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Caring for someone with an eating disorder

Caring for someone with an eating disorder

“Creating a safe space is so important in recovery; where you don’t talk about diets and exercise, where food isn’t labelled as good or bad, where you don’t talk about your own body insecurities.”- Bow 🦋

Talking about an eating disorder is difficult. Some people don’t know what to look out for and feel helpless. We have put together this post in collaboration with @Bow who has lived experience of an ED, as well as through the resources provided online via the Butterfly Foundation to help support people with ED and their carers. @Bow Thank you for your invaluable input.

There are many reasons why people develop an eating disorder, and it is likely to involve a combination of psychological, sociocultural and genetic factors. It is important to remember it is not a diet gone too far, it is a complex mental health condition. Background information as well as the explanations of different types of ED can be found here .

Some signs you may want to look out for 🦋

  • Dieting or refusing particular food groups
  • Continually thinking about calories, their body, weight or image
  • Changes in eating habits- a focus on good/bad foods
  • Anxiety around meal times- rigidity and ritualistic behaviours around food and eating
  • More food than usual disappearing, which may be a sign of binge eating
  • Replacing meals with fluids
  • Obsessively exercising
  • Social isolation and withdrawal
  • Fatigue, fainting, dizziness

“I have found through my somewhat short journey so far, that eating disorders are really not understood very much. Of all the mental health conditions, it has one of the highest mortality rates, yet it feels like it’s the least understood. It’s such a specialised area!”- Bow

Supporting someone with an eating disorder 🦋

According to the butterfly foundation, family and a support network play a crucial role in the care and recovery of individuals with eating disorders. For adolescents, Family based treatment and supportive family therapy are the strongest treatments currently being used.

The impact of an eating disorder is not only felt by the person experiencing it, but also their support network. Family members and friends often feel distressed about what is happening. They may feel helpless, confused, anxious, fearful about mealtimes and wondering what to prepare. It is important to remember all these feelings are valid and normal. Caring for someone with an eating disorder is incredibly stressful. There are support groups available and when caring for anyone it’s important to practice self-care and to take time away from the carer role when possible. Connecting with people who have a shared experience is helpful and stories of recovery instil a sense of hope.

“Recovery is really hard. We relapse. We will be resistant and even deny there is a problem. Recovery is not linear. Still love us. Remind us why we want recovery. That change is possible. That help is available. And when we fail, remind us that there is always tomorrow.”- Bow

Steps you can take to be supportive 🦋

  • Educate yourself- learn as much as you can about understanding the eating disorder
  • Take notice. Even in the small details. All eating disorders are different and no 2 sufferers are the same. Ask questions, try and understand the why’s.
  • Attend medical appointments if able to
  • Try and understand what the feelings and emotions are that are underneath the eating disorder.
  • Listen without judgement.
  • Role model positive body image- respect diversity
  • Encourage the person you care for to take a step back from social media
  • Remind yourself they are still the same person beneath the ED
  • Communicate openly and try to be compassionate and empathetic
  • Take away the pressure at mealtimes
  • Ask how you can help and support them specifically.
  • Give choices and control. For some, an eating disorder is very closely linked to control.
  • Help prepare for the meal; this can involve doing some grounding exercises before.
  • Help with distraction during and after meals.

Support and further reading for carers 🦋

Butterfly online support groups

Strive support groups

Caring for someone with an eating disorder

Carers and lived experience perspective

Wellness tips for carers

“Often, we don’t even understand why we do the things that we do and think the way that we do. It’s a really confusing and isolating journey.”- Bow

We want to hear from you, If you have lived experience or are caring for someone with an eating disorder, you are not alone. Reach out to us here or over at The butterfly room ED support so the wonderful SANE community can support you.

Please ensure this is a safe space and if this discussion has been triggering for you please reach out to crisis support or Butterfly helpline 🦋

44 replies

21 - 30 of 44

In response to: Caring for someone with an eating disorder

Re: Caring for someone with an eating disorder

Yes @Former-Member

I started at Tafe last year, I enrolled in health administration cause I thought maybe that’s something that I would like to do. I previously worked in the community services field but wasn’t sure I was prepared for the stress of that again! But now that I’ve had some experience with peer workers, I’m thinking that maybe that’s something I’d like to look into. Maybe having a peer worker that has some experience with EDs would be helpful, cause all the ones I’ve come across have zero knowledge.

