Eating disorders are serious mental health conditions that involve unhealthy relationships with food, eating behaviours, and body image.
They affect people of all genders, ages, and backgrounds and can have significant physical, emotional, and social consequences.
Eating disorders are multifactorial. Common contributors include:
Psychological: Low self-esteem, perfectionism, trauma, anxiety, depression.
Biological: Genetics, neurotransmitter imbalances.
Sociocultural: Media influence, cultural ideals of beauty, weight stigma, peer pressure.
Environmental: Family dynamics, history of dieting, life transitions.
Anorexia Nervosa
Key traits: Extreme restriction of food intake, intense fear of gaining weight, distorted body image.
Health risks: Malnutrition, heart problems, osteoporosis, infertility, death in severe cases.
Bulimia Nervosa
Key traits: Cycles of binge eating followed by purging (vomiting, excessive exercise, or laxative use).
Health risks: Electrolyte imbalances, gastrointestinal issues, dental problems, heart complications.
Binge Eating Disorder (BED)
Key traits: Recurrent episodes of eating large quantities of food, often quickly and to the point of discomfort, without purging.
Health risks: Obesity, type 2 diabetes, heart disease, high blood pressure, emotional distress.
Avoidant/Restrictive Food Intake Disorder (ARFID)
Key traits: Eating very little or avoiding certain foods, not due to body image concerns but possibly sensory issues, fear of choking, or past trauma.
Health risks: Nutritional deficiencies, developmental delays (in children), social isolation.
Other Specified Feeding or Eating Disorder (OSFED)
Key traits: Significant disordered eating that doesn't meet full criteria for the above categories but still causes distress and impairment.
Myths v Facts
Myth: Only young, thin women get eating disorders.
Fact: Eating disorders can affect people of all body sizes, genders, and ages.
Myth: Eating disorders are a choice.
Fact: They are complex mental illnesses with biological and psychological roots.
Myth: You can tell if someone has an eating disorder just by looking at them.
Fact: Many people with eating disorders look “healthy” but are struggling internally.
Recovery is possible with the right support. Treatment often includes:
Psychotherapy: Cognitive Behavioural Therapy (CBT), Dialectical Behaviour Therapy (DBT), family-based therapy.
Nutritional counseling: Working with a registered dietitian to normalise eating patterns.
Medical care: Addressing physical health issues related to disordered eating.
Medication: In some cases, to treat co-occurring anxiety or depression.
Approach them with compassion and concern, not judgment.
Encourage them to seek professional help.
Avoid commenting on weight or appearance.
Educate yourself about eating disorders.
Support
Beat Eating Disorders - UK eating Disorder Charity linked here
How to support someone with an Eating Disorder NHS linked here