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.

When a child has an eating disorder (ED), the entire family is impacted—including siblings. While parents focus on meal support and medical care, siblings may experience confusion, worry, resentment, or guilt. Providing support for siblings is just as important to maintaining a healthy family dynamic during recovery.

Parents who have walked the difficult path of supporting a child through an eating disorder often come away with valuable insights, lessons, and advice for others facing similar struggles. Below are some of the most important lessons from experienced parents, offering hope, guidance, and practical strategies.

Recovering from an eating disorder (ED) as a family is challenging, emotional, and requires structure, patience, and teamwork. Below is an example of what a typical day might look like for a family supporting a child through eating disorder recovery, incorporating meal structure, therapy, emotional support, and self-care.

Therapy is a critical component of pediatric eating disorder recovery, addressing the underlying emotional, cognitive, and behavioral aspects of the disorder. Since eating disorders are not just about food, therapy helps children develop healthy coping mechanisms, challenge disordered thoughts, and rebuild a positive relationship with food and body image.

Avoidant/Restrictive Food Intake Disorder (ARFID) is an eating disorder characterized by extreme food avoidance and restriction, but unlike anorexia, it is not driven by body image concerns. ARFID goes beyond normal picky eating and can lead to severe nutritional deficiencies, weight loss, and social impairments.

Family support plays a critical role in the recovery process from pediatric eating disorders. The dynamics within a family and the strength of its support system can significantly influence the child’s ability to recover both physically and emotionally. A nurturing and understanding environment can reinforce positive habits, reduce emotional distress, and encourage effective coping strategies. When family members actively participate in the treatment process, young people struggling with an eating disorder benefit from consistent reinforcement of healthy behaviors and ongoing emotional support (Lock & Le Grange, 2019). By working together, parents, siblings, and other caregivers can play a significant role in facilitating recovery and preventing relapses.