Assessing Your Eating Behaviors: How to Self-Screen For Signs of Disordered Eating and Eating Disorders

Thrive • February 1, 2022

By Eating Disorder Program Clinical Lead and Therapist Mollie Pierce, MA, LCPC, NCC

DISORDERED EATING BEHAVIORS

Due to the prevalence of diet culture , it’s more common than not for individuals to possess eating patterns that aren’t exactly healthy. The eating disorder treatment community refers to unhealthy eating habits as “disordered eating behaviors.” Disordered eating behaviors are any that prevent you from nourishing your body adequately, consistently, and with a wide variety of foods. 

They can include:

  • A preoccupation with food, weight, or body image
  • Avoiding social situations involving food
  • Deriving a sense of self-worth from body shape or size
  • Engaging in fasting, purging, or exercise to “counteract” the effects of eating “bad foods” 
  • Engaging in rigid food rituals or exercise routines 
  • Experiencing anxiety around certain foods
  • Feeling a loss of control when eating
  • Feeling guilty or ashamed about eating
  • Frequent dieting
  • Obsessive calorie counting
  • Practicing certain rules around food or eating

Almost everyone possesses some degree of disordered eating behaviors. Sometimes, disordered eating patterns can be remedied by simply gaining more insight into the dangers of diet culture and alternative eating approaches that involve intuition and mindfulness. 

EATING DISORDERS

Depending on their severity, disordered eating habits can be extremely dangerous and may lead to or be predictive of an eating disorder. Generally, eating disorders cause severe mental, emotional, or physical distress and drastically limit individuals’ ability to function normally in their school, work, and social spheres.

Types of eating disorders include:

  • Anorexia nervosa : Characterized by inadequate caloric intake, intense fear of gaining weight, preoccupation with weight or shape, deriving a sense of self-worth from weight or shape, or persistent lack of recognition of the seriousness of low body weight.
  • Bulimia nervosa : Characterized by episodes of bingeing followed by purging, fasting, or exercising excessively. 
  • Binge eating disorder (BED) : Characterized by episodes of overeating and feeling a loss of control while eating.
  • Other Specified Feeding and Eating Disorder (OSFED ): A category that encompasses significant eating disorders that don’t meet the criteria for anorexia nervosa, bulimia nervosa, or BED.

Eating disorders can be deadly. Because eating disorders involve many disordered eating behaviors, only mental or medical health practitioners can determine whether an individual is struggling with an eating disorder. If your eating habits are impeding your daily life, we encourage you to seek clinical support .

15 QUESTIONS TO ASK YOURSELF ABOUT YOUR EATING BEHAVIORS 

To gain more insight into your eating behaviors and assess whether there is cause for concern, you can ask yourself the questions below. 

  1. Do you often find yourself thinking about food?
  2. Do you often find yourself thinking about your body?
  3. Do you ever avoid social situations because you’re worried about how you look?
  4. Do you ever avoid social situations because you’re worried about eating in front of other people? 
  5. Do you avoid going to restaurants out of fear of eating “unhealthy” food? 
  6. Do you often compare your body size to other people’s body sizes? 
  7. Do you often compare the amount you’re eating to the amount others are eating?
  8. Do you experience a sense of guilt or shame after eating? 
  9. Do you avoid specific nutrients, such as carbohydrates, fats, sugars, etc.? 
  10. Are you afraid of gaining weight? 
  11. Do you ever experience a sense of losing control when eating? 
  12. Do you ever eat to the point where you feel physically sick? 
  13. Do you have “food rules” that you follow, such as no eating after 8:00 pm? 
  14. Do you ever make yourself throw up after eating? 
  15. Do you feel compelled to exercise even when you’re sick or injured? 

Answering yes to any of the questions may be a sign that you’re struggling with disordered eating habits or potentially an eating disorder. 

If you suspect this is the case, there are many resources available to help you establish a healthy, balanced, and confident relationship with food, your body, and your mind. You can always reach out to Thrive for support. Additionally, you can contact the National Eating Disorders Association Helpline .

THRIVE’S EATING DISORDER TREATMENT WORKS TO HEAL YOUR MIND, BODY, AND SPIRIT

Eating disorders are complicated conditions that involve the mind, emotions, body, and behaviors. Through individualized care plans that can include psychiatric and nursing care, intuitive eating counseling, nutrition therapy, and mindful movement, Thrive’s healing community helps foster recovery from eating disorders in a holistic way that encompasses clients’ mental, physical, and emotional health. Contact us to learn more about how Thrive can help you heal your relationship with food and your body and rediscover your inner strength.

