Binge–Purge Recovery in Marbella, Spain | One-to-One Eating Disorder Rehab Treatment

If you cycle between restriction, bingeing and compensatory behaviours, you are not broken. Your body and mind are trying to regulate distress. We help you replace unsafe patterns with skills and a steady routine that your system can hold.

Watch: Binge–Purge Recovery at Sea Recovery

Who this page is for

Adults experiencing binge–purge patterns, including bulimia nervosa (BN), anorexia nervosa binge–purge subtype (AN-BP) and OSFED presentations. If you are unsure of your diagnosis but recognise loss of control, compensation or rigid rules around food and body, this guide explains how we work and what safe, private treatment looks like.

How binge–purge patterns keep going

• Restriction increases risk. Food rules and long gaps raise biological and psychological pressure to binge.
• Binge relieves and then shames. Short-term numbing is followed by guilt and fear.
• Compensation promises control. Vomiting, laxatives, diuretics or exercise feel corrective, but deepen the cycle.
• Stress and emotion. Triggers include conflict, fatigue, loneliness, perfectionism and trauma echoes.

We target all four parts of the loop using scheduled eating, urge skills, emotion regulation and practical environment changes.

Why one-to-one works here

Group settings can feel exposing and can teach comparison. Our private model lets you build regular eating, practise skills and address emotions without performance pressure. Your pace, your capacity, your goals.

Safety and medical scope

Binge–purge behaviours can be medically risky. Before and during care we screen for red flags and coordinate with clinicians where appropriate.

• Urgent flags: fainting, chest pain, blood in vomit, severe dehydration, persistent vomiting, very low potassium on recent labs, rapid weight loss, BMI at a level that may require higher-acuity care.
• Common complications: electrolyte imbalance, heart rhythm changes, reflux or oesophagitis, dental erosion, parotid swelling, constipation, low mood and anxiety, sleep disruption.
• Liaison: with your consent we can coordinate GP or specialist review, baseline tests (e.g. U&E, ECG) and nutrition input. See our medical liaison and bespoke services.

We are a calm, private setting in Sotogrande, serving Marbella discreetly. If screening suggests hospital-level care, we will help you access it and then continue the psychological work when safe.

What treatment looks like here

Your pathway blends structured eating, skills training and deeper therapy. We adjust weekly around data and lived experience.

• Regular eating routine. Three meals and planned snacks to reduce urge physiology. Gentle exposure to feared foods in graded steps.
• DBT for urges. DBT skills such as STOP and TIP to ride the peak, urge surfing, grounding kits, opposite action when compensation pressure rises.
• CBT for loops. CBT to map triggers, permission thoughts and rules. Behavioural experiments to test predictions and reduce rigidity.
• Body-based regulation. TRE, breathwork and mindful movement to lower baseline arousal and reconnect safely with the body.
• Emotion and identity work. IFS and attachment-informed therapy for shame, perfectionism and relational stress. MET to strengthen motivation.
• Sleep stabilisation. Consistent light, wind-down, meal timing and device boundaries via our sleep repair approach.

Mealtime coaching and environment design

• Eat with a therapist in session or with coached independence depending on stage.
• Use DEAR MAN scripts for family boundaries around comments on food or weight.
• Design kitchens and apps to reduce cues. Plan food ahead to avoid long gaps.
• Post-incident repair protocol: hydrate, self-soothe, log a chain analysis, re-enter routine without punishment.

Week-by-week outline (example)

• Week 1. Safety checks, routine set, diary card and incident log. Skills: STOP, paced breathing, first opposite action. One feared food identified.
• Week 2. First graded exposure. TIP for peak urges. Environment changes. Evening device boundary. Introduce DEAR MAN for mealtime support.
• Week 3. Expand feared foods. Body image distress work, mirror time guidelines. Values micro goals that are not body-driven.
• Week 4+. Consolidation, relapse-prevention playbook, partner or family session if useful. Step-down plan and remote sessions.

How we measure progress

• Frequency of binge and compensation episodes per week
• Urge intensity ratings and time-to-skill use
• Meal and snack completion percentage
• Body image distress ratings and rule flexibility
• Sleep continuity and morning steadiness
• Anxiety and mood via brief scales (GAD-style and PHQ-style measures)

Who we work well with

Adults who value privacy, prefer one-to-one work and want a steady, respectful pace. Many are professionals or creatives, often with co-occurring anxiety, depression, OCD traits or trauma. If you have tried groups or highly confrontational settings and felt worse, our model is a gentler alternative.

A day in the villa

• Morning: breath-led grounding, breakfast support, one-to-one therapy
• Midday: coached lunch; reflective time; optional bodywork
• Afternoon: skills drill, graded food exposure, short walk
• Evening: wind-down, sleep protection protocol; no late-night compensation challenges

Programmes and entry points

• Essential Care Programme for stabilisation and routine building
• Deluxe Programme for deeper therapy with somatic care
• Premium Tailored Programme for complex needs at a measured pace
• Ultimate Bespoke Programme for ultra-private, curated pathways
• Outpatient and Secondary Care for step-down

Aftercare and relapse prevention

• Written plan with early-warning signs, first-aid sequence and support contacts
• Meal structure and food shop template
• Remote sessions through aftercare support and ongoing lifetime check-ins
• Skills refreshers for travel or high-stress periods

Related therapies

• DBT therapy
• CBT
• TRE and nervous-system regulation
• MET therapy
• Mindfulness and yoga therapy
• IFS and family therapy

Related conditions and guides

• Eating disorder treatment
• Anxiety
• Depression
• OCD traits and uncertainty
• Trauma and PTSD
• Private Rehab Europe
• Top 10 Rehabs in Europe

Marbella and Spain rehab guides

• Luxury Rehab Marbella
• Luxury Rehab Marbella Spain
• Rehabilitation Centre in Sotogrande
• Location and Travel
• Rehab Spain
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• Clinic near me
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Frequently asked questions

Begin private binge–purge recovery in Spain

If you want calm, discreet and effective support, Sea Recovery offers one-to-one eating-disorder care in a luxury setting near Marbella. Speak to admissions for a confidential plan.