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Debunking Seven Common Misconceptions About Eating Disorders with An Expert

By Marcela Quintanilla-Dieck | Communicating Science, Psychiatry | 0 comment | 13 April, 2023 | 0

Eating disorders are complex psychiatric diseases involving an individual’s eating behaviors, self-image and body weight.

Kamryn Eddy, PhD, Co-Director of the Eating Disorders Clinical and Research Program at Massachusetts General Hospital, is at the forefront of the latest research advancements and public education about eating disorders.

Eddy’s team is comprised of a multidisciplinary team of psychologists, psychiatrists and endocrinologists and neuroscientists working together to better understand how eating disorders start and progress.

She explains that this team-based approach is essential for a complex psychiatric disease such as an eating disorder, which can have several different biological or medical risk factors.

Eddy and her team also work to educate the public about eating disorders and to debunk common misconceptions about eating disorders, such as the ones listed below:

MISCONCEPTION #1

MISCONCEPTION: Eating disorders aren’t serious illnesses.

FACT #1

FACT: Eating disorders can affect up to 5% of the population, more commonly young adults and teens and is a serious psychiatric illness that need proper diagnosis and treatment.

“Eating disorders have among the highest rates of premature death of any psychiatric illness. They are associated with important physical sequelae secondary to aberrant eating that can entrench the illness further.”

Kamryn Eddy, PhD
Co-Director of the Eating Disorders Clinical and Research Program (EDCRP)
Kamryn-Eddy

MISCONCEPTION #2

MYTH: Eating disorders are just about food.

FACT #2

FACT: Eating disorders are complex psychiatric illnesses.

“Often people will say to someone struggling with an eating disorder, “Just eat! It’s simple!” When in fact it’s far more difficult. If it were as simple as “just eating” people would be able to climb out of an eating disorder—or recover—easily, and at will. Instead, we know it’s not a choice to have an eating disorder, and that eating disorders are complex psychiatric illnesses with brain bases.”  
Kamryn Eddy, PhD
Co-Director of the Eating Disorders Clinical and Research Program (EDCRP)
Kamryn-Eddy

MISCONCEPTION #3

MISCONCEPTION: Eating disorders are a women’s illness.

FACT #3

FACT: Eating disorders can affect anyone.

“Eating disorders don’t discriminate –they affect females and males, individuals of all races, ethnicities, sex, gender, sexual orientation, and socioeconomic status.”
Kamryn Eddy, PhD
Co-Director of the Eating Disorders Clinical and Research Program (EDCRP)
Kamryn-Eddy

MISCONCEPTION #4

MISONCEPTION: Only very thin people have an eating disorder.

FACT #4

FACT: Eating disorders can occur in individuals of all weights.

“This is a widespread misconception — but the reality is that eating disorders do not discriminate bassed on weight. It can happen to individuals with different weights and body compositions.”
Kamryn Eddy, PhD
Co-Director of the Eating Disorders Clinical and Research Program (EDCRP)
Kamryn-Eddy

MISONCEPTION #5

MISCONCEPTION: You can tell if someone has an eating disorder by looking at them.

FACT #5

FACT: Given that eating disorders are complex psychiatric illnesses, you cannot recognize if a person has an eating disorder simply by looking at them. A proper clinical diagnosis is required.

“Eating disorders require a proper diagnosis by a licensed professional.”
Kamryn Eddy, PhD
Co-Director of the Eating Disorders Clinical and Research Program (EDCRP)
Kamryn-Eddy

MISCONCEPTION #6

MISCONCEPTION: Eating disorders are a result of dysfunctional families.

FACT #6

FACT: Eating disorders are not a consequence of dysfunctional families.

“This is absolutely not true. Instead, families are often the best resource for patients, as they often live together, know the patient well, and are deeply invested in their recovery. Family members are often instrumental in recovery, playing a key role in treatment. ”
Kamryn Eddy, PhD
Co-Director of the Eating Disorders Clinical and Research Program (EDCRP)
Kamryn-Eddy

MISCONCEPTION #7

MISCONCEPTION: Anorexia is the only serious eating disorder.

FACT #7

FACT: There are several eating disorders, including Anorexia Nervosa.

“Anorexia Nervosa was the earliest eating disorder to be named and studied, and accordingly, morbidities and outcomes of anorexia nervosa are better documented than other eating disorders. But that does not mean that the other eating disorders are not also serious and associated with adverse medical and psychiatric sequelae. Everyone who is dealing with symptoms of an eating disorder is deserving of treatment.”
Kamryn Eddy, PhD
Co-Director of the Eating Disorders Clinical and Research Program (EDCRP)
Kamryn-Eddy

What’s next in eating disorders research

Over the past years, Eddy and her research team have focused their efforts on investigating a relatively new eating disorder: Avoidant Restrictive Food Intake Disorder, also known as ARFID – a restrictive type of eating disorder that’s characterized by food avoidance or restriction.

Cognitive Behavioral Therapy for ARFID is a novel treatment that Eddy and her colleague Jennifer Thomas, PhD, developed. They have delivered such treatment to hundreds of patients in their inpatient and outpatient programs. They also study under what circumstances the therapy is most effective.

A big part of the therapy is its education piece which seeks to help the patient understand how, independent of what factors may have contributed to the development of their ARFID in the first place, the food avoidance and restriction and their effects are now maintaining the problem.

The treatment itself involves what we know of as exposure. Exposure is the heart of any kind of cognitive behavioral therapy – getting practice with something that you’ve been avoiding to build skills and increase competency.

The research team is also working on a study of physiologic estrogen replacement as a novel treatment for anorexia nervosa and other restrictive eating disorders.
Learn more about Dr. Eddy’s research
eating disorders, mental health

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