Eating Disorder Awareness: Unveiling Misconceptions About Eating Disorders

As Eating Disorder Awareness Week winds down, it's the perfect time to reflect on how we understand these complex and often misunderstood conditions. We need to pause and consider the deep-rooted misconceptions that surround eating disorders, and how they prevent us from offering proper support and understanding.

The truth is, eating disorders go far beyond food and weight. These conditions are deeply personal, rooted in mental health, and affect people from all walks of life. Yet, despite growing awareness, myths and misconceptions persist. It’s time to confront those myths and uncover the reality of eating disorders to better support those who need it most.

Myth 1: Eating Disorders Only Affect Young, Thin, White Women

A common myth is that eating disorders are an issue only for young, thin, white women. This couldn’t be further from the truth. Eating disorders affect people of all ages, genders, races, and body types. People of color, men, and older adults face unique struggles when it comes to eating disorders, often because these conditions are underrecognized in these communities.

Many individuals don’t seek help because they don’t see themselves reflected in the stereotypical images of eating disorders. This limited view doesn’t reflect the full reality of eating disorders, which can affect anyone—regardless of gender, race, or appearance. Understanding that eating disorders can affect anyone is the first step toward providing better care and support for everyone who needs it.

Myth 2: Eating Disorders Are About Vanity

A harmful myth surrounding eating disorders is that they are simply about vanity or a conscious choice to control one’s appearance. In reality, eating disorders are complex mental health conditions rooted in both biological factors and deeper emotional struggles. They are not just about food or weight loss; they are often a way of coping with underlying issues such as trauma, anxiety, depression, or a profound sense of losing control in one’s life.

Biologically, eating disorders can involve disruptions in brain chemistry and hormones that affect hunger, fullness, and emotional regulation. These conditions are not merely behavioral—they are intricately linked to both the mind and body. For many, disordered eating becomes a way to manage overwhelming feelings that can’t be expressed otherwise. This is not a choice made lightly, nor is it a superficial desire; it’s a manifestation of a painful, often unspoken struggle that involves far more than appearance or vanity.

 

Myth 3: People with Eating Disorders Are Always Underweight

Another misconception is that eating disorders are only diagnosed in individuals who are visibly underweight. While this is true for some, it’s not true for everyone. Many individuals with eating disorders, including those with binge eating disorder or atypical anorexia, may not be underweight. In fact, the physical signs of an eating disorder can often be hidden in plain sight.

 

Eating disorders are not defined by physical appearance alone. They involve complex psychological factors that influence a person’s relationship with food, their body, and their emotions. A person can be struggling with an eating disorder even if they do not meet the stereotypical image of someone who is underweight. It’s important to focus on the behaviors and the emotional well-being of those struggling, rather than just the physical appearance.

 

Myth 4: Eating Disorders Can Only Be Treated in Residential Treatment or Hospital Settings

A common myth is that eating disorders can only be treated in residential treatment centers or hospital settings. While these levels of care are necessary for individuals with severe cases or medical complications, many people with eating disorders can recover with outpatient therapy alone. Treatment plans are highly individualized, and recovery can occur in various settings, including one-on-one therapy, group counseling, and outpatient programs. The belief that residential care is the only option can discourage people from seeking help or create a barrier to treatment. The truth is that recovery is possible with the right level of care and support, tailored to each person’s unique needs.

Myth 5: Treatment Takes Years and Years

A common misconception is that treating eating disorders requires years of therapy and that recovery is a long, drawn-out process. While recovery is different for everyone, evidence-based treatments, such as Cognitive Behavioral Therapy (CBT-E) and Family-Based Therapy (FBT), are designed to bring about early change and can lead to significant improvements in a relatively short amount of time. These therapies focus on addressing the root causes of disordered eating and helping individuals develop healthier coping strategies. With early intervention and the right approach, many people see a swift decrease in symptoms and can begin to rebuild their relationship with food and their bodies much sooner than expected. While ongoing support may be necessary for long-term well-being, effective treatment doesn't have to take years to make a meaningful difference.

 

Myth 6: Eating Disorders Are Just About Food

It’s easy to assume that eating disorders are only about food. While food is often a central part of these disorders, the true root causes are much deeper. Eating disorders are a way to cope with underlying emotional pain, psychological distress, and struggles with control. Food becomes a symptom of a much larger issue that involves mental health, trauma, anxiety, and perfectionism.

 

Eating disorders are not just about eating or avoiding food—they’re about how someone perceives their body, how they manage overwhelming emotions, and how they seek control over an aspect of their life when other areas feel chaotic. It's critical to understand that food may be the outward expression of the disorder, but the true healing begins with addressing the emotional and psychological factors driving the behaviors.

 

Are We Truly Aware?

So, the question remains: Are we truly aware? Misconceptions about eating disorders prevent us from fully understanding the struggles that many people face. By debunking these myths, we can begin to create a more compassionate and informed environment for those dealing with eating disorders.

 

With Eating Disorder Awareness Week 2025, let’s commit to broadening our perspective. Let’s focus on the reality that eating disorders are complex mental health conditions that impact people of all backgrounds, body types, and walks of life. True awareness involves not only understanding the facts but also listening to and amplifying the voices of those who are affected by eating disorders.

 

If you or someone you know is struggling with an eating disorder, help is available. Recovery is possible, and support is crucial. It's time to create a more supportive, inclusive, and compassionate world where eating disorders are understood for what they really are—not just myths and stereotypes.

 

Together, we can spread awareness, challenge misconceptions, and work toward a future where eating disorders are met with empathy, understanding, and the right care.

MELISSA GERSON, LCSW

Melissa Gerson is the founder of Columbus Park Center for Eating Disorders in New York City. Over the last 20-plus years, she has trained in just about every evidence-based eating disorder treatment available to individuals with eating disorders: a dizzying list of acronyms including CBT-E, CBT-AR, DBT, FBT, IPT, SSCM, FBI and more.

Among Melissa’s most important achievements has been a certification as a Family-Based Treatment provider; with her mastery of this potent and life-changing (and life-saving!) modality, she’s treated hundreds of young people successfully and continues to maintain a small caseload of FBT clients as she also focuses on leadership and management roles at Columbus Park.

Since founding Columbus Park in 2008, Melissa has trained multiple generations of eating disorder professionals and has dedicated her time to a combination of clinical practice, writing, and presenting.

https://www.columbuspark.com
Next
Next

The Importance of Family Support in Adult Patients with Eating Disorders