Balancing Eating Disorder Treatment with Your Child's Education

James Runyan, MS, LMFT, LCP, CEDSS, Executive Director at Hidden River.

When it comes to eating disorder treatment, many parents struggle with the timing. This choice can be particularly challenging if residential treatment is required for full recovery. Parents may recognize that their child needs professional help but feel conflicted about pulling them out of school. Fortunately, there are ways to continue your student’s education while also pursuing the treatment that best fits their needs.

With these thoughts in mind, let’s dive into the pros and cons of in-person schooling during eating disorder treatment.

When possible, in-person schooling during eating disorder treatment offers a number of benefits. It may contribute to a student’s overall wellness and even support their healing. Advantages include:

Structured Routine

Many individuals — adults included! — thrive with a structured routine. A daily schedule helps students maintain both stability and normalcy in their day-to-day lives, which can be beneficial to their recovery journey. A routine also encourages time management skills and discipline, both of which can help them during eating disorder treatment. 

Support System

For many young people, their friendships play a key role in their happiness and wellbeing. In-person engagement with peers and teachers may boost their mood, improve their social skills, and promote a sense of belonging. Social interaction is particularly crucial for individuals struggling with an eating disorder, which is often experienced in isolation. 

The school itself may contribute to a patient’s support system too. Schools typically provide special services for their students, like counseling, extracurricular activities, and more. Teachers and other staff members can work together with healthcare providers to create a safe space for students and address the emotional and academic challenges that accompany an eating disorder. Check out ANAD’s Educator Approach Guide series for helpful tips and resources.

Academic Success

Let’s be honest: For many students, it’s easier to stay engaged with their schoolwork in an in-person environment. Face-to-face interactions allow for clarification when needed and immediate feedback, not to mention group projects and one-on-one meetings with teachers.

However, there are also potential drawbacks of in-person schooling during eating disorder treatment.

For some students, it’s simply too much to meet their school requirements and focus on their treatment. Three cons of in-person schooling includes:

Distraction

During eating disorder treatment, the primary focus should always be on recovery. If the pressures of academic success, peer relationships, and/or extracurricular activities begin to interfere with this goal, it’s time to consider an alternative approach.

Limited Flexibility

As we mentioned above, in-person schooling involves a structured schedule, which may not allow for necessary absences due to ongoing treatment. The need to attend individual therapy, group therapy, family therapy, meal support, and other components of treatment make it difficult to abide by traditional school hours. 

With irregular attendance, a student’s learning experience is obviously interrupted. They may fall behind on their work or miss valuable lessons, both of which can cause added stress. 

Stigma

A student suffering from an eating disorder may face stigma, judgment, or misunderstanding from their peers. If another student notices changes in appearances, attitude, or behaviors, they may say something to their peers or teachers, leading to unwanted attention and concern. 

In an effort to change this landscape, the National Association of Anorexia Nervosa and Associated Disorders (ANAD) recently launched the ANAD School Ambassador Program (ASAP). This new initiative strives to empower students to raise awareness of eating disorders, available support, and educational resources to school communities across the country.

When it comes to balancing the need for eating disorder treatment with ongoing education, it’s important to take the approach that best supports your child’s recovery.

Thanks to the LearnWell and the school program at Hidden River, it is possible to seek residential eating disorder treatment and keep up with state-certified curriculum throughout the school year. For middle and high school students, we offer customized on-site educational programs. A state-certified LearnWell teacher provides two hours of in-person tutoring from Monday to Friday, excluding holidays and breaks. This teacher works closely with the student’s community school district and guidance counselor to obtain the student’s current assignments and schoolwork.

If the LearnWell teacher cannot access the student’s schoolwork, they will utilize LearnWell’s specialized online curriculum, ensuring that each student stays aligned with their grade-level curriculum. LearnWell teachers are adept at addressing the diverse needs that arise from eating disorders or co-occurring conditions while also accommodating treatment requirements.

