03/20/2025
So many of the clients we work with are “high functioning” in their eating disorders. I was the same way in my own experience with an eating disorder.
This can be so confusing for friends, family, and support people to notice, not to mention the person who is actually suffering from the eating disorder.
This phenomenon can also feed denial, and the idea that “I must be okay, things must not be that bad if all of these other things are okay.”
How can one be doing that “badly” while also maintaining a high GPA, advancing in career, functioning like a “normal” person? Other people have it worse, right?
There are a couple of reasons this happens:
1️⃣ Food restriction + malnutrition increase cortisol and adrenaline hormones within the body, which can make it seem like energy and productivity are great, we can handle it all, and nothing could possibly be wrong. This state also disconnects us from hunger and fullness cues, creating the allusion that one does not need much nourishment to get through the day. The problem is when this state of fight-or-flight becomes one’s default state of being, as the body was never meant to exist only within this realm. This results in chronic emotional dysregulstion and eventually, a breaking point, physically, mentally, and emotionally.
2️⃣ Eating disorders are survival strategies, often used to mitigate low self-worth. The same can be true for getting good grades and killing at work. These things are not “wrong” or “bad”, but when they are rooted in the felt sense that “I cannot be okay without this thing” it’s amazing what one’s body and nervous system will allow them to do, for a period of time, until you can’t anymore.
3️⃣ Eating disorders are a socially acceptable drug of choice. People celebrate you when you lose weight or “eat healthier”. They love seeing someone who is really disciplined in the gym. The cultural reinforcement of eating disorders is also one reason, in my opinion, why so many people are “high functioning” and delay getting the help they really need 🫶🏼
This experience is more common than not, and it’s incredibly lonely. If you can relate to this, know you’re not alone and help is available 🫶🏼