Eating Disorders

An eating disorder is a mental health condition where someone uses the control of food to cope with feelings and other situations (NHS England).

While eating disorders can affect anyone of any age, young people are at particular risk. We know that the earlier an eating disorder is treated, the better chance someone has of fully recovering. Teachers and staff in schools and colleges are well placed to spot the early signs of an eating disorder, and educational establishments can take steps to address eating disorders at several levels with policies and practices, in their curricula, and with individuals at risk.

Policies that address health and wellbeing, aim to prevent bullying, establish connections with health services, and set in place appropriate training and development for staff are strongly recommended.

Bullying and eating disorders

Bullying is a particular risk factor in the development of eating disorders. Even teasing or throwaway comments about someone’s size can have a negative effect on someone who is vulnerable to developing an eating disorder. Bullying also doesn’t have to be about weight and shape – any kind of bullying can lead to low self-esteem, a key feature of an eating disorder.

There are many areas of the curriculum where topics related to eating disorders can be included. Personal, social health and economic education (PSHE), media studies, physical education, drama and creative work all provide opportunities. Including emotional literacy, building resilience and body image acceptance in lessons is particularly useful, as is covering media literacy and the way images are digitally manipulated in advertising.

Signs to be aware of

You can read about the signs of individual eating disorders. Beat also run training courses for teachers at both primary and secondary school level to help them support pupils with eating disorders.

How to support a pupil with an eating disorder

Health must come first, and this can mean pupils being withdrawn from school and examinations to undergo treatment. The motivation of being well enough to continue with studies can help someone accept that treatment is necessary, however avoidance of school can also be reinforcing for some young people.

Individual pupils with eating disorders will require particular attention to their educational and pastoral needs. It may be necessary to adapt the learning environment to accommodate reduced physical strength or concentration span. People with eating disorders can have a strong drive for perfectionism and this can be evident in their academic work – with excessive neatness, increased anxiety about making errors and a tendency to become inflexible in thinking. Handwriting sometimes decreases in size to minute proportions.

Liaison with healthcare teams if a pupil is receiving treatment is important. Most young people are treated in the community, remain at home and continue to attend school throughout their treatment. If it is necessary for someone to be admitted to inpatient care, then plans need to be in place to reintegrate them when they are discharged and able to return to school. The multi-disciplinary teams involved in providing treatment should include educational staff.

Eating disorders and university/college

The transition from school to college or university is a time of heightened risk if someone has an eating disorder and needs to be carefully managed. Moving on to college or university can bring new challenges above being away from home, making new friends and taking on new academic demands for someone with an eating disorder. Cooking for yourself or finding enough ‘safe’ foods served at the student catering facility can be difficult. Providing continuity of healthcare for someone receiving treatment is another concern, as new GPs and other health support workers become involved.

Eating disorders also have a profound effect on the friends and family members of those with the serious mental illness. They may also be struggling as it will have a huge impact on their lives, both emotionally and in relation to friends, their ability to cope and perform at school and university. Both friends and family members of someone with an eating disorder will need support as well.