For college-aged patients, Hidden River supports academic progress by providing one hour of study time each day. As the student’s overall health improves, the clinical programming may be adjusted to allow for additional evening study time if appropriate.

And don’t forget that ANAD has partnered with F.E.A.S.T. to provide weekly support groups for parents and caregivers. Learn more and register here.

Hidden River provides residential eating disorder treatment for girls and women ages 10 to 20 utilizing an expert, compassionate treatment team emphasizing family involvement. We offer a beautifully designed facility in a peaceful, natural environment conducive to recovery and healing. To learn more about Hidden River, please visit our website. 

Yoga

  • Reconnect with one’s body
    • Promotes mind-body connection, awareness of self, and acceptance.
  • Stress and anxiety reduction
    • Yoga activates the parasympathetic nervous system, counteracting our body’s stress responses.
    • Deep, slow breathing can reduce cortisol  levels (stress hormone) and help calm our minds.
  • Intentional movement
    • Yoga provides a space to mindfully enjoy movement and explore a healthy form of exercise.
  • Long term healing
    • Provides a practice to safely and sustainably lean into.
  • A space for community and support
    • Oftentimes, yoga is done in a group setting, which can increase feelings of connection and lower feelings of loneliness.

After the completion of 7–12 yoga classes, a statistically significant decrease in anxiety, depression, and body image disturbance was seen (Hall et al., 2016).

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Some classes are targeted for rigorous exercise, such as “heated flow” or “power flow.” Please be mindful with what you practice, and look for “slow flow,” “yin,” “vinyasa,” and “restorative” yoga in non-heated rooms.

Music

  • Music can have a powerful effect on people’s mood

    • listening to uplifting or calming songs can help reduce stress and anxious feelings.
  • Music stimulates the limbic system, the part of our brain responsible for processing emotions
    • music triggers the release of serotonin and dopamine, which are associated with reducing feelings of anxiety, depression, and stress (which are often associated with eating disorders)
  • Slow tempo music has been shown to decrease cortisol, our stress hormone, as well as lower blood pressure and reduce heart rate.
  • Music increases the brains neuroplasticity, enhancing brain functions like mood regulation, decision making, and memory.

A study done by Mindlab International revealed that the song “Weightless” by Marconi Union resulted in a 65% reduction in participants’ overall anxiety (Dr. David Lewis-Hodgson).

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  • Ludovico Einaudi
  • Claude Debussy
  • Johann Sebastian Bach
  • José González
  • Laraaji
  • Bill Evans
  • Vance Joy
  • The Paper Kites
  • Moby
  • Tycho

Aromatherapy

  • Aromatherapy can be a helpful, low- cost (or free) tool for people managing eating disorders.
  • Aromatherapy involves using essential oils to help manage emotions and restore balance.
  • Scents can help ground people, encouraging mindfulness about physical and emotional sensations.
  • Can promote a tranquil environment and give a sense (& scent) of peace.
    • creates an atmosphere for individuals to feel safe in processing emotions

Lavender has been shown to reduce anxiety levels. It is seen as a “anxiolytic” solution to providing a coping method for those with anxiety disorders (Yoo & Park, 2023).

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  • Lavender: calm, sleep, relax
  • Chamomile: calm
  • Rose: anxiety reduction
  • Lemon: energy, nausea reduction, concentration
  • Orange: brighten, uplift
  • Jasmine: anxiety reduce, sleep
  • Peppermint: alertness
  • Ylang ylang: calming, stress and anxiety reduction
  • Rosemary: focus

Art

  • Art can help provide a safe space for communication.
  • It can promote a sense of relaxation, and become a calming, meditative like experience (especially in “flow state”).
  • Gives an outlet and coping mechanism for managing difficult emotions.
  • Helps develop healthy habits and routines for self-management.
  • Increases an individuals sense of awareness and understanding of their emotions and thoughts.

