Coping Strategies For Managing Anxiety And An Eating Disorder

Medically reviewed by April Justice, LICSW
Updated November 5, 2024by BetterHelp Editorial Team

Anxiety disorders and eating disorders often coexist, forming a complex relationship that can have a variety of impacts on mental health and daily functioning. Research suggests that more than half of people with an eating disorder also have a co-occurring psychiatric disorder, and anxiety is one of the most common.

This combination can be challenging to manage. However, several coping strategies can help individuals navigate these mental health concerns in combination with professional support, which is generally required for effective treatment. Here, we’ll explore the link between these mental health conditions, providing perspectives on how they present, how they can be managed, and paths to recovery.

A woman sits at the kitchen table and picks at the plate of food infront of her while sadly resting her head in her hand.
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Experiencing anxiety related to food and eating?

The link between anxiety disorders and eating disorders

Anxiety and eating disorders often appear together, with symptoms that can exacerbate each other. For example, individuals experiencing anxiety may turn to disordered eating behaviors as a means of emotional regulation. Anxiety symptoms can drive some people towards restrictive eating habits, while others may resort to binge eating and/or purging as a means of emotional regulation. Similarly, those diagnosed with eating disorders frequently report experiencing heightened anxiety symptoms related to food and body image.

Why it can help to understand this link

Understanding the relationship between anxiety and eating behaviors offers a broader perspective on addressing these mental health concerns. By considering this connection, it’s possible to explore treatment options that encompass both aspects of well-being for potentially more effective outcomes.

How an anxiety disorder can manifest in eating behaviors

Anxiety disorders can influence a person's approach to food and eating. From severe food restriction to instances of excessive consumption, individuals may use food to cope with the symptoms of anxiety.

Each person's experience with anxiety is unique, and not everyone will experience symptoms related to food. For those who do, however, common signs include:

  • Rigid food rules or rituals
  • Avoidance of certain foods or food groups
  • Difficulty eating in social situations
  • Frequent body checking or weighing
  • Preoccupation with food and/or weight

The underlying motivation for such behaviors frequently stems from a desire to alleviate anxiety or establish a feeling of control. Despite this intention, these actions may actually contribute to the onset or worsening of an eating disorder.

The cycle of anxiety and disordered eating

The relationship between anxiety and disordered eating often becomes cyclical. Anxiety can induce disordered eating behaviors, which may temporarily reduce anxiety but ultimately reinforce it. This pattern can become self-perpetuating, making it challenging for individuals to break free without support.

For example, someone struggling with social anxiety might turn to restrictive eating behaviors to avoid judgment or criticism from others. In this instance, the person's anxiety may decrease temporarily, but the restriction itself can lead to other eating disorder symptoms and initiate a harmful cycle.

Focusing on overall mental health to manage anxiety and eating disorders

Recovery from anxiety disorders and eating disorders typically involves a focus on overall mental health. Addressing underlying psychological factors often contributes to more effective treatment outcomes for these conditions.

Treatment for eating disorders often involves medical care and support from nutrition professionals, but these are rarely effective treatments on their own. Mental health care is usually a critical part of eating disorder treatment as well, since disordered eating behaviors generally stem from underlying psychological challenges. 

In this way, mental health forms the foundation for overall well-being and recovery from anxiety and eating disorders. By focusing on mental health, individuals may be able to develop healthier coping mechanisms, improve self-esteem, and build resilience for future challenges.

The connection between anxiety disorder recovery and eating disorder recovery

Managing anxiety disorders and eating disorders must usually happen in tandem. When individuals learn to effectively manage their anxiety, their interactions with food and eating behaviors may improve as well. Similarly, as disordered eating patterns are addressed, anxiety levels may decrease.

This interconnected nature of recovery highlights the need for comprehensive treatment approaches that address both anxiety and eating disorders simultaneously. By targeting both conditions, individuals may have a better chance of achieving lasting recovery and improved quality of life.

Effective coping strategies for anxiety disorders

Establishing effective coping techniques can be a crucial part of the approach to managing anxiety disorders and decreasing their impact on eating behaviors. While individual needs may vary, several evidence-based techniques have shown promise in anxiety management. 

Remember that diagnosable conditions like anxiety disorders and eating disorders typically don’t resolve on their own without treatment and that some eating disorders can be-life threatening. Seeking professional treatment for signs of any mental health condition is recommended.
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Mindfulness and relaxation techniques

Mindfulness and relaxation techniques can be useful tools for managing anxiety symptoms. These practices may help individuals become more aware of their thoughts and feelings, allowing them to respond to anxiety and stressors more effectively.

