Our Specialties

Eating Disorders & Nutrition

Eating Disorders

Eating Disorder Treatment | Obesity Counseling | Weight Management Therapy | Manhattan | New York City (NYC)At St. Claire Medical, we treat a variety of eating disorders including:

Binge Eating Disorder (BED)

Binge eating disorder (BED) is a psychiatric disorder recognized as having the following symptoms:

  • eats when depressed, sad or bored
  • eats large amounts of food when not hungry
  • eats alone during binge episodes
  • feels disgusted, guilty, or depressed after binge episode
  • eats until physically uncomfortable
  • does not exercise control over consumption of food

Treatment for BED is based around self help groups and cognitive behavioral therapy in order to change or improve the patient's ability to cope with difficult situations and to encourage them to keep track of their eating habits.


Anorexia nervosa is a serious emotional disorder that involves an obsession with food, weight and body image. People with anorexia have a skewed vision of their own body and often think they are fat when they may in fact be skeletally thin.

Anorexics go to extreme measures to starve themselves or exercise excessively in order to prevent weight gain or continue losing weight. While the disorder is based around food, it also involves matters of control and perfectionism.

Treatment of anorexia depends on the case but often includes close medical monitoring, psychotherapy, nutritional therapy, medication and sometimes hospitalization. Anorexia often requires long-term treatment to prevent relapses, but it is important to complete the treatment as prescribed by your doctor.


Bulimia nervosa is an eating disorder in which a person is consumed with weight and body image. People with bulimia engage in episodes of bingeing on large amounts of food and then purging, or getting rid of the food, often through vomiting or exercise.

Bulimia is a serious disorder that causes both physical and emotional problems and can result in permanent damage or even death. Symptoms of this disorder include:

  • Constant dieting
  • Eating large amounts of food
  • Exercising for hours
  • Hoarding food
  • Damaged teeth and gums
  • Sores in the throat and mouth
  • Dehydration
  • Fatigue
  • Dry skin
  • Menstrual cycle abnormalities

Obesity Counseling

A balanced diet is essential to maintaining a healthy life and preventing diseases such as obesity, diabetes and high blood pressure, among others. Patients of all ages can benefit from following dietary guidelines that provide sufficient nutrients, vitamins and minerals, which can be different for each person. Nutritional counseling strives to provide a healthy standard of eating while still allowing for a wide variety of food.

Our nutritional counseling services involve a customized diet plan that takes into account each patient's nutritional goals, preferences, overall health and medical history. Anyone can benefit from nutritional counseling, especially patients with food allergies, eating disorders and certain medical conditions. Ongoing treatment allows for evolving dietary guidelines that allow for the most effective results.

Weight Management

Eating Disorder Treatment | Obesity Counseling | Weight Management Therapy | Manhattan | New York City (NYC)The majority of weight control methods focus very heavily on calorie intake and expenditure, as the only logical and proven method of weight loss is a negative energy balance between the two. This negative energy balance can be manipulated in many ways, mainly through both diet and exercise.

The overall goal of dieting is to decrease the total calorie intake of an individual relative to their current calorie intake. If a person weighs a static 100 kilograms, then that person must be consuming and burning approximately equal values of energy. If one reduces the calories taken in, the balance will result in more calories being removed each day and a gradual, healthy pattern of weight loss can ensue.

Exercise refers to any physical activity that improves or maintains physical fitness and overall health. Exercise has been strongly correlated with reduced disease affluence, reduced occurrence of obesity and positive psychological well-being. In addition, physical activity can also help reduce the body’s levels of cortisol, a stress hormone that builds fat in the abdominal area. This increases the “negative side” of the energy balance, creating an even greater deficit, and thus loss of stored energy.


Diabetes is a chronic condition that affects over 20 million people in the US - nearly 7 percent of the population. Diabetes is a metabolic disorder in which the body does not produce or absorb enough insulin, a hormone that moves glucose into the bloodstream.

There are several different types of diabetes that affect the body in different ways.

  • Type 1 Diabetes is an autoimmune disease that attacks the body's insulin-producing cells.
  • Type 2 Diabetes includes an ineffective use of natural insulin and is affected by age, weight and family history.
  • Gestational Diabetes occurs in pregnant women and involves a shortage of insulin. This puts women at a higher risk for type 2 diabetes.

Contact our office to learn more about Eating Disorders & Nutrition or to make an appointment.

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