Key Takeaways:
- An Eating Disorder Is a Complex Condition, Not a Choice: Eating disorders affect individuals regardless of age, body size, or gender, often masquerading as discipline or high achievement while taking a heavy financial, physical, social, and mental toll behind closed doors.
- Specialized Care and HAES Make a Difference: Generalist therapy can miss the subtle rituals, shame, and high-functioning dynamics of disordered eating. Treatment centered on the Health at Every Size (HAES) framework shifts the focus away from weight and diet culture toward body acceptance and true mental well-being.
- You Don’t Have to Feel “Ready” to Seek Help: Recovery doesn’t require a sudden, drastic moment of certainty. It starts small with one conversation, and you can move entirely at your own pace without judgment, pressure, or shame.
Medically Reviewed by: Dr. Helene Simons, Psy.D. (Doctor of Psychology)
It’s exhausting to live under the constant pressure of feeling like you have to be “thin” or fit a certain body type to be beautiful. It’s especially draining to keep up appearances and try to look put-together on the outside, all while the battle you fight every day is causing you to fall apart on the inside. Constantly performing so that no one knows what’s really going on can be incredibly lonely and isolating, especially if guilt or shame is preventing you from seeking any kind of help. We know that the thought of change can feel even more exhausting than staying stuck, but the truth is, you don’t have to feel “ready”; the first step to eating disorder recovery is recognizing the patterns.
What is an Eating Disorder?
So, what exactly qualifies as an eating disorder? An eating disorder can be defined as a serious, complex mental health condition (not a phase, a choice, or vanity). They can affect anyone regardless of gender, age, body size, or background, and many people who experience them live with it for years without having a name for what they’re going through.
The Common Types of Eating Disorders
Eating disorders can look completely different for each person who experiences them, but here are some of the more common types:
- Anorexia Nervosa: Intense fear of weight gain, severe restriction of food intake, and a distorted relationship with body image. Often hidden behind discipline and achievement.
- Bulimia Nervosa: Cycles of binge eating large amounts of food followed by purging behaviors that include vomiting, laxative use, or excessive exercise. This eating disorder is often driven by intense shame and a need for control.
- Binge Eating Disorder (BED): Recurrent episodes of binge-eating large amounts of food, often quickly and past the point of feeling full, followed by intense guilt or distress but without purging. This is one of the most common eating disorders in the U.S.
- ARFID (Avoidant/Restrictive Food Intake Disorder): Extreme selectivity around food that goes beyond picky eating, often rooted in sensory sensitivities, fear of choking, or anxiety rather than body image concerns.
- Orthorexia: An obsessive focus on “clean” or “healthy” eating that begins to interfere with daily life, relationships, and overall well-being. There is not yet an official diagnosis, but this eating disorder is widely recognized clinically.
- Other Specified Feeding and Eating Disorders (OSFED): A category that captures the many people whose experiences don’t fit neatly into one diagnosis, but whose struggles are just as real and just as deserving of care.
If you’re experience doesn’t fit perfectly into any of these categories, that doesn’t make your struggle less valid. The reality of eating disorders is usually much different than how they’re portrayed in media. Regardless of what they look like, unaddressed eating disorders can have costly effects, unless treated, and that’s what we’re here to help you with.
Why Spring & Summer Can Be Triggering for Those in Eating Disorder Recovery
The warmer season can be especially triggering for those in eating disorder recovery because diet culture can make you feel like you need to fit a certain size to look good at social events like vacations, weddings, etc. Even though behaviors like calorie counting, frequent weigh-ins, and over-exercising can look like discipline from the outside, these are actually signs that there’s something deeper going on. We’re here to help you confront these bad habits, and support you in reframing your thinking.
What an Eating Disorder is Actually Costing You
The Financial Cost
The accumulation of things like DoorDash orders, binge foods, supplements, diet pills, exercise classes, and laxatives can all have a huge financial impact on you. We’re never here to judge you, but we do want to challenge you to reflect on how much of your life and resources are being spent on your disorder, and what else those mental and financial resources could be going towards.
The Physical Cost
In addition to things like fatigue, lack of focus, dizziness, low energy levels, and sleep issues you may also experience other physical repercussions like hair loss, low heart rate, always feeling cold, and lanugo. Instead of viewing these things as shameful, look at them as a wake up call; your body isn’t the enemy, it’s communicating what it needs from you.
