Eating disorders are serious mental illnesses that involve an unhealthy relationship with food, eating, exercise, body weight and shape. They can involve restrictive dieting, compulsive eating, or skipping meals, and can be used as a way to control or cover up emotional issues. They are more than just unhealthy eating habits.
Eating disorders are not a conscious lifestyle choice. They can interfere with your daily life, cause you to feel guilty around food, ashamed and stressed about your body image, and be a major risk to your health. Fortunately, they are treatable.
They are several types of eating disorders. The most common are:
It’s estimated that around 9% of Australians have an eating disorder.[i] That’s around 2.25 million people. Eating disorders can occur at any stage of life but most commonly start in childhood and youth (between 12-25 years).[ii] Around 2.4% of young people aged 11-17 have problematic eating behaviours.[iii] Females are twice as likely as males to have an eating disorder. [iv]
[i] Australian Institute of Health and Welfare, Australia’s Health 2018, Eating disorders, https://www.aihw.gov.au/getmedia/ab86db9d-410a-4c93-89c4-99c8bdbdf125/aihw-aus-221-chapter-3-13.pdf.aspx
[ii] Orygen, Nip it in the bud: Intervening early for young people with eating disorders, https://www.orygen.org.au/Policy/Policy-Reports/Young-people-and-eating-disorders/ORYGEN-Nip-it-in-the-bud?ext=.
[iii] Australian Institute of Health and Welfare, Australia’s Health 2018, Eating disorders, https://www.aihw.gov.au/getmedia/ab86db9d-410a-4c93-89c4-99c8bdbdf125/aihw-aus-221-chapter-3-13.pdf.aspx
[iv] Royal Australian and New Zealand College of Psychiatrists, Your Health in Mind, Eating disorders, https://www.yourhealthinmind.org/mental-illnesses-disorders/eating-disorders
There is no one cause of eating disorders. While they often begin with dieting, not everyone who goes on a diet develops an eating disorder. Things that contribute to eating disorders include:
There is a lot of pressure for young people to look a certain way, in order to fit in with their peers. Young carers may feel added pressure to fit in, because their responsibility as a carer can make them feel different to other people their age.
While it’s normal to want to feel like you belong, sometimes the pressure to look a certain way is too much, so you may try to fit in by changing your eating habits to lose or gain weight. Sometimes, you may eat to soothe your feelings of anxiety or sadness, or as a way to ‘switch off’ from the pressures of everyday life.
These are all unhealthy ways of dealing with underlying issues and can lead to an eating disorder. Those who care for someone with an eating disorder or other mental health condition may also be at higher risk of developing an eating disorder themselves.
Everyone has unhealthy eating habits from time to time. It’s normal to not feel hungry at times, or to eat more food in a single sitting than you need to eat. However, key signs that can indicate an eating disorder :
thinking about your appearance, food and worry about gaining weight are at the forefront of your mind
This example might help make things clearer by putting these symptoms into perspective:
Jenny is 15 years old and cares for her mum who has depression. She often feels stressed trying to balance caring, juggling her school work and doing some of the household chores. She doesn’t talk about her mum much and most of her classmates don’t know she looks after her. Jenny does not like to share this part of her life and often feels she doesn’t fit in with her peers. At the end of each day, Jenny feels quite sad and alone. As a way to feel better, she stops by the shop on the way home from school each day and buys large amounts of junk food like chips, lollies and chocolate. Jenny takes this food home and eats it secretly in her bedroom. While she’s eating, she feels happier and relaxed. However, after she’s finished, she feels guilty and ashamed of herself.
Even though Jenny is full after her binge, she doesn’t want her mum to know what’s going on, so she still sits down to her evening meal. Afterwards, she makes herself vomit in the toilet, as a way to get rid of the extra calories she’s eaten. She also skips breakfast each morning to make up for what she has eaten the day before. Because she doesn’t want her friends to notice there maybe something wrong, she makes sure she takes a small amount of lunch to school each day, which is usually a salad sandwich or some fruit. However, this only makes Jenny feel more distanced from her friends, especially when she sees her friends enjoying burgers or chips from the school canteen. She wishes that she could eat that food too and be part of the group, but she feels so guilty about her afternoon binges that she doesn’t allow herself to.
In the example above, Jenny has some normal reactions to her life:
However, she also has some symptoms of an eating disorder:
While everyone with an eating disorder may experience different symptoms, there is a lot of help available.
One of the first steps is to speak to someone, regardless of how much or little you eat, or how much you weigh. You should visit your as eating disorders are a serious mental illness. You can also talk to a teacher, support worker, counsellor, or trusted friend. Anorexia has the highest mortality rate of any mental disorder[i] with 20% eventually dying from it, and one in five attempting suicide because of it.[ii] However, with the right treatment, most people with an eating disorder make a good recovery. Treatment may involve speaking to a mental health professional and/or being prescribed medication.
Some things that you can do to help during your recovery include:
[i] Australian Government Department of Health, Anorexia nervosa – The facts, https://www1.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-a-anorex-toc~mental-pubs-a-anorex-1
[ii] Garvan Institute of Medical Research, Anorexia nervosa, https://www.garvan.org.au/research/diseases/anorexia
There are a lot of people who can help you overcome an eating disorder.
To speak to someone, you can call:
Kids Help Line — 1800 55 1800
Headspace — 1800 650 890 There is also an online chat available.
Lifeline — 13 11 14. You can also ask for help via text message on 0477 13 11 14 or use the online chat function
You can find more information about eating disorders at:
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