04/21/2024
Thanks for putting words to my thoughts Val.
The fixation of today’s culture on weight and weight loss drugs has contributed to a narrative that weight loss is an answer for certain types of eating disorders - and a strategy for managing body dissatisfaction and body image concerns.
Not true. 🤬
In fact, attempts at weight loss when there is an underlying eating disorder (or dysregulated body image) is like putting a bandaid on a hemorrhaging wound. 🤕
It’s important to recognize that people of all body sizes struggle with compulsive eating and binge eating disorder.
Second, binge eating disorder has a significant restrictive side to the disorder. So, it’s fascinating (and completely frustrating) when I see ob*sity medicine docs (and other healthcare providers) recommend weight loss and weight loss drugs as a treatment intervention for binge eating disorder.
Most of the time, patients aren’t even screened for eating disorders or asked about their nutrition, but that’s another issue. 😏
Eating disorders are a mental health illness with complex biopsychosocial etiology. Nutritional rehabilitation that provides adequate nourishment is vital for all types of eating disorders, along with psychological and behavioral nutrition therapy for food rules, inaccurate beliefs, and anxiety about food, eating, and weight.
Weight loss drugs may “hush” the disruptive noise and chatter about food, and weight loss may calm the negative thoughts about body image - but this is temporary. Any of us who have worked in this space long enough know and have witnessed first hand that “fixing body weight” doesn’t heal the underlying disorder.