The truth about eating disorders

Food is fuel for our minds and bodies, but for many of us the relationship is much more complex
The truth about eating disorders
March 10, 2017   |    Amy Mabin

41_Concious eating Amy Mabin
How would you define your relationship with food– healthy, complicated or divorced? Although for some people, eating is a fairly routine part of any given day, for many others, thinking about food takes up considerable time and energy and can lead to debilitating physical and mental health issues.

Eating disorders may be classified as a psychological disorder but it’s also safe to say that we might all be well within the spectrum of disordered eating.

There are over 500 million posts on Instagram tagged with food related hashtags – and with the birth of social media, came the sharp rise of voyeurism, comparison and obsession with what everyone is eating.

Brits spend, on average, 38,003 hours of their lives eating, and the average woman spends up to 17 years of her life dieting or trying to lose weight. It’s no wonder we’re so obsessed with food.

My own journey with food has been complex and I’ve had personal experience of various eating disorders over the years.

Despite popular belief that eating disorders are primarily a female problem, they do not discriminate on the basis of gender. Of the 725,000 people currently diagnosed in the UK with eating disorders, 15-20% are male. In 2012, the dieting industry in Britain was valued at £2billion, yet we’re clearly still buying into it. The wellbeing industry, despite its positive influence and emphasis on transformation through mindful, healthier eating does have a dark side.

Orthorexia nervosa, a term coined in 1997 by Dr Stephen Bratman is used to describe ‘a pathological fixation on eating proper food’, or, in other words, an unhealthy obsession with eating healthy food. The behaviour may not be as easily identifiable as anorexia or bulimia but can be just as damaging, and even fatal if not treated. Although outcomes may be similar for orthorexics and anorexics, Dr Bratman distinguished that the difference lies in the motivation behind the behaviour: while an anorexic primarily wants to lose weight, an orthorexic primarily wants to feel ‘pure’.

So how are we to know when an interest in healthy food is becoming obsessive?

Founder of Sweet Enough, psychotherapist, addictions and eating disorder specialist, Lou Lebentz, believes that when the focus is solely on our external environment (what we look like), as opposed to our internal environment (what we feel like, and the health of our organs), we could be engaged in a disordered relationship with eating.


‘Very few people consider the effect of food on their mood and energy levels,’ says Lou. ‘We sadly live in a culture that is obsessed with the shape of our bodies and attaches happiness and attractiveness to how thin or fat we are. The issue with “clean eating” is that there’s an assumption that the alternative might be dirty. And that therefore eating dirty food makes us
dirty, or in other words “not good enough”.

‘The truth of the matter is, many of us have a warped view of what a healthy body actually is. What we look like on the outside has very little to do with it. You can be thin on the outside and fat on the inside and be metabolically obese, which is even more dangerous for your health and your body.’

As for me, I spent most of my teenage years and twenties not knowing how to eat. The only relationship I had with food and my body was based on fear. Fear of not being thin enough. Fear of fat. Fear of being out of control. It was only through taking up yoga a few years ago that I finally gained deeper clarity around this physical, mental and emotional disease that had crippled me for most of my adult life.

I spent years in 12-step fellowships, confronting trauma and other addictive behaviours I’d used to numb feelings, in the form of substance abuse, anorexia, bulimia and orthorexia. While anorexia was mainly about attempting to maintain an illusion of control, bulimia was a cunning beast, with its power to plummet my psyche deep into shame cycles. Binge to mask a feeling of emptiness, followed by guilt, which led to purge, intermittent relief and so the cycle continued.

Working the 12 steps around my eating disorders helped me establish a healthier relationship with food, through following an eating plan that gave me the foundation to go deeper into the root of the problem.

My experience of breaking out of the self-shaming cycle was learning to forgive myself when I ‘messed up’. There is no greater power than for a bulimic to respond to a binge with accountability in the form of self forgiveness, as opposed to victimisation. Resisting the urge to react to a day of ‘imperfect eating’ as fuel for continued destructive eating, is a great act of self-love.

The same formula can be applied to binge drinking, or any addictive behaviour. Get drunk, behave badly. Feel humiliated. Do it again. When we engage in the guilt-shame cycle, we are giving ourselves permission to do it again.

My shame was often aggravated by feelings of isolation in thinking I was the only one caught in this mental prison. Yet, a report commissioned by charity Beat ( in 2015, estimated that 40% of those suffering from an eating disorder struggled with bulimia.



English cricketer Freddie Flintoff, who battled with bulimia, shared in an interview in 2015 about how he felt he couldn’t tell anyone about his struggle because he was in the public eye, and the world of professional sport. ‘You almost want to come across as being bullet-proof, and that was part of my make-up,’ he said. It was through being honest with a loved one that he began his path to recovery.

According to the National Eating Disorders Association, although studies have shown an increase in diagnoses among men, it is uncertain whether this is simply due to an increase in awareness of the gender-neutral nature of eating disorders.

Finding harmony in my own personal relationship with food has been about knowing the difference between emotional hunger and physical hunger. Emotional eating is a response to emotions – whatever they may be – and not actual hunger.

When I overeat, it’s because I’m confronted with an overwhelming feeling, or because I’m not eating mindfully. The aim isn’t to eliminate the feeling but rather to be present with it. When you try and numb a feeling, you only exacerbate it.

The sweet spot lies in the balance between understanding when your mind is trying to numb something and when your body is trying to tell you something.

MIND, the mental health charity, states that anorexia is connected to low
self-esteem and feelings of intense distress

Orthorexia is now a recognised medical condition and described as an obsession with healthy foods

Examples of disordered eating include taking diet pills or laxatives, skipping meals
and self-imposed fasting

With the obesity epidemic, we should focus on healthy eating, but in moderation



1.Be aware
Evaluate when you react to emotional hunger and explore ways in which you can feel and observe that feeling as opposed to numbing it. Write, talk to someone, or just experience the moment. When you have heightened awareness, you will naturally be able to tune
in your intuition.

2.Know your trigger foods
What foods do you use to numb feelings? Are you able to find balance with this food and,
if not, perhaps it’s worth abstaining for a while?

3.Eating on the go
Try to sit down, even when you’re eating on the move. Chew every mouthful at least
30 times before swallowing.

4.Be prepared
Plan your snacks and keep a bag of nuts or seeds and fruit.

5.Get physical
This will bring you in touch with your body and make you more aware of what you’re putting into it.

Read more: Why your small intestine is more than just a 20ft long tube

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