Eating disorders
Bulimia nervosa
Bulimia often runs in a loop that can feel almost impossible to interrupt from the inside. Restriction, rules around food, binge eating, compensatory behaviours, guilt and the promise to “do better tomorrow” can each feed the next part of the cycle. Treatment is not about being told to stop or finding more willpower. It is about understanding what keeps the loop going and gradually breaking it in the places where change becomes possible.
Bulimia is often hidden. Many people maintain work, study and relationships while the cycle continues privately, sometimes for years. Because it is not always visible from the outside, and because weight can remain unchanged, it is frequently dismissed or minimised, including by the person living with it.
Shame is one of the most powerful parts of bulimia, and one of the main reasons people delay asking for help. It is also the part that tends to ease first once the cycle is out in the open and being worked with.
The loop is not a character flaw. It is a mechanism, and mechanisms can be interrupted.
What treatment involves
Progress is rarely a straight line, and setbacks are treated as information rather than failure.
We map the cycle as it actually happens for you: where restriction begins, what precedes a binge, what the compensatory behaviour does for you in the moment, and what follows. From there we work on the points in the loop most open to change, usually starting with regular, predictable eating, which reduces the biological drive to binge.
Alongside that, we address the thinking underneath: the rules, the all-or-nothing patterns, the way self-worth has become tied to shape, weight or control. Progress is rarely a straight line, and setbacks are treated as information rather than failure.
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