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Depression and Eating Disorders

Each year, as the calendar flips to November, I'm hit with a reminder of how complex the holiday season feels in eating disorder recovery. Of course, that's not unique to those with a history of eating disorders. This time of year can be overwhelming for anyone. In 2021, three out of five surveyed Americans felt their mental health worsen over the holidays, with 60 percent noticing a rise in anxiety, and 52 percent noticing a rise in depression. Now couple all that with eating disorder stressors or behaviors, and this hectic season can become even more fraught. So with the 2022 festivities just around the corner, let's acknowledge it: The holidays are complex in eating disorder recovery—and that is alright. 
If you have experience with trauma-informed mental health care, it's quite possible that you're also familiar with eye movement desensitization and reprocessing (EMDR) therapy. This therapy is an intervention used to help the brain resolve unprocessed traumatic memories, as well as the thoughts, emotions, beliefs, and physical reactions or sensations connected to those memories. But, is EMDR therapy useful for eating disorder treatment? That's a nuanced question without a one-size-fits-all answer. However, as someone who is currently in the thick of EMDR sessions myself, I want to examine its potential benefits for eating disorder recovery.
Suicide prevalence in the eating disorder community is a serious concern. Eating disorders are some of the most lethal forms of mental illness—in the United States alone, one person dies every 52 minutes as a result of eating disorder complications. But this high mortality rate is not just a reflection of the various health risks that eating disorders cause. Suicide accounts for many of those deaths as well. In fact, the prevalence of suicide attempts is a tragically common trend among those who suffer from eating disorder behaviors. (Note: This post contains a trigger warning.)
I used to subscribe to the toxic positivity message. I wanted to believe that if I could maintain a persona of relentless confidence, enthusiasm, resilience, and optimism, then I would eventually outdistance the pain of my eating disorder.
Body dysmorphia is a mental health condition that will impact an estimated one in 50 people over the course of a lifetime.1 In some cases, those with body dysmorphia also suffer from eating disorder behavioral patterns such as caloric restriction, compulsive exercise, binge-purge cycles, or obsession with weight. The earliest signs of body dysmorphia often manifest in adolescence,2 and anyone can be at risk—no matter their gender pronouns, sexual orientation, body composition, or ethnic background. Here is what you should know about body dysmorphia in case you (or a loved one) are exhibiting symptoms of this mental illness.
When you enter the process of eating disorder recovery, one of the most intrusive—not to mention, persuasive—lies you might have to wrestle with is the belief that you're a burden. The combination of shame and stigma, which often underpins an eating disorder and many other forms of mental illness, can leave you feeling like just too much for those around you to tolerate. But as difficult as it can be to tune out this message, don't listen to the eating disorder voice: You are not a burden. In fact, you are worth claiming space in this world.
I am someone who genuinely loves to exercise. I know this claim might elicit some eye rolls, but it's true. I even had a therapist at a residential treatment program once tell me that she suspected fitness would always be an integral part of my life. The trick, she continued, was learning to create a balanced relationship with how I choose to work out. It's been more than 10 years since that conversation, but I still have to be so careful about using exercise to stabilize my emotions in eating disorder recovery.
In many cases, eating disorder behaviors can be fueled by cognitive distortions. These irrational thought patterns could influence you to latch onto a negative and inaccurate view of yourself, a situation, a relationship, or life as a whole. But cognitive distortions only have power if you allow them to take root, which means that you can learn to spot cognitive distortions—and ultimately combat them—in eating disorder recovery.
Thanksgiving is not my favorite holiday—not even close, in fact. As someone who was raised in a large, boisterous, Italian American family, I understand the importance of seasonal traditions, quality time with loved ones, and communal expressions of gratitude. But as someone who is also in eating disorder (ED) recovery, the overt emphasis on food this time of year can still cause ripples of anxiety to surface. So, as another holiday season rounds the corner, I want to share with you a list of ED recovery affirmations to remember on Thanksgiving. I often repeat them to myself when I feel overwhelmed or anxious during the festivities, and I hope these affirmations calm and re-center you as well.
If you have been following the news lately, then chances are, you know about the global supply chain issues projected to loom over this holiday season. And while the United States Department of Agriculture (USDA) confirms there is no current food shortage in the United States, grocery stores and supermarkets across the nation could experience low inventory of certain items on their shelves. So, what does this mean if you have a complicated or difficult relationship with food to begin with? Be conscious of the possibility that food shortage anxieties can fuel eating disorder behaviors.