Bulimia Dietitian Melbourne

HAES & Intuitive Eating Support for Bulimia Nervosa & Binge Purge Cycle | Melbourne & Online

Recovering from bulimia doesn't mean swapping one set of food rules for another. I offer weight-neutral, compassionate support to help you break free from the binge-purge cycle and rebuild a peaceful relationship with food and your body.

If you are here

You might be...

trapped in an exhausting cycle of bingeing, self-loath and purging, feeling controlled by food and terrified of what your body might do without compensating. You might be physically depleted, emotionally drained, and tired of hiding.

You deserve support that addresses the root causes - not just the behaviours - and helps you find genuine freedom, not another set of "rules" to follow

If you are here

What are Bingeing, Purging and Bulimia (BN)

Binge Eating

Binge eating is disordered eating marked by feeling out of control around food (can't stop eating during the setting) and significant distress afterward. 

There are 2 typs of binge eating:

  • Subjective: Loss of control around food

  • Objective: Loss of control around food + notably large amonts in a short time

Research shows that both types cause similar physical and emotional harm. Binge eating experiences directly increase the risk to develop a clinical Binge Eating Disorder.

Purging

Purging is a disordered eating behaviours often rooted from guilt and discomfort. Many reported they purge to make up for what they eat, try to control body shape & weight, or as a way to manage emotions or manage physical discomfort (e.g. getting rid of the sense of fullness)

There are several types of purging:

  • Self-induced vomiting

  • Misuse of laxative or diuretic medication

  • Other methods that are designed to get rid of food or liquid from body (e.g. misusing medication, or chewing or spitting food)

Reducing purging is the first priority in recovery as it can lead to severe health risk, e.g. dehydration, imbalance of electroyte, teeth erosion, loss of period, and bowel damage.

Bulimia Nervosa

Bulimia affects ~1% of total population, and typicall starts during adolescent and young adults (around the age of 15-29). It accounts for 12% of total eating disorder (compared to 3% of Anorexia), and 70% of people with bulimia are female.

Recurrent of binge eating:

  • Eating very large amount of food within a relatively short period of time (usually within 2 hours)

  • Feeling a sense of lack of control over eating

Recurrent of compensatory behaviours:

  • Self-induced vomitting

  • Misuse of laxative, diuretic or medication

  • Fasting

  • Excessive exercising

If you have previously engage in regular compensatory behaviours but currently not, you still meet the criteria of Bulimia Nervosa (non-purging type). Professional help is still recommende until all of the above behaviours are present for a sustained period of time

Common Signs & Symptoms

Physical

Digestive issues like bloating, nausea, reflux, constipation — often mistaken for IBS or food intolerance

Fatigue and low energy, from poor nutrition and dehydration

Electrolyte imbalances and dehydration, increasing risk of heart, kidney, and muscle complications

Dental damage such as enamel erosion, tooth sensitivity, and gum problems (often from vomiting)

Metabolic stress from the weight fluctuation due to repeated binge-purge cycles

Hormonal disruptions – irregular or missed periods, PMS, PCOS, and fertility issues

Sleep disturbances 

Psychological

Guilt, shame, and self-criticism

Low self-esteem and body image distress, often driven by internalised diet culture

• Heightened sensitivity to comment about body, food and exercise

Anxiety, depression, and emotional numbness

Always think about food, diet, weight loss and meal plans

Perfectionism and pressure to be "in control"

Behavioural

Compulsive or emotional eating patterns

Dieting behaviours e.g. counting calories, skipping meals, fasting or food avoidance

Rigid food rules or rituals, needing to eat in a certain way to feel safe or “in control”

Obsessive thoughts about food, weight, and body

Frequent body checking, mirror-checking, weighing, or comparing to others

Neglecting personal goals or passions, as the binge-purge cycle takes over daily life

• Compulsive exercising or movements

Social

Eating in secret due to shame or fear of judgment

Withdrawing socially or avoiding events that involve food or body exposure

Strained relationships, from secrecy, mood swings, or loss of emotional connection

Reduced intimacy and connection from food pre-occupation or body image distress

Nutrition Therapy For Binge-Purge

Forget the food rules and rebuild safety, trust and confidence with an inclusive, non-diet, trauma-informed & food freedom approach
A plate of nourishing plate symbolising nutrition rehabilitation in binge eating recovery

nutrition rehabilitation

Build safety with food & reset your body's response and stabilise your meals, create predictable nourishment, and break the purging reaction

question dice to symbolise the unknow reason to binge eat

Understand the "why's"

Unpack the emotional drivers behind the binge-purge loop, internal belief and the urge to purge. So we can start sustainable healing, not surface-level coping

Photo of choolate to symbolise regaining control around food and cravings

restore body trust
& peace

Reconnect with hunger & fullness cues, re-introduce feared foods, rewire food & body thoughts & behaviours with CBT strategies, and rebuild respect for your body

Photo of hand holding flower to symbolise food and body peace

break free
for good

No more short-term fixes. You'll walk away with tools - not relying on willpower or white-knuckling through cravings or make up with guilt and purges

Malcolm Tang Binge Eating Disorder Dietitian melbourne, australia - in person and online

Hey, I'm Malcolm!

