Untangling Eating Disorders and OCD
The 10th Annual Veritas Collaborative Symposium on Eating Disorders, co-hosted by The Emily Program, will unite healthcare professionals and eating disorders experts around this year’s theme, “Engaging Science, Unifying Voices, and Transforming Access.” In this article, Ben Eckstein, a speaker at this year’s Symposium, explores the connection between OCD and eating disorders.
Rigid routines. Experiential avoidance. Feeling out of control. Ruminative thoughts. Are we talking about OCD or eating disorders? Maybe both. If you’ve spent any time treating eating disorders, chances are good that you’ve come across an individual with comorbid Obsessive-Compulsive Disorder (OCD). While rates vary across different types of eating disorders, studies generally show comorbidity rates ranging from 10–44%. This frequent overlap can create diagnostic confusion even for seasoned clinicians. It’s easy to see why: though there are some clear distinctions, the phenomenological similarities can muddy the water and complicate diagnosis and treatment planning.
Episode 55: Eating Disorders in Fiction with Emily Layden
Episode description:
Emily Layden is a writer and former high school English teacher from upstate New York. A graduate of Stanford University, her writing has appeared in The New York Times, Marie Claire, The Billfold, and Runner’s World. She joins us in this episode of Peace Meal to discuss her debut novel All Girls. We explore the depiction of disordered eating and anxiety in the book and society more generally, using Emily’s experience with the co-occurring concerns as context along the way.
We center our conversation on one of the characters of All Girls, Macy, who struggles with clinical anxiety and an eating disorder resembling ARFID. Emily tells us about her decision to write Macy as she did, eschewing graphic descriptions of behaviors to highlight Macy’s anxious thoughts instead. She describes what she hopes All Girls adds to the larger conversation about eating disorders and the adolescent females among whom eating disorders are particularly prevalent. Emphasizing the importance of taking both eating disorders and young women more seriously, we explore how society tends to think similarly of both.