Eating disorders are biopsychosocial. That means these disorders have biological, psychological and social causes. We are learning more about the biological causes which have contributed to more effective treatment plans and I hope as our knowledge of the biology of eating disorders continues to grow we will be more sophisticated in our approach to treating these disorders.
However, I would like to discuss the psychology of eating disorders and what families can do to help their loved ones address some of the psychological contributors to eating disorders. When people with eating disorder who have recovered have been asked what they got out of their eating disorders they cite several things including: identity, care, way of communicating difficulties, and a way of avoiding "negative" emotions. The reasons we feel a need to avoid emotions is what I would like to touch on today,
We as a society have a mindset that emotions are something to avoid. Why? I strongly believe that we were created to be emotional beings. Emotions are something that no one can avoid and exist not as a burden but as a resource. Emotions are what give life its color or richness. Without emotions life would be bland and superficial.
People with eating disorder often feel overwhelmed by emotions and as a result view emotions as potential threats to their well being. Consequently, they do whatever it takes to try and avoid emotions. Eating disorder behaviors are very effective ways of altering emotions and emotional awareness. Thus, the eating disorder becomes more important or more valuable because it becomes a resource to help patients avoid or minimize their emotions. Many patients have commented to me that the one thing they like most about their eating disorders is their ability to alter their emotions through the behavior.
If patients do not feel a need to avoid their emotions, I wonder if that would change the importance of the eating disorder. It certainly would eliminate a benefit most patients assign to the disorders.
As a support person, helping someone with an eating disorder, how do you intervene with respect to the role of emotions in the maintenance of the disorder? Encourage emotional expression and normalize it. Its OK to be emotional and emotions can be a resource and not a threat. We were created as emotional beings so why not accept that and begin to work with the resources we were given.


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