NEWS Mental Health News Eating Disorders in Children Increased During the Pandemic By Cathy Cassata Cathy Cassata Cathy Cassata is a freelance writer who specializes in stories around health, mental health, medical news, and inspirational people. Learn about our editorial process Updated on February 27, 2022 Fact checked Verywell Mind content is rigorously reviewed by a team of qualified and experienced fact checkers. Fact checkers review articles for factual accuracy, relevance, and timeliness. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Content is fact checked after it has been edited and before publication. Learn more. by Karen Cilli Fact checked by Karen Cilli Karen Cilli is a fact-checker for Verywell Mind. She has an extensive background in research, with 33 years of experience as a reference librarian and educator. Learn about our editorial process Share Tweet Email Print Fiordaliso / Getty Images Key Takeaways During the pandemic, a rise in eating disorders has occurred in children.Eating disorders can affect people of different sizes and backgrounds.Treatment for eating disorders includes a team of medical and mental health professionals. COVID-19 repercussions have contributed to a national mental health crisis among children, and this includes a a rise in eating disorder (ED) symptoms. While 95% of people who have an ED are between the ages of 12 and 25, the National Eating Disorder Association reported that in the first quarter of 2021 its helpline call volume went up 53%, year over year. Studies so far have shown a sharp increase in eating disorder diagnoses and behavior among previously diagnosed youth since the start of the pandemic. Parker L. Huston, PhD, pediatric psychologist and owner of Central Ohio Pediatric Behavioral Health, says it's impossible to know each patient's story and how the pandemic impacted them. “In general, eating disorders are seen as a maladaptive way of establishing control in one's life. With so much out of control, many of us turn to things we can control, like our eating and exercise habits,” says Huston. Parker L. Huston, PhD In general, eating disorders are seen as a maladaptive way of establishing control in one's life. With so much out of control, many of us turn to things we can control, like our eating and exercise habits — Parker L. Huston, PhD Other possible triggers could include feelings of isolation and changes in structure and routine, which cause stress and anxiety, he adds. Dr. Yolanda Evans, member of the Division of Adolescent Medicine at Seattle Children's Hospital, agrees. She says referrals to her hospital’s adolescent clinic for concerns of eating disorder more than quadrupled during the pandemic. Evans points to the following as additional reasons for the increase: Shift in coping strategies due to physical distancing and inability to connect with friends and others who help manage stressLack of close monitoring of kids from school personnel and parents trying to navigate workSignificant increase in screen time and media platforms, which portray harmful messaging and imagery about body size and health claims Eating Disorders During the Coronavirus (COVID-19) Pandemic Eating Disorder Myths There are many misunderstandings about EDs, including the following: Eating disorders only affect girls of certain demographics “Eating disorders affect people from all different gender identities, race, ethnicity, cultural backgrounds, body shapes and sizes,” says Evans. Eating disorders don’t affect overweight people If a person has a higher weight body, Evans says they can still have anorexia or restrictive eating disorder. “We definitely see people with severe malnutrition whose body size is still higher than average.” Eating disorders are a choice EDs are just like other psychiatric conditions. “They are not a choice and can't be changed easily,” Huston says. Eating disorders aren't a big deal; it's just like being on a diet EDs have a significant impact on the health and wellbeing of those who experience them, says Huston. “Eating disorders can be fatal if not treated appropriately because of the chronic malnutrition sufferers go through,” he says. It’s a parents fault when their child has an eating disorder While Evans emphasizes to parents that it’s not their fault their child has an ED, she stresses to them, “Your child is going to need you in order to recover.” Understanding Male Eating Disorders Warning Signs of Eating Disorders Huston says there are many subtle warning signs, and they differ among the various types ofdisordered eating. However, the following are some common signs to watch for: Attitudes/discussion about dieting and weight loss becoming a primary topic or concernFrequent stomach complaints to avoid eatingAbnormal lab findings indicating