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Quick answers to frequently asked questions about our services, resources, and eating disorder support. Find the information you need in one convenient place.

Recent research (Melisse et al., 2024) shows that eating disorders affect a growing number of individuals in the Arab world. A large national mental health survey conducted in Saudi Arabia found that about 3.2% of the individuals had an eating disorder at some point during the past year, which is known as the 12-month prevalence (the percentage of people who were affected within the last 12 months). When looking over an entire lifetime, around 6.1% of people had experienced an eating disorder at any point in their lives, this is called the lifetime prevalence (AlHadi et al., 2022).

Among the different types, binge-eating disorder is the most common (about 2.1% in the past year and 2.6% over a lifetime). Studies also indicate that roughly one in three individuals (between 23.8% and 34.8%) in Arab populations are at high risk of developing an eating disorder or showing early signs of an eating disorder. Several factors are increasing the risk for an eating disorder such as body-image dissatisfaction, a higher body weight, and being single, widowed, or divorced were the most frequent risk factors associated with these conditions in the Arab world (Melisse et al., 2020; Melisse et al., 2024).

Yes, men can and do develop eating disorders, even though for many years people believed eating disorders mainly affected young Caucasian women. That view has now changed, research shows that eating disorders occur in all parts of the world and in all genders and cultures (Culbert et al., 2021). However, eating disorders remain more common among women: about nine out of ten cases of anorexia nervosa and bulimia nervosa occur in women, while one in ten are men. Binge-eating disorder, is which is the most occurring eating disorder, is more common in men: roughly two-thirds of cases are women and one-third are men (Hoek, 2016; Thapliyal & Hay, 2014).

Although many men struggle with disordered eating, they are often less likely to seek help or even recognize their symptoms because eating disorders are still seen as a “women’s disease.” Men who do seek treatment are more likely to drop out early or not complete treatment as compared to women. Reasons include shame, stigma, and the lack of male-focused treatment approaches (Melisse et al., 2025; Sonnenblick & Juarascio, 2026). Recent studies, highlight that for men, feelings of stigma and difficulty relating to treatment materials (which are often written for women) are key predictors of stopping therapy before completion (Lehe et al., 2024; Upton et al., 2025).

References

References

AlHadi, A. N., Almeharish, A., Bilal, L., Al-Habeeb, A., Al-Subaie, A., Naseem, M. T., & Altwaijri, Y. A. (2022). The prevalence and correlates of bulimia nervosa, binge-eating disorder, and anorexia nervosa: The Saudi National Mental Health Survey. The International Journal of Eating Disorders, 55(11), 1541–1552. https://doi.org/10.1002/eat.23790

Culbert, K. M., Sisk, C. L., & Klump, K. L. (2021). A narrative review of sex differences in eating disorders: Is there a biological basis? Clinical Therapeutics, 43(1), 95–111. https://doi.org/10.1016/j.clinthera.2020.12.003

Hoek, H. W. (2016). Review of the worldwide epidemiology of eating disorders. Current Opinion in Psychiatry, 29(6), 336–339. https://doi.org/10.1097/YCO.0000000000000282

Lehe, M. S., Halbeisen, G., Steins-Loeber, S., & Paslakis, G. (2024). Invisible walls? Stigma-related perceptions are associated with reduced help-seeking intentions for disordered eating in men. Journal of Eating Disorders, 12(1), 200. https://doi.org/10.1186/s40337-024-01152-3

Melisse, B., De Beurs, E., & Van Furth, E. F. (2020). Eating disorders in the Arab world: A literature review. Journal of Eating Disorders, 8(1). https://jeatdisord.biomedcentral.com/counter/pdf/10.1186/s40337-020-00336-x.pdf

Melisse, B., De Jonge, M., Van Den Berg, E., Dekker, J., & De Beurs, E. (2025). Predictors of dropout, outcome and relapse in web-based guided self-help cognitive behavioral therapy–enhanced among patients with binge-eating disorder. International Journal of Eating Disorders.

