Therapy for Eating Disorders
Eating disorders can involve complex struggles with food, body image, emotions, control, and self-worth. They may develop as a way of managing distress, anxiety, trauma, relational conflict, or overwhelming internal experiences. Over time, these patterns can affect one’s physical health, emotional well-being, relationships, and sense of self.
-
Anorexia nervosa involves a persistent restriction of food intake, which can be connected to intense fear of weight gain, body image concerns, perfectionism, or a need for control. It can significantly affect physical health, emotional well-being, and one’s relationship with food, the body, and the self.
Symptoms:
Restrictive eating patterns
Intense fear of weight gain
Distorted body image
Preoccupation with food, weight, or body size
Perfectionism or rigid thinking
Social withdrawal or secrecy around eating
Physical health changes related to inadequate nutrition
-
Bulimia nervosa involves recurring cycles of binge eating followed by compensatory behaviours, often accompanied by shame, secrecy, and distress. These patterns may develop as a way of managing difficult emotions, self-criticism, or feelings of being out of control.
Symptoms:
Episodes of binge eating
Feeling a loss of control around food
Compensatory behaviours after eating
Shame, guilt, or distress after eating
Preoccupation with body image or weight
Secrecy around eating patterns
Mood changes, anxiety, or low self-esteem
-
Binge eating disorder involves recurring episodes of eating large amounts of food while feeling a loss of control. It is often associated with emotional distress, shame, and difficulty regulating painful feelings through non-food-related coping strategies.
Symptoms:
Recurring episodes of binge eating
Feeling unable to stop eating during episodes
Eating in response to stress, sadness, or anxiety
Shame, guilt, or embarrassment after eating
Eating alone or in secrecy
Distress about eating patterns
Difficulty regulating emotions
-
Avoidant/Restrictive Food Intake Disorder, or ARFID, involves avoiding or limiting food intake in ways that affect health, functioning, or daily life. Unlike some other eating disorders, ARFID is not usually driven by body image concerns, but may be connected to sensory sensitivities, fear-based avoidance, or low interest in eating.
Symptoms:
Avoidance of certain foods or food groups
Sensitivity to taste, texture, smell, or appearance of food
Fear of choking, vomiting, or feeling unwell after eating
Low interest in food or eating
Difficulty eating in social settings
Nutritional concerns or limited food variety
Anxiety around meals
-
Other Specified Feeding or Eating Disorder, or OSFED, refers to eating disorder symptoms that cause significant distress or impairment but do not fit neatly into one specific diagnosis. OSFED can still be serious and may involve patterns seen in anorexia nervosa, bulimia nervosa, binge eating disorder, or other eating-related difficulties.
Symptoms:
Distress around eating, food, or body image
Restrictive eating patterns
Episodes of binge eating
Compensatory behaviours
Preoccupation with weight, shape, or appearance
Shame or secrecy around eating
Emotional distress related to food or the body

