Self Image, Self Harm, and Eating Disorders

Self Image, Self Harm, and Eating Disorders

Attempting to change your food-related behaviors without exploring the emotional reasons why you continue to overeat, restrict, purge, or obsess about your body is like trying to stop an engine from overheating—without first looking under the hood.

Despite the problems an eating disorder creates, it is an effort to cope, shield against, communicate and solve problems. Behaviors may be a way to establish a sense of power or control, self-worth, strength and containment. Binging may be used to numb pain. Purging may be a way to release emotions. Exercise and restricting may be a way to feel in control.

  • Restriction, binge eating, or purging behaviors
  • Body dysmorphia or obsessive thoughts about weight and shape
  • Constant guilt or anxiety around food
  • Overexercise or rigid fitness routines
  • Avoiding mirrors, photos, or social events
  • Feeling like your worth is tied to your appearance
  • Disordered eating that doesn’t meet criteria for a diagnosis—but still feels all-consuming
  • The aftermath of diet culture, trauma, or critical family messages

Despite the harm it causes, an eating disorder serves a purpose. It can be a way to:

  • Numb pain or self-soothe
  • Express unspoken needs or inner conflict
  • Reclaim a sense of control
  • Punish or protect the body
  • Avoid intimacy or vulnerability
  • Maintain identity, structure, or predictability

At Arizona Connection Counseling, we’ve worked with clients just like you—clients who’ve relied on food, exercise, or self-harm as a way to survive the pain of trauma, abuse, grief, rejection, or self-doubt.

You’re not weak. You’re human. And healing is possible.

Healing from an eating disorder isn’t about forcing change—it’s about making space for understanding, care, and self-compassion.

  • Understand the emotional and relational roots of disordered eating
  • Develop tools for emotional regulation and distress tolerance
  • Reconnect with your body from a place of care—not control
  • Challenge perfectionism and self-criticism
  • Explore identity, boundaries, and values beyond the eating disorder
  • Practice intuitive or flexible eating—when ready and appropriate

Our team includes specialists trained in treating eating disorders through:

  • EMDR (for trauma and body-based distress)
  • Internal Family Systems (IFS)
  • Attachment-based and somatic therapies
  • HAES-aligned (Health at Every Size) and weight-inclusive frameworks

We don’t treat symptoms in isolation. We treat you—the whole person, with real pain, real strengths, and real reasons why this has been your way of coping.

Whether you’re deep in the struggle, navigating recovery, or quietly wondering if this is something worth exploring, we’re here with warmth, respect, and care.

Eating Disorders - It's Not About the Food

By Kelly Lopez

If it’s not about the food, what is it really about?

The eating disorder serves a function, it does a job. Despite the problems an eating disorder creates, it is an effort to cope, shield against, communicate, and solve problems. Behaviors may be a way to establish a sense of power or control, self-worth, strength, and containment. Bringing may be used to numb pain. Purging may be a way to release emotions. When one cannot cope in healthy ways, adaptive functions (behaviors) are created to ensure a sense of safety, security, and control.
According to Carolyn Costin*, some of the “adaptive functions that eating disorder behaviors commonly serve are”:
It’s not about the food, it’s a way of coping with low self-esteem, negative emotions, physical, emotional, and sexual abuse, unstable home, difficulty resolving conflict and much more.
*Costin, Carolyn. The Eating Disorder Sourcebook: A Comprehensive Guide to the Causes, Treatments and Prevention of Eating Disorders. 3rd. edition, McGraw Hill, 2007.
Fuller, Kristen. “Eating Disorders: It’s Not All about Food.” Psychology Today, Sussex Publishers, 22 Mar. 2017