Why we need to talk about eating disorders | Kat Geiger

Dom Chipp • February 22, 2021

This opinion column was submitted by Kat Geiger, LCSW, a certified eating disorders specialist with  Thrive Wellness of Reno.

As this is National Eating Disorders Awareness Week, it’s time to take a closer look at the impact of body image, beauty, diet, and disordered eating and what we can do to mitigate it. Approximately one out of every 10 people in the U.S. struggles with some sort of a diagnosable eating disorder, and a far greater percentage struggle in their relationship with food and their bodies.

Eating disorders can affect people of every size, shape, ethnicity, gender, socioeconomic status, and anyone regardless of their gender or sex. Although eating disorders are more commonly identified in females, researchers and clinicians are becoming aware of a growing number of males and nonbinary individuals who are seeking help for eating disorders.

Broadly speaking, eating disorders emerge subconsciously as a way to gain a sense of control over a person’s immediate environment.

In the midst of a global pandemic that is far from the realm of what we can control, a greater percentage of people have begun seeking control through the shapes of their bodies and the food they eat. It has become easier falling into the trap of overevaluating the importance of weight, shape and diet as a means to mitigate the lack of control we feel due to financial instability resulting from the global pandemic, poor family relationships from a tenuous political environment, and other stressors that are out of our control.

In the U.S. alone, about 30 million people will suffer from an eating disorder at some point in their lives. We may not always think of eating disorders as being severe or life-threatening, but eating disorders have the second-highest mortality rate of all mental health struggles. Left untreated, up to 20 percent of those suffering from eating disorders will die. With treatment, mortality rates fall to 2-3 percent.

People of all shapes and sizes can struggle with this disorder, and only 6 percent of those who are diagnosed with an eating disorder are underweight. People struggling with advanced anorexia may be easily identified, but people struggling with bulimia, orthorexia, binge eating disorder and others are often of average body size. The question now is, what can we do to help spread awareness and allow people to seek help without fear of being judged?

  • Education and research are key to spreading awareness about eating disorders. Although social media plays a role in body image issues and diet culture, it can also be used as a platform to educate those who aren’t aware of this disorder and to support those who are all too familiar with it.
  • Speak up and challenge people when they show judgement toward certain body types or foods.
  • Do not talk negatively about your own body or parts of your body. Instead, consider talking about what you are grateful that your body does for you.
  • Consider challenging those who blatantly correlate success or self-discipline with a certain body type.
  • Rather than complimenting a person on their body type or appearance, focus on complimenting their personality traits and talents.
  • Stop moralizing food. Telling our friends “you are being so good!” when they eat a salad or low carb meal, can actually cause harm. Or, saying “I’m being bad today!” after ordering a dessert can also perpetuate shame around eating certain types of foods.
  • If your friend loses 20 pounds, don’t jump to tell them how good they look. Instead, ask how they are feeling or what new hobbies they’ve found.
  • Redirect conversations focused on diets and weight loss, these conversations are often used in our society as “filler” — a surface way to connect with others when we aren’t sure what else to talk about.

A person’s weight and a person’s health are not interchangeable. The stigma of certain foods, weight, and shape must come to an end in order to reduce the cultural effects that perpetuate eating disorders. Ending any stigma starts on an individual level. It’s important to be mindful of how we talk about food and our bodies to friends, family, and most importantly, ourselves.

Offering support to those struggling in their relationship with their bodies and food and spreading awareness can help those who suffer feel less alone. It can even save their lives. There are assessments and treatment available if you or someone you know are struggling with symptoms of an eating disorder. Seeking an assessment from an eating disorders expert is always the best course of action if you are unsure whether your struggles qualify as an eating disorder. If you or someone you love is suffering from signs of an eating disorder, please consider exploring the below resources:

Local resources:

  • Thrive Wellness of Reno — offers free assessments and support groups, and accepts most major insurances for treatment. Visit  thrivewellnessreno.com.

National resources:

  • The National Eating Disorders Association — offers additional information and a national helpline. Visit  nationaleatingdisorders.org.
  • Eating Disorder Hope — offers additional information and national treatment resources. Visit  eatingdisorderhope.com.
  • International Association of Eating Disorders Professionals (IAEDP) — offers resources to treatment professionals and a list of certified eating disorders specialists. Visit  iaedp.com.

Kat Geiger, LCSW, is a certified eating disorders specialist with  Thrive Wellness of Reno.

