🎧 Episode Description Eating disorders are complex, layered, and often hidden in plain sight. In this episode, psychiatric nurse Laura Casey helps us understand the difference between disordered eating and a clinically diagnosed eating disorder - and why that distinction matters. Drawing on years of frontline experience, Laura explores the psychological roots of anorexia, bulimia, binge eating disorder, and ARFID. She explains how these illnesses are not about vanity, but instead are coping mechanisms linked to trauma, anxiety, perfectionism, grief, and the need for control. She also sheds light on the physical risks - from refeeding syndrome to bone density loss - and why early intervention dramatically improves the chances of full recovery. Alongside clinical insight, this episode gives voice to the lived experience of those struggling in silence. It addresses stigma within healthcare, the pressure of social media, the rise in cases during COVID, and the heartbreaking reality that Ireland currently has only three public adult inpatient beds. 🔑 Key Points 1. When Food Becomes an Internal Battle Eating disorders often involve a powerful internal voice that overrides rational thinking and drives secrecy, rigidity, and isolation. 2. ARFID and Neurodivergence Avoidant Restrictive Food Intake Disorder is increasingly recognised, particularly in neurodivergent individuals, and deserves equal seriousness and support. 3. The Role of Trauma and Anxiety Experiences such as grief, bullying, family breakdown, or suppressed emotions can contribute to the development of disordered eating behaviours. 4. The Hidden Physical Toll Malnourishment affects cognition, heart function, bone health, sleep, fertility, and digestion - and purging behaviours can cause serious internal damage. 5. Why Families Matter Family dynamics can influence recovery - both positively and negatively - and family therapy can play a crucial role in long-term progress. 6. Relapse Is a Blip, Not a Failure Recovery can include setbacks. Early warning signs and relapse prevention planning are key to sustaining progress. 7. Stigma Within Healthcare Many people feel dismissed or reduced to their diagnosis when seeking treatment - highlighting the need for holistic, compassionate care. 📚 Mentioned in This Episode DSM-5 - Diagnostic and Statistical Manual of Mental Disorders ICD Codes - International Classification of Diseases Eating Disorders Anorexia nervosa/Bulimia nervosa/Binge Eating Disorder/Avoidant Restrictive Food Intake Disorder - ARFID https://www2.hse.ie/conditions/anorexia-nervosa/ Refeeding Syndrome CBT - Cognitive Behavioural Therapy DBT - Dialectical Behaviour Therapy Bodywhys - The Eating Disorders Association of Ireland https://bodywhys.ie/ +353 01 210 7906 Samaritans Ireland jo@samaritans.ie Freephone: 116 123 Pieta House Freephone: 1800 247 247 0818 111 126 HSE Eating Disorder Teams (Public Health) 1800 111 888 (Referral must be made through GP) Lois Bridges (Private/Self pay/HSE funding) manager@loisbridges.ie www.loisbridges.ie +353 87 653 9747 CARED Ireland (Caring About Recovery from an Eating Disorder) CAREDireland@gmail.com Supporting Families zuzanna.deirdre@gmail.com Family Therapist Lana Galkovskaja info@loisbridges.ie ⏱️ Timestamps 03:00 – Disordered Eating vs Eating Disorders 07:00 – ARFID and Sensory Restriction 13:00 – Trauma, Perfectionism and Control 18:30 – Medical Risks and Refeeding 24:00 – Specialist Therapies and Medication 29:30 – The Gap in Irish Services 34:00 – What Parents and Friends Can Do 40:00 – Relapse Prevention and WRAP Planning 46:00 – Hope at Any Stage of Life Thanks for listening! You can watch the full episode on YouTube here. Don’t forget to follow The Laura Dowling Experience podcast on Instagram @lauradowlingexperience for updates and more information. You can also follow our host, Laura Dowling, @fabulouspharmacist for more insights and tips. If you enjoyed this episode, please subscribe and leave a review—it really helps us out! Stay tuned for more great conversations. Hosted on Acast. See acast.com/privacy for more information.