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Understanding and Addressing Disordered Eating: A Parent’s Guide

Written by Evolve's Behavioral Health Content Team​:

Alyson Orcena, LMFT, Melissa Vallas, MD, Shikha Verma, MD, Ellen Bloch, LCSW, Lianne Tendler, LMFT, Megan Johnston, LMFT

Meet The Team >

As parents, witnessing our children navigate their teenage years can be both rewarding and daunting. One of the critical areas that require our attention is their relationship with food and body image. Disordered eating in teens is a huge issue, and it is crucial for parents to understand, recognize, and address it effectively. At Evolve Treatment Center, we’re committed to providing support and guidance to families dealing with this complex issue. This guide aims to empower parents with knowledge, tools, and resources to help their teens cultivate a healthy relationship with food and their bodies. If you want to understand how to help someone with an eating disorder, read on. 

Understanding Disordered Eating in Teens 

Disordered eating encompasses a range of irregular eating behaviors that may or may not warrant a diagnosis of a formal eating disorder. In teenagers, these behaviors can manifest in various ways, from restrictive dieting and excessive exercise to binge eating. Teens are in a critical stage of development, and how they perceive and relate to their bodies can significantly impact their mental and physical health.

Recognizing Signs and Symptoms of Disordered Eating in Teenagers

Parents should be aware of the common signs and symptoms of disordered eating to provide the appropriate support. Some of these signs may include:

  • Preoccupation with weight, body size, and shape
  • Extreme focus on food, dieting, or clean eating
  • Avoidance of certain foods or food groups
  • Frequent checking in the mirror and critical comments about their own body
  • Changes in eating patterns, such as skipping meals or eating in secrecy
  • Excessive exercise, regardless of weather, fatigue, illness, or injury
  • Withdrawal from friends, family, and activities
  • Noticeable fluctuations in weight

Common Causes and Triggers of Disordered Eating in Teens

Many parents ask us how disordered eating starts. The answer is complex. Various biological, psychological, and social factors contribute to disordered eating patterns in teenagers, but some common triggers include:

  • Body image dissatisfaction
  • Low self-esteem
  • Traumatic events
  • Peer pressure and societal expectations
  • Family dynamics and parental attitudes toward food and body image
  • Exposure to media portraying idealized body types
  • Personal traits such as perfectionism and impulsivity
  • Mental health conditions like anxiety and depression

Types of Disordered Eating in Teens 

Eating disorders can take many forms. Some common types of eating disorders include:

Anorexia Nervosa: Anorexia nervosa symptoms are characterized by self-starvation, an intense fear of gaining weight, and a distorted body image.

Bulimia Nervosa: Involves cycles of binge eating followed by purging behaviors like vomiting or excessive exercise.

Binge-Eating Disorder (BED): Similar to bulimia but without compensatory behaviors.

Avoidant/Restrictive Food Intake Disorder (ARFID): Limited food preferences and avoidance of certain textures or smells.

Orthorexia Nervosa: Obsession with eating foods deemed healthy and avoiding those considered unhealthy.

Body Dysmorphic Disorder (BDD): Obsessive focus on perceived flaws in physical appearance.

Other Specified Feeding or Eating Disorder (OSFED): Disordered eating that doesn’t fit the criteria for other eating disorders.

Pica: Eating items that are not food.

The Role of Peer Pressure in Disordered Eating 

Many studies on social media and disordered eating in teens have revealed that viewing filtered images of seemingly “perfect” bodies can have a harmful impact on a teen’s body image. This form of teen peer pressure can significantly influence a teenager’s attitude towards food and body image. The desire to fit in and conform to perceived standards of beauty can lead to the adoption of unhealthy eating habits. Read more about how social media affects mental health.

