05/03/2026
EATING DISORDERS & NEURODIVERGENCE
Written by Cherilee Botha, Psychologist with Counselling Psychology Endorsement, a Credentialed Eating Disorder Clinician and Neuro-affirming Clinician
Emerging research and clinical experience indicate significant overlap between eating disorders and neurodivergent conditions, particularly Autism spectrum disorder and Attention deficit hyperactivity disorder. Elevated rates of Anorexia nervosa and Avoidant/restrictive food intake disorder are observed in neurodivergent populations.
This can look like...
- Restrictive eating not primarily driven by weight/shape concerns
- Marked sensory sensitivities to food textures, smells, or temperature
- Limited dietary variety (may be present since childhood)
- Difficulty identifying hunger/fullness cues (interoceptive differences)
- Rigid routines around food
- Executive functioning challenges impacting meal planning and preparation
- High levels of masking, particularly in females and gender-diverse individuals
Why Neurodivergence-Informed Referral Matters:
Traditional eating disorder treatments were largely designed for neurotypical populations. Standard screening tools may not fully capture these presentations. Careful developmental history and collateral information can assist with accurate formulation. Without adaptation, a neurodivergent person may be at higher risk of...
- Misinterpretation of behaviours as noncompliance
- Early dropout from treatment
- Increased shame and disengagement
- Poorer long-term outcomes
Early referral to clinicians experienced in both eating disorders and neurodivergence can significantly improve engagement and treatment effectiveness.
Treatment Approach...
Neurodiversity-affirming eating disorder treatment may include:
- Sensory-informed and paced nutritional rehabilitation
- Structured, concrete, and predictable therapeutic frameworks
- Executive functioning scaffolding
- Collaborative, strengths-based care
- Ongoing risk monitoring in line with standard medical guidelines
Medical monitoring remains essential, particularly in restrictive presentations.
Early identification and appropriate referral are key...
If you suspect and need support with a family member or friend with possible co-occurring neurodivergence and disordered
eating, referral to a clinician trained in both areas is recommended to support safe, individualised, and sustainable recovery.
You are welcome to call our practice and speak to our team for more information.
