For someone with obsessive-compulsive disorder, they often find themselves repeatedly having thoughts that are both unwanted and unyielding — until they do the compulsive action, the obsessive thought persists.
Thoughts and compulsions can happen about anything, but those who struggle with obsessive thoughts about food and eating may find themselves battling a dual diagnosis of both OCD and an eating disorder.
Does OCD make eating disorders worse?
Research indicates that the presence of OCD can indeed worsen the symptoms of eating disorders and the behaviors that one has around eating/food. Unfortunately, individuals with both OCD and an eating disorder tend to have more chronic symptoms, higher levels of psychological distress and a poorer quality of life compared to those with only one of the conditions. The way OCD influences and manipulates the cognitive and emotional aspects of eating disorders creates a self-reinforcing cycle of obsessive thoughts and compulsive behaviors related to food and body image.
Furthermore, the perfectionistic tendencies common in OCD can make individuals more susceptible to the unrealistic ideals of thinness promoted by societal standards. The obsessive mirror-checking, calorie counting and body measurement behaviors often found in eating disorders can parallel the compulsive rituals of OCD, leading to a more severe and ingrained disorder.
Because of this, comprehensive treatment is absolutely required for the success of overcoming both disorders.
Can OCD cause eating disorders?
OCD is characterized by intrusive thoughts (obsessions) and repetitive behaviors (compulsions) done in the hopes of alleviating the anxiety these thoughts provoke. Eating disorders, such as anorexia nervosa, bulimia nervosa and binge-eating disorder, involve unhealthy relationships with food and body image, often driven by distorted perceptions and emotional distress.
Research has shown that there is a significant overlap between OCD and eating disorders, with a considerable percentage of individuals with one condition also experiencing symptoms of the other.
OCD can profoundly impact whether or not an eating disorder develops and its level of severity. The obsessive nature of OCD can intensify the preoccupation with food, body weight and body image, which are core elements of most eating disorders. For someone with OCD, the compulsive need for control and perfectionism may translate into rigorous dietary restrictions, excessive exercise or ritualistic eating behaviors.
Moreover, the anxiety-driven compulsion to adhere to specific routines or diets can significantly worsen disordered eating patterns. For example, an individual with OCD might develop rigid rules around meal preparation or insist on eating only at certain times, making recovery challenging. The constant cycle of obsessions and compulsions can also make it difficult for individuals to break free from unhealthy eating habits, thus prolonging the struggle with the eating disorder.
How is eating OCD treated?
Addressing the co-occurrence of OCD and eating disorders requires a comprehensive treatment approach that takes into consideration the complex way the two interact and manifest in one’s experience.
Cognitive-Behavioral Therapy (CBT) has been effective for both OCD and eating disorders, particularly in targeting distorted thinking patterns and maladaptive behaviors. By reframing thinking and crafting healthy coping mechanisms, CBT can work to undo the damage done by obsessive thoughts.
In cases where OCD symptoms are pronounced, Exposure and Response Prevention (ERP), a specific form of CBT, can help individuals confront and reduce their compulsive behaviors. Additionally, mindfulness practices and Acceptance and Commitment Therapy (ACT) can teach individuals to tolerate discomfort, reducing the need for compulsive rituals.
Pharmacological interventions, such as selective serotonin reuptake inhibitors (SSRIs), may also provide benefits by addressing the neurochemical imbalances associated with both disorders. A collaborative treatment strategy involving mental health professionals, dietitians and support groups can foster a supportive environment that best creates room for recovery.
Where can I find treatment for eating OCD?
If you are looking for a recovery program that is expert at addressing co-occurring disorders, including OCD and eating disorders, and can offer the personalized care of a unique program, reach out to Seeds of Hope.
With options like partial hospitalization, outpatient and inpatient plans, you are sure to find an option that benefits your goals. To learn more, contact Seeds of Hope by calling (610) 679-8262 or fill out an online contact form today.