Distinguishing Between Disordered Eating and Eating Disorders

While disordered eating encompasses a range of unhealthy eating behaviors, an eating disorder is a severe mental health condition that requires clinical diagnosis and treatment. The key differences lie in the severity, duration, and consistency of the behaviors, as well as the impact on a person’s overall well-being. An eating disorder in teens can be especially harmful, since they are in their formative years. Understanding the distinction between the two is crucial for providing appropriate support.

Impact of Disordered Eating on Teens and Those Around Them 

While disordered eating may present as normal teenage insecurity, it can have a major impact on the life of a teen. In the long-term, it can lead to severe physical and emotional consequences, affecting not only the teenager but also their family and friends. It can strain relationships, disrupt normal daily functioning, and contribute to long-term health issues.

Building Healthier Eating Habits

Parents can play a crucial role in helping their teenagers develop healthy eating habits. Here are several strategies and tips that can be effective:

1. Lead by Example:

Model Healthy Eating: Practice healthy eating habits yourself. Children are more likely to adopt healthy habits if they see their parents doing the same.

Eat Balanced Meals: Include a variety of food groups in your meals, emphasizing fruits, vegetables, whole grains, and lean proteins.

2. Involve Them in Planning and Cooking:

Cook Together: Encourage your teenager to cook with you. This not only teaches them valuable skills but also gives you an opportunity to discuss healthy food choices.

Plan Meals Together: Involve them in meal planning and grocery shopping. Discuss the nutritional value of different foods and how to make balanced choices.

3. Educate About Nutrition:

Discuss Nutrition: Talk about the importance of a balanced diet and how it affects their growth, mood, and energy levels.

Beware of Diet Culture: Be mindful of the impact of diet culture and help them understand that fad diets are not a sustainable or healthy approach to eating.

4. Encourage Regular Meals and Snacks:

Promote Regular Eating: Encourage them to eat regular meals and snacks, and to listen to their body’s hunger and fullness cues.

Avoid Skipping Meals: Skipping meals can lead to overeating later on. Make sure they understand the importance of eating breakfast and other meals throughout the day.

5. Be Supportive:

Avoid Negative Comments: Avoid making negative comments about their body or food choices. Focus on the positive aspects of healthy eating.

Be Patient: Understand that creating new habits takes time. Be patient and supportive as they learn to adopt healthier eating habits.

6. Create a Positive Eating Environment:

Encourage Family Meals: Eat together as a family whenever possible. This not only provides a chance to model healthy eating but also strengthens family bonds.

Minimize Distractions: Encourage eating without distractions like TV or smartphones. This helps promote mindful eating.

7. Help Manage Stress:

Teach Stress Management: Since eating habits can be influenced by stress, teach your teenager healthy ways to cope with stress.

Be Available: Make sure they know that you are available to talk if they are feeling stressed or overwhelmed.

8. Foster a Positive Body Image:

Promote Body Positivity: Encourage a positive body image and emphasize that health is more important than appearance.

Avoid Focus on Weight: Avoid focusing on weight. Instead, focus on the health benefits of eating well and being active.

9. Encourage Physical Activity:

Promote Activity: Encourage regular physical activity for its health benefits, not as a means to lose weight.

Find Enjoyable Activities: Help them find physical activities they enjoy.

10. Be Aware of Warning Signs:

Know the Signs: Be aware of the signs of disordered eating and eating disorders, and seek professional help if necessary.

Supporting a Teen Who Refuses Help

Addressing disordered eating in a teen who refuses help can be challenging. It is important to remain supportive, open, and non-judgmental, ensuring that they know help is available when they are ready to receive it. If you’re still having trouble getting through to them, we have more resources for parents to help you navigate this crucial time in your teen’s life. 

Addressing the Stigma Surrounding Disordered Eating

Overcoming the stigma surrounding disordered eating requires education, awareness, and open dialogue. Encouraging a culture of acceptance and understanding can help break down barriers and foster support. 

Creating a Supportive Environment for Your Teen 

A supportive home environment is crucial for a teenager struggling with disordered eating. Providing a safe and non-judgmental space for them to express their feelings can make a significant difference in their recovery journey.

