Online Bulimia Therapy in New York and Florida

Private-pay, specialized therapy for women caught in the binge-purge cycle — even if no one else knows what’s happening behind closed doors.

You Feel Stuck in a Cycle You Swore You’d Stop

Stephanie Van Schaick, LMHC, C-DBT, CIMHP

Eating Disorder and Trauma Therapist

• 10+ years working with eating disorders
• Specialized in private-pay care
• Serving NY & FL virtually

It usually starts with good intentions.

You promise yourself today will be different.
You’ll eat “normally.”
You’ll be in control.

But something shifts.

You eat past fullness.
Quickly.
Almost automatically.

And then the panic sets in.

The urgency to “undo it.”
To compensate.
To fix what just happened.

Afterward comes the guilt.
The shame.
The exhaustion.

You may look high-functioning on the outside.
But privately, the cycle is running your life.

And you’re tired.

Not Sure If This Is Bulimia?

You don’t need a formal diagnosis to begin therapy.

Bulimia often looks like:

  • Recurrent binge eating followed by purging

  • Self-induced vomiting

  • Misuse of laxatives or diuretics

  • Compulsive exercise after eating

  • Intense fear of weight gain

  • Feeling out of control during eating episodes

  • Living in secrecy around food behaviors

Many people struggling with bulimia appear disciplined, successful, and put-together.

But inside, the binge-purge cycle feels chaotic and overwhelming.

You don’t have to wait until it “gets worse” to seek support.

What Is Bulimia Nervosa?

Bulimia nervosa is a clinically recognized eating disorder characterized by recurrent episodes of binge eating followed by compensatory behaviors such as purging, fasting, or excessive exercise.

Unlike binge eating disorder, bulimia involves attempts to “undo” food through compensatory behaviors.

Bulimia is not about vanity or lack of willpower.

It is often rooted in:

  • Emotional regulation struggles

  • Perfectionism

  • Trauma history

  • Chronic dieting

  • Shame and fear of losing control

Research shows that structured, evidence-based therapy significantly improves long-term recovery outcomes.

Early intervention helps break the binge-purge cycle before it becomes more entrenched.

I specialize in treating eating disorders and trauma for women ages 15 and up. My approach is structured, collaborative, and evidence-based.

My Approach to Bulimia Therapy

My work goes beyond stopping binge and purge episodes.

We address:

  • The binge-purge cycle

  • Emotional triggers

  • Perfectionism and all-or-nothing thinking

  • Trauma history when relevant

  • Body image distress

  • Sustainable, balanced eating patterns

  • Identity beyond the disorder

Sessions are typically held weekly to support consistent, measurable progress.

I provide virtual therapy to clients throughout New York and Florida.

This May Be a Good Fit If:

  • You feel trapped in the binge-purge cycle

  • You are exhausted by secrecy and shame

  • You want specialized eating disorder treatment

  • You value privacy and individualized care

  • You are ready for consistent weekly sessions

  • You are willing to invest in private-pay therapy

Where I Provide Online Bulimia Therapy

Start Bulimia Therapy Today

You are not broken.
You are not weak.
And you are not alone.

You do not have to keep living in the binge-purge cycle.

If you’re ready to step out of the binge-purge cycle and build a steadier relationship with food and your body, I invite you to schedule a free 15-minute consultation.

Most clients tell me they feel relief even after the first conversation.

Bulimia Therapy FAQs

  • Yes.

    Research shows that structured, evidence-based therapy delivered virtually can be highly effective for eating disorders, including bulimia. What matters most is consistency, specialization, and having a clear treatment plan — not whether you are sitting in the same physical room.

    Online therapy also provides added privacy and flexibility, which can be especially important for individuals who feel shame or secrecy around binge–purge behaviors. Many clients find that meeting from their own space allows them to engage more openly and consistently in treatment.

  • You do not need to formally diagnose yourself before seeking support.

    You may be struggling with bulimia if you:

    • Experience episodes of eating that feel out of control

    • Attempt to “compensate” afterward through vomiting, laxatives, fasting, or excessive exercise

    • Promise yourself it won’t happen again, but feel stuck in the cycle

    • Experience intense guilt, fear, or shame around food

    • Swing between rigid control and loss of control

    Many high-functioning women hide these behaviors for years. If food feels chaotic, secretive, or driven by fear, that is enough reason to explore therapy.

  • I am a private-pay provider and do not accept insurance directly.

    Many clients choose private-pay therapy because it allows for greater privacy, flexibility, and specialized care without the limitations often associated with insurance-based treatment. My focus is on providing individualized, structured treatment rather than meeting insurance requirements.

    If you have out-of-network benefits, I can provide a detailed superbill for possible reimbursement. We can briefly discuss logistics during your free consultation.

  • Sessions are typically 45 minutes and held weekly.

    Consistency is especially important when working to break the binge–purge cycle. Weekly sessions provide structure, accountability, and momentum while we address both behavioral patterns and the underlying emotional drivers.

    As progress is made, we can reassess frequency based on your needs and goals.

 

It is time to call and get help. You’ve waited long enough. Schedule your confidential consultation today.