The coronavirus pandemic has affected us all in different ways. And for some, the disruption in routine, the uncertainty and anxiety about work or finances, the stress from juggling working from home and homeschooling, or the worry about loved ones can be so overwhelming that it's affecting how we eat.
Experts agree that you're not alone if you're coping by using food. Maybe you've lost your appetite, are overeating, or are stress baking and emotionally eating. You may be showing symptoms of disordered eating such as hoarding or binging, or you may be reverting back to old eating disorder patterns you've previously recovered from, such as following restrictive food rules. Experts explain the five reasons this pandemic could have affected your relationship with food and offer advice on what you can do to prevent harmful thoughts or habits.
Reason 1: Isolation and Silence Can Make Disordered Thoughts Louder
If you're unable to see your friends, family, and co-workers, "Feeling socially isolated can be quite devastating for human beings," said BACP-accredited eating disorder therapist Harriet Frew, MSc. Obsessive thoughts about food and body image can become stronger, and for those who've had issues in the past, she said, "the eating disorder can start to fill the isolation void and take a larger grip again."
Having to stay home alone brings different challenges to being isolated with others, explained psychotherapist Lynsey McMillan, MSc, who specializes in disordered eating. "For those living and working alone, there is the potential for loneliness to trigger eating disorder behaviors," she said. A lot of binging happens in private, and that coupled with a loss of routine that can disrupt mealtimes and make chaotic eating and eating at odd or infrequent times more likely. "Along with this there might be disruption to other daily rhythms such as sleep and getting outside," McMillan said.
She added that if you're stuck at home with others, it could also trigger disordered eating behaviors. There might be an increase in restriction if a person feels they can't freely eat in the way they need to, either because of feeling observed and perhaps criticized by family or housemates. "Stress within households are common triggers for disordered eating, and families may feel under extra strain right now," McMillan added.
Reason 2: Food Scarcity and Hoarding Could Trigger Restricting and Binging
At the beginning of the pandemic, many people were experiencing emotional stress because of the temporary food scarcity caused by COVID-19 panic-buying in some areas, explained Christy Harrison, MPH, RD, CDN, an antidiet registered dietitian nutritionist, certified intuitive eating counselor, host of the Food Psych Podcast, and author of Anti-Diet.
Seeing other people hoarding food may have triggered an increase in anxiety and worry about not being able to access their "safe" foods, McMillan added. People's fear and panic about running out of food could have made them feel restricted and deprived, which could also trigger binging.
"Our bodies have cleverly evolved survival responses against famine which in situations of scarcity or threat of scarcity kick in to protect us," McMillan explained. It's a common adaptive response, for example, to eat past fullness, eat in a hurried way, or to be very preoccupied with obtaining food if there is a sense of scarcity. For those who were buying a couple week's worth of groceries at one time, having that much food in the house could have triggered a binge if the person had a prior tendency for the behavior. And a year later, you may still be struggling with those fears and disordered eating habits.
Reason 3: Food Rules Are Being Challenged
Food rules help people to reduce anxiety and feel a sense of structure, control, and simplicity in the face of countless (and for the disordered eater, overwhelming) daily food decisions, explained McMillan. With the changes in routine and eating habits we experienced, previous food rules may have been impossible to adhere to or may have mutated into new rules or other behaviors," she said. Either way, it may feel scary or chaotic, and it's likely that for some who can't meet their self-imposed rules (like eating no carbs), there may be a feeling of failure or panic. "This could lead to an increase in restriction and later binging, which could become a cycle of restrict-binge-restrict," McMillan said.
Frew added that people might be feeling pressured to work out at home and to avoid weight gain or try to lose the weight they may have gained during lockdown. Therefore, food rules may have increased or intensified in an attempt to avoid this. Frew said people who wouldn't normally exercise may have felt drawn into home workouts, and for those who've had previous issues with overexercise, this could be retriggered.
