At Opal Food+Body, we understand that the journey to healing from bulimia is unique for each individual.

Our holistic approach to bulimia therapy combines both community support and personalized therapy to help you uncover the underlying causes of your eating disorder. Together, we work to explore the “whys” behind your behaviors and find healthier ways to cope. With three levels of care available at our Seattle clinic, we’re here to support you every step of the way toward a life of recovery.

What is Bulimia Nervosa?

  • A mental health condition with complex origins 
  • Repeated binge episodes, which means consuming a very large amount of food and feeling out of control.
  • Repeated “compensatory behaviors” to prevent weight gain such as self-induced vomiting, misuse of laxatives, fasting/restriction, or excessive exercising
  • The compensatory behaviors often will give a sense of relief and/or control.
  • Shame and guilt are often a part of the bulimic cycle. 
  • A fixation on one’s body weight/shape and attributing this to self-worth

What are the Signs+Symptoms?

Although one could struggle with many of the above signs and symptoms of bulimia nervosa, it can be sometimes difficult to identify when you or someone you love is struggling. A change in one’s patterns, attitudes, beliefs, and behaviors with food, weight and exercise could be a sign of something more serious going on.  Due to so many culturally normative values around weight and health, bulimia can be difficult to detect.  We encourage having a professional that specializes in eating disorders help you or your loved one get clarity on what is really going on. If you would like to get more information on supporting a loved one, see our advice.

At Opal, we offer:

  • Individual therapy, nutrition counseling, psychiatry, exercise experientials and family/relationship therapy available at the PHP and IOP levels of care. 
  • Health at Every Size, weight-neutral treatment approach 
  • Non-diet approach to food. Meals and snacks provided offer a wide variety of foods (highly processed, fresh, organic, non-organic, home-cooked, frozen, easy to prepare, etc.) 
  • Eating at meals and snacks are done with other clients and staff, as a community.
  • A belief that adequate food intake is a foundational step in recovery. 
  • Exercise + Sport programming, which addresses exercise bulimia, exercise avoidance, and other exercise concerns
  • Radically Open Dialectical Behavioral Therapy as a foundational treatment 
  • Group therapy including body wisdom group, movement group, self-inquiry, process groups, facing fears and more. 
  • Teaching/Didactic groups including Radically Open Dialectical Therapy, Acceptance and Commitment Therapy, Exercise + Sport Didactic, Health at Every Size Didactic, etc.
  • Non-clinical lodging for PHP clients to use while in treatment is available for a weekly fee, as space available. 
  • Alumni outpatient groups

Check Your Biases

Bulimia Nervosa can be life-threatening for anyone that is experiencing it, regardless of body size, race, ethnicity, socio-economic status, gender, sexual orientation, age, ability, religion.

What You Might Not Know About Bulimia

  • You cannot tell someone is struggling with bulimia by looking at them. Body weight may or may not change due to the eating disorder. 
  • Someone who is exercising excessively might be experiencing exercise bulimia, meaning they are trying to compensate for food intake with exercise.
  • Someone struggling with bulimia nervosa could be temperamentally inhibited or uninhibited.
  • Some people’s cycle of bulimic behavior could be a cycle involving bingeing and  restriction, which is different from binge eating disorder.