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Trapped by the Secret of an Eating Disorder?


         A secret is a powerful thing!  When you hold a secret particularly about yourself, you give away your personal power to the thing you keep secret.

         People who suffer with an eating disorder (Anorexia Nervosa, Bulimia, or Binge Eating) often keep their behaviors around food and exercise secret for years before finally seeking help. 

        They’re too ashamed and guilty to tell anyone.  Often, other family members, even spouses are unaware that someone they love is suffering from an eating disorder.

        In a sense, it’s the secret that keeps a person trapped in the endless cycle of dieting, bingeing, and purging which are common symptoms of most eating disorders.

            If you have an eating disorder, chances are you haven't sought help from a professional.  

            And whether you realize it or not, the suffering you’re experiencing from your eating disorder is caused more from the secret you’re keeping, then by your actual unhealthy behaviors.         



What I want you to know is that you are not alone.                                                                                                 PeoplePeople do People recovery from eating disorders.                                                                                    But it’s up to you to break the silence.                                                                                    

        People who finally enter treatment experience immediate relief and comfort!   As a therapist who specializes in eating disorders, I’ve witness that relief, over and over, with my patients. 


            From my experience as a therapist who specializes in the treatment of eating disorders, Cognitive Behavior Therapy (CBT) appears to be the best treatment intervention.

            Long term follow up studies of patients who received CBT treatment also appears to confirm this:  In follow up studies of patients with bulimia nervosa, a very severe eating disorder, patients who received CBT treatment were more likely to completely recover or improve substantially.

            Clinically, this makes sense because CBT addresses the behaviors that maintain the eating disorder.

            The cognitive aspect of the treatment focuses on resolving the person’s extreme concern about body image and weight, as well as the low self esteem and common,  “all or nothing," irrational thought patterns  exhibited by persons with eating disorders.

            In addition, the behavioral modification aspect of CBT addresses the disturbed eating habits: binging, excessive dieting, vomiting, abuse of laxatives, diet pills, etc.   



        A thorough Assessment is very important.  A thorough assessment assures accurate diagnosis and efficient treatment.  Some patients may not be appropriate for outpatient treatment.

About 5% of eating disorder cases are so severe they may require hospitalization.  

  • Persons who  are extremely low in weight.
  • Those suffering with depression.
  • Anyone exhibiting suicidal thoughts or behavior.
  • Anyone in the early stages of pregnancy.
  • Anyone whose eating disorder has not responded to outpatient  treatment.


      Once a through assessment is completed, a treatment plan is created  and tailored to your specific eating disorders symptoms. All sessions are one to one and completely confidential.

       Treatment is a collaborative effort between you and your therapist.  Patients are encouraged to set their own goals and work at their own pace.  You can be certain no one will attempt to immediately make you change any of your eating behaviors until you are ready. 

       Treatment is a process.  And while one person can enter treatment and stop bingeing in one or two weeks, someone else might take several months before being successful.  Eating disorders are complex and treatment requires the flexibility to change and add interventions as needed.


        While Cognitive Behavioral Therapy is the foundations for treatment, a number of other treatment interventions may be required to help you resolve your particular eating disorder problems and symptoms:

  • Family Counseling
  • Marriage/ Relationship Counseling
  • Nutritional Counseling
  • Psychiatric/Medication Management
  • Stress Management
  • Psychoeducation on food, eating, shape and weight
  • Substance abuse treatment
  • Partial or full hospitalization


       Simply call the clinic (504) 392-3498 during normal business hours. 

       Appointments are scheduled during day and evening hours (after work hours).  Clients who need emergency help can often be seen the same day; however, most appointments are scheduled within a day or two of first contacting the clinic.

       All sessions are confidential.


Frank Trupiano, LCSW is a provider for most insurance plans. 

       When you schedule your first appointment, his secretary will verify your insurance and help you with any financial issues.  For clients without mental health coverage or who elect to pay out-of-pocket, a sliding fee is available. 

For a map of where Mr. Trupiano’s office is located see  How to Find Us.

" If you have any questions, please                                          feel free to call me directly (504) 392-3498                                  or write me an email: frank@lifedimensions.net."

"I am always available for a brief consultation.'   



LifeDimensions 1581 Carol Sue Ave., Suite 211, Gretna, LA  70056  (504) 392-3498