The term "social distancing" has become part of our culture's mainstream lexicon over the past few months, but for the sake of those in eating disorder (ED) recovery (or any mental health issue, for that matter), can we please not call it social distancing anymore? The idea of creating barriers socially between ourselves and other people can exacerbate the sense of isolation or disconnection that many individuals who battle eating disorders are already too familiar with. In fact, experts within the field of public health agree the phrase is harmful and advocate that it be known as "physical distancing" instead.

No one wants a mental health emergency at any time, but having a mental health emergency during the COVID-19 pandemic showed me how neither I nor the emergency room hospital staff was prepared to deal with a mental health crisis in this unsettling--and downright terrifying--time.

In my experience, people in the early stages of eating disorder recovery often rush their progress. Unfortunately, this rush adds pressure to an already stressful situation, which can cause people to experience more setbacks than necessary.

There is a vicious, rampant correlation between eating disorders and bullying—the epidemic is real, and children of all ages can be vulnerable to the mental and physical ramifications. In the United States alone, 65 percent of those with eating disorders have reported that incidents of bullying caused their behaviors to manifest, and 40 percent of children or adolescents are mocked by their peers for weight-related issues.1 This data, compiled by the National Eating Disorders Association (NEDA), also notes that when bullying occurs, a victimized person will often experience bouts of insecurity, poor self-esteem, body image distortion, and an urge to numb the painful emotions. So in order to protect children from these adverse effects, it's crucial to understand the epidemic scale of eating disorders and bullying.

Eating disorders have been trivialized for decades. However, people struggling with these illnesses have an elevated risk of death by suicide compared to other psychiatric disorders, with bulimia having the highest attempted suicide rates. High comorbidity associated with bulimia – and the dearth of research – makes it difficult to tease apart what contributes to suicide risk. But it’s important for people to know that both bulimia, and the suicidality that accompanies it, can be treated and overcome. (Note: This post contains a trigger warning.)

While anorexia, bulimia, and other related illnesses can affect the members of any population, evidence shows eating disorders have a disproportionate impact on youth in the lesbian, gay, bisexual, transgender, queer (LGBTQ) community. As of 2018, more than 50 percent of U.S. residents between the ages of 13 and 24, who self-identify as LGBTQ, have suffered from an eating disorder at some point in their lives. This research is based on a nationwide survey of 1,034 people within this demographic, and it stands to reason, this steep percentage is a result of the unique obstacles or traumas that LGBTQ individuals often experience. So let's discuss how eating disorders can impact youth in the LGBTQ community—and how to support those who face this painful reality.

Eating disorder deaths can be compared to a slow suicide. It often goes without saying, there are severe physical and psychological effects associated with an eating disorder—but are you aware that every 62 minutes, a person dies from the complications of an eating disorder? This makes an eating disorder the deadliest of any mental illness on record. The reason that an eating disorder is so harmful and potentially fatal is that it impacts both the sufferer's mind and body. If untreated, this destructive combination can turn an eating disorder into a tortuous and slow suicide attempt.

Are the effects of trauma tempting you to withdraw into your eating disorder? Are you all too familiar with that bone-deep torment, roused by memories you didn’t choose to recall but might never forget? Can you feel the aftershocks surging through your body, invading the corners of your mind? Do you numb out from the world, from the pain, from yourself? Have your methods of coping turned into behaviors that you can no longer control? Did you know this struggle involving trauma and an eating disorder is not yours to fight alone?

Shame can keep you trapped in an eating disorder. Shame is insidious, creeping into our self-esteem and wreaking havoc on our thoughts and feelings. Eating disorders come with both shame and guilt, but the difference is important. Shame is the feeling that “I am bad,” while guilt is the feeling that, “I did something bad.” The insidious part about shame is that we begin to see ourselves and the eating disorder as one. When we do this, we become all bad and shame keeps us trapped in the eating disorder. 

At some point in your eating disorder recovery, you will need to release anger. Recovery is an interesting process and it can also be tough. When anger comes up, it’s important to know how to handle it so that it doesn’t get stuck in your body and trigger eating disorder patterns (How to Channel Anger Constructively). Take a look at these helpful suggestions to help you release anger as it arises in your eating disorder recovery.