What's Really Underneath Anorexia? Understanding the Deeper Struggles

Jodie Mainstone

8/22/20251 min read

a plate with a strawberry on it next to a knife and fork
a plate with a strawberry on it next to a knife and fork

What’s Really Underneath Anorexia?

When most people think of anorexia, they think about food, weight, or control around eating. But if you’ve ever lived with it, or cared for someone who has, you know it’s never just about that.

Underneath all the rules, restrictions, and fears about food, there’s usually something much deeper going on.

Anorexia often isn’t about food at all. It’s about trying to handle feelings that feel too big, too scary, or just plain unbearable.

For many people, it becomes a way to:

* Grab onto something they can control when everything else feels chaotic

* Shut down or numb emotional pain that feels overwhelming

* Protect themselves from feeling vulnerable, ashamed, or afraid

* Show the world there’s something wrong, even if they can’t say it in words

In a way, anorexia becomes a shield and a way to keep those difficult feelings at a distance.

Beneath the behaviours, there’s often a lot of invisible pain. That might look like deep self-doubt, loneliness, trauma, or feeling like they’re never quite good enough. Sometimes it’s perfectionism, sometimes it’s grief or fear.

Those feelings are so raw and hard to face, holding on to the eating disorder can start to feel like the only way to survive.

That’s why letting go of anorexia is so scary. Recovery means meeting those tough feelings without the protection. It means stepping into the unknown and being vulnerable and that takes huge courage.

Real healing doesn’t come from pushing yourself harder or trying to “just eat more.” It comes when you feel safe enough to look under the surface, to explore what’s really going on, and to meet yourself with kindness instead of criticism.