What are Eating disorders and body image issues?

Eating disorders and body dysmorphic disorder aren’t about vanity. They’re real, serious mental health battles. Get the facts without fluff.

Eating disorders and body dysmorphic disorder are two of the most misunderstood mental health issues out there. Most people write them off as insecurity. Or obsession. Or just a phase. But that’s way off.

This isn’t about wanting abs. Or being "too into selfies." This is about distorted thinking. Real pain. And bodies becoming battlegrounds for control, shame, and fear.

What Are Eating Disorders?

Eating disorders (EDs) are serious mental health conditions where food, weight, and body shape take over someone’s life. Common types include:

  • Anorexia nervosa: Extreme restriction, intense fear of gaining weight
  • Bulimia nervosa: Binge eating followed by purging (vomiting, laxatives, fasting)
  • Binge eating disorder: Uncontrolled eating without purging — leads to guilt and shame
  • Orthorexia: Obsession with “clean” or “perfect” eating

People with eating disorders aren’t just “trying to lose weight.” They’re stuck in a mental loop where food becomes a coping mechanism. It’s not about aesthetics — it’s about control.

What Is Body Dysmorphic Disorder (BDD)?

BDD is a mental health condition where someone becomes obsessed with a flaw in their appearance — often something no one else even notices.

This isn’t being “a bit self-conscious.” This is full-blown obsession. People with BDD might:

  • Spend hours in the mirror (or avoid them completely)
  • Pick at skin, hide parts of their body, or avoid photos
  • Cancel plans because they feel too “ugly” to go out
  • Get stuck in a cycle of anxiety, depression, and isolation

It’s not vanity. It’s a brain glitch. Their mind distorts what they see — and they can’t unsee it.

How Are EDs and BDD Linked?

30% of people with BDD also have an eating disorder. Why? Because both conditions share one thing: body image distortion.

For someone with BDD, the “flaw” might be their skin, nose, or jawline. For someone with anorexia, it might be their weight or stomach. But the root is the same: how they feel about their body doesn’t match reality.

And both disorders come with massive anxiety, shame, and obsessive thinking.

What Triggers These Disorders?

There’s no single cause. But here’s what increases the risk:

  • Genetics — family history matters
  • Social media — comparison kills confidence
  • Bullying or trauma — especially around appearance
  • Perfectionism and anxiety
  • Pressure from sports, dance, fashion, or media

In a world full of filters, face apps, and “perfect” bodies, dysmorphia is on the rise — especially in young people.

Signs to Look Out For

If you’re worried about someone (or yourself), here’s what shows up:

Eating Disorders:

  • Skipping meals or lying about eating
  • Rituals around food (cutting, hiding, rearranging)
  • Compulsive exercise or guilt after eating
  • Sudden weight loss or gain
  • Social withdrawal

Body Dysmorphic Disorder:

  • Obsessing over perceived flaws
  • Mirror checking or avoiding mirrors completely
  • Spending hours researching cosmetic procedures
  • Skin picking, excessive grooming
  • Feeling too “ugly” to leave the house

Men Struggle Too

This isn’t just a “teen girl” thing. BDD and EDs hit men hard — but most won’t talk about it.

  • Muscle dysmorphia (“bigorexia”) is rising fast — guys obsessed with never being big enough
  • Male athletes often develop disordered eating patterns for performance or aesthetics
  • Stigma keeps them silent — and untreated

How Social Media Makes It Worse

Instagram. TikTok. Filters. Algorithms that favour “perfect” faces and bodies.

Social media has created an environment where looking flawless is expected. This drives both BDD and eating disorders — especially among teens who are still figuring out who they are.

Studies show teens who use social media for more than 3 hours a day are 35% more likely to develop body image issues.

Getting Help (And Why Most Don’t)

The problem? Most people with EDs or BDD don’t seek help — because they think it’s their fault. Or they’re embarrassed. Or they’ve convinced themselves they’re “not sick enough.”

But these disorders don’t go away on their own. They get worse. Early intervention is key.

Treatment options:

  • Cognitive behavioural therapy (CBT) — proven to work for both EDs and BDD
  • Nutritional counselling for EDs
  • Medication — SSRIs help manage obsessive thoughts and anxiety
  • Support groups and peer support

It’s Not About Vanity. It’s About Mental Health.

Let’s be clear: people with eating disorders and body dysmorphic disorder aren’t vain. They’re in pain. And their minds are lying to them every single day.

They don’t need a lecture. They need understanding, support, and professional help.

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