irregular heartbeats and heart failure
InflammationRupture of the esophagus from frequent vomiting
Tooth decay and staining from stomach acids released during vomiting
Chronic irregular bowel movements and constipation from laxative abuseGastric rupture is an uncommon but possible side effect of binge eating

Helping Someone with Bulimia

If you have a friend or family member that is struggling with bulimia, there are a few things you can do to support them:

Set aside a time for a private meeting with your friend to discuss your concerns openly and honestly in a caring, supportive way.
Ask your friend to explore these concerns with a counselor, doctor, nutritionist, or other health professional.
Avoid placing shame, blame, or guilt on your friend regarding their actions or attitudes and avoid giving simple solutions.
Remind your friend that you care and want your friend to be healthy and happy and express your continued support.

Bulimia Treatment

The right approach for bulimia treatment typically depends on the severity of your condition as well as your age, overall health, medical history, and other factors. In more severe cases, urgent medical care is needed to address physical health complications.

Nutrition counseling from a registered dietitian that specializes in eating disorders is a critical part of recovering and managing your bulimia. The specialized bulimia treatment team at Nourish will work with you to understand biological, psychological and social contributors to your eating disorder. Your treatment team will seek to understand the psychological issues that contribute to your eating disorder and help identify and treat root causes.

At Nourish, we have a team of bulimia dietitians that specialize in working with patients at all stages of recovery. We offer nutrition counseling over telehealth and accept insurance in order to make accessing care as easy and affordable as possible.

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