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Both anxiety and eating disorders can improve with treatment and support. ... Treatment typically involves some combination of: Cognitive behavioral therapy (CBT). ... Family-based therapy. ... Medications. ... Support groups. ... Inpatient treatment. ... Nutritional counseling.
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Read More »Anxiety and eating disorders: The connection Food is, of course, a necessity for life. For some people, food offers more than an essential source of fuel. If you enjoy sitting down to eat with loved ones or exploring new cuisines while traveling, for example, you might also consider food a source of pleasure. Some people even bake or cook as a way to ease tension and relax. But if you live with an eating disorder, or a pattern of disordered eating habits, you might find that food prompts feelings of anxiety instead. The signs and symptoms of eating disorders can depend on the type of eating disorder. Not to mention, they can vary from person to person. That said, they generally involve an extreme focus on food and eating habits, along with some kind of emotional distress related to food or eating. Yet many people with eating disorders also live with anxiety that goes beyond these feelings of food-related distress. As a matter of fact, as many as two-thirds of people with eating disorders also have an anxiety disorder at some point in life. Below, we’ll explore the link between anxiety and eating disorders and offer some guidance on finding support. How does anxiety affect eating disorders? Eating disorders and anxiety have something of a complex relationship. While it’s true they commonly occur together and involve some overlapping symptoms, neither directly causes the other. Eating disorders also don’t begin solely as an attempt to maintain control over challenging, painful, or unknown circumstances — though a need for control can absolutely play a part. Many people living with both conditions notice symptoms of anxiety first, before symptoms of the eating disorder begin. Yet that doesn’t mean anxiety causes eating disorders — after all, not everyone who lives with anxiety will feel distress around food, or develop disordered eating habits. Research from 2021 does suggest, however, that a co-occurring anxiety disorder or obsessive-compulsive disorder (OCD) may: help maintain symptoms and behaviors associated with eating disorders lead to more severe symptoms over time In short, having anxiety doesn’t mean you’ll develop an eating disorder. But if you have both conditions, they may play off each other and lead to worse symptoms. Keep in mind, too, that while eating disorders can certainly involve extreme fear and worry around food and eating, food-related anxiety doesn’t automatically translate to an anxiety condition. What’s more, some people with eating disorders might have feelings of guilt and shame, dysphoria or a distorted body image, and diminished self-confidence — but not anxiety. Still, the fact remains: Anxiety and eating disorders involve plenty of overlap. One potential explanation lies in their shared risk factors. Genetics. Evidence from family and twin studies suggests genetic makeup plays a part in the development of eating disorders. You’re also more likely to have an anxiety disorder if a close family member has anxiety. But emerging research also suggests eating disorders and anxiety disorders may involve similar genes. from family and twin studies suggests genetic makeup plays a part in the development of eating disorders. You’re also more likely to have an anxiety disorder if a close family member has anxiety. But emerging also suggests eating disorders and anxiety disorders may involve similar genes. Brain chemistry. Serotonin, a brain chemical that helps regulate mood, sleep, appetite, and other important bodily processes, appears to factor into both anxiety and eating disorders , though future research may offer more insight into its exact role. Serotonin, a brain chemical that helps regulate mood, sleep, appetite, and other important bodily processes, appears to factor into both anxiety and , though future research may offer more insight into its exact role. Brain processes. With both anxiety disorders and eating disorders, you’re likely to pay more attention to things that seem threatening than things that don’t seem to pose a threat. Cognitive inflexibility, or difficulty coping with changes in your environment or routine, also tends to characterize both conditions. With both anxiety disorders and eating disorders, you’re likely to pay more attention to things that seem threatening than things that don’t seem to pose a threat. Cognitive inflexibility, or difficulty coping with changes in your environment or routine, also tends to characterize both conditions. Personality traits. Temperament and personality traits linked to both anxiety and eating disorders include neuroticism, perfectionism, harm avoidance, and difficulty tolerating uncertainty. Temperament and personality traits linked to both anxiety and eating disorders include neuroticism, perfectionism, harm avoidance, and difficulty tolerating uncertainty. Childhood experiences. Experiencing abuse in childhood, particularly sexual abuse, is a risk factor for developing an eating disorder. When it comes to anxiety, any repeated negative or traumatic childhood experiences, including sexual abuse , is a risk factor .