Art can boost cognitive function, emotional resilience and self-confidence. It has also been shown to reduce stress and aid in conflict resolution (Hudson University, 2024).

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  • Coloring books
  • Digital coloring or drawing
  • Collaging
  • Sketchbook/journaling/ diary
  • Painting
  • Water coloring
  • Air dry clay (model magic) or traditional clay (ceramics)
  • Photography (use your phone!)
  • So much more!

Creative Journaling & Writing

  • Journaling allows space for self reflection, and emotional release.
  • Free writing can help you connect to your inner voice without judgment.
    • This can look like a steam on consciousness, a short story, or even poetry.
  • Both of these can give you space to problem solve, and look at a situation from a new angle.
  • Try out a prompt, or guided writing exercise if free writing isn’t your thing.
    • Examples & resources below!

Positive writing has been shown to promote positive emotions, as well as positive cognitive mechanisms in the general population (Lai et al., 2023).

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  • What are three things I’m grateful for today?
  • Write a letter to your future self. What do you want to tell them?
  • Write about a positive affirmation you want to start telling yourself.
  • How do you like to relax? Write about your favorite way to unwind.
  • What does “peace” look like to you? How can you bring more of it into your life?
  • What is something that always makes you laugh or brings you joy?

Self-Care / Self-Talk

Positive Self Talk

  • Positive affirmations are short, encouraging statements that can help build our self-esteem and challenge negative thoughts.
  • Repeating these statements daily can help foster a more loving relationship with yourself over time.
    • “Mirror-work” is when you look into the mirror and say kind, positive affirmations to yourself. It might feel awkward at first.
    • Try statements such as “I am enough,” “I am deserving of all the good things life has to offer,” or “I am strong, capable, and confident in everything I do.”
  • This can help build mental resilience, making it easier to cope with challenges and setbacks.
  • They can elevate your mood and promote a more optimistic view of life.
  • They help build confidence and self-worth by focusing on your strengths and capabilities.

Self Care

  • Self-care directly impacts emotional, psychological, and physical well-being.
  • Engaging in regular self care practices helps maintain balance and resilience, ensuring we can cope with life’s challenges.
  • Regular self-care allows the body and mind to recover, recharge, and maintain a sense of calm.
  • Taking care of yourself helps prevent burnout by ensuring you have the energy and mental capacity to meet the demands of life.
    • Without regular self care, you may become overwhelmed, leading to fatigue, frustration, and decreased productivity.
  • Giving yourself mental space helps clear your mind, improving focus, decision-making, and problem-solving.
  • Allows you to engage in activities that bring you joy, pleasure, and fulfillment. These experiences elevate mood and provide moments of peace and happiness.

Positive Self Talk

Affirming personal values has been linked to boosting ones happiness and meaning in life (Nelson et al., 2014). MRI’s show that self- affirmations affect brain activity! (Cascio et al., 2015).

Self Care

“Engaging in a self- care routine has been clinically proven to reduce or eliminate anxiety and depression, reduce stress, improve concentration, minimize frustration and anger, increase happiness, improve energy and more. From a physical health perspective, it has also been clinically proven to reduce heart disease, stroke and cancer” (Glowiak, 2024).

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POSITIVE SELF TALK

 

SELF CARE

  • Up to personal preference, ideas listed in the guide
  • Sleep: Make sure you get enough hours in
  • Making time for hobbies: painting, gardening, etc.
  • Doing chores: cleaning dishes, doing laundry, cleaning space, decluttering
  • Spending time outdoors: taking nature walks, sitting in a park
  • Being with people you love: friends, family, partners
  • Reading or learning: something of interest, and limiting technology/screen time
  • Personal care: shower, bath, deep breathing, meditation, massaging
  • Treating yourself: occasionally indulging yourself with something you love (ex: buying a new book, or a coffee from your favorite shop)
  • Mental care: attending peer support groups (for free with ANAD!), going to therapy (we can help connect you with someone)