The Social Cost
There are many things that you’re missing out on when you’re quietly dealing with an eating disorder like going out to eat with friends, being present for important milestones, and showing up for the people you care about most. Your relationships take a hit as you continue skipping dinners, avoiding plans, and isolating yourself from loved ones. Instead of pulling away from the people who care about you most, lean on them as your support system. If you don’t have a loved one in your life that you feel you can confide in, that’s what therapy is there for. Help is always available.
The Mental Cost
Last but not least is the incredibly heavy mental toll that an eating disorder can take on you. Constantly counting calories, monitoring your food intake, hiding from others, and following all the rules you’ve created for yourself is exhausting. The constant planning, calculating, and performing leaves little room left over for everything else in your life. It’s important to remember that this is not a willpower problem, this is what an eating disorder can do.
Specialized Eating Disorder Recovery and Care
When it comes to eating disorder recovery, working with a therapist who truly specializes in this area makes all the difference. Eating disorders are complex, and they require a level of nuance that generalist therapists aren’t always trained to recognize. The minimizing, the rituals, the shame, the way an eating disorder can quietly co-exist with high achievement and a put-together exterior: these are things a specialist is trained to see and meet with the right kind of care.
What is the Health at Every Size Framework?
At Simons Therapy, eating disorder treatment isn’t a side specialty, it’s at the core of what we do. Our team brings deep, hands-on training to this work and practices from a Health at Every Size (HAES) framework. If you’ve never encountered that approach before, here’s what it means in plain terms: we believe that health looks different in every body, and that your worth and your wellbeing are never determined by your size.
Diet culture has spent a long time telling us otherwise, and a lot of the pain that drives eating disorders is rooted in that message. HAES-informed care helps you stop fighting your body and start understanding it, moving toward a relationship with food and yourself that’s built on acceptance, not punishment.
You Don’t Have to Feel “Ready” To Reach Out
Eating disorder recovery isn’t a single dramatic moment of deciding you’re ready. For most people, it starts much smaller than that with one conversation, one session, one moment of letting someone else in. It may have taken a long time to get here, and that makes sense. These patterns don’t build overnight, and the courage it takes to even consider change is real.
At Simons Therapy, we’re not here to push you faster than you’re ready to go. We’re here to sit with you in it, help you understand what’s happening, and walk alongside you at your own pace without judgment, pressure, or shame.
If any part of you is ready to just talk, we’d love to hear from you. Schedule a free consultation today, it’s nothing more than a conversation, and it could be the first one that finally feels safe.
Frequently Asked Questions
What is the Health at Every Size (HAES) framework in eating disorder care?
Short Answer: It is an approach to healthcare that centers on body acceptance, believing that health looks different in every body and your worth is never determined by your size.
Explanation: Diet culture reinforces the idea that you must fit a certain size or shape to be healthy or worthy. In contrast, Health at Every Size (HAES)-informed care helps you stop fighting your body and start understanding it. By removing weight-focused judgment, this approach guides you toward building a relationship with food and yourself that is rooted in acceptance rather than punishment.
What are the hidden costs of an unaddressed eating disorder?
Short Answer: Beyond physical symptoms, an unaddressed eating disorder drains your financial resources, strains relationships through social isolation, and causes constant mental exhaustion.
Explanation: Disordered eating impacts far more than body image. Financially, costs accumulate from binge foods, supplements, diet pills, or laxatives. Socially, it leads to skipped dinners, missed milestones, and isolation from loved ones. Mentally, the continuous planning, counting, and rules leave little bandwidth for anything else, showing why eating disorders are serious mental health conditions requiring specialized care.
Do I need to fit a specific diagnosis like Anorexia or Bulimia to get help for eating struggles?
Short Answer: No, your struggles are valid and deserving of support even if your symptoms do not fit neatly into a single clinical category.
Explanation: Eating disorders look completely different for everyone. Many experiences fall under categories like OSFED (Other Specified Feeding and Eating Disorders), Orthorexia, or ARFID, rather than traditional diagnoses. Regardless of how your experience looks on the outside, if your relationship with food or body image is causing distress, you do not need to wait for a medical crisis or a specific label to seek care.

My specialties are eating disorders, relationships, depression, and anxiety. I chose to focus on these areas because they are so deeply human. As a woman growing up in America, I saw firsthand how societal values on body image and appearance can send a powerful message that our worth is based on how we look. It broke my heart to see so many people struggle with their sense of self. I became a psychologist to help people of all shapes and sizes recognize their strengths and learn to truly love themselves for who they are.