Eating Disorder Treatment in NYC That Works
Eating disorders are serious, treatable psychiatric conditions, and recovery is the expected outcome of good care. What works is evidence-based therapy, medication when it helps, and coordinated medical care, all on one plan. At Integrative Psych in Manhattan, a single clinician anchors your eating disorder treatment plan at the outpatient level.
- In-person · Manhattan
- Telehealth · New York
Start with an assessment
Short, private check-ins that help you put words to what you're noticing before your first conversation.
Child ADHD
A check on a child's focus, follow-through, and emotional reactions.
Adult ADHD
A check on focus, organization, and follow-through in adults.
Anxiety
A check on worry, tension, and how much they shape your days.
Depression
A check on mood, energy, and interest in everyday life.
Our clinicians are affiliated with
What are Eating Disorders
Eating disorders are mental health conditions marked by persistent disturbances in eating and in the thoughts and feelings around food, eating, and self-image, serious enough to affect physical health, emotional wellbeing, or both. They are highly treatable, and they affect people of every body size, gender, race, and background. The familiar stereotype captures only a fraction of who actually lives with one.
Most eating disorders begin in adolescence or young adulthood, though onset is possible at any age. They commonly occur alongside depression, anxiety, OCD, trauma, and ADHD, which is exactly why a careful evaluation matters before any treatment decision.
- Eating disorders are serious, treatable conditions that affect people of every body size, gender, race, and background. Most people recover with the right care.
- Evidence-based therapy is the foundation: CBT-E is first-line for bulimia and binge eating disorder, and DBT helps when emotion regulation is a central driver.
- Medication plays a supporting role: fluoxetine is FDA-approved for bulimia, lisdexamfetamine for moderate-to-severe binge eating disorder. None is approved as a stand-alone treatment for anorexia.
- We treat eating disorders at the outpatient level, coordinate medical and nutritional care, and help arrange a higher level of care when that's the safer fit.
- Your clinician reviews the Sigmund Assessment before your first appointment.
It tends to show up like this
- Eating rules that keep expanding, or "safe" foods that keep shrinking
- Binge episodes followed by shame, secrecy, or compensatory behaviors
- Skipping meals, hiding food, or eating very differently in private than in public
- Frequent body-checking or preoccupation with eating, shape, or appearance
- Exercise that feels compulsory rather than chosen
- The pattern is affecting work, relationships, or health, and "just stopping" hasn't worked
Common, serious, and treatable
Roughly
1 in 100U.S. adults will have anorexia nervosa at some point in life, and a similar share binge eating disorder (Udo & Grilo, Biological Psychiatry, NESARC-III)
Bulimia and binge eating disorder are
more common than anorexiayet all three remain widely under-recognized (Udo & Grilo, Biological Psychiatry, NESARC-III)
U.S. adolescents will experience an eating disorder (NIMH, NCS-A)
How Eating Disorders Are Diagnosed
Eating disorders are diagnosed clinically, through a careful look at symptoms, history, behaviors, and medical status, not a single test. Self-report alone is often incomplete, because minimizing the difficulty is part of the illness rather than a character trait. A thorough evaluation covers eating-disorder-specific history, full psychiatric history, medical and nutritional status coordinated with your primary care physician, and a level-of-care screen to confirm outpatient psychiatric care is the right setting.
The Sigmund Assessment captures this picture before your first appointment, mapping how the difficulty developed, your treatment history, and the co-occurring conditions that often go underdiagnosed, so your clinician walks in already understanding your case.
Treatment Options for Eating Disorders
Evidence-based eating disorder care combines therapy, nutritional recovery, and medication when it helps. Therapy does the central work, and the right mix is matched to your diagnosis, presentation, and co-occurring conditions.
Enhanced CBT (CBT-E)
CBT tailored for eating disorders is first-line for bulimia nervosa and binge eating disorder, with a growing evidence base for anorexia in adults. It targets the patterns that keep an eating disorder going: rigid eating rules, binge cycles, perfectionism, and the over-importance placed on shape and eating. Treatment unfolds over structured phases that stabilize eating, address those patterns, and build relapse prevention.
DBT
Dialectical behavior therapy helps when an eating disorder co-occurs with significant emotion dysregulation, self-harm, or intense distress. It teaches concrete skills in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness, addressing the driver directly rather than the behavior on the surface.
Medication
Medication plays a supporting role. Fluoxetine is FDA-approved for bulimia and reduces binge and purge frequency; lisdexamfetamine is FDA-approved for moderate-to-severe binge eating disorder. No medication is FDA-approved as a stand-alone treatment for anorexia, though treating co-occurring depression, anxiety, OCD, or ADHD often improves the eating disorder itself. See medication management.