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Read More »Eating disorders that can co-occur with anxiety Again, eating disorders can show up differently from person to person. That means you could have an eating disorder even if your symptoms don’t exactly align with these criteria. Keep in mind, too, that people of any gender and body size or shape can experience any eating disorder. Many people with eating disorders don’t appear physically unhealthy — but their symptoms can still cause plenty of distress as well as serious health concerns. ARFID Avoidant/restrictive food intake disorder (ARFID) is a newer eating disorder classification. Unlike other types of eating disorders, ARFID has nothing to do with a person’s perspective of their body or appearance. Instead, people with ARFID might find it physically difficult to eat most foods because of anxiety, sometimes related to the sensory characteristics of food. If you have this condition, you might avoid eating due to overwhelming feelings of anxiety and fear about: food itself
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Read More »Medications, including fluoxetine (Prozac), can be helpful for eating disorders. Medications for co-occurring anxiety conditions might include: Support groups. The compassionate support and encouragement you receive from others also navigating eating disorder recovery can make support groups a valuable addition to your treatment toolbox. Of course, anxiety support groups can also have benefit. The compassionate support and encouragement you receive from others also navigating eating disorder recovery can make support groups a valuable addition to your treatment toolbox. Of course, anxiety support groups can also have benefit. Inpatient treatment. Eating disorder treatment facilities offer specialized care, round-the-clock medical attention, and mental health support. Eating disorder treatment facilities offer specialized care, round-the-clock medical attention, and mental health support. Nutritional counseling. Registered dietitians with training in eating disorder recovery can offer guidance with creating an eating plan that helps you feel good and keeps you healthy. Seeking help for anxiety and eating disorders If you think you or your child could have an eating disorder, it’s important to seek treatment sooner rather than later. Keep in mind that it’s always worth getting support, even if the disordered eating patterns you’ve noticed don’t fully meet the diagnostic criteria for a specific eating disorder. Without treatment, eating disorders often get worse over time, and they can have serious health consequences. Even if they don’t affect your physical health right away, they can still cause ongoing emotional distress that affects your everyday life and relationships. Treatment is often successful, but overcoming an eating disorder generally does require professional help. Therapy can offer a good place to start addressing negative or unwanted emotions around food and eating and learn helpful strategies to cope with anxiety and distress. That said, it often requires a team of trained, supportive experts to work toward eating disorder recovery. You can get support by contacting: National Eating Disorders Association (NEDA). NEDA’s helpline, at 800-931-2237, offers a screening tool that can direct you to professional help for eating disorders, including free and low-cost support. NEDA’s helpline, at 800-931-2237, offers a screening tool that can direct you to professional help for eating disorders, including free and low-cost support. Anxiety and Depression Association of America. ADAA can help connect you to a therapist or behavioral health treatment center in your area. They also provide valuable guidance on applying for assistance, including Social Security Disability. ADAA can help connect you to a therapist or behavioral health treatment center in your area. They also provide valuable guidance on applying for assistance, including Social Security Disability. Your hospital’s education office. A local hospital can also be a good resource for finding support groups, in-network providers, or treatment centers that provide free, low-cost, or income-based support. A local hospital can also be a good resource for finding support groups, in-network providers, or treatment centers that provide free, low-cost, or income-based support. A therapist who specializes in eating disorder treatment. You can use therapist directories, try a Google search, or ask a healthcare professional for a referral. A therapist can also offer more guidance on finding the right treatment program for your needs. Not sure how to find the right therapist? Our guide can help.
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