Eating Disorders Are ‘Hidden’ No More

By Monte Nido, ANAD Treatment Center Partner

Millions of people are hiding an eating disorder every day.  

Despite affecting nearly 29 million Americans over their lifetimes, the majority never receive treatment, resulting in a heartbreaking loss every 52 minutes. 

Through various actions and behaviors, people with eating disorders often become experts at hiding their struggles. Further adding to the disguise, are the many misconceptions about what an eating disorder “looks like,” when the reality is that fewer than 6% of people with eating disorders are medically diagnosed as “underweight” (Murray, J.H., Manila, S.L., & McQuistan, A.A.). 

The Eating Disorder Community & Monte Nido are committed to changing this narrative. “Eating disorders have an immense and profound impact on our culture, regardless of whether we see the suffering we know so many Americans experience,” said Cassie McLean, Chief Executive Officer of Monte Nido. “We are committed to changing the dialogue for those living with or at risk of an eating disorder, because no one should have to fight this alone.”  

Eating Disorder Warning Signs

Detecting an eating disorder can be a layered and sensitive topic. Signs and symptoms may vary by individual and eating disorder type. A big indicator might be a noticeable change in a person’s attitudes towards food and their body. Common warning signs include:

Emotional / Behavioral

  • Weight loss, dieting, and control of food are primary concerns
  • Food rituals
  • Social withdrawal
  • Frequent dieting, body checking
  • Extreme mood swings

Physical

  • Noticeable weight fluctuations
  • Gastrointestinal complaints
  • Dizziness upon standing
  • Difficulty concentrating, sleeping
  • Issues with dental, skin, hair, and nail health

 

Please remember that anyone struggling with eating concerns deserves help. Hiding or ignoring the situation will only keep people trapped in their pain.

Addressing the Stereotypes

Another common misconception of eating disorders is that they only affect a certain demographic. However, eating disorders do not discriminate. Individuals across all genders, ages, races, ethnicities, sexual orientations, and sizes can be impacted by this insidious disease. The stereotypes we associate with eating disorders are harmful and may be invalidating to individuals who are struggling in silence.  

Diet culture and harmful narrative around body image can also cause eating disorders to lurk in the shadows. In many cases, individuals are unaware of the devastating impacts the eating disorder is taking on their physical, mental, and social wellbeing. 

“We live in an environment that is constantly talking about body image and weight loss medications, often without regard for the irreparable damage this language can cause,” said Melissa Spann, PhD, MBA, CEDS-C, Chief Clinical Officer at Monte Nido. “We hope this campaign will spark conversations and empower those who are living with an eating disorder to ask for the help they need and deserve. Recovery is possible at any age with the right treatment and support.”  

A Light In The Darkness

It will take all of us, but we believe that together, we can shine a light on the hidden struggles of eating disorders, cultivate empathy and empower individuals to seek the help they deserve. 

To learn more, see Monte Nido’s new awareness campaign “Hidden,” which is dedicated to acknowledging these silent struggles and to shining a light on this serious disease.

About Monte Nido

Monte Nido is a leading provider of eating disorder treatment, offering inpatient, residential, day, and virtual treatment programs. Delivering clinically comprehensive, research-backed treatment to adults and adolescents of all genders within a healing and affirming environment, we believe recovery is possible for everybody. Founded in 1996, our expert staff of eating disorder professionals deliver compassionate care, breakthrough outcomes, and long-term recovery for our clients. Monte Nido operates 50 programs and in 28 states virtually across their family of programs: Monte Nido, Monte Nido Walden, Monte Nido Rosewood, and Monte Nido Clementine.   

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)