Healing From the Ground Up: The Dangers of Eating Disorders and the Effectiveness of Integrated Treatment

Thrive • February 22, 2022

By Thrive Reno’s Chief Operating Officer Katie Stout-Ithurralde, MBA

UNDERSTANDING EATING DISORDERS 

Eating disorders are complicated behavioral health conditions that disrupt mental, physical, and emotional well-being and can even be fatal . Part of what makes them so complex is that they often co-occur with other psychological struggles , including anxiety, depression, and obsessive-compulsive disorder (OCD).

Individuals experiencing eating disorders typically engage in disordered eating behaviors , such as calorie restriction, binging, or purging, as ways to cope with their emotions. Over time these harmful coping strategies can become deeply ingrained, making it difficult to integrate healthy habits for processing emotions and allowing the eating disorder to establish dominance. Because of this, receiving outpatient or inpatient treatment for food and body-related struggles early on can make a person’s recovery smoother.

Often, individuals experiencing eating disorders feel embarrassed and ashamed, so they attempt to hide their condition which can prevent them from obtaining the help they need to recover. To mitigate the risk of a loved one struggling with an eating disorder in secret, it’s vital to be aware of the signs of an eating disorder.

WARNING SIGNS FOR EATING DISORDERS

Signs that a person may be experiencing an eating disorder include:

  • Preoccupation with body shape, size, or weight
  • Preoccupation with food or dieting
  • Creating rigid rules around food, eating, or physical activity 
  • Skipping meals or vomiting after eating
  • Feelings of discomfort when eating around others
  • Withdrawal from social situations involving eating
  • Fluctuations in weight
  • Gastrointestinal problems, including slowed digestion and constipation 
  • Menstrual irregularities
  • Difficulties concentrating
  • Anemia
  • Decrease of red or white blood cells
  • Underactive thyroid  
  • Decreased hormone levels
  • Low potassium levels
  • High cholesterol levels
  • Dizziness or fainting
  • Persistently feeling cold
  • Trouble sleeping
  • Dental problems, including enamel erosion, discoloration of teeth, cavities, and tooth sensitivity
  • Dry skin, hair loss, and brittle hair and nails
  • Growth of lanugo, which is hair that helps the body stay warm when facing starvation
  • Impaired immune functioning

For further insight into signs of eating disorders, you can assess disordered eating behaviors here .

COMMON TYPES OF EATING DISORDERS

Anorexia and bulimia typically come to mind when eating disorders are a topic of discussion, but many do not know the difference between them and there are other kinds of eating disorders that can inflict just as much suffering.

All statistics regarding the prevalence of eating disorders have been sourced from the National Eating Disorders Association’s (NEDA) Statistics & Research on Eating Disorders .

Anorexia Nervosa

Anorexia nervosa involves significant weight loss, calorie restriction, and distorted body image. It may also involve compulsive physical activity, purging behaviors such as self-induced vomiting or laxative abuse, and binge eating. Up to 2% of females and up to 0.3% of males will develop anorexia in their lifetimes.

Anorexia essentially starves the body by denying it the essential nutrients it needs to function. To conserve energy necessary for survival, the body slows down its processes which can result in serious and sometimes deadly consequences , including electrolyte imbalances and cardiac arrest. 

Avoidant Restrictive Food Intake Disorder (ARFID)

Avoidant restrictive food intake disorder (ARFID) is an eating disorder that most often affects youths . Individuals experiencing ARFID have difficulty eating due to a lack of interest, sensory aversions, or fear that they may experience pain and discomfort while eating. One study showed that adolescents with ARFID were more likely to be younger and male.

Binge Eating Disorder (BED) 

Binge eating disorder (BED) is characterized by frequently eating large quantities of food, feeling a loss of control while eating, and not regularly engaging in unhealthy compensatory behaviors such as purging. Individuals experiencing BED typically feel ashamed, distressed, or guilty following a binge. A study of Americans found that 3.5% of women and 2% of men had BED during their life, making it the most common type of eating disorder in the United States.

Bulimia Nervosa

Bulimia nervosa is expressed by frequently eating large quantities of food, feeling a loss of control while eating, and compensatory purging behaviors such as self-induced vomiting or abusing laxatives. One percent of young women and 0.1% of young men meet diagnostic criteria for bulimia.

Diabulimia

Although not an official medical diagnosis, diabulimia is recognized by the eating disorder treatment community and describes when insulin-dependent diabetes (typically type 1) co-occurs with an eating disorder. Behaviors associated with diabulimia typically include binge eating, purging, and insulin restriction. Individuals experiencing diabulimia face a significant risk of life-threatening medical complications. 

Other Specified Feeding or Eating Disorders (OSFED)

Other specified feeding or eating disorders (OSFED) are eating disorders that don’t fit the strict diagnostic criteria of any other eating disorders outlined by the ​​Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is used by clinicians to diagnose psychiatric illnesses. Although a somewhat general category of eating disorders, OSFED can be just as severe and life-threatening.

