Eating Disorder Recovery: 12 Tips to Aid in the Process
Recovering from an eating disorder can be a long journey. Treatments for eating disorders are complex and multifaceted, but recovery is possible.(1)
Because eating disorders can lead to serious medical consequences, treatment focuses on the mental and physical aspects of the condition. It may involve nutritional counseling, weight restoration, medical stabilization, psychotherapy, and medication.
While challenging, there are steps you can take to improve your well-being during treatment. The following are mental health tips to consider throughout the healing process.
Know Your Treatment Options
Reading up on the latest treatments for your eating disorder can help defuse any anxiety, uncertainty, or fear you feel as you recover. These might include any combination of:
- Nutritional therapy: This involves working with a registered dietitian to learn more about nutrition and food preferences and create a personalized meal plan.
- Medical treatment: You may need medical treatment to address health issues stemming from your eating disorder. This may include medical monitoring, testing, and managing cardiovascular or gastrointestinal issues.
- Psychotherapy: Cognitive-behavioral therapy (CBT) is a first-line eating disorder treatment that can help people change thought patterns contributing to their condition and develop new coping skills. Family-based treatment (FBT) is recommended for teens with anorexia and bulimia.
- Psychological medications: Antidepressant medications can help reduce binging and purging behaviors in people with bulimia. Such medications can also be helpful in the treatment of binge eating disorders.
- Hospitalization: In cases where a higher level of care is necessary, hospitalization may be required.
- Partial hospitalization: This approach allows people to receive medical care during the day but return home in the evenings and weekends.
Whatever treatment plan your provider prescribes, expect it to require effort on your part. Remember that feeling challenged is normal and healthy, and that you’re capable of working through it.
Eating Disorder Recovery
The eating disorder recovery process is different for everyone. Before you make the decision, you may feel anxious, ashamed, or doubtful.2 Once you make the decision to seek help and begin treatment, you will work through a process of creating new skills and overcoming old habits. Following recovery, you’ll continue to practice self-care and the techniques you learned in treatment to reduce your risk of relapse.
Use Positive Self-Talk
Research has found that self-talk, or how you talk to yourself, plays a critical role in developing and maintaining eating disorders. In one study, dysfunctional and negative self-talk was associated with increased symptoms and severity of eating disorders.(3)
Scott N, Hanstock TL, Thornton C. Dysfunctional self-talk associated with eating disorder severity and symptomatology. J Eat Disord. 2014;2:14. doi:10.1186/2050-2974-2-14
Instead, being overly critical of yourself can increase feelings of shame and negative emotions you may experience, exacerbating an already difficult situation. Consciously work to stay positive and use affirmation exercises to help combat self-critical thoughts.
Understand Your Eating Disorder’s Roots
Although it used to be more commonly believed that parents were a leading cause of disordered eating, the latest research shows that eating disorders have complex causes that include genetic and societal factors.4
Remember that no family is perfect. If your family has been unsupportive, they likely don’t know how to be supportive. Talk with your treatment provider about how to process your relationships so you can move forward in recovery.
Accept Support From Loved Ones
Research shows that people with eating disorders are more likely to recover with a specialized treatment team in place.5 In most cases, willpower, self-help books, and independent work cannot replace the professional guidance of a therapist, dietitian, and physician. These professionals have years of experience and training to help you on the road to recovery.
If there are no available specialists or you cannot afford care, self-help for bulimia and binge eating disorder might be an option.
Practice Self-Care
Make sure that you are caring for your physical and mental well-being during your eating disorder recovery. Strategies that can help include:
- Prioritizing your well-being
- Engaging in positive activities that you enjoy
- Practicing relaxation strategies to manage your stress levels
- Using self-care exercises like writing in a gratitude journal and using positive affirmations to stay motivated and inspired
Many prioritize caring for others above meeting their own needs, sometimes hurting themselves in the process. This can be especially true when you are friends with someone with an eating disorder.
While you want to help, their stories can be triggering and/or emotionally draining. Make sure you take care of yourself first and determine how much you can give to others by setting appropriate boundaries.
Believe You’re Worth It
Treatment and recovery from an eating disorder can be expensive and time-consuming. Unfortunately, many people do not receive appropriate care because they cannot afford it.6
Eating disorder treatment can be intensive and costly. While estimates vary, many eating disorder treatment programs’ costs range from $30,000 to $40,000 per month. Some aspects of treatment are covered by insurance, so it is important to understand your coverage and treatment options.