Finding Communication and Open Dialogue With Your Teen

Talking to your teen about their disordered eating can be delicate. Approach the conversation with empathy, understanding, and a willingness to listen, ensuring they feel heard and supported.

Strategies for Managing Disordered Eating in Teenagers 

Managing disordered eating in teenagers requires a comprehensive and sensitive approach, involving both professional support and home-based strategies.

1. Seek Professional Help:

Consult Healthcare Professionals: Engage with doctors, dietitians, and therapists who specialize in eating disorders and disordered eating.

Consider Family Therapy: Family-based therapy has been shown to be effective for treating eating disorders in teenagers.

2. Open Communication:

Encourage Open Dialogue: Foster an environment where your teenager feels safe discussing their feelings and struggles with food.

Listen Without Judgment: Be a supportive listener, and avoid making judgmental or critical comments.

3. Educate About Healthy Eating:

Promote Balanced Nutrition: Educate your teenager on the importance of a balanced diet and the role of different nutrients in their body.

Challenge Diet Culture: Help them understand the potential harm of diet culture and the importance of a positive relationship with food.

4. Establish Regular Eating Patterns:

Encourage Consistent Meal Times: Promote regular meals and snacks to help stabilize eating patterns.

Be Mindful of Portion Sizes: Encourage them to be mindful of portion sizes and to listen to their hunger and fullness cues.

5. Foster a Positive Body Image:

Promote Body Positivity: Encourage a positive view of their body, emphasizing its strengths and capabilities rather than focusing on appearance.

Challenge Societal Norms: Help them question and challenge societal norms related to body image.

6. Support Emotional Well-Being:

Promote Stress Management: Teach and encourage healthy coping mechanisms for managing stress.

Monitor for Signs of Depression or Anxiety: Be vigilant for signs of mental health issues and seek professional help if necessary.

7. Create a Supportive Home Environment:

Model Healthy Behavior: Lead by example with your own eating habits and attitudes toward food and body image.

Minimize Focus on Weight: Avoid making comments about weight, and instead focus on health and well-being.

8. Be Patient and Understanding:

Recognize That Change Takes Time: Understand that changing disordered eating patterns is a process that requires time and patience.

Provide Unconditional Support: Offer unwavering support, and reassure them that you are there for them no matter what.

9. Monitor Progress and Adjust Strategies:

Keep Track of Behaviors: Monitor eating patterns and behaviors, and adjust strategies as needed.

Maintain Regular Follow-Up: Keep regular follow-up appointments with healthcare professionals to monitor progress and make necessary adjustments to the treatment plan.

Seeking Professional Help for Teenage Disordered Eating 

When disordered eating behaviors become severe, it may be time to seek disordered eating treatment for teens. Evolve Treatment Center is the premier treatment center for teens, specializing in eating disorders in adolescents. There are many benefits of sending your teen to residential rehab, so reach out to us to learn more. 

Get the Support You and Your Teen Need 

If you are concerned about your teen’s relationship with food, Evolve Treatment Center is here to help. Our experienced team of professionals is dedicated to providing the support, care, and resources necessary to help your teen overcome disordered eating and embrace a healthier future. Learn more about our treatment options and how we can assist your family on this journey to recovery.

Frequently Asked Questions About Disordered Eating in Teens  

Are disordered eating behaviors common in teens?

Yes, disordered eating behaviors are relatively common in teens, affecting both males and females.

How can I differentiate between disordered eating and normal eating habits in my teens?

What does an eating disorder look like? Disordered eating typically involves obsessive thoughts about food and weight, extreme dieting, and unhealthy eating patterns, whereas normal eating habits include a balanced diet without excessive worry.

What are the health risks associated with disordered eating in adolescents?

Disordered eating can lead to severe physical and mental health issues, including nutritional deficiencies, growth and developmental problems, heart issues, and increased risk of eating disorders and mental health conditions.

When should I be concerned about my teen’s eating habits?

