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Some DOs and DON'Ts in Reaching Out to Someone Who May Have an Eating Disorder

DOs:

  • Speak to the person privately and allow time to talk.
  • Tell the person you are very concerned about him or her. Do not be confrontational.
  • Calmly tell the person all the specific observations that have aroused your concern, for example: "I have noticed that you have been leaving the table abruptly after every meal."
  • Allow the person time to respond. Listen carefully and nonjudgmentally.
  • Keep the focus on problems (for example, withdrawing from others).
  • If the information you receive suggests an eating disorder, share with the person that:
    • you think the person has a problem with eating (or body image or weight management).
    • you are concerned about his or her health and well-being.
    • you are concerned that the matter needs to be evaluated by somebody who understands eating disorders.
  • Know about some of the resources in your school and your community (see Eating Problems) to which students can be referred .
  • Tell a nurse, counselor, teacher or coach immediately if the person has problems that scare you - for example, if the person is:
    • binging and throwing up several times per day.
    • passing out or complaining of chest pains.
    • complaining of severe stomach ache and/or vomiting blood.
    • suicidal.

DON'Ts:

  • Don't speak to an authority without first speaking privately to the person whom you suspect of having an eating disorder (unless the situation is an emergency).
  • Don't confront the person as a group if more than one person is concerned.
  • Don't threaten or challenge the person.
  • Don't be judgmental: don't tell the person that what they are doing is "sick" or "crazy" or "stupid".
  • Don't give advice about weight loss or exercising or appearance.
  • Don't diagnose.
  • Don't get into an argument or battle of wills. Calmly repeat your evidence, your concern, and your strong belief that the person needs to have the problem evaluated. End the conversation if it is going nowhere or if either of you becomes too upset.
  • Don't promise to keep what you have observed a secret.
  • Don't try to keep track of what the person is eating or try to force the person to eat or not eat.
  • Don't let the person monopolize your time and energy.

Source: The Renfrew Center

For comments on this web-site, contact Mark J. Forest, Ph.D. or call 732-932-3966.

This page last updated: June 27, 2007

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