Teen Eating Disorders: How to Protect Your Child
As a parent, we like to think we can shield our children from the worst in life until they are old enough to handle it. Realistically, we do what we can, but even our elementary school kids deal with serious issues. A recent news story brought this to mind: Demi Lovato, a Disney starlet, entered a residential treatment center last year, and now was telling the world about her struggle with an eating disorder, one she developed at eight years old. It started with compulsively overeating, and progressed to purging, and/or severely restricting eating. At eleven years old, without a healthy way to deal with her emotions, she started mutilating her own body. To be sure, her life as an actress and singer in the Disney family was anything but typical, but it is still distressing for a parent to think that a child could keep this level of distress hidden. She is now on a crusade (the Love is Louder project with Seventeen Magazine), revealing all of her struggles to help other girls avoid the same path. If we parents are paying attention, we can learn from her too, and help our children by being informed and aware.
We are the strongest influences over our children. What we say matters, and what we do matters more. One study showed that 46% of the 9-11 year olds surveyed are “sometimes” or “very often” on diets, and 82% of their families are also “sometimes” or “very often” on diets. That is startling and sad. What can we do to instead promote positive attitudes about weight and health?
Stop the fat talk
If you make negative remarks about your body, make a conscious effort to stop. When you cut yourself down, you are undermining your own self-confidence a little at a time, and teaching your kids to treat themselves the same way. If you find yourself looking down on other people for their weight and appearance, work to overcome that habit. Be respectful of all shapes and sizes, and insist on the same from those around you: family, friends, co-workers. You are shaping the world that your kids will inhabit very soon.
Cultivate healthy attitudes
Exercise because it is good for you, and because you appreciate the strength and energy it gives you. Enjoy your food and be selective about what food you enjoy. Sit down for meals, and involve your kids in their preparation. Keep the rules about food to a minimum – they end up being more about control than nourishment. For example, set meal and snack times are good, but there should be no rewards or punishments for eating or not eating. Comfort with your arms and words, not food.
Signs your child may have an eating disorder
Chances are, if your son or daughter is binging or restricting their food, they are trying to hide it from you. Unfortunately, these behaviors are disturbingly pervasive in teenage girls, and increasingly so in teenage boys, particularly those involved in sports with weight restrictions like wrestling. One 2005 study found that over one-half of teenage girls and nearly one-third of teenage boys use unhealthy weight control behaviors such as skipping meals, fasting, smoking cigarettes, vomiting, and taking laxatives.
Be alert for a combination of these signs, adapted from Helpguide.org and Something-Fishy.org
- Preoccupation with body or weight
- Distorted, negative self-image
- Wearing loose clothing to hide weight loss or body shape
- Obsession with calories, food, or nutrition
- Constant dieting, even when thin
- Rapid, unexplained weight loss or weight gain
- Taking laxatives, diet pills, or steroids
- Compulsive exercising
- Making excuses to get out of eating
- Avoiding social situations that involve food
- Going to the bathroom right after meals, running water to hide vomiting sounds
- Eating in isolation, in secret, or at night
- Hoarding high-calorie food
- Visiting websites that promote unhealthy weight loss
Tips for bringing up a touchy topic
Eating disorders are a cry for help, and as a parent, you are the first responder. This probably won’t be a pleasant conversation, but it need not be a dramatic, emotional confrontation. That kind of interventions is sometimes necessary as a last resort when the victim is in deep denial and mortal danger. You, on the other hand, are just being a nosy, caring parent, probing for the first signs of trouble. This is still necessary, however. Your son or daughter can recover from an eating disorder, but the longer it persists the harder it will be for them. Consider also getting therapy yourself or joining a support group such as Overeaters Anonymous.
- Don’t expect too much from the first conversation. There is a lot of shame wound up in disordered eating, and your child’s first reaction will likely be to get defensive or deny there is a problem. Be patient and do not take their emotional displays personally.
- Find a therapist knowledgeable about eating disorders that you trust. Your love and support are necessary and helpful, but you can make up for your lack of training and experience by teaming up with a professional.
- Focusing on your nonjudgmental concern will be most productive, for example, “it scares me when I hear you throwing up” rather than anger or guilt trips like “How could you do this to your mother?”
- Do mention moments when you were concerned for them.
- Avoid comments about their appearance, or the amount of food they are eating. Comments such as “you are too skinny” or “you just need to be careful what you eat” only reinforce an obsession with weight and desire for control.
- Be positive. Keep the setting and timing neutral and comfortable. Especially if your child is familiar with Demi Lovato, watching the interview about her treatment and recovery might help you raise difficult questions.
Hope for the future
A full recovery is possible, and your support is an integral factor. Demi is doing great with the support of her family, friends, and fans. She seems to be making all the right choices, though only time will tell if the changes she has made are permanent ones.
If you are concerned, educate yourself with the resources available at the National Institute of Mental Health site, the National Eating Disorders Association (NEDA) Parent Toolkit, or call the NEDA Helpline at 800-931-2237. Reach out and get support for yourself too, whether from a support group or a therapist, so you can remain strong for your child and the rest of your family.