I’d really like to advocate for change in how EDs are viewed as well and I’d like to see more gps have a better understanding. If gps have better knowledge then perhaps EDs can be caught earlier on and recovery will be much quicker. I had 2 gps dismiss me when I went and asked for help. I then ended up in hospital very ill. And for all major hospitals to have ED beds, we can often be medically unstable and need that additional medical support.

Is all of that asking for too much!!?

In response to: Caring for someone with an eating disorder

Re: Caring for someone with an eating disorder

Oh yes @Faith-and-Hope some… a lot of medical professionals have no idea really.

when I first sought help for my ED, I had 2 gps print out a blank mental health care plan, signed it and told me to go home and google someone. Neither of them asked me any questions.

And I’ve lost count the amount of professionals that have told me to go home and ‘just eat’. If it was truly as simple as going home and eating I would not be out seeking help.

I have since found the most amazing gp, who has put me onto an incredible dietitian, a top of her field eating disorder specialist psychiatrist- she gave me an official diagnosis which has enabled me to get the support I need. My gp goes above and beyond for me. But not everyone has this sadly.

In response to: Re: Caring for someone with an eating disorder

Re: Caring for someone with an eating disorder

❤️ @Bow …..

In response to: Re: Caring for someone with an eating disorder

Re: Caring for someone with an eating disorder

I’m very sorry to hear that you both @Bow @Faith-and-Hope have had those kinds of responses by professionals who we really do expect to have more understanding and insight into how to best help. 💔 Or at the very least help guide you in the right direction.

There are becoming more & more specialised peer worker roles emerging as the profession evolves. I have seen already ED specific peer roles advertised. So the ability to have that support to others would be incredibly valuable. All the best with your aspirations around that @Bow 💛

In response to: Re: Caring for someone with an eating disorder

Re: Caring for someone with an eating disorder

It does seem to me as well that peer support workers are a good idea.

I think sometimes GP’s can get a bad rap because they are faced with complex issues that really cannot be sorted out in a regular appointment time. Not just mental health issues. I did not get my physical health issues sorted out until a doctor actually had me come back for a long appointment. I actually did not know that you could book a longer appointment. This might be something to remember.

Also I have great respect for the insight it takes to decide you need help and the persistence it takes to find the right kind. In some ways it is easier now because of the information available. Trying to find what is appropriate to your own situation is the challenge.

At the end of the day you can’t really help someone who doesn’t have the insight to understand there is a problem. So all the resources in the world won’t help a recalcitrant sufferer. But at least as long as there are resources and generous peer support workers there are more pathways to help.

Thank you for shining the light of hope.

In response to: Re: Caring for someone with an eating disorder

Re: Caring for someone with an eating disorder


But now that I’ve had some experience with peer workers, I’m thinking that maybe that’s something I’d like to look into. Maybe having a peer worker that has some experience with EDs would be helpful, cause all the ones I’ve come across have zero knowledge.

I’d really like to advocate for change in how EDs are viewed as well and I’d like to see more gps have a better understanding. If gps have better knowledge then perhaps EDs can be caught earlier on and recovery will be much quicker. I had 2 gps dismiss me when I went and asked for help. I then ended up in hospital very ill. And for all major hospitals to have ED beds, we can often be medically unstable and need that additional medical support.

Is all of that asking for too much!!?


No, no that is not asking for too much, @Bow.

Kudos to you for stepping up as you do here in the community and providing support in the way that you do, even when things are really hard for you. You flex such strength and resilience, not to mention the greatest peer support worker gift – kindness.

I think you would be an amazing PSW in the ED community. I have no doubt that if this is the path you'd like to follow you'll get there, and when you do you will be an asset to a team and all those you support 💙

In response to: Re: Caring for someone with an eating disorder

Re: Caring for someone with an eating disorder

I can’t imagine how difficult a job a gp has @Former-Member ! They are face with such a wide variety of health issues every single day.

i know that a lot of gp clinics now days use an app service, where you can book appointments via an app, including long consultation. When I started with my new gp, they booked a long consult for me, but then she asked me to come back in a couple of days later for another long consult to discuss just my mental health issues. Good gps are hard to find, but they certainly are out there.

In response to: Re: Caring for someone with an eating disorder

Re: Caring for someone with an eating disorder

The lines can be so badly blurred too @Bow @Paperdaisy @Former-Member @Former-Member @Former-Member


Ex’s ED masqueraded as a healthy and dramatic lifestyle change, if you didn’t know what else he was doing behind the scenes, and if you didn’t recognise other “tell-tale” aspects like being obsessive-compulsive to the point of rages and injury, linking eating to exercise achievements in a punitive way, missing appointments and engagements, functioning as a satellite to the family, etc. He had everyone fooled, and I was seen as the wicked witch trying to invalidate his achievements …… how is a GP supposed to work all of that out ?

