Q&A: Eating disorders

Eating disorders can develop for various reasons. It might happen if you’re:

• Feeling stressed (e.g. about exams or COVID-19)
• Worried about how your body looks
• Concerned about putting on weight
• Being bullied, criticised or put under pressure
• Experiencing low self-esteem
• Going through hormonal changes
• Training for a particular sport
• Having difficulties with your family, friends or other relationships

You can find further information on the Beat website.

There isn’t an eating disorder checklist as everyone is different but you might find that you’re:

• Thinking about food all the time
• Eating less or more than normal
• Exercising a lot
• Losing or putting on weight quickly
• Checking the calorie or fat content of food
• Making yourself sick
• Taking laxatives
• Feeling cold and tired
• Weighing yourself often
• Experiencing irregular periods

For further information, visit the Beat website.

There are various types of eating disorders, including:

• Anorexia Nervosa (restricting how much food you eat)
• Binge Eating Disorder (regularly eating large portions of food)
• Bulimia (binging on food followed by vomiting, fasting and other ways of purging)
• Orthorexia (having an unhealthy obsession with eating “clean”)
• Avoidant/Restrictive Food Intake Disorder (ARFID)
• Other Specified Feeding or Eating Disorder (OSFED)
• Diabulimia (when a person with diabetes purposefully restricts insulin to lose weight)

You can find more details on the Beat website.

It can be more difficult to recover from an eating disorder on your own so don’t be afraid to ask for help. We recommend that you do the following:

• Tell someone you trust: Perhaps you could start by talking to a friend or a sibling? Explain to them what’s happening, how long it’s been going on and how it makes you feel. If you’d prefer to speak to a trained advisor, there are free and confidential helplines available, such as Beat’s Youthline (0808 801 0711) and YoungMinds Crisis Messenger (text YM to 85258).
• Get support from others: Find a group – either online or face-to-face – where you can chat to people with eating disorders and others who have recovered from them. You don’t have to deal with this on your own. Beat’s support services include chat rooms (one-to-one or in a group) and message boards.
• Talk to your GP: This might seem like a big step but your GP will help you to determine exactly what’s going on and can transfer you to a specialist eating disorder service for treatment. If you’re nervous about going on your own, take a friend or relative with you. If you, or someone else, is in crisis, call 999. For urgent, non-emergency medical advice, call NHS 111.

The Beat website contains detailed advice about recovery. You’ll find information about diabulimia on the Diabetes UK website.

If you’re worried that a friend or a loved one might be developing an eating disorder, the warning signs include:

• Avoiding eating with other people
• Being secretive about food
• Going to the bathroom a lot after eating
• Exercising obsessively
• Eating very slowly
• Hiding their body in baggy clothes
• Going on strict diets and/or taking diet pills

Visit the Beat website for information about how to support someone.

The eating disorder charity Beat has some useful tips to help you find the right words. They include the following reassuring phrases:

• “I know it’s difficult, but I’m proud of you.”
• “I might not understand, but if you need someone to talk to, I will help as much as I can.”
• “How are you?”
• “You’re worth more than your eating disorder.”
• “I believe in you.”

As London’s digital mental wellbeing service, Good Thinking provides apps, advice and other resources to help you manage your mental health. This includes:

• Clear Fear app
• COVID-19: How to manage eating disorders
• COVID-19: Q&A: Counselling and other support
• COVID-19: How to face uncertain times and focus on the positives
• Feeling Good Teens app
• Five ways to good mental wellbeing
• Move Mood app
• Self-assessment (anxiety, sleep, low mood, stress) – available if you’re aged 16+
• Student Health App
• Supporting those with eating disorders (podcast with Beat)

You’re not alone. Please check out the websites below or call one of the helplines if you need support for an eating disorder.

• Beat (0808 801 0711)
• Anorexia & Bulimia Care (03000 11 12 13)
• Diabetes UK
• NHS
• MyMindTV
• Shout (text SHOUT to 85258)
• The Mix (0808 808 4994)
• YoungMinds (text YM to 85258)