There is rarely a simple cause-and-effect relationship when understanding the development of an eating disorder.

Eating disorders are a consequence of a complex interaction of factors. Because of this complexity, eating disorders need to be tackled on a variety of levels. We need to address internal struggles causing the disorder and at the same time you will need new coping skills to replace the function of the eating disorder. It is essential that current relationships are mended and new, supportive relationships are forged.  Treatment recommendations may include: individual, family or couples therapy as well as consultations with a physician, registered dietitian and psychiatrist.

It's not about the food.

Eating disorders, contrary to common belief, are more about managing stress, feelings and self-esteem than about food or weight.  The eating disorder provides a false sense of control.  It seems “simpler” to shift focus from one’s feelings, which can feel overwhelming,  towards the pursuit of managing food intake and body weight.

For example, imagine that you have been told all of your life that you are” too sensitive” and should be able to “shrug it off”.  The expectation, in those relationships, is that you always appear “put together” so do “not make waves”.  It implies that expressing emotion is somehow a bad thing, instead of a positive aspect of your personality and an effective way to communicate.  The fear of dissappointing others become intolerable.

When the eating disorder enters your life, all of your focus goes to maintaining it. The eating disorder provides the appearance of calm, which is really numbness as a result of bingeing, purging or restricting. These eating disorder behaviors cause you to become more isolated, irritable and anxious. It does not resolve the issues, but actually exacerbates them. The eating disorder produces more complications because the emotional, relational and physical consequences of an eating disorder are so dire. The therapeutic relationship is an opportunity to identify the internal struggles underlying the eating disorder, and explore how these struggles impact relationships and livelihood.  Together we will provide the support you need to find new, healthier ways of coping.