Some common mindfulness and relaxation techniques include:

  • Deep breathing exercises
  • Progressive muscle relaxation
  • Guided imagery
  • Meditation
  • Yoga

Research suggests that the regular practice of mindfulness techniques may help reduce overall anxiety levels and provide individuals with tools to manage acute anxiety symptoms when they arise. Note that your own experience with these techniques may vary, and it can take some trial and error to determine which methods work best for you.

(h2) Developing healthy eating habits while living with anxiety

Establishing healthy eating habits is typically another key component of recovery for individuals managing both anxiety and eating disorders. This process involves relearning how to nourish the body while managing anxiety symptoms. For those with moderate to severe eating disorders, this process will likely need to be done under the supervision of a medical professional.

Strategies for addressing symptoms of eating disorders

Addressing eating disorders often involves a comprehensive approach that considers both physical and psychological factors. Several strategies may benefit a person in the recovery process, such as:

  • Working with a registered dietitian to develop a balanced meal plan
  • Practicing mindful eating
  • Challenging negative thoughts about food and body image
  • Gradually exposing oneself to feared foods or situations under professional guidance
  • Developing alternative coping mechanisms for emotional distress

When used alongside anxiety-reduction practices and with the support of a mental health professional, these approaches may help individuals develop more positive connections with food and their bodies. Recovery can take time and is rarely linear, so patience and self-compassion are usually key.

Integrating coping strategies for both anxiety and eating disorders

Integrating coping strategies for both anxiety and eating disorders is often part of comprehensive recovery. This approach recognizes the interconnected nature of these conditions and addresses them simultaneously. Some examples of integrated strategies might include:

  • Using mindfulness techniques during meals to reduce anxiety and promote mindful eating
  • Incorporating relaxation exercises before and after challenging food situations
  • Developing a support system of loved ones who understand both anxiety and eating disorder challenges
  • Practicing self-compassion in relation to both anxiety symptoms and eating behaviors
  • Engaging in regular, safe, and enjoyable physical activity to promote both mental and physical well-being

By addressing both anxiety and eating disorders concurrently, individuals can develop a more holistic approach to their recovery and overall mental health. For many, a combination of ongoing therapy, medication, social support from parents, friends, or other loved ones, and lifestyle changes may be necessary to achieve lasting recovery. Remember to not start, stop, or change any medication without checking with your doctor.

When to seek professional help for anxiety or an eating disorder

While self-help strategies can be beneficial as a supplement, professional help is generally necessary for managing anxiety and eating disorders effectively. Eating disorder treatment and anxiety disorder treatment often require specialized care from mental health professionals and, in some cases, medical professionals.

The importance of early intervention for long-term mental health

Studies indicate that addressing mental health concerns promptly often leads to better outcomes for those living with conditions like anxiety or eating disorders. Timely intervention may mitigate the progression of these conditions and lower the likelihood of enduring physical and psychological effects. Some signs that professional help may be needed include:

  • Persistent anxiety that interferes with daily life
  • Significant changes in eating habits or weight
  • Obsessive thoughts about food, weight, or body image
  • Physical symptoms related to disordered eating
  • Difficulty managing emotions or relationships due to anxiety or eating concerns
A man in a blue shirt sits at his home desk with his laptop and phone while gazing off with a worried expression.
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Experiencing anxiety related to food and eating?

Seeking mental health support

Individuals living with an eating disorder must typically engage in regular physician visits and work with a dietitian as part of their treatment plan. Keeping up with regular therapist visits is also usually a crucial part of care, but it can be difficult to fit these appointments into an already full schedule. In cases like these, online therapy can make it easier to stay on top of appointments, since you can log on to sessions with a licensed therapist from anywhere with an internet connection—no commuting required.

Research examining the efficacy of online therapy for eating disorders has produced encouraging findings. Studies comparing virtual and in-person interventions suggest comparable outcomes in several key areas. For example, participants in both treatment modalities demonstrate similar improvements in eating-related symptoms and report comparable levels of satisfaction with the services received. Both groups show equivalent progress in cases where weight gain is medically indicated.

Takeaway

Anxiety and eating disorders often coexist, creating a complex interplay that may require a comprehensive approach to treatment and recovery. By understanding the connection between these conditions, developing effective coping strategies, and seeking professional help, individuals can work towards overcoming both anxiety and eating disorders.
Healing from eating disorders is possible
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