Melisse, B., van Furth, E., & Hoek, H. W. (2024). Systematic review of the epidemiology of eating disorders in the Arab world. Current Opinion in Psychiatry, 37(6). https://doi.org/10.1097/yco.0000000000000960

Sonnenblick, R. M., & Juarascio, A. S. (2026). Men and women who seek treatment for binge-spectrum eating disorders have similar baseline characteristics. Appetite, 216. https://doi.org/10.1016/j.appet.2025.108254

Thapliyal, P., & Hay, P. J. (2014). Treatment experiences of males with an eating disorder: A systematic review of qualitative studies. Translational Developmental Psychiatry, 2(1). https://doi.org/10.3402/tdp.v2.25552

Upton, E., Hill, A. J., & Traviss-Turner, G. D. (2025). Guided self-help for binge eating prior to weight management: The experience of clients and guides. Nutrients, 17(7). https://doi.org/10.3390/nu17071103

If you’re concerned your child might have an eating disorder, it’s important to take your worries seriously — early support can make a big difference.

1. Start a gentle conversation without judgement Choose a calm, private moment to talk to your child, without any distractions. Express concern about what you’ve noticed using an open question and without judgement (“I’ve noticed you seem worried lately, can you tell me what’s troubling you?” or “I’ve seen you’re not eating well and I’m concerned”). Avoid focusing on weight, appearance, or blame — instead, focus on how they’re feeling.

Your child may feel scared, defensive or may not see anything is wrong. Reassure them that you love them, that you’re there to help, and that they’re not in trouble. Try to listen more than you speak, and avoid arguing about food or weight.

2. Seek professional help early Reach out to your GP or paediatrician as soon as possible. They can assess your child’s health and refer you to an eating disorder specialist — such as a clinical psychologist, psychiatrist, or dietitian trained in eating disorders. The earlier the intervention, the better the recovery outcomes. You want to find a multi-disciplinary service where the clinicians are specialised in eating disorders, rather than a general therapist, as the treatment is very specialist.

3. Don’t try to manage it alone Eating disorders are serious mental health conditions, not a “phase” or something that can be fixed by willpower. It’s important to involve professionals and build a support network for both your child and your family. Families might try to manage this themselves as a starting point, however this could mean that by the time support is sought, the eating disorder has already become more severe. Evidence tells us that early help can improve the outcome for children with eating disorders.

4. Get support from your child’s school Often schools might be the first to notice changes as children tend to skip lunch, throw food away or spend too much time in the bathroom after meals. Your child may have opened up to the school counsellor or given the opportunity, might find it easier to do so than to speak to parents. Schools are also involved during treatment to help monitor and support young people with their eating and emotions in school. You may also need to consider adjusted timetables or stopping sport. Seek support from the school early and they can guide you and your child on how to manage or where to get professional help.

5. Learn more about eating disorders and seek support for yourself Understanding eating disorders can help you respond more effectively. Many organisations and charities offer parent support groups, helplines, and educational resources to guide families through the process. Have a look at our resource page for guidance on this.

If your child’s physical health or safety is at immediate risk (for example, they are fainting, dehydrated, or have stopped eating or drinking altogether), seek urgent medical help or go to the nearest emergency department.

Yes, it is possible to recover from an eating disorder. Recovery often involves a combination of medical treatment, therapy, nutritional counseling, and support from healthcare professionals, family, and friends. The process can vary for each individual, but with proper care and support, many people successfully recover and regain their health both physically and emotionally. If you or someone you know is struggling with an eating disorder, seeking help from a healthcare professional is an important first step.

The best therapies for eating disorders typically include the following evidence-based approaches:

  • Cognitive-Behavioral Therapy (CBT): This is one of the most effective treatments, helping individuals identify and change distorted thoughts and behaviors related to food, body image, and self-esteem.
  • Family-Based Therapy (FBT): Especially effective for adolescents with eating disorders like anorexia nervosa, FBT involves the family in supporting recovery and refeeding.