Reason 4: Lack of Regular Routine Can Make Someone Feel Out of Control
Our work, the people we interact with on a regular basis, the things we do to let off steam, hobbies, interests — all of these were impacted by the coronavirus and social distancing. McMillan explained that these routines help us have a sense of self and purpose, and a way to have a sense of order and control in life, which in turn helps us to manage our emotional world.
"It can feel like we've suffered a series of losses," McMillan said. For someone with disordered eating or in recovery, these swift changes and the emotional roller coster that comes with it can threaten to destabilize recovery. Not being able to attend a support group or see your dietitian or therapist (either in person or at all) can trigger powerful emotions such as anger, fear, loss, isolation, sadness, or rejection, leading to binging or other eating disorder behaviors to try to numb these painful emotions. She added that not being able to exercise at the gym, swimming pool, or public tracks or attend classes like we used to can mean people restrict more in an attempt to compensate, or worry far more about any food they consume.
Frew added that if you have more time on your hands now, not having your usual distractions and routine could mean becoming more preoccupied with food. You might also be vulnerable to binge eating or emotional eating if you're bored because of lack of structure. Anxiety and other emotions might make you not feel like sticking to your regular mealtimes, and you snack all day instead. And instead of nourishing foods, you're more likely to crave high-sugar foods that will offer you a quick dopamine hit.
Reason 5: Less Access to Support Can Cause Falling Back to Old Habits
"It's easy for the eating disorder voice to become stronger, as there is less opportunity to get a different perspective or to be around others modeling a healthy relationship with food," Frew said. If you're unable to see your dietitian or therapist regularly, not being able to talk openly about feelings can mean that these get directed into old ways of coping through food.
Not having access to support could make symptoms worsen, McMillan said. Although many therapists have made the move to online or telephone support, people can slip through the cracks if they don't feel as motivated to follow through or if they're unable to do so because of financial, family, or other issues.
"There could be an increase in feelings of hopelessness. So much of my work is to engender hope and encourage clients to persevere in the face of what can be a long road to recovery," McMillan said. This pandemic has put us in uncertain territory where we can't tell clients when we can see them face to face, or when their support group might restart. "This not knowing can trigger catastrophic thinking. It's common for disordered eaters to hold all or nothing thinking habits, and so no help at the moment might feel like no help ever," she said.
Tips to Help Prevent or Halt Disordered Eating Behaviors
- You're not alone: Knowing that other people are experiencing the same thoughts and feelings might make you feel better. "People's stress levels are elevated because of the pandemic, and it's OK if your eating is a little weird right now because of that," Harrison said.
- Seek out support: Reach out to family, friends, coworkers, or a therapist so you don't feel isolated. Talk openly about your worries, your concerns, your fears — having someone listen can make you feel better.
- Get back on a routine: While you may not be able to mimic the exact routine you followed before the coronavirus, establishing a new routine you can stick to every day will help you regain some of the control you feel like you've lost.
- Listen to your body: "It's important to listen to your body's hunger and fullness cues and honor them to nourish yourself and help keep anxiety at bay," said registered dietitian Rachel Berman, general manager of Verywell. Harrison added that if you find yourself eating to self-soothe, know that it's totally normal and understandable. It could also be a sign that you were depriving yourself before the pandemic, and the solution is not to clamp down and try to control your eating, but to ease up and stop the deprivation.
- Do what makes you happy: Find ways to celebrate this time at home. Designate an hour or so each day to do something you're passionate about, something that brings you joy, reduces stress, and that gives your life meaning. Get creative by drawing or playing an instrument, read a book, get outside for a walk, or start that passion project you've never had time for (mine is writing a children's book!).
- Show yourself love: McMillan said to use this time as an "opportunity to learn to slow down and prioritize self-compassion." It's so important to offer yourself kindness, patience, and sensitivity right now. Judging or criticizing how you're handling this worldwide pandemic will only lead to feelings of failure, so give yourself credit for your effort. Realize we've been dealing with this for over a year now, and you're doing the best you can (which is amazing, by the way!).
- This too shall pass: "It's vital to keep reminding ourselves that this situation is temporary," McMillan said. We will get through this, so hang in there!