I know how it's like to be stuck in a cycle of food thoughts - checked out around food - food guilt & self-blame, because I too lived with it for more than 18 years.

I tried everything - diet, meal plan, shakes, bars, eating healthy. But not until my training did I realise: it's not just what and how to eat - solely focusing on that often leads down the det path, which is the exact thing keeping you stuck.

It's our relationship with food - how food makes us feel, think, act and evaluate ourselves.

I thought knowing that was the way out. The truth? It was just the beginning. Even as a dietitian, I took 5 years to learn the way out. But it was all worth it - it's more expensive to watch years slip by - energy drained, relationship strained, dreams delayed because food and body took up too much mental space.

Now as a specialist eating disorder dietitian, intuitive eating counsellor and body image coach, who has helped 100+ people, I want to help people escape the exhausting food-guilt-make-up cycle, so you don't lose another year on this. You get your life back whilst healing - not after.

Kind Words From Clients

Ready to break free?

3 Steps To End Overeating

The step-by-step roadmap to stop binge & emotional eating for good without more willpower

Check out

Ways We Can Help You

Binge Free Formula

Free resources to stop feeling out of control around food

All-in, done-with-you. fastest recovery.

4-month program to help you end binge for good & regain confidence around food & body - no willpower needed.

Nutrition Counselling

Self-recovery resources, workshop and courses to help you save time trial and error

Flexible Ongoing
Support & Healing

Heal from bulimia - unpack the deeper layers and heal at your own pace, in your own term. Best if you have an Eating Disorder Plan.

Empower Roadmap

1:1 support options at binge fre dietittian to suit your recovery style

Strategic DIY with
expert foundation

Develop a personalised plan & strategies that tailored to your vhallenges to make real progress and get unstuck.

Why Work With A Specialised Eating Disorder dietitian?

Not all nutrition supports is created equal - especially when it comes to complex condition like Bulimia

General nutrition advices often focus on "what to eat" "how to eat" - which focusing solely on food can worsen binge eating by reinforcing food fixation and food rule. Working with a dietitian who specialises in binge eating means you get:

  • Who Understand the Binge-Restrict Cycle
    Trained specialist understands that bingeing is often a response to restriction (physical, psychological or emotional), not a failure of willpower. Recovery means addressing the restrictions first, not adding more food rules.

  • Specialise in Healing Relationship With Food & Recovery Nutrition
    Trained specialist understands that bingeing is often a response to restriction (physical, psychological or emotional), not a failure of willpower. Recovery means addressing the restrictions first, not adding more food rules.

  • Practical Strategies for Urges, Purge Compulsion and Mindset
    You'll get real-world tools for navigating binge & purging urges when they arise, challenging the thoughs that keep you stuck, and handling tricky food situations (social evens, keeping food at home, eating alone).

  • Body-Affirming Approach with Trauma-Informed, Shame-Free Zone
    My work is grounded in Health At Every Size principles. Which means our work is deeply rooted in fighting diet culture and thin ideals instead of promoting them, regardless of your size. Bulimia can carry intense shame about the compensatory behaviours, secrecy and feeling out of control. And for manu, there's trauma underneath. We are here to hear you, not to judge you.

  • Collaboration with Your Existing Support System
    If you're currently working with a therapist, GP or other pratitioners, we will work closely together (with your permission) to tailor a plan for your specific needs. Given the medical risks of bulimia, coordinated care with your GP for health monitoring is often important. If you're not connected to support and would like to be, I can help you find resources and supports too.

Common Questions & Concerns I Hear

Will you put me on a meal plan?

Most likely not. meal plan has its place, however, it's usually used for short term.

Meal plan may recreate the rigidity and external control that often fuel binge eating.

We will mostly focus on internal guidance - helping you recognise and respond to your body's hunger, fullness and preferences.

If you're currently very disconnected from these signals, we will use strategies, which may include structured meal time, to recover your internal cues.

Do I have to weigh myself?

Absolutely not. Many of my clients choose not to weigh themselves at all, and I fully support that. If weight is monitored for medical reasons, we can discuss strategies to handle it such as blind-weighing. Your worth isn't determined by a number, and recovery doesn't require tracking it.

Will I gain weight if I stop restricting

This fear is so understandable, especially given diet culture messaging are everywhere around us.

