How to Best Manage Your Eating Disorder

May 04, 2023
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In this article, we'll explore effective ways to manage your eating disorder, develop a healthy relationship with food, and build resilience to prevent relapse.

How to Best Manage Your Eating Disorder

Eating disorders are complex mental health conditions that affect people of all ages, genders, and backgrounds. If you or someone you love struggles with an eating disorder, it's essential to understand the different types, causes, and warning signs to seek appropriate treatment. In this article, we'll explore effective ways to manage your eating disorder, develop a healthy relationship with food, and build resilience to prevent relapse.

Understanding Eating Disorders

Before we dive into the strategies for managing eating disorders, let's review what eating disorders are and how they impact your health. Eating disorders are a range of conditions that affect your eating habits, body weight, and emotions related to food. The most common types include:

  • Anorexia nervosa: characterized by an extreme fear of weight gain, low food intake, and distorted body image;
  • Bulimia nervosa: marked by a cycle of binge eating and purging through self-induced vomiting, laxative abuse, or excessive exercise;
  • Binge eating disorder: characterized by frequent episodes of consuming large amounts of food, often in secret, without compensatory behaviors.

Other eating disorders include avoidant/restrictive food intake disorder (ARFID), pica, rumination disorder, and others. Each eating disorder has unique symptoms, causes, and risk factors, so it's crucial to seek a professional diagnosis if you suspect you have an eating disorder.

Types of Eating Disorders

Now let's take a closer look at the most common types of eating disorders and their symptoms:

Anorexia Nervosa

The main symptoms of anorexia nervosa include:

  • Severe restriction of food intake, leading to low body weight;
  • Fear of weight gain, even when underweight;
  • Distorted body image, feeling fat even when emaciated;
  • Amenorrhea (loss of menstrual periods) in females;
  • Physical complications, including slow heart rate, low blood pressure, electrolyte imbalances, and others.

Bulimia Nervosa

Bulimia nervosa is characterized by the following symptoms:

  • Recurrent episodes of binge eating, defined as consuming a large amount of food within a two-hour period, accompanied by a sense of lack of control;
  • Inappropriate compensatory behaviors, such as self-induced vomiting, misuse of laxatives, diuretics, or enemas, fasting, or excessive exercise;
  • Preoccupation with body weight and shape;
  • Physical complications, including electrolyte imbalances, stomach problems, dental erosion, and others.

Binge Eating Disorder

The main features of binge eating disorder include:

  • Recurrent episodes of binge eating, much as in bulimia nervosa;
  • A feeling of lack of control during binge episodes;
  • Eating rapidly, eating until uncomfortably full, eating alone due to shame, or feeling disgusted with oneself afterward;
  • Not engaging in compensatory behaviors;
  • Physical complications, such as high blood pressure, diabetes, heart disease, and others.

Common Causes and Triggers

Eating disorders are complex conditions that arise from a combination of genetic, psychological, cultural, and environmental factors. Some common risk factors for eating disorders include:

  • Genetics: there is evidence that eating disorders may run in families, suggesting a genetic predisposition;
  • Body dissatisfaction: feeling unhappy with your body shape or size, which may be influenced by cultural standards, can lead to disordered eating behaviors;
  • Perfectionism: having excessively high standards for yourself and feeling inadequate when you can't meet them can fuel the need for control over food and weight;
  • Trauma: having experienced abuse, neglect, or other traumatic events can disrupt self-esteem and coping skills, leading to disordered eating as a way to cope with emotions;
  • Life changes: significant transitions that cause stress or uncertainty, such as moving, starting a new job, or going through a relationship break-up, can trigger eating disorders as a way to regain control;
  • Depression and anxiety: these mental health conditions can be both a cause and a result of eating disorders, leading to a vicious cycle of negative emotions and behaviors.

Recognizing the Signs and Symptoms

It's not always easy to recognize the signs and symptoms of an eating disorder, especially if you or someone you love is trying to hide their behavior. However, some common warning signs include:

  • Preoccupation with food, dieting, and weight loss;
  • Skipping meals, eating very little, or refusing to eat certain foods that are perceived as "unhealthy" or "fattening";
  • Secretive eating, such as hoarding food or eating alone;
  • Changes in body weight, either rapid or gradual, and other physical symptoms such as fatigue, dizziness, and hormonal imbalances;
  • Compulsive exercise, often to the point of exhaustion or injury;
  • Social withdrawal, mood swings, irritability, and difficulty concentrating;
  • Missing menstrual periods in females;
  • Engaging in compulsive behaviors such as hair pulling, skin picking, or nail biting.

Seeking Professional Help

If you suspect you have an eating disorder, it's essential to seek professional help as soon as possible. Eating disorders are serious medical conditions that require specialized treatment from a team of healthcare providers, including doctors, therapists, dietitians, and other specialists. Here's what you need to know about getting the right care:

When to Consult a Doctor or Therapist

If you experience persistent concerns about your eating habits, body weight, or overall health, it's recommended to consult your primary care physician or a mental health professional. They can perform a physical exam, order tests to assess your nutritional status and screen for medical complications, and refer you to a specialist if needed.

Different Treatment Options

There are several types of evidence-based treatments for eating disorders, including:

  • Cognitive-behavioral therapy (CBT): a form of talk therapy that focuses on changing unhelpful thoughts and behaviors related to food, weight, and body image;
  • Interpersonal therapy (IPT): a type of therapy that focuses on improving relationships and communication skills that may contribute to the development or maintenance of eating disorders;
  • Family-based treatment (FBT): a therapy approach where parents or caregivers participate in the treatment process and support their loved one in recovery;
  • Nutritional counseling: a service provided by a skilled dietitian to help individuals develop a healthy relationship with food and body;
  • Medication: in some cases, medications such as antidepressants or anti-anxiety drugs may be prescribed to alleviate symptoms and improve mood.