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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 491 Court St., Reno, NV 89501 201 W Liberty St., Suite 201, Reno, NV 89501 Perenn Grocery 7600 Rancharrah Pkwy, Suite 130, Reno, NV 89511 Perenn Rancharrah 7750 Rancharrah Pkwy, Suite 110, Reno, NV 89511 Perenn Midtown 20 St. Lawrence Ave, Reno, NV 89509 Claio Rotisserie 3886 Mayberry Dr., Suite D, Reno, NV 89519 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!
September 22, 2025
Eating disorders are one of the most serious mental health concerns facing today’s adolescents. They can affect every aspect of a young person’s life, including their physical health, school performance, relationships, self-esteem, and more. According to the National Institute of Mental Health, about 2.7% of adolescents in the U.S. will experience an eating disorder in their lifetime, and many more engage in disordered eating behaviors that may not meet full diagnostic criteria. The good news is that providers are in an influential position to notice early warning signs, open conversations, and connect families to support before these patterns of behavior become too engrained. Why Early Intervention Matters The earlier an eating disorder is identified and treated, the better the treatment outcomes. Research shows that getting support quickly after the disorder’s onset is linked to faster recovery, lower relapse rates, and healthier long-term development (Treasure & Russell, 2011). Waiting too long to seek help can mean medical complications, deeply ingrained behaviors, and a more difficult path to healing. For many adolescents, a caring provider who notices the signs and advocates for treatment can make all the difference in recovery and can even save lives. Recognizing Early Warning Signs Adolescents may not always disclose their struggles directly, so providers should keep an eye out for a range of indicators: Physical signs: noticeable weight changes, menstrual irregularities, digestive issues, dizziness, or fatigue. Behavioral patterns: skipping meals, restrictive eating, excessive exercise, frequent dieting, eating in secret, or leaving for the bathroom after meals. Emotional and cognitive signs: preoccupation with weight or body shape, food rituals, heightened anxiety around eating, or perfectionistic tendencies. It’s important to remember that eating disorders don’t always “look” a certain way. Teens can be distressed about food and body image even if their weight appears to be within a “normal” range. Screening Tools and Assessments Using free screening tools available online can be an effective way to gauge a patient’s needs and gain further insight on treatment options for a possible eating disorder. Here are 4 free screening resources we recommend you use before making a referral for a higher level of care. EDE-Q (Eating Disorder Examination Questionnaire) : helps assess eating attitudes and behaviors. Nine Item Avoidant/Restrictive Food Intake disorder screen (NIAS) : helps to assess the signs of ARFID in children. Eat 26 Screening Tool : a screening measure to help you determine attitudes towards food and eating. BEDS-7 (Binge Eating Disorder Screener) : for situations where binge eating is suspected. When possible, gathering input from parents, teachers, or coaches can also help, as teens may minimize their experiences out of fear or shame. The Role of Primary Care and Pediatric Providers Routine checkups are often where eating disorders first come to light. Providers treating children, teen, and adolescents can: Incorporate simple questions about eating habits and body image into wellness visits. Track growth charts and weight trends while pairing them with questions about mood, anxiety, and behavior. Foster trust by creating a safe, nonjudgmental space where adolescents feel comfortable sharing sensitive information and know there will be no weight stigma. Coordinating Multidisciplinary Care Supporting a young person with an eating disorder works best when care is collaborative . In order to treat the whole person, there are usually multiple members of a treatment team needed, including: Medical support: monitoring vital signs, lab work, and physical health. Therapeutic care: evidence-based approaches such as family-based therapy (FBT) and cognitive-behavioral therapy (CBT) help address thoughts and behaviors. Nutritional guidance: dietitians provide education, meal support, and reassurance. Family involvement: engaging caregivers empowers them to support recovery in everyday life. Addressing Barriers and Stigma Many families face challenges in seeking help, whether due to stigma, lack of awareness, or limited access to specialists. To help, providers can: Normalize conversations about body image and mental health as part of overall well-being. Use culturally sensitive approaches that honor diverse experiences with food, body, and health. Connect families to community organizations, online resources, or telehealth when in-person specialty care is limited. Eating disorders in adolescents are serious, but with early recognition and timely support, recovery is possible. Providers are often the first to notice changes and can play a vital role in opening doors to crucial support. By blending professional expertise with empathy and collaboration, providers can guide adolescents and their families toward lasting recovery and a healthier future. References National Institute of Mental Health. (2023). Eating Disorders . Treasure, J., & Russell, G. (2011). The case for early intervention in anorexia nervosa: theoretical exploration of maintaining factors. The British journal of psychiatry : the journal of mental science, 199(1) , 5–7.
By Julia Actis, LCSW September 11, 2025
6 Ways to Help Your Teen Open Up About Mental Health
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