What's one misconception about eating disorder recovery that you wish more people understood? How has this misunderstanding affected patients you've worked with?

I can remember a patient who came to see me to work on her anxiety. Once we started getting to know each other better during the assessment, she began to feel more comfortable with me and, in a very nonchalant way, mentioned that she had an eating disorder. When I asked her to tell me more, she nervously explained that she did not want to bring it up because she had received treatment in the past that had not worked, so she assumed there was no hope. One misconception about eating disorder recovery is that treatment works for everyone. The reality is that even though there are many different kinds of treatment available, not all of them work for everyone. There are many treatments that are effective for recovering from eating disorders, but it is very important to find the right treatment and the right provider for you. Most people with eating disorders can see benefits in an average of 20-50 visits, but it is important to find a provider who understands your unique situation. When looking for a therapist, it is important to seek someone who not only has experience in treating eating disorders but is also able to conceptualize the client based on their personality, culture, family dynamics, childhood history, current living situation, preferences, and other lifestyle factors that could contribute to the eating disorder. When interviewing providers, it can be helpful to ask if they have experience and, if so, what kinds of treatment practices they favor and how they decide what is best for the individual. Ultimately, after finding providers who have the necessary knowledge, choose the therapist with whom you feel the strongest connection, as the relationship and trust with your provider are huge factors in the success of your treatment.

Hi, I would love to share my thoughts on this question as a psychologist with a PhD and eating disorder recovery coach. The biggest misconception I see is that most people still assume that someone with an eating disorder must look very thin (that stereotypical "anorexic look"). That's not true though. In reality, fewer than 6% of people with eating disorders are medically classified as "underweight" and we find that eating disorders impact people of all shapes and sizes. This false perception is harmful. It means that people often don't get the help they need, because they don't "look sick enough." They're overlooked or misdiagnosed. And worse - they might be praised for disordered behaviours. I have had countless clients in larger bodies who were praised for "being disciplined" or "healthy eating" when in fact they were being praised for their eating disorder. We need to move away from assumptions based on appearance and recognise that eating disorders are mental health conditions - not a body type! I hope that this is helpful. All the best, Dr Lara Zibarras

A widespread misconception is that eating disorders are solely about food and weight--that recovery just means "eating normally" again. But they're complex mental health issues often rooted in emotions, trauma, and coping mechanisms. Food is often a symptom, not the core problem. It would be helpful if more understood this holistic view, as it encourages comprehensive support beyond diet plans. In our practice, this has led patients to feel misunderstood or dismissed by loved ones who say things like "Just eat more!" This invalidation can exacerbate isolation and self-doubt. One patient, a man in his 30s, delayed recovery because his family focused only on his meals, ignoring his underlying anxiety. Once he addressed the emotional layers in therapy, he made real strides. Shifting this perspective helps families become true allies in healing.

People are often astonished to discover that some of the most challenging elements of recovering from an eating disorder actually commence once weight has been restored or eating habits seem "normal." At this stage, clients must confront more complex issues, such as rebuilding trust in themselves, learning to experience emotions without resorting to food, and distinguishing self-worth from body image. This is where the most profound healing begins, yet I have observed many clients feeling disheartened because others perceive them as "better" at this juncture.

Eating disorders can vary from anorexia- avoiding food, bulimia- self induced vomiting, overeating even though you are full, comfort eating- reaching for food if having a bad day or upset. Eating disorders are variable and the issue that is most prevalent but under recognised is comfort eating that leads to obesity and inability to lose weight. In my practice I make it a point that I am screening for this condition. Most patients are indulging in this and have no idea that they are harming themselves. Usually the patient and I uncover this while we chat. I have seen that once the patient identifies this self harming behaviour they become more amenable to making changes. We work on a plan to find something else for comfort, it could be a person, music, book or toy. Now every time the patient feels upset they reach for their comfort person or book and can avoid food!

Many people mistakenly believe that eating disorder recovery is a straightforward, linear process, leading to unrealistic expectations for both patients and their families. This misconception can cause frustration, failure, and isolation when setbacks such as relapses occur. As a result, individuals may feel discouraged, which can hinder their commitment to recovery and seeking further help.

Many people don't understand that eating disorders are part of a disease; they think this is actually a decision the person makes out of selfishness or vanity and they can't see the problem is so much more deep than that. I really feel for patients that are trying or already recover of an eating disorder since they are often judge by people that don't know exactly the difficulties these patients have to face.