Challenging Stereotypes, Embracing Vulnerability, and Building a Healthier Self-Image

Body image issues are often viewed as a “female problem,” but that’s a myth — and a dangerous one. Body dysmorphia affects people of all genders, and growing evidence shows that boys and men are struggling in silence.

From obsessing over muscle size to extreme dieting, excessive exercise, or constant mirror-checking, body dysmorphic symptoms in males often go unrecognized, misdiagnosed, or dismissed. As a result, many suffer for years without support.

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.

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.

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.

Awareness ribbons are used to show support, raise awareness, and honor those affected by eating disorders (EDs). Different colors are associated with different types of eating disorders, recovery journeys, and advocacy efforts.

Eating disorders affect people of all races and ethnicities, but they are frequently underdiagnosed, misdiagnosed, or dismissed in Black, Indigenous, Latinx, Asian, and other communities of color. This lack of recognition leads to delayed treatment, increased medical risks, and worse recovery outcomes compared to white individuals.

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.

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.

The prevalence of eating disorders among teenagers has seen a significant uptick. Between 2018 and 2022, health visits related to eating disorders for individuals under 17 more than doubled in the United States. Globally, the proportion of children and adolescents experiencing disordered eating reached 22.36% between 1999 and 2022

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.

Purging—whether through vomiting, laxative use, excessive exercise, or fasting—is a serious and dangerous behavior associated with bulimia nervosa, binge-purge subtype anorexia, and other eating disorders. Helping a teen overcome purging requires compassion, medical and psychological intervention, and a structured recovery plan.

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.

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.

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.

Naltrexone, an opioid receptor antagonist, has been studied as a potential treatment for eating disorders in adolescents, particularly for binge eating disorder (BED), bulimia nervosa (BN), and hyperphagia associated with conditions like Prader-Willi Syndrome (PWS). However, its use in teens remains off-label and requires careful consideration.

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.

Yes, the rates of eating disorders differ across countries and regions, influenced by a complex mix of cultural, socioeconomic, genetic, and healthcare factors. But as awareness grows and research expands globally, we’re learning that eating disorders are not just a “Western problem.” They affect people in every part of the world — though how they show up, get diagnosed, and are treated can vary widely.

We often hear the terms “disordered eating” and “eating disorder” used interchangeably — especially in wellness circles, school settings, or on social media. But while they’re related, they are not the same thing.

Understanding the difference can help parents, providers, and individuals recognize red flags earlier and get the right level of support — before things get more serious.

When most people hear the term “eating disorder,” they tend to picture extreme thinness or assume it’s all about food. But eating disorders are complex mental health conditions that affect people of all body sizes, genders, ages, and backgrounds — and they don’t all look the same.

Whether you’re a parent, provider, or someone seeking answers, it’s important to understand the different types of eating disorders. Recognizing the signs is the first step toward healing.