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This article discusses topics related to mental health and coping mechanisms, including body image disturbances and eating disorders, which may be distressing to some readers. Please prioritize your wellbeing and engage with this material at your discretion. If you or someone you know is in crisis or experiencing thoughts of self-harm and/or suicide, please seek help from a trusted professional or contact local support services.

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Supporting someone with an Eating Disorder

This content was developed in collaboration with , who contributed their expertise through peer review and specialized input to ensure comprehensive, accurate information.

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How to identify whether someone you know is experiencing eating disorders?

Below are some signs of eating disorders that we should be aware of.

A friend or family member who is struggling with disordered eating may…

  • Express weight or body shape concerns 
  • Appear to have rapidly lost weight or appear to have frequent weight changes
  • Show signs of damage due to vomiting (e.g., swelling around the cheeks or jaw, calluses on knuckles, damage to teeth, bad breath)
  • Talk excessively about food and relating it to dieting
  • Exercise more or increase physical activity without increasing caloric intake. 
    This could be accompanied by signs of anxiety or becoming upset when they cannot exercise.
  • Become very upset when they are not able to control a situation related to food (e.g., change in dinner plans or restaurant isn’t serving the food they planned to order)
  • Show odd behaviours during or after meals
    • Make regular excuses to use the bathroom following a meal
    • Refuses to eat in the presence of others
    • Has strange rituals with food (e.g., eating food very slowly or in a specific order, cutting food into tiny pieces)
  • Demonstrate secretive behaviour relating to food (e.g., claiming to have eaten when they haven’t, hiding food in their room)
  • Suddenly change their clothing style (e.g., wearing baggy clothes)
  • Seem more depressed, anxious, irritable or tired than usual

What you could do to support someone with an eating disorder 

Many people are overwhelmed by the thought of supporting others with eating disorders. Below are some tips for this and what to do and to avoid when supporting someone with eating disorders.

Do Don't
Encourage them to seek professional help.

They may feel embarrassed or find this process difficult, but gently reassure them that seeking professional help is the most effective way to overcome eating disorders. If they decide to meet a specialist, you may offer to accompany them to their first appointment. Simply being there and encouraging their healthy decisions along the treatment and recovery journey is a strong form of support.
Be critical of their appearance

As someone with an eating disorder already has quite low self-esteem, critiquing their body shape or weight won’t help at all. Using insults (e.g., “You look so ill and sick”) to try to influence them to feel differently about their eating behaviours will not work and may even worsen the problem.
Show compassion and non-judgmentally listen to them

Someone with an eating disorder is likely experiencing a lot of emotional pain and self-loathing. This is why telling them that you care about them and that you’re there to help is already an effective way to show your support. Allow them to have the time and space to talk about how they’re feeling and what’s going on for them.
Force them to eat differently

This may actually make them withdraw more as they may feel cornered or trapped in a situation they intensely dread.
Reiterate that eating disorders can be treated successfully

It is important to ensure they know that an eating disorder isn’t a life sentence. A wide range of treatment options are available to help them recover. While recovery may not be easy, it is definitely possible.
Make them feel guilty about how their behaviour is affecting other people

Someone with an eating disorder is probably already feeling guilty, so doing this would likely make them withdraw and feel worse. Instead of using statements like “You are making everyone feel worried about you”, use ‘I’ statements like “I’m worried about you”.
Become informed

Do a little research into the help available in your area that may be useful for your friend or family member who’s struggling with an eating disorder. This way, if they decide to seek help, you’ll be ready to give them some suggestions about who and where to go to.
Avoid them

It is possible that they express not wanting help when you bring up the topic to them, but avoiding them should not be your response to this. Avoiding them will likely make them feel isolated, and when they’re ready to seek help, they may not feel comfortable about approaching you for support.

Remember to  practice self-care and set boundaries

While it's important to offer support to someone struggling with an eating disorder, it's equally essential to look after your own well-being. Supporting a friend or family member through this can be emotionally demanding. Talking to someone you trust about your feelings can be therapeutic, as it allows you to process the emotions and thoughts that arise without bottling them up.

It is important to set clear and healthy boundaries, as you cannot be available for someone every moment of every day. It's important to identify what you're comfortable with and what you're not willing to do, such as deciding whether or not you're willing to accompany them to appointments. Establishing these boundaries ensures that you can offer your best support while also taking care of your own needs, and it helps to reduce any confusion or uncertainty the person you're supporting may have about the limits of your help.

ReachOut. (2021). How to help a friend with an eating disorder. https://au.reachout.com/articles/how-to-help-a-friend-with-an-eating-disorder 

ReachOut. (2021). What to do when someone doesn’t want help. https://au.reachout.com/articles/what-to-do-when-someone-doesnt-want-help 

Kay, J. (2018, February 21). 7 Signs Your Friend or Loved One Might Be Struggling With an Eating Disorder. National Eating Disorders Association. https://www.nationaleatingdisorders.org/blog/7-signs-your-friend-or-loved-one-might-be-struggling-eating-disorder 

Understanding the warning signs. (n.d.). National Eating Disorders Collaboration. https://nedc.com.au/support-and-services-2/supporting-someone/understanding-the-warning-signs/