What is an eating disorder?
You’re not alone.
Eating disorders are complex mental illnesses.
They are not a lifestyle choice or a ‘phase’.
They can be incredibly isolating illnesses, so it’s important to recognise the courage it takes to reach out for support.
There are many different types of eating disorders, and each person’s experience will be unique to them and their personal history.
As such, treatment should respond to the individual needs of each person – there’s no ‘one-size-fits-all’ approach at Orri.
There is no one single cause
An eating disorder is typically borne of a combination of social, genetic and psychological factors. Many professionals consider them to be a ‘maladaptive’ coping mechanism: something that developed in order to support someone to cope, but to the detriment of their mental and physical health.
Negative life experiences – for instance, a traumatic experience – can play a role in the development of an eating disorder.
The trauma may lead to overwhelming feelings of anxiety and stress, and the eating disorder serves a purpose to reduce those levels of anxiety and stress in the short-term, by distracting attention and focusing it upon food, body image concerns, and other rigid, ritualistic behaviours.
Eating disorders serve a purpose
In this light, we can understand the protective intent behind an eating disorder and respond with compassion and respect for how someone has tried to keep themselves going day-to-day.
Gaining insight into how the eating disorder developed can bring a greater awareness to certain behaviours and thoughts, and create a space within which we can choose recovery.
There’s no ‘one way’ to have an eating disorder, but here are some commonalities that can help with diagnosis
Isolating yourself from others
Preoccupation with food and eating
Low confidence, low self-esteem and anxiety – particularly when eating in front of others
Fear of gaining weight or pursuit of thinness and excessive focus on body weight
Distorted perception of body shape or weight
Inability to eat intuitively or reluctance to respond to hunger cues
Other mental health conditions, such as depression, anxiety, or obsessive-compulsive disorder
They are family illnesses
We see eating disorders as ‘family illnesses’ because the eating disorder doesn’t impact one person in isolation.
We provide support for the whole family, meaning that no one is left alone in their experience of an eating disorder.
There are many types of eating disorder diagnoses
Anorexia typically involves restrictive eating; where someone limits their food intake to a dangerous and often life-threatening degree.
Often, people suffering with Bulimia eat large quantities of food – called “binging” – and then purge the calories from their system.
Binge Eating Disorder
Often, people suffering with Binge Eating Disorder eat large quantities of food – called “bingeing” – but typically don’t engage in compensatory behaviours such as with Bulimia.
Avoidant Restrictive Food Intake Disorder (ARFID)
Previously coined “Selective Eating”, ARFID involves limitations and/or restrictions around food, particularly around the intake of certain types of food or certain amounts.
Orthorexia is an eating disorder that is characterised by symptoms of obsessive behaviour towards food, often in pursuit of a “healthy” diet.
Anorexia Athletica is a sub-type of the eating disorder, Anorexia. It references a compulsive obsession with exercise alongside symptoms related to restricting food intake and, often, maintaining a low weight with regimented eating.
The diagnosis was first used in the 1980s but has only recently come into common vernacular and is sometimes referred to as “compulsive exercise”, “hypergymnasia” or “sports anorexia”.
People with Anorexia Athletica have a tendency to focus on athletic performance and measure their self-worth against other people’s performance and body types. That being said, there are often complex emotional underlying causes that force an individual to look outside of themselves to cope.
OSFED stands for “other specified feeding or eating disorder”. This diagnosis is an umbrella term for an experience of an eating disorder that doesn’t fit the typical symptoms of another specified eating disorder, such as anorexia, bulimia or binge eating disorder.
If you don’t see your experience listed here, that is ok.
We recognise that not everyone will ‘tick all the boxes’, but that doesn’t mean you don’t deserve specialist support.
Despite how they appear, eating disorders are not about food.
Rather, food is a symptom of more complex and often deep-rooted issues. It’s important to recognise that there is no right or wrong way to have “a problem”.
Because of this diversity, Orri’s approach to treating eating disorders adapts in line with the needs of the individual. Our stepped approach provides people with the right amount of support at different points in their journey and allows for a smooth transition back to into everyday life.
Only 6% of people with eating disorders are underweight.
What we know
Anyone, of any age, gender or background can suffer from an eating disorder. They do not discriminate, yet unhelpful stereotypes can cause many people’s illnesses to go unnoticed.
Individuals with eating disorders can be incredibly high-functioning despite their illness, often maintaining a full-time job whilst secretly struggling.
How we understand eating disorders
Together, we work with our clients to understand the eating disorder, heal the underlying cause of the eating disorder, and find alternative means of coping.
Hear from our team and clients.
Paula Tait is a Dietitian but, contrary to what you might expect, her job is not just about food. In fact, during sessions with clients, Paula tries to minimise the amount she talks about food. Everyone at Orri eats three meals a day, plus two snacks, which provides them with ample opportunity to focus what […]...
Eating disorders can be extremely isolating; trapping the sufferer in a cycle of shame and guilt associated with their behaviours. We understand how difficult it is to address concerns with a loved one, however, noticing signs and symptoms and having a conversation about them is the first step in their recovery. We spoke to Orri’s […]...
Karen Carberry is Orri’s Consultant Family Therapist with over twenty years’ experience. Her job is deeply complex and involves leafing through layers of family history, going back at least three generations to identify events and behaviours that may hold the key to understanding how the eating disorder started. Her first step is usually to get the client together with their […]...
Anita’s daughter Lucy started showing the signs of Anorexia Nervosa at 16. She sought help from her GP but there was no specialist treatment option available, only cognitive behavioural therapy (CBT), and Lucy wasn’t deemed “thin enough” for hospitalization. For men and women to receive a quick referral they may need to meet strict criteria: […]...
We get asked a lot, what makes Orri different? Beyond our incredibly dedicated team and the tranquility of 14 Hallam Street, it’s our pioneering model for intensive day treatment that differentiates us from other treatment centres. In case you were wondering, here’s what specialist day treatment looks like… Specialist day treatment means comprehensive support for […]...
Romy is a Psychotherapist and joined the team in April 2019. We sat her down to learn more about her approach and role within Orri. How long have you been a clinician for and what were you doing before Orri? I qualified in 2015 and have been practicing in the field of trauma for 4 years. […]...
Elaine is Orri’s Yoga and Body Awareness Therapist and has been part of the team since day one! We sat her down to learn more about her approach and role within Orri… How long have you been a clinician for and what were you doing before Orri? I have been teaching Yoga and Mindfulness for 10 years […]...
The summer months can be a challenging time for people suffering with eating disorders. Calendars can get busier as people take advantage of the sun, and body image concerns may increase as we require a different wardrobe or feel pressured to join in with summer trends.Here are 5 things to keep in mind as we […]...
Kendra is an Occupational Therapist and joined the team in September 2019. We sat her down to learn more about her approach and role within Orri. How long have you been a clinician for and what were you doing before Orri? I qualified as an Occupational Therapist in 2015 in South Africa where I worked […]...
Last week Orri’s Director of Research and Development, Dr Paul Robinson, presented a seminar on Mentalization-based Therapy for Eating Disorders to healthcare professionals in our network – the first of many CPD seminars hosted at Orri. Dr. Robinson, along with his peers Finn Skarderud and Bente Sommerfeld, has pioneered this developed approach to treating eating […]...