Understanding the Crucial Role of Peer Mentors in Eating Disorder Recovery

When she was first seeking treatment for her eating disorder, Maris Degener wasn’t sure if real recovery was even possible. Without a reliable role model for what full recovery actually looked like, she concluded that it simply wasn’t in reach, or worth all the time and energy. “The biggest message I received over and over again was that things might improve a little bit, but there would always be a ceiling,” she says. 

Fortunately, Degener kept going, and ultimately connected with others who’d been through similar journeys. “It wasn’t until I started finding others who were a bit further along in their recovery that I could start having these, ‘that’s possible?’ moments,” she says. Now, Degener carries forward this role by serving as the Director of Peer Mentorship at Equip, an evidence-based, virtual eating disorder treatment program. 

What is peer mentorship?

A peer mentor is someone who’s gone through recovery and is by a patient’s side to offer hope and guidance. They can provide a listening ear to the patient, help them work through their feelings about treatment, and share advice from their experience – typically through weekly meetings in person or over video call. 

Mentorship can also take the form of a family mentor, someone who has lived experience supporting a loved one with an eating disorder and can pass their wisdom on to other families. A family mentor meets regularly with the loved ones of a patient, whether that’s family members, friends, mentors, etc. Through these sessions, loved ones are able to have a dedicated space just for them. They can ask questions and reflect on their own emotions and needs.  

The roles of the peer mentor and family mentor are invaluable in treatment and, according to research, may make a significant difference in a patient successfully achieving lasting recovery.

What the research says about the importance of peer mentors for eating disorder support

While there are many programs and studies that speak to the power of mentorship on patients struggling with depression and anxiety, there has been less research focus on the power of mentorship for those affected by eating disorders. From the research we do have, there’s a strong indication that mentorship can have many positive effects on eating disorder recovery specifically. 

According to The International Journal of Eating Disorders’ 2019 study, peer mentorship was proven to be effective in reducing both cognitive and behavioral eating disorder symptoms. Out of sixty participants with bulimia nervosa, anorexia, or binge-eating disorder (BED), the patients who received mentorship from people with lived experience in recovery had fewer symptoms of body dissatisfaction and anxiety than those who received guidance from social supports who didn’t have any lived experience.

First-hand experiences also reflect these outcomes. Degener says that she wasn’t as able to open up to people who hadn’t experienced eating disorders themselves. “Eating disorders are highly complex and nuanced experiences,” she explains. “It’s very hard to relate to or fully understand how greatly they can impact someone’s life until you’ve had an intimate experience with one.”

Degener was finally able to open up about deeper issues when she connected with peer mentors. “So much of recovery can be tethered up in shame and secrecy, and to have someone who can meet you with true non-judgment and compassion can allow you to talk about the deepest challenges of an eating disorder in a new, supportive way.”

Mentorship is also a great tool to combat the stereotypes about eating disorders that can keep someone from seeking treatment. The myth that eating disorders predominantly affect thin, white, affluent girls can be very alienating. Being able to connect with someone with a shared experience or identity can be incredibly powerful in cultivating hope and faith that recovery is achievable for anyone.  

Peer Mentorship Help

Mentorship isn’t just valuable for patients: research has also shown that it can also make a significant difference for the loved ones of the patient. According to a 2020 report conducted by F.E.A.S.T. in collaboration with Project HEAL, parents greatly benefited from their own peer support. When they had access to  education materials, personalized strategies, and their own support person, they were far better equipped to show up for their loved one. 

“Serving as a family mentor gives new meaning to everything I’ve learned the really hard way about helping a child through eating disorder recovery,” says Equip Family Mentor Kristi Humston. “The gift of hindsight, however, is seeing how the experiences we didn’t ask for but survived can result in hope and lived ‘expertise’ that helps to make the journey for others a little easier.”

While trained clinicians—like a medical doctor, therapist, and dietitian—are essential to treating eating disorders, there are some insights that can only come from someone who has been through it themselves. These pieces of wisdom often give parents the strength and motivation they need to carry on.

Family mentorship matters too

Mentorship isn’t just valuable for patients: research has also shown that it can also make a significant difference for the loved ones of the patient. According to a 2020 report conducted by F.E.A.S.T. in collaboration with Project HEAL, parents greatly benefited from their own peer support. When they had access to  education materials, personalized strategies, and their own support person, they were far better equipped to show up for their loved one. 

“Serving as a family mentor gives new meaning to everything I’ve learned the really hard way about helping a child through eating disorder recovery,” says Equip Family Mentor Kristi Humston. “The gift of hindsight, however, is seeing how the experiences we didn’t ask for but survived can result in hope and lived ‘expertise’ that helps to make the journey for others a little easier.”

While trained clinicians—like a medical doctor, therapist, and dietitian—are essential to treating eating disorders, there are some insights that can only come from someone who has been through it themselves. These pieces of wisdom often give parents the strength and motivation they need to carry on.

Forging a deeper connection that reinforces recovery

“There are many small but highly impactful moments in recovery that can be hard to go through alone,” Degener says. “I’ll always remember an Equip peer mentor supporting a patient through sorting out some old clothes that they were having a difficult time parting with. The peer mentor could offer jokes or distraction when needed, hold space while the patient cried, or simply be there quietly as a gesture of support. Recovery can be so lonely and hard to describe at times. To just have someone to walk alongside you can be incredibly meaningful.”

Another beautiful part about mentorship is the mutually beneficial relationship it fosters. Degener, for example, credits her role as a mentor as having benefited her own long-term recovery. “I find it to be a healthy source of accountability,” she says. “I get to talk to individuals every day about the benefits of recovery and the value in challenging the eating disorder, and in that, I’m reaffirming those truths for myself, too. At its best, mentorship can be a wonderfully meaningful relationship for everyone involved.”

If you’re curious about mentorship, or looking to get peer support today, check out this guide as a first step. You can also visit Equip to learn more about their treatment approach that combines clinical expertise with unique insights only those with lived experience can provide. 

References

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)