How We Treat Eating Disorders at Integrative Psych
Recovery moves faster when one person holds the whole picture. At Integrative Psych, a single clinician handles your psychiatric care, the therapy, the medication, and the connection between them, on one plan. Nutritional recovery and medical monitoring are coordinated with a registered dietitian and primary care physician, so that's one less coordination job for you at a time when energy is precious. Co-occurring conditions are treated by the same clinician rather than at a separate appointment somewhere else.
Your clinician reviews the Sigmund Assessment before your first appointment. Our clinicians are board-certified psychiatrists and psychiatric nurse practitioners, and the practice houses clinicians affiliated with the National Institutes of Health, Columbia University, and New York-Presbyterian Hospital. Care is available in person at our Manhattan office, and by telehealth anywhere in New York State.
Assess
The Sigmund Assessment captures your symptoms, history, and goals before your first appointment, so your clinician already understands your case.
Match
After your assessment, we match you to the clinician whose expertise best fits your goals.
Treat
Therapy, medication, and lifestyle structure delivered from the same chair, so your first appointment moves straight to a plan.
Track
Validated tools track response at regular intervals, so changes are guided by data, not guesswork.
Clinicians who treat eating disorders
Board-certified psychiatrists and psychiatric nurse practitioners. The practice houses clinicians affiliated with NIH, Columbia, and New York-Presbyterian.
Insurance and Billing
Integrative Psych is an out-of-network practice. You pay at the time of service and receive a monthly superbill to submit to your insurer for potential out-of-network reimbursement. Many PPO plans reimburse a portion, and your insurer is the best source for what your specific plan covers. To check yours, call the number on your card and ask about out-of-network reimbursement for outpatient psychiatric evaluations, follow-up visits, and therapy.
Billing, simply
- Out-of-network; you pay at the time of service.
- Monthly superbill provided for reimbursement.
- Many PPO plans reimburse a portion of out-of-network care.
- Call the number on your card to confirm your benefits.
Frequently Asked Questions
What types of eating disorders do you treat?
We treat adults, and with specific clinicians adolescents, across the DSM-5 eating disorders: anorexia nervosa, bulimia nervosa, binge eating disorder, ARFID, and OSFED, at the outpatient psychiatric level. For patients who need partial hospitalization, residential, or medical admission first, we help coordinate the right referral. Your specific scope is confirmed during your first appointment.
What therapy approach is most effective for eating disorders?
Enhanced CBT (CBT-E) is first-line for bulimia and binge eating disorder in adults, with a growing evidence base for anorexia. DBT helps when symptoms co-occur with self-harm or strong emotion-regulation difficulties. For adolescents with anorexia, family-based treatment is the gold standard, delivered through specialized programs. The right therapy depends on diagnosis, presentation, and co-occurring conditions.
Can medication help with eating disorder treatment?
Yes, in a supporting role. Fluoxetine is FDA-approved for bulimia, and lisdexamfetamine for moderate-to-severe binge eating disorder. No medication is FDA-approved as a stand-alone treatment for anorexia. Treating co-occurring depression, anxiety, OCD, or ADHD often improves the eating disorder itself. Medication decisions are made alongside medical and nutritional recovery, not instead of them.
How do I know if treatment is right for me?
If eating, body image, or food rules are affecting your work, relationships, or health, and trying to "just stop" hasn't worked, that's reason enough for an evaluation. An evaluation isn't a commitment to any path. It builds an accurate picture of what's happening and confirms whether outpatient care is the right setting.
Where can I find eating disorder treatment near me in NYC?
Our office is at 80 8th Ave in Manhattan, where outpatient evaluation and ongoing care are available in person. Telehealth anywhere in New York State suits many presentations. When medical monitoring or a higher level of care is needed, your clinician coordinates the in-person support that fits.
Crisis Resources: We are not an emergency treatment clinic. If you or a loved one is in crisis, call 911, call or text 988 (Suicide and Crisis Lifeline), or contact the National Eating Disorders Association (NEDA) Helpline at 1-800-931-2237. Integrative Psych is an outpatient practice and is not equipped to provide crisis intervention.
Ready to Talk?
Eating disorders are treatable, and a comprehensive evaluation is the first step, not a commitment to any particular medication or approach. You'll get a clear picture of what's happening, whether outpatient care is the right setting, and a plan built around your history and goals. Appointments are in person at our Manhattan office or by telehealth anywhere in New York State.
This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. If you believe you or a loved one may have an eating disorder, consult a qualified healthcare provider.