Eating disorders don’t discriminate—and they are not a choice
By Alexandra van Essche, Eating Free founder and lead coach
Eating disorders do not discriminate. They affect people of all races, ages, cultures, genders, body types, backgrounds and socio-economic statuses. Eating disorders touch lives in every corner of society.
It is often assumed that only young women are affected, but men are too—as well as individuals in the intersex and transgender communities. It is alo assumed that only young people grapple with eating disorders, but older people do as well.
Whether you’re a student, a young professional, a leader in business or government, a working parent, retired, unemployed or self-employed —if you are struggling with an eating disorder, you deserve compassion, understanding, medical care and meaningful support.
According to the U.S. National Institute of Mental Health, “Eating disorders are not a choice. The exact cause of eating disorders is not fully understood. Research suggests a combination of genetic, biological, behavioural, psychological and social factors can raise a person’s risk.” Many research studies also show how traumatic events present a significant risk factor for the development eating disorders, particularly binge eating, bulimia nervosa (bingeing and purging) and anorexia.
An eating disorder can affect your relationship with food and how you see yourself ie your body image. It can adversely your physical and mental health. This is why many people who suffer with an eating disorder benefit from psychotherapy to talk through their personal challenges and previous experiences.
Reaching out for support
Recovering from an eating disorder can feel overwhelming. The sooner you reach out for support, the better, because eating disorders can become very entrenched in your daily life. Yet no matter how long you’ve struggled, you can recover.
In South Africa, while private medical specialists and treatment centres are available to those that can afford it, access to medical support within the public healthcare system is far more limited. If you are on medical aid and can afford private care, please take the first step and speak to your GP. If you rely on the public health system, please go to your nearest healthcare facility or hospital and ask for support. Read the Eating Free Values. You have a right to treatment and care. You should feel safe, respected and heard when you seek help. Your eating disorder is not your fault.
If you have a trusted family member, friend or partner, involving them in your recovery can offer comfort and support. Talking about your struggles with eating isn’t always easy—you might feel nervous or unsure about how the person will react. Remember, reaching out is a courageous and important step. Give them time to process and respond. If speaking feels too difficult, consider writing a letter, email or WhatsApp message instead. You can also ask a supportive friend who understands what you’re going through to be with you when you share.
Eating disorder recovery: process not perfection
Recovering from an eating disorder is not easy, especially in the beginning, but it is possible. It also takes time — which can be difficult to accept. This is why consistent care and support are so important to help you learn from setbacks and keep you moving forward.
Healing your relationship with food and yourself
Healing your relationship with food, eating, and your body is a vital part of eating disorder recovery. With dedicated support, you can begin to move away from harmful patterns—towards eating with awareness, ease, and without shame or self-judgment. Recovery isn’t always linear, but it is possible—and absolutely worth it.