If you notice changes in eating patterns, obsessive thoughts about food and weight, or extreme dieting, it may be time to express your concerns and seek professional help.

How can I talk to my teen about their disordered eating?

Approach the conversation with empathy, concern, and a non-judgmental attitude, ensuring they feel supported and understood.

What role does peer pressure play in disordered eating among teens?

Teen peer pressure can significantly influence a teen’s eating habits and body image, particularly if they feel pressured to conform to societal or peer standards of beauty.

Are there any genetic factors linked to disordered eating in adolescents?

Yes, genetic factors can play a role in the development of disordered eating behaviors, though environmental and psychological factors are also significant contributors.

What are some emotional factors contributing to disordered eating in teens?

Emotional factors such as low self-esteem, perfectionism, anxiety, and depression can significantly contribute to disordered eating in teens. Feelings of inadequacy or lack of control in other areas of life might also manifest through their eating behaviors.

What are some common eating disorders in teenagers?

Common eating disorders in teenagers include Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder, Avoidant/Restrictive Food Intake Disorder, and Other Specified Feeding or Eating Disorders. Each of these disorders has distinct symptoms but can significantly impact a teen’s health and wellbeing.

What is the connection between disordered eating and body image issues in teens?

Disordered eating often stems from a distorted body image, where teens perceive their bodies differently than they are. This can lead to an obsessive focus on weight, size, and shape, and result in engaging in harmful eating behaviors to alter their appearance.

Can disordered eating affect my teen’s growth and development?

Yes, disordered eating can severely impact a teenager’s growth and development. Adolescence is a crucial time for physical and mental development, and inadequate nutrition can lead to stunted growth, delayed puberty, bone density issues, and other long-term health complications.

How can I promote a healthy body image in my teenager?

Wondering how to help your teen with an eating disorder? Promoting a healthy body image in your teenager involves encouraging positive self-talk, modeling healthy behaviors and attitudes towards food and body, providing education about the diversity of body shapes and sizes, and addressing and challenging societal beauty standards.

What role does social media play in disordered eating among adolescents?

Social media and disordered eating in teens are closely linked, with constant exposure to idealized body types and beauty standards contributing to body dissatisfaction and the adoption of unhealthy eating behaviors.

Are there support groups for parents of teens with disordered eating?

Yes, there are support groups available for parents of teens struggling with disordered eating. These groups provide a space for parents to share their experiences, gain insights, and receive support from others going through similar situations.

What are some strategies for preventing disordered eating in adolescents?

Preventing disordered eating in adolescents involves fostering a positive body image, promoting healthy eating habits, providing education about the dangers of dieting and disordered eating, and maintaining open communication about body image and self-esteem.

Can sports or extracurricular activities influence disordered eating in teens?

Yes, sports or extracurricular activities, particularly those that emphasize a certain body type or weight, can influence disordered eating in teens. Coaches and mentors play a crucial role in promoting healthy attitudes and behaviors towards body and performance.

How can schools address disordered eating issues among students?

Schools can address disordered eating issues by providing education on nutrition and body image, creating a supportive and inclusive environment, and having protocols in place to identify and support students who may be struggling.

What is orthorexia, and how does it relate to disordered eating in teens?

Orthorexia is an obsession with eating foods that one considers healthy and avoiding foods deemed unhealthy. In teens, this can relate to disordered eating as it involves restrictive eating, preoccupation with food, and can lead to nutrient deficiencies.

Are there any dietary guidelines for teens with disordered eating?

Teens with disordered eating should consult with healthcare professionals to establish appropriate dietary guidelines tailored to their individual needs. The focus should be on balanced nutrition, adequate intake, and repairing one’s relationship with food.

How can I foster open communication with my teenager about their eating habits?

Fostering open communication involves creating a safe and non-judgmental space for your teenager to express their feelings and concerns, actively listening, avoiding blame or criticism, and expressing your concern and willingness to support them.

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