OSFED may describe:

  • Atypical anorexia : A condition that meets all the criteria for anorexia, except that the individual is not clinically underweight despite significant weight loss.
  • BED of low frequency and/or limited duration: A condition that meets all the criteria for BED, except at a lower frequency or for less than three months.
  • Bulimia of low frequency and/or limited duration: A condition that meets all the criteria for bulimia, except that the binge eating and unhealthy compensatory behavior occurs at a lower frequency and/or for less than three months.
  • Purging disorder: Frequent purging behavior to influence weight or shape without engaging in binge eating.
  • Night eating syndrome: Frequently engaging in night eating that causes significant distress or impairment and isn’t explained by another mental health condition, such as BED.

COMMON MISCONCEPTIONS ABOUT EATING DISORDERS

1. A person’s appearance reveals whether or not they’re experiencing an eating disorder.

While sometimes this is the case, more often than not, individuals experiencing eating disorders may be in bodies that appear to be within the “normal” range of size, shape, and weight.  

2. Only girls and women are at risk for developing eating disorders. 

Men also experience eating disorders, representing 25% of individuals with anorexia and 40% of those with BED. Men also face a higher risk of dying from eating disorders, partly due to the widely held assumption that men don’t struggle with eating disorders and therefore are underdiagnosed and undertreated. Some disordered eating behaviors such as binge eating, purging, and fasting are nearly as common among males as they are among females.

3. Eating disorders are lifetime conditions.

Full recovery from an eating disorder is entirely possible. While recovery takes time , through integrated treatment, a strong support system, and self-compassion , a person can heal their relationship with food and their body.

WHAT IS INTEGRATED TREATMENT?

An integrated approach to eating disorder treatment involves a team of primary care providers, therapists, psychiatrists, dietitians, body-positive counselors, and mindful movement specialists. Comprehensive treatment ensures that all the facets of an eating disorder, including its mental, emotional, behavioral, and physical implications, can be addressed for holistic healing and complete recovery.

HEAL AND GROW WITH THRIVE 

At Thrive, our eating disorder treatment programs provide individualized and integrated care. Implementing the latest evidence, Thrive’s multidisciplinary team of specialists collaborates to provide personal, well-rounded eating disorder treatment while respecting the complexity and severity of the disorders and guiding our clients to better health with compassion, encouragement, and nurturing care. You can learn more about our eating disorder treatment programs across the country by contacting us .

About the Author

Thrive Reno’s Chief Operating Officer Katie Stout-Ithurralde, MBA

Katie Stout joins Thrive with more than 17 years of experience in the behavioral health field, 13 years of which have been dedicated to eating disorder treatment. Katie has her master’s degree in business management along with an undergraduate degree in social work. As the previous chief executive officer of two behavioral health organizations, most recently serving as regional director of operations for Applegate Recovery, Katie has extensive experience in various settings including residential, partial hospitalization, intensive outpatient programs, and outpatient therapy centers.

With a passion that centers around treating the entire person, mind, body, and spirit, Katie provides a sense of trust that helps foster a safe environment for clients as they begin this path to a happier, healthier life.

