Binge Eating Disorder Dietitian in Austin, TX
Steady meals, not another diet.
Khan RD’s dietitians treat binge eating disorder in adults, teens and families. Care starts with regular eating, then works on the restriction that drives bingeing and the shame that follows it.
We see you in person in Central Austin or by video anywhere in Texas, and we’re in-network with Aetna, Blue Cross Blue Shield of Texas, and UnitedHealthcare.
If eating sometimes feels out of your control
You don’t need a diagnosis, or a hard week, to get support.
Maybe it’s eating fast, past comfortable, with the sense that you couldn’t have stopped. Maybe it’s eating in secret, or hiding the wrappers, or promising yourself a clean start on Monday. Often the shame afterward is harder to carry than the eating itself.
Many people who come to us have never heard that this has a name, or have been told it’s a willpower problem. It isn’t.
What binge eating disorder is
Binge eating disorder is a recognized diagnosis. It means repeated episodes of eating a large amount while feeling out of control, followed by distress, and without the purging or other compensating of bulimia.
What it can look like
- Eating much faster than usual, or until you’re uncomfortably full
- Eating a lot when you aren’t hungry, often alone
- Feeling that you can’t stop, or can’t control what or how much you eat
- Guilt, disgust or shame afterward, and a plan to make up for it
- A pattern of dieting, then bingeing, then dieting again
What nutrition care focuses on
We start with regular, predictable eating, because long gaps between meals tend to set up the next binge. From there, we work on:
- eating enough, by adding foods back rather than cutting more
- rules about food, and the shame that comes with breaking them
- foods that feel like trouble, at a pace you agree to
- the moments when bingeing is most likely, whether that’s late at night, after a hard day or after a skipped lunch
Therapy often does the deeper work on emotions and stress. We coordinate with your therapist so the two fit together.
Care that overlaps with this
PCOS/PMOS
Binge eating and PCOS/PMOS overlap for many people, and the standard advice for PCOS can make bingeing worse. We treat both without a weight-loss plan.
PCOS/PMOS careGLP-1 nutrition support
Some people with binge eating are on a GLP-1 or thinking about one. We don’t prescribe medications, including GLP-1s. We coordinate with the prescriber.
GLP-1 nutrition supportIntuitive eating
Once eating is regular and the rules have loosened, hunger and fullness cues become something you can trust again.
Intuitive eatingWhat working together looks like
- 1
Book a free 15-minute call
Tell us what’s been happening and who else is on your care team, if anyone. We check your benefits before your first session.
- 2
Your first session
We go through your eating history, a typical day and what you’ve already tried, then agree on the first change, which is usually smaller than you’d expect.
- 3
Follow-ups
Regular sessions, with each change kept small enough to hold. Each one starts with how the week went, including the hard parts. Nobody is graded.
Khan RD is in-network with Aetna, Blue Cross Blue Shield of Texas, and UnitedHealthcare. Most clients pay a copay or $0 after a benefits check. For other plans, we provide a superbill.
Working with your therapist and physician
Many people with binge eating also see a therapist, and many do well with both. With your permission, we talk to your therapist, physician or psychiatrist so the plan stays consistent and you aren’t carrying messages between us. If you don’t have a therapist or a physician yet, we can help you find one.
Why dieting makes bingeing worse
Binge eating often begins with a rule: skip breakfast, cut the carbs, be good until dinner. The rule creates hunger, the hunger wins, and the shame writes the next rule.
Where we start
Eating on a regular schedule, before the hunger gets loud. It sounds too simple, and it’s often the biggest single change. We add meals and foods back instead of cutting anything.
What changes
When eating gets regular, the urgency tends to ease, and what’s left is easier to look at. That’s where the rules, the shame and the situations that still trigger bingeing get the attention they need.
Our approach
We’re weight-inclusive. We work on eating patterns, nourishment and your medical needs, and we do not prescribe weight loss. In practice, that means:
- Regular eating first. A steady rhythm of meals and snacks takes away much of the hunger that fuels bingeing.
- CBT-E–informed counseling. Enhanced cognitive behavioral therapy (CBT-E) is a structured eating disorder treatment, and binge eating is one of the problems it was built for. We use its nutrition side: regular eating, noticing the rules that drive the cycle, and testing them one at a time.
- Foods that feel like trouble, planned together and practiced in sessions and at home, at a pace you agree to.
- Family-Based Treatment (FBT) for children and teens, when it’s indicated. We work with parents on what to say at meals and what to leave unsaid, and we see children 6 and older.
- Intuitive eating, later. Hunger and fullness work comes once those cues are reliable. It’s covered on our intuitive eating page.
- The people around you. Partners and family can join sessions when it helps. If you’re stepping down from a higher level of care, we coordinate with your program and treatment team. Our eating disorder care page covers the full range of what we treat.
Dietitians who treat binge eating without a diet
Weight-inclusive dietitians who understand eating disorder recovery, so you can eat without keeping score.
In person near Hyde Park, or by video anywhere in Texas. More on virtual nutrition counseling in Texas.
Questions about binge eating care
Is binge eating disorder covered by insurance?
Khan RD is in-network with Aetna, Blue Cross Blue Shield of Texas, and UnitedHealthcare. Most clients pay a copay or $0 after a benefits check. For other plans, we provide a superbill. We run the check before your first session, so you know your cost before you come in.
Will you put me on a diet?
No. We do not prescribe weight loss. Care starts with eating regularly, because restriction is usually what keeps the cycle going.
Do I need a therapist too?
Not to start with us, and many people find both helpful. Therapy tends to work on the emotions and stress behind bingeing, and we work on the eating. With your permission, we coordinate with your therapist, and if you don’t have one yet, we can help you find one.
What if I’m not sure it’s binge eating?
You don’t need to be sure. On the free 15-minute call, tell us what happens around food. We’ll say whether it sounds like binge eating or something else, and who else may need to be involved.
Do you weigh clients?
Not automatically. Weight is clinically relevant in some situations. If it’s part of your care, we’ll explain why and agree on how it’s handled. It is never the measure of your progress.
I’m on a GLP-1, or thinking about one. Can you still work with me?
Yes. We don’t prescribe medications, including GLP-1s. We coordinate with the prescriber.
Can I do binge eating care by video?
Yes. We see clients by video anywhere in Texas. In-person sessions are in Central Austin, near Hyde Park.
Further reading
Visit the blog
PCOS and Binge Eating: The Overlap Nobody Talks About
Binge eating and PCOS overlap, and the standard advice makes it worse. A dietitian on the overlap, the biology, and what helps.
Food Noise, Scarcity, and Why Dieting Fuels Overeating
Constant food thoughts and overeating aren’t willpower problems. Here’s how food scarcity drives food noise and binge eating, and why dieting makes it worse.
Why Calorie and Macro Counting Doesn’t Hold Up
Calorie counting feels precise, but the labels, your body, and the food itself all introduce massive variation. Here’s why the math fails.
Talk it through in 15 minutes
Questions first? Send us a message. We reply within 1 weekday.