Secrecy and eating disorders
This section includes people describing their experiences of secretive behaviours at the time when they were ill. Some people might find reading about these experiences...
This section includes people describing their experiences of depression, self-harming and suicidal thoughts which some people might find upsetting or distressing to read. All the material on this website is intended to support a better understanding of why these unhelpful behaviours in eating disorders happen, how to get help for them and to support genuine recovery from eating disorders.
If you need help visit our resources section ‘Mental Health and Wellbeing Resources’ for confidential helpline numbers.
Eating disorders and emotional well-being are closely linked. Difficulty in coping with negative emotions is thought to be a cause of eating disorders by. In order to cope with these emotions, people may start restricting food (limiting what they eat) or bingeing (eating a lot in a short space of time) and purging (getting rid of food from the body). Depression and feeling low are negative emotions particularly linked with eating disorder. It can be difficult for people to know which came first’ the eating disorder or low moods.
People described a range of emotions over the course of an eating disorder. They had often felt anxious, upset, angry, emotional, moody and irritable. They described feeling sad and ‘crying all the time’ for no obvious reason.
Many people had experienced depression. A few had been diagnosed and treated for clinical depression and said they had ‘always’ felt that way. It could be hard to separate the eating disorder and depression as they sometimes developed together, and as the eating disorder got worse, the more depressed they felt. Sometimes depression and eating disorders could be traced back to the same cause, such as bullying, an unsettled home life or low self-esteem. Sometimes people only became aware of depression after the eating disorder had been treated, and they were in recovery.
Feeling low, upset and anxious often had a big impact on many aspects of life’ people became more isolated, avoided meeting friends, going out or attending school. Emily used to love going out clubbing, shopping and doing sport but when depressed she was constantly ‘making up excuses’ not to go. Elizabeth, who struggled to eat in public or with other people, described how food ‘alienated’ her from others. Feeling low and isolated could also drive people to become more secretive about their eating problems or go on pro-eating disorder forums. David said his moods affected his ‘whole life’ and everything he did. Katherine described the impact of separation anxiety;
‘(I was) like a little broken kid, I was just absolutely devastated. I wouldn’t leave the house, I wouldn’t go to school. Going into friends’ houses even just for kind of a couple of hours to go for a tea was a big thing, like it took me ages to recover from it.’ -Katherine
Often people had been prescribed antidepressant medicine to treat their depression. Their experiences of both the benefits and side effects of the medication varied widely. Rob said antidepressants ‘changed my life’ and Georgia said they were ‘the most helpful thing’ in recovery. Antidepressants helped people feel more ‘stable’, and enabled them to ‘tackle’ their problems. Rob said they ‘alleviated some of the darkness’. For Emily, antidepressants helped her cope better with depression and bulimia nervosa. Laura found that medication did not make a difference and Craig found ‘no help’ from medication and stopped because of side effects such as extreme nightmares. Some had had counselling for depression, whereas others hadn’t had any treatment.
For more about young people’s experiences of antidepressants.
People also talked about the link between self-harm, depression and eating disorders. This relationship could be difficult to understand, and people had different reasons for self-harming. It could be a form of punishment, driven by feeling low about or ‘disliking’ oneself. Rob described self-harm as a way of ‘attacking myself’.
Some people described the eating disorder, particularly restricting and purging, as a form of self-harm. Looking back, Rachel described restricting food as her first form of self-harm. Self-harm and purging were both methods for coping; they became outlets to release negative emotions like guilt, anger or upset. Rob tried to tackle a cycle of emotions through self-harm but said it only offered ‘a temporary relief’. Felicity felt that the eating disorder and self-harm were just different ways of dealing with the same underlying problem. For Charlotte, the eating disorder and self-harm developed together, both getting more serious and regular. She said after time, self-harm became almost like ‘a habit’.
Immediate help is available for anyone with suicidal thoughts. If you need to speak to someone please visit our resources page ‘Mental Health and Wellbeing Resources’ for a list of free, confidential helplines.
Experiencing suicidal thoughts could be highly distressing but people often said they wouldn’t act on them but tried to cope with them instead. It was a very different experience to actually trying to harm themselves.
For more information and support with depression, self-harm and suicidal feelings see our resources section.
This section includes people describing their experiences of secretive behaviours at the time when they were ill. Some people might find reading about these experiences...
People often think that eating disorders develop because people are worried about their weight or unhappy with how they think their body looks (negative body...