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How Depression and Eating Disorders can be linked 

Jennifer Pereira, LPC, RD

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Depression and eating disorders are closely connected, with one often intensifying or contributory to the other. Here are some factors in which they can be associated: 

 

1. Emotional Regulation 

People with depression may struggle to cope with their emotions, and eating can become a way to control  negative feelings. For some, disordered eating behaviors (like restricting food intake, bingeing, or purging) may provide a brief sense of control or relief from emotional hurt, anxiety, or sadness. 

 

2. Low Self-Esteem and Body Image Issues 

Depression often involves feelings of worthlessness, blame, and a harmful self-image. The desire to "change" or "control" one's body can be a way of attempting to reclaim control over a life that feels out of control due to hopelessness. 

 

3. Neurochemical Links 

Both depression and eating disorders involve imbalances in brain chemistry, particularly with neurotransmitters like serotonin and dopamine. These neurotransmitters regulate mood, appetite, and pleasure. Dysregulation in these chemicals can lead to both depressive indicators (like low mood and loss of interest in life) and eating disorder behaviors (like obsession with food or body image). 

 

4. Psychological and Behavioral Factors 

The patterns of behavior in eating disorders—such as restricting eating, overexercising, or binge eating—can also reinforce depressive thoughts and feelings. The constant fixation with food and body image can create a cycle of negative self-talk. 

 

5. Trauma and Stress 

Depression and eating disorders can result from or be worsened by stressful life events or trauma, such as abuse, bullying, or major life changes. The coping skills can be developed to manage these experiences may develop as eating disorder behaviors, while the emotional aftermath of trauma can lead to depression. 

 

6. Social and Environmental Factors 

Societal pressures around body image, beauty standards, and success can influence both the development of eating disorders and the onset or worsening of depression.  

 

7. Overlap in Symptoms 

Some symptoms of depression, such as shifts in appetite, or a lack of interest in eating, can mimic the symptoms of an eating disorder. Equally, the behaviors associated with eating disorders, like extreme dieting or purging, can trigger or worsen depressive symptoms.  


8. Co-Occurrence 

It’s not unusual for someone to experience both depression and an eating disorder simultaneously. Research warns that individuals with eating disorders, especially anorexia and bulimia, are at a higher risk for developing depression.  

 

 

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