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Recognising and Addressing Disordered Eating in Adults and Young People

Disordered eating is a complex issue that can affect people of all ages, including adults. It often involves unhealthy relationships with food, body image, and weight. Understanding the signs and underlying factors can be a helpful first step.


Recognising the Signs of Disordered Eating


Disordered eating can manifest in various ways. Here are some common signs to look for:


  • Extreme fluctuations in weight: Rapid weight loss or gain can be a sign of disordered eating.

  • Obsession with food or calories: Constantly thinking about food, counting calories, or restricting certain foods can be indicative of disordered eating.

  • Unhealthy eating habits: Skipping meals, binge eating, or purging after eating are common behaviors associated with disordered eating.

  • Negative body image: Having a distorted or negative view of one's body can be a contributing factor to disordered eating.

  • Social isolation: People with disordered eating may withdraw from social activities or avoid situations involving food.



Disordered eating often stems from a complex interplay of psychological, environmental, and biological factors. Some psychotherapeutic perspectives offer valuable insights into why disordered eating develops:


Cognitive-Behavioral Therapy (CBT)


CBT suggests that disordered eating can be influenced by negative thoughts and beliefs about food, body image, and self-worth. These distorted thoughts can lead to unhealthy behaviors. For example, a person with anorexia nervosa may believe that they are overweight and unattractive, even when their body is underweight. This belief can lead to restrictive eating and excessive exercise.


Examples of negative thoughts:

  • "I'm a failure if I eat anything."

  • "I must be thin to be loved."

  • "I'm not good enough unless I'm perfect."



Psychodynamic Theory


This perspective emphasises the role of unconscious conflicts and past experiences in shaping eating behaviors. Disordered eating may serve as a way to cope with underlying emotional issues. For instance, a person with bulimia nervosa may use binge eating and purging as a way to numb emotional pain or express anger.


Examples of underlying emotional issues:

  • Trauma

  • Anxiety

  • Depression

  • Low self-esteem



Developing self-understanding and compassion can be crucial in overcoming disordered eating. Here are some strategies to consider:


Mindfulness:

  • Body scan meditation: Pay attention to your body sensations without judgment. Notice any areas of tension, pain, or discomfort.

  • Mindful eating: Focus on the taste, texture, and aroma of your food. Eat slowly and savor each bite.

  • Observing thoughts and feelings: Notice your thoughts and feelings without getting caught up in them. Simply observe them as they arise and pass.


Self-compassion:

  • Kindness letter: Write a letter to yourself expressing compassion and understanding. Acknowledge your struggles and offer words of encouragement.

  • Self-soothing techniques: Practice self-soothing techniques, such as taking a warm bath, listening to calming music, or spending time in nature.

  • Challenging negative thoughts: Identify and challenge negative thoughts about yourself and your body. Replace them with more positive and compassionate beliefs.


Additional strategies:

  • Journaling: Express your thoughts, feelings, and experiences related to food and body image in a journal. This can help you gain insights into your patterns and beliefs.

  • Creative expression: Explore creative outlets, such as painting, writing, or dancing. These activities can help you process emotions and develop a positive self-image.

  • Support groups: Connect with others who have experienced disordered eating. Sharing your experiences and receiving support from others can be incredibly helpful.


Remember, building self-understanding and compassion is a process that takes time and effort. Be patient with yourself and celebrate your progress, no matter how small.

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