The Silent Cycle of Bulimia Nervosa

Bulimia nervosa is often misunderstood as a disorder that would be obvious if it were truly serious. In reality, it frequently persists for years in people who appear stable, competent, and outwardly well. What makes bulimia particularly difficult to detect is not its mildness, but its secrecy. The binge purge cycle is sustained by shame and reinforced by the short term emotional relief it provides.

In Columbus Park’s recent Psychology Today article, we explore how secrecy, emotional regulation, and outward stability allow bulimia to hide in plain sight, and why effective treatment requires directly interrupting both the behavioral cycle and the silence surrounding it.

You can read the full Psychology Today article here.

If you or someone you care about is struggling with binge eating or purging behaviors, early intervention can make a meaningful difference. Evidence based treatment for bulimia nervosa is available, and recovery is possible with the right support.

MELISSA GERSON, LCSW

Melissa Gerson is the founder of Columbus Park Center for Eating Disorders in New York City. Over the last 20-plus years, she has trained in just about every evidence-based eating disorder treatment available to individuals with eating disorders: a dizzying list of acronyms including CBT-E, CBT-AR, DBT, FBT, IPT, SSCM, FBI and more.

Among Melissa’s most important achievements has been a certification as a Family-Based Treatment provider; with her mastery of this potent and life-changing (and life-saving!) modality, she’s treated hundreds of young people successfully and continues to maintain a small caseload of FBT clients as she also focuses on leadership and management roles at Columbus Park.

Since founding Columbus Park in 2008, Melissa has trained multiple generations of eating disorder professionals and has dedicated her time to a combination of clinical practice, writing, and presenting.

https://www.columbuspark.com
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CBT-E for Teens: A Parent’s Guide