What is underneath an eating disorder? A growing body of scientific research is starting to present the case that anxiety and eating disorders have a lot in common. In fact, eating disorders can be viewed as a kind of anxiety disorder. Recent advances in the understanding of anxiety-based disorders may have direct application to research and treatment efforts for eating disorders. According to eating disorder expert Dr. Norman Kim, anxiety almost always precedes the development of eating disorder symptoms. For most people, symptoms indicative of anxiety, like repetitive and obsessive thoughts and persistent feelings of anxiety and dread, are present before the eating disorder symptoms. When someone fully recovers, in terms of weight restoration and their eating disorder behaviors, anxiety symptoms are among the last things to go. It’s normal to still have preoccupation, obsessiveness, and issues with self-esteem. To gain more insight on this connection, Dr. Norman Kim came onto The Recovery Warrior Shows to explain what decades of clinical research and practice about the overlap of eating disorders and anxiety disorders. Let’s distill down the top takeaway’s from this conversation to help you recover strong. Listen to the episode on Apple Podcasts, Spotify, Overcast, Podcast Addict, Pocket Casts, Castbox, Google Podcasts, Stitcher, Amazon Music, or on your favorite podcast platform. Expert Insight #1: Eating Disorders Are Anxiety Disorders Symptoms of anxiety almost always precede an eating disorder, and anxiety symptoms are among the last things to go in eating disorder recovery. People can be fully recovered in terms of their eating disorder symptoms, but the anxiety tends to last for much longer. Dr. Norman Kim explained how anxiety and eating disorders are very similar and how eating disorder behaviors can be used as a way to cope by people experiencing anxiety. It’s exhausting to feel high levels of worry and fear all the time. Eating disorder behaviors can bring you relief from this anxiety. But, it can be hard to know the difference between something that makes you feel good, and something that just makes you feel less bad. Dr. Norman Kim elaborates, when you’ve been in a chronic state of feeling, unhappiness, worry, or anxiety – anything that makes you feel less of that feels amazing. That’s a big pull for eating disorder behaviors. It’s a big reason why stopping the behaviors is so terrifying, and difficult to do. More and more genetic and biological evidence is coming out to suggest that eating disorders are a type of anxiety disorder. But how are anxiety and eating disorders similar? We all experience anxiety to some degree. It can actually be a good thing and help us in our lives. Anxiety is what allowed humanity to survive and evolve. But when anxiety becomes excessive and is a detriment to your life, that may be an anxiety disorder. Recognize the relationship between anxiety and eating disorders, and regard them as one and the same. This will help your recovery journey. Expert Insight #2: There’s no such thing as “sick enough” It’s common for people struggling with anxiety and eating disorders to feel like they don’t deserve help. This is perpetuated by things like the DSM-V. You may only meet some characteristics of an eating disorder diagnosis, but not all. The same goes for dealing with insurance companies and their qualifications. This is especially problematic in the United States. It feels invalidating when you don’t meet the criteria for support and treatment. Know that your pain and struggles are valid. These things can’t always be measured by a medical book or insurance guidelines. You are a human being with many nuances and shades of grey, and you are worthy of help. Dr. Norman Kim shared how these limitations can be problematic “there are many, many people struggling with eating disorders that are not getting help, because they don’t meet these arbitrary distinctions that we’re making in criteria. The illness doesn’t always fit into those boxes.” These things can’t always be measured by a medical book or insurance guidelines. You are a human being with many nuances and shades of grey, and you are worthy of help. Avoid comparing yourself to others. There is always someone who will seem worse (or better) off than you. If you’re struggling with food, and you’re hurting, and you want help – you deserve it. Help is out there. There is no such thing as needing to be “sick enough”. You have the power to advocate for yourself and your needs by seeking care. Expert Insight #3: Treatment isn’t “one size fits all” There are there many different types of therapy, professionals, and treatment programs to embrace on your recovery journey. Knowing about different types can empower you to find the best care for you. Everybody’s journey to healing is different, because everybody’s pain is different. Dr. Norman Kim gave us an overview of a few types of therapy used in treating anxiety and eating disorders: Everybody’s journey to healing is different, because everybody’s pain is different. These are just a few therapy types. There are many more, including narrative approaches that directly work with people’s stories, and family-based therapy. Many recovery resources will have elements of multiple types of therapy in their treatment. Seek out whatever type of care feels like the best fit for you. There’s no right or wrong. If you’ve tried one type of therapy before, but it didn’t feel right, there’s still hope for recovery. Keep working to find your best treatment fit. Featured Expert: Dr. Norman Kim Norman Kim, PhD is a highly sought after speaker, educator and advocate for Eating Disorder Awareness. He believes that “everyone’s journey to healing is going to be different because everyone’s pain is different.” He has a Ph.D. in Clinical Psychology from UCLA and is the co-founder of the Institute for Antiracism and Equity in Mental Health. Connect with him through LinkedIn. Selected Links From This Episode: Full Transcript Jessica Flint 0:02 Welcome to recover strong a podcast will transform your recovery from