Coaching for disordered eating

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Yo-yo dieting and a preoccupation with food are nothing new in our culture. But when does a focus on food, calories and weight become a health concern?

Disordered Eating

Disordered eating is used to describe a range of irregular eating behaviours that may or may not warrant a diagnosis of a specific eating disorder.

Eating disorders, such as anorexia nervosa, or AN, or bulimia nervosa, or BN, are diagnosed according to specific and narrow criteria. This excludes a majority of people suffering with disordered eating.

Many individuals with disordered eating symptoms are diagnosed with Other Specified Feeding and Eating Disorders, or OSFED. However, similar to AN or BN, OSFED has specific criteria that must be met in order for the patient to receive this diagnosis, and that criteria also is narrowing.

Disordered Eating vs. Eating Disorder

The most significant difference between an eating disorder and disordered eating is whether or not a person's symptoms and experiences align with the criteria defined by the American Psychiatric Association. The term "disordered eating" is a descriptive phrase, not a diagnosis. Thus, while many people who have disordered eating patterns may fit the criteria for OSFED, it also is possible to have disordered eating patterns that do not fit within the current confines of an eating disorder diagnosis.

Still, eating concerns falling short of a diagnosis deserve attention and treatment as they may turn into more problematic eating disorders and put individuals at risk of serious health problems.

Symptoms of Disordered Eating

Signs and symptoms of disordered eating may include, but are not limited to:

  • Frequent dieting, anxiety associated with specific foods or meal skipping 

  • Chronic weight fluctuations

  • Rigid rituals and routines surrounding food and exercise

  • Feelings of guilt and shame associated with eating

  • Preoccupation with food, weight and body image that negatively impacts quality of life

  • A feeling of loss of control around food, including compulsive eating habits

  • Using exercise, food restriction, fasting or purging to "make up for bad foods" consumed

Harm Caused by Disordered Eating

If it's not an eating disorder, do I really need help?

 

Many people with disordered eating  either minimize or do not fully realize the impact it has on their mental and physical health. This lack of understanding may unnecessarily exacerbate the harm of disordered eating. Detrimental consequences can include a greater risk of obesity and eating disorders, bone loss, gastrointestinal disturbances, electrolyte and fluid imbalances, low heart rate and blood pressure, increased anxiety, depression and social isolation.

Disordered eating is a serious health concern that may be difficult to detect since a person with disordered eating patterns may not display all of the classic symptoms typically identified with eating disorders. It's important to remember that even a person exhibiting disordered eating habits and behaviours also may be experiencing significant physical, emotional and mental stress.

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