Building a Support System

Managing an eating disorder can be challenging, but having a supportive network of family, friends, and peers can make a significant difference. Here are some tips for building a solid support system:

  • Reach out to supportive friends or relatives and let them know how they can help you;
  • Join a support group or attend a recovery program to connect with others who have similar experiences;
  • Consider online resources, such as forums, chat rooms, or podcasts, to access information and connect with others;
  • Be open and honest about your struggles and progress with your support network;
  • Create a self-care plan that includes stress-reducing activities, such as yoga, meditation, or journaling.

Developing a Healthy Relationship with Food

Recovering from an eating disorder involves more than just managing symptoms or receiving treatment. It also requires developing a healthy mindset and behaviors related to food, weight, and body image. Here are some tips for building a positive relationship with food:

Creating a Balanced Meal Plan

Working with a dietitian can help you create a meal plan that fits your nutritional needs, preferences, and lifestyle while promoting recovery. A healthy meal plan should include a variety of foods from all food groups, emphasize balance and moderation, and allow for flexibility and self-compassion. Some tips to keep in mind are:

  • Eat regularly throughout the day, at least three meals and two snacks;
  • Aim for a mix of carbohydrates, proteins, and fats in each meal;
  • Include a variety of foods from different food groups, such as grains, vegetables, fruits, dairy, and protein sources;
  • Avoid following strict or fad diets that eliminate entire food groups or limit calorie intake severely;
  • Listen to your body's hunger and fullness cues, and eat mindfully, without distractions such as screens or books.

Mindful Eating Techniques

Mindful eating is an approach that emphasizes being present and aware of your food and your body's sensations while eating. It can help you develop a more positive and intuitive relationship with food and reduce the risk of binge eating or emotional eating. Some mindful eating techniques include:

  • Take a few deep breaths before eating, and check in with your thoughts and emotions;
  • Observe the food's appearance, smell, and texture, and appreciate the sensory experience;
  • Eat slowly and savor each bite, chew thoroughly, and put down the utensil between bites;
  • Check in with your hunger and fullness cues by rating your fullness level on a scale of 1 to 10;
  • Practice self-compassion and non-judgment towards yourself and your food choices.

Overcoming Food Fears and Guilt

One of the biggest obstacles to developing a healthy relationship with food is overcoming the fears and guilt associated with eating. Many people with eating disorders have rigid rules or beliefs about what they can and cannot eat, leading to anxiety, guilt, or shame when breaking those rules. Here are some tips for coping with food fears and guilt:

  • Challenge negative and irrational thoughts related to food or body weight by asking yourself evidence-based questions;
  • Practice self-compassion and self-forgiveness when you make mistakes or struggle to meet your goals;
  • Surround yourself with positive affirmations, quotes, or images that reinforce a healthy mindset;
  • Attend therapy sessions or support groups that focus on cultivating a positive body image and self-esteem;
  • Learn healthy coping skills, such as journaling, creative expression, or deep breathing, to manage stress and emotions more effectively.

Implementing Positive Coping Strategies

Managing an eating disorder involves developing a range of coping strategies that reduce stress, manage emotions, and promote resilience. Here are some tips for implementing positive coping strategies into your daily routine:

Identifying and Managing Triggers

Learning to identify and manage your triggers is an essential step in preventing relapse and maintaining recovery. Triggers may include certain social situations, stressful events, negative emotions, or even physical sensations that elicit anxiety or disordered eating behaviors. Here are some tips for managing your triggers:

  • Identify your triggers by keeping a journal or tracking your thoughts and feelings;
  • Make a plan to manage your triggers proactively, such as avoiding certain people or places that trigger anxiety or practicing relaxation techniques before entering a trigger situation;
  • Reach out to your support network for help and encouragement;
  • Be patient and compassionate with yourself, and recognize that relapse does not mean failure.

Stress Reduction Techniques

Stress is a common trigger for disordered eating behaviors, so learning to manage stress effectively is crucial to maintaining recovery. Here are some stress reduction techniques to try:

  • Practice relaxation techniques such as deep breathing, meditation, or progressive muscle relaxation;
  • Engage in physical activities you enjoy, such as yoga, dancing, or walking in nature;
  • Explore hobbies or interests, such as playing music, reading, or cooking;
  • Make time for socializing and connecting with others;
  • Consider a mindfulness-based therapy such as Acceptance and Commitment Therapy or Dialectical Behavior Therapy.

Building Self-Esteem and Body Positivity

Finally, developing a positive body image and self-esteem is a crucial component of managing eating disorders and promoting overall mental health. Here are some tips for cultivating self-esteem and body positivity:

  • Practice self-compassion and non-judgment towards your body and yourself;
  • Surround yourself with people who appreciate you for who you are, not just for your appearance;
  • Avoid comparing yourself to others or seeking validation from external sources;
  • Celebrate your individuality and uniqueness, and focus on your strengths and achievements;
  • Explore creative expression, such as art, music, or writing, to connect with your inner self and promote self-discovery.


In summary, managing an eating disorder requires a multi-faceted approach that addresses the physical, psychological, and social components of the condition. By adopting a healthy relationship with food, building a supportive network of people, and developing positive coping strategies, you can overcome the challenges of an eating disorder and achieve lasting recovery. Remember, recovery is a journey, not a destination, so be patient, kind, and resilient as you navigate this path.