Facets and Behaviours

Eating disorders are a single spectrum disorder.

The DSM clusters various facets and behaviours found within the spectrum into distinct diagnostic categories: anorexia, bulimia, binge eating disorder, etc. As these facets and behaviours may appear, disappear, reappear and shift for anyone with an active eating disorder, these facets and behaviours are relevant to all patients diagnosed with an eating disorder. They are also relevant to those who will not meet the diagnostic checklist cutoff points used within the DSM and yet are experiencing a significant and worrisome reduction in their quality of life nonetheless.

While several of the entries in this section will use the DSM categories as a jump-off point for review, e.g. the article on bulimia, the underlying issue driving disordered eating behaviours is the misidentification of food as a threat within the brain’s threat identification system.

Main Articles

  • Can eating disorders be framed as superpowers? A nod to Shan Guisinger's work on the adaptive nature of the anomalous responses to starvation experienced by those with a predisposition to an eating disorder. Genetic Superpowers

    Are personality traits predictive of an eating disorder and do personality traits cluster in specific ways for those with eating disorders?. Eating Disorder Personality

  • An investigation into the online spaces that are supportive of patients with anorexia and bulimia who wish to identify with the condition rather than overcome it, and a look at the research on their appeal for adolescents as well as how to assess whether they continue to hold value for you if you are currently active or lurking in these spaces. Pro-ana and Pro-Mia.

  • The world of eating disorder treatment and recovery is heavily focused on those under age 25. Many over the age of 25 have been told their chances of recovery are not good. This article looks at the reversal of damage that will occur no matter the age at which recovery is attempted. Too Late to Recover?

    A follow on from those over age 25 that specifically addresses the level of reversal of damage that occurs if recovery is attempted even later in life. This article reviews the specific challenges and also benefits of attempting recovery later in life. Eating Disorders: Age 50 and Beyond

    This article addresses the ingrained sexism found within the symptom checklists of the DSM for eating disorders and many other disorders as well that create tremendous barriers for males seeking diagnosis and support for eating disorders. An in depth look at the facets and behaviours that tend to be more prevalent for males with eating disorders. Eating Disorders: Boys and Men

  • This articles appears in other sections on this site as well as it is foundational to distinguishing between what a patient with an eating disorder fears versus what is actually going on when an eating disorder is present. Binges Are Not Binges

    As with the previous article on binges, those with bulimia struggle to accept that the issue is the misidentification of food as a threat and not all the compensatory behaviours that take up most of their conscious thoughts. Bulimia

    A two-part article coinciding with the fairly recent inclusion of BED into the DSM as a standalone diagnosis. As with bulimia, the anxiety that the patient has around binges is a misdirected focus away from the constant energy deficit. Binge eating is an attempt to override the progressive damage throughout the body of eating too little relative to the body's energy requirements. Binge Eating Disorder Part Oneand Binge Eating Disorder Part Two.

  • While not recognized in the DSM, it refers to a cluster of behaviours, still part of the same lone restrictive eating disorder spectrum, focused on "clean" eating, or macros, or raw food, or organics. To understand more about it Orthorexia One and Orthorexia Two

  • A condition once bundled with binge eating disorder and referred to as Eating Disorder Not Otherwise Specified and now falls into OSFED (other specified feeding or eating disorder). It is not part of the eating disorder spectrum at all and is likely a circadian rhythm sleep disorder. For details Night Eating Syndrome.

  • As with Orthorexia, Anorexia Athletica is not defined as a distinct category in the DSM. As with orthorexia, it is finding and latching onto behaviours that modulate the misidentification of food as a threat. Exercise allows for "earning your eating" There are three separate posts on exercise that are also found in Recovery Challenges.

    Exercise One

    Exercise Two

    Exercise Three

    Additionally, Quantifying Self

  • An eating disorder most closely resembles a phobia, which is an anxiety disorder. There are several articles on anxiety as it underpins an eating disorder.

    Anxiety One
    Anxiety Two (a)
    Anxiety Two (b)
    Anxiety Three
    Anxiety Four
    Anxiety Five

    Additionally, using substances to modulate anxiety is addressed in:

    Self-Medicating

All papers in chronological order •

All papers in chronological order •