malnutritionSkipping meals or eating a lot less than usualExtreme concern with body shape and sizeFainting or lack of energyDental problems from frequent vomitingBeing preoccupied with calories/nutrition/fat contentIncreasingly limited number of foods they will acceptExcessive fear of choking or vomiting, which limits their food intake For Anorexia Dramatic weight lossFrequent comments about being "fat" or needing to lose weightExcessive and rigid exercise routineAlways feeling cold For Bulimia Evidence of binge eating, such as lots of wrappers in their room or hidden in the trashSigns of purging, including frequent trips to the bathroom, especially following mealsExcessive use of mouthwash/gum/mintsDental erosion Many types of eating disorders can also impact social connections, says Evans. “For example, [if a youth says], ‘I want to eat healthy, so I’m going to cut out all carbohydrates and if a friend has a birthday party and they’re serving cupcakes I cannot eat that.’” Diagnosis of Eating Disorders Treatment for Eating Disorders Because eating is critical for life, embedded in cultural and ethnic identities, and often the essence of socializing, having an ED is a difficult disease to manage, and treat. “There’s a lot of hope [for recovery], but it is really challenging because of the nature of food. It’s not a quick fix and there’s not a medication that we can give that’s going to make it all better. It’s really time intensive on everyone’s part who cares for the youth and for the youth too,” says Evans. Yolanda Evans, MD There’s a lot of hope [for recovery], but it is really challenging because of the nature of food. It’s not a quick fix and there’s not a medication that we can give that’s going to make it all better. — Yolanda Evans, MD If you are concerned your child may have an eating disorder, early mitigation is necessary. First, let your child know you are worried about them without judgement. “Parents, siblings and others can say, ‘I notice some things that make me worried about you; do you feel comfortable talking about it?’ The biggest thing is not ignoring or being afraid to let your child know you’re worried,” says Evans. Then reach out to your child’s pediatrician or primary care provider; however, not all medical professionals have training and experience with EDs, so involve a therapist who specializes in the condition. “Eating disorders…almost always require support from both medical and behavioral health professionals,” says Huston. “Much of this treatment is completed in an outpatient setting.” Other professionals who might be part of the team could include a dietician and psychiatrist, if your child lives with additional mental health conditions. “There are often comorbidities where someone with an eating disorder also has depression or anxiety or OCD symptoms. It’s hard to know what came first and what’s related to what because they can all be intertwined,” says Evans. Family based treatment is a form of treatment often used to treat adolescent eating disorders including anorexia nervosa, bulimia nervosa, and more. “For parents and families [family based treatment] has the most evidence behind it. It’s when you work with a therapist who instructs a parent on how to refeed their child in the first phase, and then the autonomy is gradually given back to the youth,” Evans says. While it may be difficult to seek treatment for your child, the following organizations can offer information, support, and help locating good treatment options for EDs. National Alliance for Eating Disorders National Eating Disorders Association (NEDA) National Association of Anorexia Nervosa and Associated Disorders (ANAD) What This Means For You Understanding the signs, symptoms, and treatment options for eating disorders can empower you to find the best help for your child. We Need to Talk About Eating Disorders in the Black Community 4 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Reed J, Ort K. The rise of eating disorders during COVID-19 and the impact on treatment. J Am Acad Child Adolesc Psychiatry. 2022;61(3):349-350. doi:10.1016/j.jaac.2021.10.022 Johns Hopkins All Children's Hospital. Eating disorder facts. National Eating Disorders Association. A message from NEDA’s chairman of board, Geoff Craddock, in honor of National Volunteer Week 2021. Katzman DK. The COVID-19 pandemic and eating disorders: A wake-up call for the future of eating disorders among adolescents and young adults. J Adolesc Health. 2021;69(4):535-537. doi:10.1016/j.jadohealth.2021.07.014 By Cathy Cassata Cathy Cassata is a freelance writer who specializes in stories around health, mental health, medical news, and inspirational people. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist Online Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.