Who We Help
Adults with Bulimia or Binge Eating
Columbus Park uses concrete and practical behaviorally-oriented treatments to address emotional eating, binge eating disorder and bulimia nervosa. While these conditions have some significant differences, the target of treatment is the same: normalizing eating patterns and supporting our patients in developing tools for coping.
Consistently across research trials, Enhanced Cognitive Behavioral Therapy (CBT-E) has been shown to be the most effective treatment for Bulimia Nervosa and Binge Eating Disorder in adults. CBT-E is a short-term, time limited, individual outpatient therapy. Patients work one-on-one with their CBT therapist to uncover the factors that keep their eating problem going – and then systematically they collaboratively tackle them in the treatment.
Given the efficacy of CBT-E – and also it’s efficient nature since it’s generally completed within 4-5 months – it is often our first line therapy for those who come to us with bulimia, binge eating or emotional eating. That said, in some cases, through the assessment process, we may determine that another evidence-based treatment will be more appropriate. This alternative approach is most typically DBT-ED, a form of Dialectical Behavior Therapy that has been modified to target eating disorders. If an individual’s eating disorder seems to serve them primarily as a means of regulating emotion, DBT may be the most effective approach. The Columbus Park team has a clear method for determining whether CBT or DBT is most indicated; we work with our patients collaboratively so they fully understand our thinking and recommendations and feel comfortable with the direction we take together.
Thinness and “Health”
We at Columbus Park, understand the pull to diet and control one’s body size and shape. We hear again and again, about the struggle to navigate a balanced relationship with food and weight in a society that continues to promote and glorify thinness. We’re aware of how our culture fixates on “health” and often in a way that is misguided or flat out wrong – but highly triggering nonetheless. We are sensitive to the experience of living in a larger body as larger bodies are consistently marginalized in our society. We are a safe space to uncover and work through painful experiences to find a path towards true health and balance.
Recovery is about healing one’s relationship with food and body. It’s about finding a way to navigate food freely and with joy and peace of mind. It’s about figuring out how to be truly healthy in your body and about feeling satisfied and whole as you are.
Columbus Park works from an anti-diet, Health at Every Size (HAES) perspective. This means that we will support you in:
– Engaging in flexible eating based on individual nutritional needs and with attunement to hunger, satiety and pleasure.
– Finding joy in moving your body and being physically active
– Progressing past weight and food preoccupation to more emotionally supportive and fulfilling pursuits.