Here's what I know: restriction and the binge-restrict cycle often lead to weight cycling and preoccupation with food. When you stop restricting and start eating regularly and adequately, your body often stabilises. But I won't lie and promise a specific outcome—bodies are diverse, and weight isn't within our direct control. What is within our control is building a peaceful relationship with food, and that's worth pursuing regardless of what your body does.

Do I need to see a therapist as well?

It would be really helpful if you have work with a specialised dietitian and therapist. Bulimia usually has psychological and emotional roots (trauma, perfectionism, anxiety, difficulty coping with feelings) that therapy addresses really effectively. I focus on the food-specific side: normalising eating, challenging food rules, reframing food and nutrition information and nutrition support. Together, therapy and dietetics cover both the "why" and the "how" of recovery. If you're not currently seeing a therapist, I can help connect you with ED-specialised options.

What if I've had bulimia for years? Is it too late? Recovery still possible?

It's never too late. Recovery at any stage and any age is possible. Long standing bulimia usually mean there's a higher complexity and might require longer recovery - but recovery is very possible. Where you are now is where we start—no judgement about how long this has been going on.

Can the physical damage done by Bulimia be reversed?

Some physical impact can improve overtime with recovery (electrolyte imbalance, minor dental damage), while others might need ongoing management (e.g. GI symptoms/gut damage). When we start working together, I often recommend regular medical monitoring with your doctor (electrolyte, blood, ECG, vital signs) for medical and nutrition management. The sooner we can help you stop compensatory behaviours, the earlier you can start restoring your physical capacity and health.

Will you tell me what I can & can't eat?

No. Restriction (even mental restriction, like thinking you "shouldn't" eat something) is often what triggers bingeing in the first place. Part of recovery is legalising all foods and learning that no food will make you lose control if you're eating regularly and adequately. We'll work on this gradually—it's not about forcing yourself to eat fear foods before you're ready, but about slowly dismantling the food rules that keep you stuck.

What if I'm not ready to stop bingeing yet?

That's completely valid, and we can still work together. Ambivalence is normal. We can explore what bingeing is doing for you (it's often serving a purpose, like coping with stress or numbing emotions), and work on building other skills while you're figuring things out. You don't have to have it all sorted to start.

Do you work with people at higher weight?

Yes. I work with people of all body sizes, and my HAES-aligned approach means I don't pathologise or focus on changing your body size. BED affects people across the weight spectrum, and everyone deserves compassionate, weight-neutral care.

How long does recovery take?

Honestly? It varies. Some people see significant improvement in a few months; for others, it takes a year or more. Recovery isn't just about stopping binge episodes—it's about fundamentally shifting your relationship with food, which takes time. I'd rather be realistic with you than overpromise. What I can say is that most people notice meaningful changes within the first few months, even if full recovery takes longer.

What if I've tried therapy or previously on treatment and it didn't help?

Past treatment not working doesn't mean recovery isn't possible—it often means the approach wasn't the right fit. Perhaps the practical, food-specific piece was missing (that's where dietetic support comes in), or the treatment was weight-focused or not ED-specialised.

You've also changed since then. You're at a different life stage, with new perspectives, support networks, and readiness. All of this creates new opportunities for recovery, and we can help you leviate those opportunities.

If you've tried CBT-E or group intervention before, individualised 1:1 support works differently. We don't use just 1 approach, but match option and techniques to your specific situation, which often helps people who haven't responded to standardised approaches finally break through as we are able to investigate more in the issue and untangle some deep knots

Dive Deeper Into Bulimia & Binge-Purge

What is binge eating & binge eating disorder (BED)? Causes, symptoms & diagnosis

What is binge eating & binge eating disorder (BED)? Causes, symptoms & diagnosis

Binge eating (disorder) treatment, and finding a provider

Binge eating (disorder) treatment, and finding a provider

food freedom & binge eating resources & support

food freedom & binge eating resources & support

I have another question...

Drop us a message and

we will et back to you asap!

Malcolm is a non-diet binge eating dietitian
Consulting suite at WellSpace Psychology Prahran - Malcolm on site on Wednesdays
Malcolm providing eating disorder nutrition counselling at Prahran WellSpace
Enjoying social eating with variety of food - celebrating no food rule eating
Malcolm is a certified intuitive eating counsellor and body image coach based in Melbourne, Australia, serving international client
Malcolm is a binge eating dietitian - accredited practising dietitian (APD)
Malcolm is a binge eating dietitian and credentialed eaing disorder clinician (CEDC) by ANZ academy for eating disorder
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I acknowledge the Wurundjeri Woi Wurrung people of the Kulin Nation as the Traditional Custodians of the land on which I live and work. I pay my deep respects to Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander peoples. I’m committed to providing inclusive, respectful care for all bodies, identities, and backgrounds.

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