Can you have an ED if you don’t struggle with body image? Need help.

Please excuse my ignorance, and I'll delete if this is offensive in any way please let me know.

I have always been underweight, and if anything I've been insecure about it. Most of my life, I have been actively trying to gain weight. Despite this, lately I have been struggling to eat because suddenly food itself disgusts me. This has been really hard on me, because I am not eating enough at all and it is starting to impact my physical/mental health, sleep, energy levels, and mood. I am lucky if I can manage to eat (the equivalent of) 1 meal in a day.

I think my body has been interpreting hunger as nausea, the kind where the thought of food makes you sick. *Sometimes* I'll feel so hungry, but then when I try to eat it's like my stomach is shut, and my reflexes won't let me swallow. It's scary.

I've been to so many doctor appointments and ran all the tests, and apparently my physical health is completely fine. I don't understand where this relationship with food came from if not body-image/health compulsions. I have GAD, but that's been a thing for a while so I don't understand? Any thoughts at all would be highly appreciated. This has really been weighing on me.

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