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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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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