bulemia, binge, anorexia, ocd, ptsd, nutrition, medication jennifer setlik bulemia, binge, anorexia, ocd, ptsd, nutrition, medication jennifer setlik

Do Antidepressants Treat Eating Disorders?

Eating disorders are complex mental health conditions influenced by psychological, biological, social, and environmental factors. While therapy and nutritional rehabilitation are often central to treatment, many people wonder: can antidepressants help treat an eating disorder?

The short answer is: sometimes — but not alone. Antidepressants can play a valuable role in treating certain eating disorders and co-occurring conditions, but they are not a standalone cure. Understanding when and how medication is used in eating disorder treatment can help individuals and families make informed, evidence-based decisions.

This article explores the types of eating disorders that may respond to antidepressants, the benefits and limitations of medication, and the importance of integrated, multidisciplinary care.

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“Can You Remember When Your Disordered Eating Became a Disorder?”

Many people who live with eating disorders can't point to a single moment when it all began. Instead, what starts as seemingly “normal” behaviors — skipping meals, counting calories, following food rules — slowly, quietly, and insidiously evolves into something much harder to escape.

This slow slide is what makes disordered eating so dangerous: it doesn’t always start as a disorder, but for many, it becomes one.

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anorexia, bulemia, hormones, emotional support, recovery jennifer setlik anorexia, bulemia, hormones, emotional support, recovery jennifer setlik

Dopamine and Eating Disorders: Understanding Its Effects on Recovery

Eating disorders are not just about food, weight, or willpower — they are complex mental health conditions rooted in a combination of biology, psychology, and environment. One key biological factor often overlooked in public conversations about eating disorders is dopamine: a neurotransmitter that plays a central role in reward, motivation, and learning.

In individuals with eating disorders, dopamine systems may function differently, affecting how people experience hunger, pleasure, anxiety, and even self-control. Understanding dopamine's role can offer insight into both the development of eating disorders and the challenges of recovery — including why it can be so difficult to change behaviors even when someone desperately wants to get better.

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anorexia, osfed, dsm, body image, body shaming, weight change jennifer setlik anorexia, osfed, dsm, body image, body shaming, weight change jennifer setlik

The Unique Challenges of Atypical AnorexiaWhy Recognition, Treatment, and Compassion Matter — Regardless of Body Size

Despite the name, there’s nothing “less serious” about atypical anorexia. In fact, the symptoms, medical complications, and psychological distress are often just as severe — but because it doesn’t look like the stereotype, many individuals go undiagnosed, invalidated, and untreated.

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Has the Mortality Rate of Eating Disorders Changed?What the Latest Research Tells Us — and Why Early Support Matters More Than Ever

Eating disorders are often misunderstood as attention-seeking behaviors or extreme diets — but the reality is far more serious. These are complex psychiatric illnesses that affect every system in the body. And for many, they can be deadly.

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anorexia, bulimia, binge eating disorder, ARFID, ufed, osfed jennifer setlik anorexia, bulimia, binge eating disorder, ARFID, ufed, osfed jennifer setlik

What Is the DSM-5 and What Does It Mean for My Diagnosis?

The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Edition) is the official manual used by doctors, psychologists, and mental health professionals to diagnose mental health conditions, including eating disorders. It provides standardized criteria that help determine if someone meets the clinical definition of a disorder.

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Am I More Likely to Develop Another Eating Disorder If I Already Have One?

The short answer is yes, having one eating disorder (ED) increases the risk of developing another, but it’s not inevitable. Understanding why this happens and how to prevent it can help you stay on a path toward full recovery rather than shifting between different ED behaviors.

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hormones, anorexia, bulimia, ARFID, orthorexia, dexa, exercise jennifer setlik hormones, anorexia, bulimia, ARFID, orthorexia, dexa, exercise jennifer setlik

“I’m Too Young for Bone Loss… or Am I?”

Many people think osteoporosis and bone loss only happen to older adults, but the truth is bone health is built during childhood, teen years, and early adulthood. If you’ve struggled with an eating disorder, overexercise, or nutrient deficiencies, your bones might already be at risk—even if you're young.

 

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Bariatric Treatment for Eating Disorders: Risks, Considerations, and Alternatives

Bariatric surgery, such as gastric bypass, sleeve gastrectomy, or lap-band procedures, is often considered for individuals with obesity-related health concerns. However, when eating disorders (EDs) are present or untreated, bariatric treatment comes with significant risks, psychological challenges, and potential worsening of disordered eating behaviors.

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Puberty and Eating Disorders: Understanding the Risks and Prevention

Puberty is a critical period for physical, emotional, and psychological development, but it can also be a high-risk time for the onset of eating disorders. The combination of hormonal changes, body image concerns, social pressures, and emotional shifts makes adolescents more vulnerable to developing disordered eating behaviors.

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Borderline Personality Disorder (BPD) & Eating Disorders: The Complex Connection

Borderline Personality Disorder (BPD) and eating disorders (EDs) often co-occur, creating a complex and emotionally intense cycle of impulsivity, fear of abandonment, self-destructive behaviors, and difficulties with emotional regulation. Individuals with both conditions may struggle with extreme emotions, unstable self-image, and disordered eating as a way to cope with distress.

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weight changes, recovery, hormones, bulimia, anorexia jennifer setlik weight changes, recovery, hormones, bulimia, anorexia jennifer setlik

Eating Disorders and Thyroid Function: How Restriction and Bingeing Affect Metabolism

The thyroid gland plays a crucial role in metabolism, energy levels, and overall health. Eating disorders—especially those involving restriction, purging, or bingeing—can severely impact thyroid function, leading to hormonal imbalances, slowed metabolism, and long-term health complications.

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Ambivalence in Anorexia Recovery: Understanding Resistance to Treatment

Many individuals with anorexia nervosa experience ambivalence toward treatment—feeling both a desire to recover and a deep fear of letting go of their disorder. This internal conflict makes treatment challenging, as patients may resist interventions even when they are medically at risk.

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Success Stories: What Eating Disorder Recovery Can Look Like for Kids

Eating disorder recovery is a long and challenging journey, but full recovery is possible. Many families have walked this path and seen their children regain health, happiness, and a positive relationship with food. Below are realistic and hopeful success stories of kids who have recovered, along with the key lessons their families learned.

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Increased Incidence of Eating Disorders in Younger Children

In recent years, there has been a notable rise in eating disorders (EDs) among younger children, including those as young as 6 to 12 years old. Traditionally associated with adolescents and adults, eating disorders are now being diagnosed earlier, raising concerns about early-onset disordered eating behaviors and their long-term impact on physical and mental health.

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Higher risk of eating disorders in transgender individuals

Transgender individuals face a significantly higher risk of developing eating disorders (EDs) compared to their cisgender peers. This increased vulnerability is linked to body dysphoria, societal pressures, discrimination, and mental health struggles.

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Steroid use as a sign of male eating disorders

Steroid use, particularly anabolic-androgenic steroids (AAS), can be a significant indicator of eating disorders in males, often tied to body image concerns and muscle dysmorphia (bigorexia). While eating disorders in men can sometimes go unnoticed due to societal stigma, excessive focus on muscularity and leanness—often leading to steroid abuse—can be a key warning sign.

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Understanding the Early Signs of Eating Disorders in Children and Adolescents

Eating disorders in children and adolescents can be challenging to detect early because some behaviors may be mistaken for “typical” teenage moodiness or picky eating. However, certain warning signs and changes in behavior or physical health can indicate that an eating disorder may be developing. It’s important to remember that no single sign confirms an eating disorder, but a pattern of behaviors or symptoms may warrant a closer look and professional evaluation.

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