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adult eating disorder help

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Eating disorders might be some of the most complicated mental and physical disorders to address. It’s important to note that such issues are both mental and physical, which is part of why their treatment is so complex.

Research has found that acknowledging one has an eating disorder, and reaching out to someone for help, is a critical step in recovery. It is very difficult to recover from an eating disorder without outside help. But, that same research stated that there can be severe anxiety surrounding who to reach out to. Should it be a friend? A therapist? A family member? There can be concerns that people won’t believe the severity of the situation, or will struggle to understand how someone can have a problem with food. Unlike alcoholism or substance abuse, issues with food are not as universally accepted as a medical condition.

For those struggling with an eating disorder, it can be difficult to even put words around what they’re going through, particularly because there are so many ways eating disorders manifest themselves. An alcoholic can simply say, “I drink too much.” A gambling addict can say, “I have a gambling problem.” But the verbiage around eating disorders isn’t as simple.

Further complicating matters is the fact that those with the disorder may know that the road to recovery will be long and tedious. There will be relapses. So the thought of beginning recovery, which begins by talking to someone, can be daunting. We reached out to two experts who specialize in treating patients with eating disorders. Meghan Watson, founder of Bloom Psychology and registered psychotherapist, and Dr. Ebony, food relationship strategist who coaches women in having healthy relationships with their bodies and food, provided insight on gaining the courage to ask for help with an eating disorder.

Meghan Watson

Source: Meghan Watson / Meghan Watson

Your experience is valid

Echoing what the above-referenced research noted, Watson states, “Getting the courage to ask for help with an eating disorder is terrifying and can bring on a host of other anxieties such as: ‘What might they think?’ ‘Will they judge me?’ ‘Do I even have a real problem?’ Be mindful of invalidating your experiences. You don’t have to be in a particular body to have an eating disorder. If you are concerned about your relationship with food, it is worth discussing.”

adult eating disorder help

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Working through the shame

“I think one has to be willing to work through a lot of feelings of shame and guilt they might feel about asking for help. There is so much shame and guilt associated with admitting that one has an eating disorder and even more shame for seeking help,” says Dr. Ebony. The experts at the Center For Discovery, an eating disorder treatment facility, talk extensively about the roles of shame and isolation. They discuss how shame around the disordered habits can drive one into isolation and how isolation can further intensify the feeling that there’s something to be shameful about.

adult eating disorder help

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Hiding an ED causes loneliness

The Center for Discovery reports that patients often show low trust of others, and are resistant to share personal information, which can further feelings of loneliness. In fact, experts call this pattern of hiding information and behavior “social withdrawal syndrome.” The desire to hide disordered behavior can lead to antisocial behaviors, like eating meals alone, so as to conceal eating habits, or resisting social events, for fear of overeating.

adult eating disorder help

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Breaking the silence breaks the isolation

“It’s important to know that you are not alone. Many people who struggle with disordered eating suffer in isolation and sadness,” says Watson. “Sharing about what you’re going through is scary, and it can bring a whole host of other nerve-racking emotions. However, it is worth it to not feel alone.”

Dr. Ebony

Source: Dr. Ebony / Dr. Ebony

Wanting control is common

“I also help clients understand that eating disorders are largely anxiety-based and there’s nothing shameful about experiencing anxiety and needing some way to feel in control and grounded – which is what is happening for people who struggle with eating disorders,” says Dr. Ebony. Supporting Dr. Ebony’s point on control, research has found a strong correlation between eating disorders and obsessive-compulsive disorder.

adult eating disorder help

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Choose confidantes wisely

Confiding in someone who will make you feel cared for and heard is important. Eating disorders are very fragile issues, it takes a lot of bravery to speak up about them, and speaking to someone who will be loving will encourage the person suffering to open up more.

adult eating disorder help

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Finding the right support

“When sharing and asking for help, try to choose people who you know to be thoughtful, caring, warm, [and] curious about you,” says Watson. “This will be helpful in making sure that you have the necessary support to manage the internal feelings of anxiety/shame/stress that comes with getting support from friends or a provider ([such as a] dietitian/therapist).

adult eating disorder help

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Finding the right provider

“If you aren’t sure your therapist can support you with these issues, ask them.” Says Watson. “[Say] ‘I’m worried that my relationship with food is getting out of control (insert whatever you’re feeling here). Is this something that you are familiar with? If not, do you have a colleague or a resource that may help?’”

adult eating disorder help

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Start with step one. The other steps will come.

“There are so many layers to feeling out of control with food and your body, and it will take time to heal,” says Watson. “Know that by sharing your story, or opening up (even if it’s just a little) with someone, creates new opportunities for connection with others, getting the help you deserve, and beginning the journey to understanding yourself.”

adult eating disorder help

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It’s not your fault

“I also think that people need to understand that having an eating disorder is not entirely their fault and a lot of responsibility lies within systems, structures, and situations that made them feel that they weren’t good enough just as they are,” says Dr. Ebony. “Taking full responsibility off of the individual and placing it where it belongs helps people to feel more validated and understood, which also reduces the shame and guilt that comes with eating disorders.”