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Unveiling the Connection: The Impact of Trauma on Disordered Eating

Updated: Sep 6, 2023


Trauma and disordered eating are two topics that are often discussed separately, but research has shown a strong connection between the two. Traumatic experiences can have a significant impact on a person's relationship with food and their body, leading to the development of disordered eating behaviors. Understanding this connection is crucial for healthcare professionals and individuals struggling with disordered eating alike.


Research has indicated a strong link between trauma and the development of disordered eating behaviors. When someone experiences trauma, it can significantly disrupt their sense of safety, control, and self-worth. In an attempt to regain a semblance of control, individuals may turn towards disordered eating patterns as a coping mechanism.


Sara Mccracken is a therapist at www.yestotherapy.com; her areas of focus are disordered eating and trauma work (specifically EMDR).

Sara Mccracken

"My true passion lies in working with individuals dealing with eating disorders and the co-morbid diagnosis that can come with them including anxiety, depression, and PTSD." -Sara Mccracken.


Connect with Sara Mccracken virtually and in person at our Santa Cruz Location.




Disordered eating refers to a range of abnormal eating behaviors, including anorexia nervosa, bulimia nervosa, binge eating disorder, and other unspecified eating disorders. These behaviors may involve restricting food intake, bingeing, and purging, or consuming excessive amounts of food.


To fully comprehend the impact of trauma on disordered eating, it is important to first understand what trauma entails. Trauma refers to a distressing or disturbing experience that overwhelms an individual's ability to cope. This can include various events such as abuse, neglect, accidents, natural disasters, or witnessing violence.


Traumatic experiences can lead to a variety of negative emotions and thoughts, such as shame, guilt, fear, and low self-esteem. Disordered eating behaviors may serve as a way to numb or cope with these distressing emotions. For some individuals, restricting food intake may provide a sense of control over their bodies and emotions in the midst of chaos. Others may turn to bingeing or purging as a way to relieve emotional pain or regain a sense of power in their lives.


The connection between trauma and disordered eating is complex and multifaceted. Trauma can impact an individual's perception of their body, self-worth, and relationship with food. It can distort their ability to listen to their body's hunger and fullness cues, leading to unhealthy eating patterns.


It is essential for healthcare professionals and individuals struggling with disordered eating to recognize and address the underlying trauma that may be fueling these behaviors. Trauma-informed care, which acknowledges the prevalence of trauma and its potential impact on individuals, is crucial in supporting the recovery process. By creating a safe and supportive environment that promotes healing and empowerment, trauma-informed care can help individuals untangle the connection between trauma and disordered eating, leading to a path of recovery and improved overall well-being.


One particular study conducted with individuals diagnosed with eating disorders found that a staggering 75-94% of participants reported a history of trauma. Another study examining the relationship between trauma and binge eating disorder found that approximately 30-45% of individuals with the disorder had experienced trauma.

It is important to note that trauma can occur at any point in an individual's life, including childhood, adolescence, or adulthood. Adverse childhood experiences, such as physical or sexual abuse, can have long-lasting effects on psychological development and may contribute to the development of disordered eating behaviors later in life.


The impact of trauma on individuals with disordered eating is complex and multifaceted. Traumatic experiences often disrupt an individual's sense of safety, control, and self-worth, leading to feelings of shame, guilt, fear, and low self-esteem. In an attempt to regain a sense of control or numb these distressing emotions, individuals may turn to disordered eating behaviors as a coping mechanism.


Moreover, trauma can significantly distort an individual's relationship with their body and food. It can disrupt their ability to listen to their body's hunger and fullness cues, leading to unhealthy eating patterns such as restriction, bingeing, or purging.


Recognizing the prevalence of trauma in individuals with disordered eating is crucial for healthcare professionals and treatment providers. Trauma-informed care, which acknowledges the impact of trauma and fosters a safe and supportive environment for healing, is essential in addressing both the trauma and the disordered eating behaviors.

Professional treatment for trauma and disordered eating typically involves a multidisciplinary approach, which may include therapists, psychologists, psychiatrists, dietitians, and other healthcare professionals. These professionals are trained to address the complex interplay between trauma, disordered eating behaviors, and mental health.

1. Trauma-focused therapy: Trauma-focused therapy is a crucial component of professional treatment for individuals with trauma-related disordered eating. Therapeutic approaches such as Eye Movement Desensitization and Reprocessing (EMDR), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), and Dialectical Behavior Therapy (DBT) can help individuals process and cope with traumatic experiences while simultaneously addressing the underlying causes of disordered eating.

2. Nutritional counseling: Dietitians experienced in disordered eating can play a pivotal role in guiding individuals toward a healthier relationship with food and their bodies. Nutritional counseling aims to restore the individual's ability to listen to their body's hunger and fullness cues, establish regular eating patterns, and promote overall physical and emotional well-being. Nutritional counseling may also involve education about balanced eating, meal planning, and addressing any nutrient deficiencies resulting from disordered eating.


3. Medication management: In some cases, medication may be prescribed to address co-occurring mental health conditions such as depression, anxiety, or post-traumatic stress disorder (PTSD). Psychiatrists can assess the individual's medication needs and provide appropriate interventions to alleviate symptoms that may contribute to disordered eating behaviors or hinder the recovery process.

4. Group therapy and support: Group therapy can be immensely beneficial for individuals with trauma-related disordered eating. Participating in support groups or therapy groups led by experienced professionals allows individuals to connect with others who have similar experiences, share their challenges, and learn from each other's successes. Group therapy provides a sense of community, validation, and support, which can be comforting and empowering throughout the recovery journey.


5. Holistic approaches: Holistic or complementary approaches, such as yoga, mindfulness, art therapy, and body-based interventions, can help individuals reconnect with their bodies, manage stress, and develop healthier coping mechanisms. These approaches aim to address the mind-body connection, reduce anxiety and stress, and promote self-care and self-compassion.


6. Long-term aftercare support: Recovery from trauma and disordered eating is an ongoing process that requires ongoing support. After completing professional treatment, individuals may benefit from continued individual therapy, support groups, and periodic check-ins with healthcare professionals to ensure sustainable progress and prevent relapse.


Seeking professional treatment for trauma-related disordered eating is a crucial step towards healing and recovery. Professional providers who specialize in trauma and eating disorders can provide the necessary expertise, guidance, and support to address the underlying causes, develop healthier coping mechanisms, and achieve long-lasting positive change in both individuals' mental and physical well-being.


To work with one of our professionals, please visit www.yestotherapy.com
















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