Ours eventually did, too little, too late, but I can also recognise that ex was an extreme case. The ED was an addiction and it shape-shifted from one form to another.

it is sooooo important to have that lived experience aspect to working with ED sufferers. Your lives experience is babies you to see through the mask and to recognise signs and patterns, but I am sure it is confronting too. It means that your ED has been warrior-training you as a part of your survival experience.

Go you ❣️

In response to: Caring for someone with an eating disorder

Re: Caring for someone with an eating disorder

Hi @Bow and @Paperdaisy

I just wanted to reach out to say thank you so much for creating such a wonderful space where people living with an eating disorder and / or caring for a loved one who is living with an eating disorder, can reach out for support 💜

So very sadly in my experience, there are still so many myths and misconceptions in relation to eating disorders and as such, I absolutely love how you have so sensitively and respectfully raised awareness about this particular mental health condition 💜

With this in mind, I just thought that I would take a moment to share some of my story with you 💜

Many years ago now, I was diagnosed with an eating disorder not otherwise specified. Although I understood what this meant from a theoretical / clinical perspective, I still wrestled with the connotations associated with the phrase ‘not otherwise specified.’

For me, this particular phrase communicated that my diagnosis wasn’t as ‘real’ or as ‘valid’ as other peoples. As such, I felt as though I was living in some sort of limbo. On the one hand I wasn’t considered ‘unwell enough’ to have a ‘real’ eating disorder, but on the other hand, I was considered ‘unwell enough’ to have some sort of diagnosis. As such, I found myself trapped between two different worlds and to be honest, I didn’t feel as though I belonged in either one.

As a result, I found myself frantically trawling through large amounts of information, in the hope that I would be able to find something that would reassure me that I was living with a ‘legitimate’ eating disorder.

However, much to my distress, there was very little if anything written about eating disorders not otherwise specified. For example, they weren’t mentioned on social media, or in the magazine articles and / or the documentaries that claimed to shine a light on eating disorders.

Therefore, instead of finding the evidence that I needed to reassure myself that I was also living with an eating disorder, I found the complete opposite. As such, these omissions communicated (correctly or incorrectly) that society didn’t overly recognise that the eating disorder that I was living with was significant or legitimate.

Furthermore, because so many people weren’t familiar with the diagnosis eating disorder not otherwise specified, my diagnosis was often viewed with scepticism, suspicion and intolerance and I can still remember being told ‘not to be so ridiculous’ when I approached a family member for help. As such, I received very little if any support or empathy in relation to what was happening for me.

Similarly, there were other people who (despite the fact that they believed that I was living with an eating disorder) completely minimized and dismissed my experiences, which in turn reinforced my beliefs that the eating disorder that I was living with was insignificant.

As a result of my experiences, I felt incredibly fraudulent and as though I was masquerading as a person who was living with an eating disorder! I also felt incredibly guilty reaching out to organisations that specialised in supporting people who were living with an eating disorder, as I felt that I was taking valuable resources away from people who were living with ‘legitimate’ eating disorders.

After years of participating in therapy, everything changed again, when several years ago, I was diagnosed with Body Dysmorphic Disorder. However, despite this, I still wrestle with the same disordered eating behaviours that I did when I was initially diagnosed with an eating disorder not otherwise specified.

Although I still have a long road ahead of me, I’m hoping that one day (in the not too distant future) the mental health conditions that I live with, won’t impact me to the same extent that they do today 😊

Thank you so much again for all of the time, care and thought that you invested into creating such a wonderful resource for our community 💜

Take kind and gentle care of yourselves,

ShiningStar 💜

In response to: Caring for someone with an eating disorder

Re: Caring for someone with an eating disorder

Hi @Bow

I just wanted to reach out to say that I think that you would be an amazing advocate - especially in relation to creating changes to the way in which we care for people who are living with an eating disorder 💜

As such, I hope that one day your recovery journey leads you to a place where your dreams come true 💜

In the meantime, I just wanted to say thank you so much again for sharing your story and strengthening people’s understanding about how to care for a loved one who is living with an eating disorder 💜

Take kind and gentle care of yourself,

ShiningStar 💜

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