Ways to reduce treatment costs can include using family-based treatment, getting a treatment scholarship, participating in university research programs, or using a web-based, self-guided treatment option.
Stay Optimistic
Eating disorders are serious and sometimes fatal diseases. Research suggests that the mortality rate for people with anorexia is five times higher than that of the general population. Eating disorders also have significant negative consequences, including reduced longevity and quality of life.7
But they are treatable, and full recovery is possible. When you begin to lose hope, it can become a self-fulfilling prophecy. Work to stay positive and talk to your therapist anytime you find you are struggling emotionally.
Ask for Help When You Need It
Hopefully, you have an excellent treatment team in place to call for help and support, no questions asked. But are you also including your family and friends and giving them a chance to support you in recovery?
Asking for help can be a daily process and may require you to ask for specific things (such as support during meals) that they can help you with.
Confide in Trusted Friends and Family
Keeping secrets about difficult things in your life can lead to feelings of shame and prevent you from asking for support when you need it.9 Choose people who have earned your trust when sharing your experience. If they know what’s going on, they’re more likely to be able to be there for you in ways that will help.
Be Patient
Full recovery can take years and for many, it’s not easy. Many people struggle with slips and relapses. Have faith in the recovery process, and check in with your treatment team if you aren’t making the progress you had hoped for.
Eating disorder recovery typically does not follow a perfect, linear path. There are often setbacks and the progress may vary. It often takes months or even years to recover, and many people may continue with the process for the rest of their lives.
Listen to Your Treatment Team
Your treatment team should consist of professionals who have years of training and experience with eating disorders. Listen to them when they recommend specific changes, even when it might seem scary to you.
Changes such as adding a medication, adopting a meal plan, or considering a higher level of care can be important and necessary changes to your treatment plan.11
Face Your Fears
Recovery from an eating disorder requires facing situations that you may have been avoiding, such as eating certain foods, tolerating feelings of fullness, and tolerating feelings of anxiety when you do not exercise. Work with your treatment team to develop a plan to gradually face these situations.
- National Collaborating Centre for Mental Health (UK). Eating disorders. Eating Disorders: Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Eating Disorders.
- Eaton CM. Eating disorder recovery: a metaethnography. J Am Psychiatr Nurses Assoc. 2020;26(4):373-388. doi: 10.1177/1078390319849106
- Scott N, Hanstock TL, Thornton C. Dysfunctional self-talk associated with eating disorder severity and symptomatology. J Eat Disord. 2014;2:14. doi:10.1186/2050-2974-2-14
- Berrettini W. The genetics of eating disorders. Psychiatry (Edgmont). 2004;1(3):18–25.
- Halmi KA. Salient components of a comprehensive service for eating disorders. World Psychiatry. 2009;8(3):150–155. PMID: 19812744
- Kazdin AE, Fitzsimmons-Craft EE, Wilfley DE. Addressing critical gaps in the treatment of eating disorders. Int J Eat Disord. 2017;50(3):170-189. doi:10.1002/eat.22670
- van Hoeken D, Hoek HW. Review of the burden of eating disorders: mortality, disability, costs, quality of life, and family burden. Curr Opin Psychiatry. 2020;33(6):521-527. doi:10.1097/YCO.0000000000000641
- de Vos JA, LaMarre A, Radstaak M, Bijkerk CA, Bohlmeijer ET, Westerhof GJ. Identifying fundamental criteria for eating disorder recovery: a systematic review and qualitative meta-analysis. J Eat Disord. 2017;5:34. doi:10.1186/s40337-017-0164-0
- Walsh JM, Wheat ME, Freund K. Detection, evaluation, and treatment of eating disorders the role of the primary care physician. J Gen Intern Med. 2000;15(8):577–590. doi:10.1046/j.1525-1497.2000.02439.x
- Linville D, Brown T, Sturm K, McDougal T. Eating disorders and social support: perspectives of recovered individuals. Eat Disord. 2012;20(3):216-231. doi:10.1080/10640266.2012.668480
- Resmark G, Herpertz S, Herpertz-Dahlmann B, Zeeck A. Treatment of Anorexia Nervosa-New Evidence-Based Guidelines. J Clin Med. 2019;8(2):153. Published 2019 Jan 29. doi:10.3390/jcm8020153