Yes, it is possible for someone to have an eating disorder without being underweight. Eating disorders, such as anorexia nervosa, bulimia nervosa, and binge-eating disorder, can manifest in various ways that do not necessarily involve weight loss or being underweight. For example:

  • Bulimia nervosa: Involves cycles of binge eating followed by compensatory behaviors like purging, but individuals may maintain a normal or even above-normal weight.
  • Binge-eating disorder: Involves recurrent episodes of overeating without compensatory behaviors, and individuals may be overweight, normal weight, or underweight.
  • Other Specified Feeding or Eating Disorders (OSFED): Include a range of disordered eating patterns that don’t meet the specific criteria for other diagnoses but still cause distress and impairment.
  • Atypical anorexia nervosa: It is possible for someone with anorexia nervosa (AN) to not be underweight. This involves restriction of energy intake relative to requirements, leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health, even if the BMI is above 19. Other features include an intense fear of gaining weight or becoming fat, or persistent behavior that interferes with weight gain, and a disturbance in the way one’s body weight or shape is experienced.
  • Conclusion: Weight is only one aspect and not the sole indicator of an eating disorder. Many individuals may struggle with disordered eating behaviors and psychological distress regardless of their weight.

Exercise generally supports physical and mental health, but it can become unhealthy when it turns compulsive, causes harm, or interferes with daily life. Here are practical signs that exercise may have crossed into unhealthy territory. Key signs that exercise may be unhealthy

  • Compulsion and loss of control
    • Feeling unable to stop or slow down despite intent to rest.
    • Obsessive routines you must complete every day, with distress if you miss.
  • Excessive time and effort
    • Spending many hours per day on workouts, planning, or recovery.
    • Prioritizing exercise over work, school, relationships, or other activities.
  • Negative impact on health or function
    • Recurrent injuries, chronic pain, or persistent fatigue that doesn’t improve with rest.
    • Sleep disturbance or inability to relax without movement.
  • Distorted thinking about food and body
    • Exercising primarily to manage body weight or shape, with rigid rules (e.g., “I must burn X calories”).
    • Using exercise as punishment or as a way to “earn” food.
  • Psychological distress related to exercise
    • Anxiety, guilt, or irritability if you miss a workout.
    • Persistent worry about not exercising, even when sick or injured.
  • Social and occupational consequences
    • Canceling important events or neglecting responsibilities to exercise.
    • Strained relationships due to time spent exercising or focus on performance.
  • Medical red flags
    • Irregular heartbeat, chest pain, dizziness, fainting, dehydration, or electrolyte problems.
    • Amenorrhea or hormonal changes in some populations (note: this can occur with intense training, particularly in endurance athletes).

Binge eating is a complex behavior with biological, psychological, and social contributors. People binge for a mix of reasons, and the drivers can vary from person to person. Here are some of the most common factors that researchers and clinicians consider:

  • Biological and genetic factors:
    • Brain chemistry: Imbalances in hunger and reward systems (e.g., dopamine and serotonin pathways) can affect impulse control, mood, and responses to food.
    • Hormonal influences: Hormones related to hunger, fullness, stress, and metabolism can influence cravings and eating patterns.
    • Genetics: Family history of eating disorders, obesity, or metabolic traits can increase vulnerability in some individuals.
  • Psychological factors:
    • Emotional regulation: Binge eating can serve as a way to cope with negative emotions like sadness, anxiety, loneliness, or boredom.
    • Stress and trauma: Chronic stress, life events, or past trauma can increase the likelihood of binge episodes as a coping mechanism.
    • Dieting and dietary restraint: Strict dieting or frequent restriction can lead to a rebound effect where the urge to binge becomes stronger, sometimes described as a sense of “deprivation”.
    • Negative self-perception: Body image dissatisfaction and low self-esteem can contribute to binge eating as a coping pattern.
  • Environmental and social factors
    • Accessibility and cues: Availability of large portions, highly palatable foods, and environmental cues (advertising, social settings) can trigger binges.
    • Social and cultural norms: Social pressures around body image, dieting culture, and stress related to food in social contexts can influence binge eating.
    • Sleep and fatigue: Poor sleep can affect appetite regulation and impulse control, increasing binge risk.