ORTHOREXIA Therapy in New York

Shifting From Food Rules to Food Freedom

Orthorexia often begins with good intentions, wanting to nourish your body, eat “clean,” or take care of your health. Over time, though, the pursuit of “perfect” eating can become exhausting, restrictive, and all-consuming.

You might feel anxious when certain foods aren’t available, overwhelmed by food rules you didn’t mean to create, or disconnected from your body’s natural cues. What once felt empowering may now feel rigid, isolating, or even scary.

If food choices are starting to limit your life instead of supporting it, therapy can help you find balance again.

What Orthorexia Can Look Like

Orthorexia isn’t just about healthy eating, it’s about the fear of being “unhealthy.” People often experience:

  • Strict rules around foods, ingredients, or preparation

  • Avoiding social events due to fear of “unsafe” foods

  • Feeling guilt or shame when eating something outside the rules

  • Over-researching ingredients or “clean eating” guidelines

  • Anxiety around meals prepared by others

  • Difficulty trusting your body’s hunger/fullness cues

  • A sense of identity tied to “being healthy” or “being disciplined”

You deserve a relationship with food that is flexible, nourishing, and grounded in compassion, not fear.

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Why Orthorexia Happens

Orthorexia can be influenced by many factors, including:

  • Chronic dieting or “wellness culture” messaging

  • Pressure to look a certain way or achieve “optimal health”

  • Medical conditions that make food feel complicated

  • Anxiety, perfectionism, or people-pleasing patterns

  • Trauma or major life transitions

  • Social media and comparison

  • A desire for control when life feels unpredictable

None of this is your fault. You didn’t choose to develop anxiety around food. It’s a response to deeper needs, pressures, and emotions.

Our Compassionate Team of therapists

Lily Thrope Therapist in New York City

Lily Thrope

Founder + Therapist

Lily provides a safe space for those struggling with anxiety, body image, and self-doubt to find peace and presence.

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Julia Antuzzi Therapist New York City

Julia Antuzzi

Senior Therapist

Julia helps clients quiet the inner critic and build a kinder, more trusting relationship with themselves.

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Emily Abromowitz Therapist New York City

Emily Abromowitz

Associate Therapist

Emily helps clients navigating the challenges of self-doubt, relationships, and body image with curiosity and care.

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Lindy Burke Therapist New York City

Lindy Burke

Associate Therapist

Lindy helps clients move beyond shame and judgment to embrace authenticity and resilience.

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Leslie Lewis Therapist New York City

Leslie Lewis

Associate Therapist

Leslie helps clients break free from cycles of addiction and anxiety, building confidence for lasting change.

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Caring About Health vs. Orthorexia

It’s completely natural to care about what you eat. Choosing nutritious foods, cooking meals with intention, and prioritizing wellness are all positive habits. Caring about your health doesn’t mean something is wrong. In fact, it’s a sign you value yourself and your body.

The difference lies in how much control, stress, and fear are attached to those choices. Orthorexia occurs when the desire to eat “well” starts to dominate your thoughts, emotions, and daily life in ways that feel rigid, punishing, or anxiety-driven.

Here are some ways to recognize the difference:

Healthy Relationship With Food

  • Food choices are guided by curiosity, pleasure, and information, not fear.

  • Flexibility exists; meals and routines can adapt without intense anxiety.

  • Eating is part of life, not the central source of identity or self-worth.

  • Social meals are enjoyable, even if not all foods fit your usual preferences.

  • You feel calm, satisfied, and nourished after eating.

Orthorexic Patterns

  • Food rules dominate your thoughts and decision-making.

  • Anxiety, guilt, or shame arise if you deviate from your “rules.”

  • Eating habits are tied to your sense of worth, discipline, or safety.

  • Social situations feel stressful or require strict planning to manage foods.

  • Meals can feel tense, restrictive, or isolating, rather than satisfying.

Therapy doesn’t ask you to abandon your values, nutrition goals, or wellness intentions. Instead, it helps reconnect with your body, expand flexibility, and reduce the fear-based patterns that can make health feel controlling instead of supportive.

With guidance, you can enjoy food with curiosity, trust your body’s signals, and maintain your wellness goals, without fear, shame, or rigidity. Healing from orthorexia means transforming your focus on “perfect eating” into a balanced, nourishing, and sustainable approach to health.

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Therapy provides a safe, shame-free place to explore your relationship with food and understand what’s driving the rigidity or fear underneath.

Together, we can work on:

✔ Rebuilding flexibility and ease with food

Learning how to let go of rigid rules and reconnect with what your body actually needs.

✔ Reducing anxiety around “unsafe” or “off-limits” foods

Understanding where fear comes from and helping your nervous system feel safe again.

✔ Untangling your identity from food choices

You are so much more than what you eat — and healing means reconnecting with that truth.

✔ Healing perfectionism, comparison, and pressure

We’ll explore the internal and external forces that have shaped your beliefs.

✔ Reclaiming joy and connection around eating

So meals become moments of nourishment and presence, not stress or judgment.

How Therapy Helps With Orthorexia

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You Deserve a Peaceful Relationship With Food

Orthorexia can make your world feel smaller…fewer foods, fewer options, fewer moments of joy. Therapy helps you widen that world again.

You don’t have to live in fear of making the “wrong” choice.
You don’t have to follow rigid rules just to feel safe.
You don’t have to do this all alone.

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