What are eating disorders?
Eating disorders are serious mental health conditions that affect a person’s relationship with food, body image, movement, and often their sense of self. They are not just about food, weight, or appearance. Eating disorders are often ways people cope with overwhelming emotions, anxiety, perfectionism, low self-worth, loss of control, or difficult life experiences.
They can affect people of all ages, genders, body sizes, backgrounds, and identities. Someone does not have to “look sick” to be struggling..
Eating disorders are about more than food
At their core, eating disorders are often connected to deeper emotional pain and unmet needs. They may be tied to:
Anxiety
Perfectionism
Need for control
Trauma
Identity struggles
Social pressures
Life transitions
Difficulty coping with emotions
Low self-esteem or body dissatisfaction
Recovery is not just about changing behaviors. It is also about understanding what the eating disorder has been doing for you, building healthier coping tools, and reconnecting with your body and your life.
Eating disorders can show up in many ways
Eating disorders may involve:
Restricting food or skipping meals
Binge eating
Purging behaviors
Obsessive thoughts about food, weight, or body image
Compulsive or rigid exercise
Fear of gaining weight
Strong guilt or shame around eating
Difficulty trusting hunger/fullness cues
Feeling consumed by food rules or body checking
For some, these patterns are obvious. For others, they can be subtle, hidden, or explained away as “healthy habits,” discipline, or stress.
Common types of eating disorders
Anorexia Nervosa
Often involves restriction of food intake, intense fear of weight gain, and distress related to body shape or size.
Bulimia Nervosa
Includes cycles of binge eating followed by compensatory behaviors such as vomiting, overexercise, fasting, or other attempts to “undo” eating.
Binge Eating Disorder
Involves recurrent episodes of eating large amounts of food, often accompanied by feeling out of control, shame, or distress.
ARFID
Avoidant/Restrictive Food Intake Disorder involves limited eating that is not driven by body image concerns, but may be related to sensory issues, fear of choking/vomiting, or low interest in food.
OSFED
Other Specified Feeding or Eating Disorder includes eating disorder symptoms that are very real and distressing but may not fit neatly into one diagnosis.
Signs that it may be time to seek support
You may benefit from support if you notice:
Food or body thoughts taking up a lot of mental space
Increased anxiety around meals
Avoiding social events because of food or body image
Feeling stuck in guilt, shame, or secrecy
Rigid routines around food or exercise
Frequent body checking or comparison
Feeling out of control around food
A growing sense that your life is being shaped by the eating disorder
You do not need to wait until things get “bad enough” to get help.
Recovery is possible
Healing from an eating disorder is possible. Recovery often looks like learning to nourish your body consistently, challenge the eating disorder voice, build trust with yourself, and develop new ways of coping with emotions and stress.
Therapy can help you better understand your patterns, reduce shame, strengthen your relationship with food and your body, and move toward a life that feels fuller and freer.
You deserve support
If you or your teen are struggling with eating disorder thoughts or behaviors, you are not alone. Support can make a meaningful difference, and reaching out is a brave first step.