Eating disorders and body image: warning signs, and when to get help

More than food

Eating disorders are serious mental-health conditions involving a distressing relationship with food, eating and body image. They are not a lifestyle choice, a phase, or a diet gone too far, and they can affect people of any age, gender or body size.

Body image plays a big role. Body dissatisfaction is consistently ranked among the top concerns for young Australians, and it's a known risk factor for developing disordered eating. When someone becomes preoccupied with changing their body, the resulting shame and distress can fuel harmful patterns.

Warning signs to look for

Eating disorders are often hidden, but some signs that someone may be struggling include:

• Preoccupation with food, weight, shape or calories
• Rigid food rules, rituals, or avoidance of whole food groups
• Eating in secret, or distress and avoidance around shared meals
• Going to the bathroom straight after eating
• Noticeable changes in weight, mood, energy or social withdrawal
• Excessive or compulsive exercise
• Harsh self-criticism about appearance

You don't need to tick every box, and someone can be seriously unwell without dramatic changes in weight.

Why early help matters

The earlier someone gets support, the better the outcomes tend to be. Eating disorders rarely resolve on their own, but they are treatable, and full recovery is possible.

What treatment looks like

Effective care is person-centred and usually tailored to the individual, often involving a team. Psychological therapy helps address the thoughts, emotions and patterns underneath disordered eating and supports a healthier, more peaceful relationship with food and body. Support for family members is often part of the picture too, especially for younger people.

If you're worried, about yourself or someone you love

Reaching out can feel daunting, but it's a sign of strength. If any of this resonates, talking to a psychologist with experience in eating and body-image concerns is a good place to start. In a crisis or for immediate support, the Butterfly National Helpline (1800 33 4673) is available seven days a week.