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December 2, 2025
Like the fir tree, a symbol of endurance rooted in hope, our Family Inclusive Recovery (FIR) approach reflects the strength that grows when families face challenges together. At our new residential center “The Greenhouse”, FIR is more than a treatment model, it’s a philosophy of healing that places families at the heart of recovery for adolescents and young adults navigating eating disorders, anxiety disorders, and obsessive-compulsive disorder (OCD). We believe lasting healing doesn’t happen in isolation; it’s built with the support of families through perseverance, hope, and compassionate care. What Is Family Inclusive Recovery (FIR)? Family Intensive Recovery (FIR) is a specialized and immersive approach that actively engages caregivers as central agents in their child’s healing process. Rather than seeing families as contributors to a problem, we view them as essential partners in recovery. Drawing from two evidence-based frameworks, Supportive Parenting for Anxious Childhood Emotions (SPACE) and Family-Based Treatment (FBT), FIR helps families cultivate resilience, confidence, and connection throughout the journey to recovery. Grounded in SPACE and FBT Through the SPACE model, parents learn how to recognize and reduce well-intentioned but unhelpful behaviors known as accommodations that can reinforce anxiety and OCD symptoms. By shifting from rescuing to supporting and challenging, parents develop the confidence to guide their child through discomfort, helping them build distress tolerance and self-trust. Simultaneously, Family-Based Treatment (FBT) empowers families to take an active, compassionate role in their child’s nutritional and emotional recovery. Parents learn how to support weight and nutritional restoration, disrupt the eating disorder’s patterns, and reestablish boundaries that promote health and growing autonomy. Together, these approaches strengthen both the individual and family system, allowing recovery to take root within an environment of empathy and optimism. From Blame to Collaboration A cornerstone of the FIR model is removing blame. At Thrive, parents are not viewed as the cause of their child’s struggles, but rather as key partners in recovery. Treatment focuses on joining forces to create a safe, supportive environment where: Families learn to sit with their child's discomfort alongside them without rushing to fix or control it. Parents practice compassionate firmness, setting boundaries grounded in care and safety. Teens and caregivers rebuild trust through open, honest communication. This collaborative framework helps families reestablish a sense of connection and confidence, fostering long-term resilience and open communication that extends beyond the treatment setting. Why Family Matters in Recovery Recovery from eating disorders, OCD, or anxiety isn’t a one-person job, it requires integrated care including the family. When families learn to navigate challenges together, they can model emotional regulation, reinforce healthy boundaries, and create conditions for sustained recovery. Through FIR, we aim to strengthen attachment bonds, reshape family interactions, and empower every member of the family to grow. The result is not only symptom reduction but also a deeper sense of unity, hope, and shared endurance, just like the steadfast fir tree that stands resilient through every season. Moving Toward Hope Family Inclusive Recovery invites caregivers and loved ones to become active participants in change. It’s a journey of learning, letting go, and leaning into love and acceptance. Together, families and clinicians can cultivate the courage in clients to face uncertainty, and in doing so, help them discover that recovery is not just possible, but enduring. If you’d like to learn more about Family Intensive Recovery at The Greenhouse or how we support families in eating disorder and OCD treatment, reach out to our team today.
November 14, 2025
The Greenhouse at Thrive Wellness A New Chapter of Hope and Healing in Nevada On Friday, November 14 , we gathered with our partners at Molina Healthcare to share an important moment for our community. Together, we celebrated Molina’s generous $50,000 grant , an investment that is helping bring The Greenhouse to life. Their support is not only a financial contribution—it’s a statement of belief in the young people and families of Nevada who deserve access to compassionate, evidence-based mental healthcare close to home. This gathering marked the beginning of something we’ve dreamed about for years: a place designed specifically for adolescents and emerging adults to receive the care, connection, and support they need during some of the most vulnerable moments of their lives. Something New Is Growing In early 2026 , Thrive Wellness will open The Greenhouse , Nevada’s first residential treatment center devoted to adolescents and emerging adults navigating eating disorders, anxiety, and OCD . For too long, families have faced a heartbreaking dilemma—send their child far from home for treatment or go without the specialized care they need. The Greenhouse is our answer to that gap. It will be a place where young people can settle into an environment built for healing, where they are understood, supported, and surrounded by a team that believes in their capacity to recover. The Greenhouse represents a natural extension of our mission. It’s a living expression of our belief that recovery is possible—and that with the right support, families can find their footing again. 
November 11, 2025
Are you looking for a meaningful way to give back this holiday season? Thrive Wellness is excited to continue our 6th Annual Giving Tree Program in collaboration with Perenn Bakery this winter. This year, Thrive Wellness Reno and Perenn Bakery are proud to partner with Ronald McDonald House Charities® of Northern Nevada. The organization supports families with children receiving treatment at area hospitals, providing comfort, hope, and a home-away-from-home during challenging times. Ronald McDonald House Charities offers essential services, removes barriers, strengthens families, and promotes healing when children need healthcare the most. How It Works Simply take one (or a few) tags from the Giving Tree, each listing an item you can purchase and donate for residents of the Ronald McDonald House. Then, drop off your item(s) at one of our designated donation locations by Friday, December 19. Items Needed: Restaurant gift cards Walmart or Target gift cards Games, puzzles, and coloring books Toys (Barbie, Hot Wheels, Lego sets, craft sets, magnet blocks, baby dolls, action figures, journals, infant toys, etc.) Children's books (picture, chapter, and graphic novels) Toiletry sets (for adults) Lotion/self-care gift sets (for adults) Sweatshirts/hoodies (adults, XS-XXL) Scarves, gloves, fuzzy socks, pajamas (all sizes) Infant diapers, onesies, and baby bottles Bulk individually wrapped snacks (granola bars, chips, etc.) Please ensure all donations are new, in original packaging, and unwrapped. Donation Drop-Off Locations Please deliver donations by Friday, December 19, to one of the following sites: Thrive Wellness 201 W Liberty St., Suite 201, Reno, NV 89501 Perenn Grocery 7600 Rancharrah Pkwy, Suite 130, Reno, NV 89511 The first 50 people to return their donations will receive a complimentary ornament gift!  Why We Give Back Through our Giving Tree program, we’re honoring one of our core values at Thrive Wellness: staying rooted in community. This annual tradition allows us to give back to those who need support most during the holiday season. We invite you to join us by taking a tag at any Thrive or Perenn location and helping spread kindness throughout our community. There’s no better way to embrace the holiday spirit than by supporting local families with thoughtful, heartfelt donations. We are deeply grateful for your generosity and continued support. Thank you for helping us make a difference!
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