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Most people with eating disorders don't look sick—and that's part of the problem. Eating disorders affect people of every size, gender, race, and athletic ability, but myths about who gets them and what they look like keep millions from getting treatment.

In this episode, Kylee and Zoë debunk the most harmful misconceptions: that EDs only affect young white women, that you have to be underweight to be diagnosed, that recovery means "just eating more," and that athletes are somehow immune. We trace the history of how eating disorders have been understood (and misunderstood) in medicine, examine how weight stigma impacts treatment access, and explain why so many cases are labeled "atypical"—even though they're actually the norm.

Then, we offer practical solutions for fixing a system that's failing the people who need it most.

REFERENCES:

Kazdin, C. (2023). What’s eating us. St Martin’s Press. 

Dell'Osso L, Abelli M, Carpita B, Pini S, Castellini G, Carmassi C, Ricca V. Historical evolution of the concept of anorexia nervosa and relationships with orthorexia nervosa, autism, and obsessive-compulsive spectrum. Neuropsychiatr Dis Treat. 2016 Jul 7;12:1651-60. doi: 10.2147/NDT.S108912. PMID: 27462158; PMCID: PMC4939998.

Niedzielski A, Kaźmierczak N, Grzybowski A. Sir William Withey Gull (1816-1890). J Neurol. 2017 Feb;264(2):419-420. doi: 10.1007/s00415-016-8250-9. Epub 2016 Aug 8. PMID: 27502084; PMCID: PMC5306080.

Harrop EN, Hutcheson R, Harner V, Mensinger JL, Lindhorst T. "You Don't Look Anorexic": Atypical anorexia patient experiences of weight stigma in medical care. Body Image. 2023 Sep;46:48-61. doi: 10.1016/j.bodyim.2023.04.008. Epub 2023 May 24. PMID: 37236121; PMCID: PMC10524894.

Beaumont, P. J. V. (1994). Diagnoses of Eating Disorder or Dieting Disorders: What may We Learn from Past Mistakes? International Journal of Eating Disorders, 16(4).

Beres, D. (2024, February 27). Eating disorders in men and boys aren’t rare, but they may be harder to diagnose. Teen Vogue. https://www.teenvogue.com/story/eating-disorders-in-men

Eating disorder statistics. National Eating Disorders Association. (2024, April 30). https://www.nationaleatingdisorders.org/statistics/

Guest, Lawson, N., Burak, E. W., Kaneb, N., & Mondestin, T. (2023, November 2). New federal rules seek to strengthen mental health parity. Center For Children and Families. https://ccf.georgetown.edu/2023/11/02/new-federal-rules-seek-to-strengthen-mental-health-parity/

Heiden-Rootes, K., Linsenmeyer, W., Levine, S., Oliveras, M., & Joseph, M. (2023). A scoping review of research literature on eating and body image for transgender and nonbinary youth. Journal of Eating Disorders, 11(1). https://doi.org/10.1186/s40337-023-00853-5

The Mental Health Parity and Addiction Equity Act (MHPAEA). CMS.gov. (n.d.). https://www.cms.gov/marketplace/private-health-insurance/mental-health-parity-addiction-equity

Ramaswamy, N., & Ramaswamy, N. (2023, July 1). Overreliance on BMI and delayed care for patients with higher BMI and disordered eating. Journal of Ethics | American Medical Association. https://journalofethics.ama-assn.org/article/overreliance-bmi-and-delayed-care-patients-higher-bmi-and-disordered-eating/2023-07

Why BMI is a flawed health standard, especially for people of color. (n.d.). https://www.washingtonpost.com/lifestyle/wellness/healthy-bmi-obesity-race-/2021/05/04/655390f0-ad0d-11eb-acd3-24b44a57093a_story.html