#eating disorders

#eating disorders

"People tend to immediately think of neurons when they think about how the brain works. But we're finding that astrocytes, what we used to think of as just secondary support cells, are also participating in how our brains regulate how much we eat."

Emma Dyer remembers the moment she clicked "buy now" on a set of weightloss jabs she found online. She had no medical consultation, no ID checks, and no questions about her history of anorexia and bulimia. "It was just so easy - too easy," she says. "They never asked for my medical history or what medication I was taking. It was like buying groceries."

In 2022, Jennette McCurdy released her memoir I'm Glad My Mom Died, a brutally honest portrait of her life as a former child star, her battle with eating disorders, and, as the title would suggest, her rather complicated relationship with her mother.

Diet culture norms have led to a multibillion-dollar industry promoting diets that each come with their own set of rules, with each claiming it's the only way to be healthy or lose weight. When access to nutrition information is at an all-time high online, people are often left digging through conflicting information when trying to figure out what to eat or what a healthy diet look likes.

As a teenager, Davis was always striving to be thinner, obsessed with tracking calories and terrified to date or be intimate with anybody in case they commented on her body. Even going to the beach with friends was fraught. I'd wait for them to go into the ocean first, because I felt really insecure, she says. Some days I'd cancel and say I was sick.

This can be hard for onlookers to understand, but for people who have lived through trauma, chronic emotional invalidation, or unsafe relationships, self-blame can become an organizing principle. It offers a painful kind of order. If suffering is my fault, then at least it makes sense. Over time, that belief does not stay confined to memory. It begins to shape behavior.

In late May 2023, Sharon Maxwell posted screenshots that should have changed everything. Maxwell, struggling with an eating disorder since childhood, had turned to Tessa-a chatbot created by the National Eating Disorders Association. The AI designed to prevent eating disorders gave her a detailed plan to develop one. Lose 1-2 pounds per week, Tessa advised. Maintain a 500-1,000 calorie daily deficit. Measure your body fat with calipers.

The rising cost of living continues to strain many households, and interruptions to food assistance programs during the temporary government shutdown added new stress for those already trying to stay afloat. According to the U.S. Department of Agriculture, in 2023, about 13.5 percent of U.S. households, including 7.2 million children, experienced food insecurity. This is an increase over the previous year's figures, highlighting how quickly families can slip into hardship when basic needs become unstable.

An influencer pops up with a "what I eat in a day" post-the perfect-looking meals have no carbs, few calories. Another influencer tries to humorously share their night out partying, and a mom shows how she needs wine to get through the day. Ads for fitness programs fill your feed, promising that "you can fix your life in 3 simple steps!" The next day, a coworker talks about the new diet they want to start;

Before I explain, I want to clarify that I firmly believe in body autonomy. If someone chooses to take a weight loss medication, they should be able to do so without judgment. I hope all potential users are fully informed about the risks and benefits of these medications and are followed responsibly by medical providers. Ideally, they would also be screened for a current or past eating disorder or any other condition that might contraindicate the use of GLP-1s and GIPs.

Engagement is the highest priority of chatbot programming, intended to seduce users into spending maximum time on screens. This makes chatbots great companions-they are available 24/7, always agreeable, understanding, and empathic, while never judgmental, confronting, or reality testing. But chatbots can also become unwitting collaborators, harmfully validating self-destructive eating patterns and body image distortions of patients with eating disorders. Engagement and validation are wonderful therapeutic tools for some problems, but too often are dangerous accelerants for eating disorders.