About the Author

Mollie Pierce, MA, LCPC, NCC — Eating Disorder Program Clinical Lead and Therapist

After earning a degree in clinical mental health counseling at Gonzaga University and spending nearly a decade in Spokane, Washington, Mollie Pierce returned to her hometown of Reno where she joined Thrive Wellness. Navigating her mental health challenges throughout her teenage years inspired her to dedicate her career to helping others process their pain while nurturing their growth and fostering their healing. She believes mental health is equally as essential as physical health and is committed to providing a safe space for those struggling to feel seen, heard, and supported in ways they may not experience elsewhere.

As a therapist at Thrive Wellness Reno, Mollie specializes in treating those recovering from eating disorders and related mental health conditions. When working with patients, Mollie applies a narrative therapy approach and incorporates modalities such as Acceptance and Commitment Therapy (ACT) and Dialectical Behavior Therapy (DBT) among others. She is especially passionate about supporting and empowering members of the LGBTQ+ community and promoting equality, kindness, and compassion for all.

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November 11, 2025
Are you looking for a meaningful way to give back this holiday season? Thrive Wellness is excited to continue our 6th Annual Giving Tree Program in collaboration with Perenn Bakery this winter. This year, Thrive Wellness Reno and Perenn Bakery are proud to partner with Ronald McDonald House Charities® of Northern Nevada. The organization supports families with children receiving treatment at area hospitals, providing comfort, hope, and a home-away-from-home during challenging times. Ronald McDonald House Charities offers essential services, removes barriers, strengthens families, and promotes healing when children need healthcare the most. How It Works Simply take one (or a few) tags from the Giving Tree, each listing an item you can purchase and donate for residents of the Ronald McDonald House. Then, drop off your item(s) at one of our designated donation locations by Friday, December 19. Items Needed: Restaurant gift cards Walmart or Target gift cards Games, puzzles, and coloring books Toys (Barbie, Hot Wheels, Lego sets, craft sets, magnet blocks, baby dolls, action figures, journals, infant toys, etc.) Children's books (picture, chapter, and graphic novels) Toiletry sets (for adults) Lotion/self-care gift sets (for adults) Sweatshirts/hoodies (adults, XS-XXL) Scarves, gloves, fuzzy socks, pajamas (all sizes) Infant diapers, onesies, and baby bottles Bulk individually wrapped snacks (granola bars, chips, etc.) Please ensure all donations are new, in original packaging, and unwrapped. Donation Drop-Off Locations Please deliver donations by Friday, December 19, to one of the following sites: Thrive Wellness 491 Court St., Reno, NV 89501 201 W Liberty St., Suite 201, Reno, NV 89501 Perenn Grocery 7600 Rancharrah Pkwy, Suite 130, Reno, NV 89511 Perenn Rancharrah 7750 Rancharrah Pkwy, Suite 110, Reno, NV 89511 Perenn Midtown 20 St. Lawrence Ave, Reno, NV 89509 Claio Rotisserie 3886 Mayberry Dr., Suite D, Reno, NV 89519 Why We Give Back Through our Giving Tree program, we’re honoring one of our core values at Thrive Wellness: staying rooted in community. This annual tradition allows us to give back to those who need support most during the holiday season. We invite you to join us by taking a tag at any Thrive or Perenn location and helping spread kindness throughout our community. There’s no better way to embrace the holiday spirit than by supporting local families with thoughtful, heartfelt donations. We are deeply grateful for your generosity and continued support. Thank you for helping us make a difference!
September 22, 2025
Eating disorders are one of the most serious mental health concerns facing today’s adolescents. They can affect every aspect of a young person’s life, including their physical health, school performance, relationships, self-esteem, and more. According to the National Institute of Mental Health, about 2.7% of adolescents in the U.S. will experience an eating disorder in their lifetime, and many more engage in disordered eating behaviors that may not meet full diagnostic criteria. The good news is that providers are in an influential position to notice early warning signs, open conversations, and connect families to support before these patterns of behavior become too engrained. Why Early Intervention Matters The earlier an eating disorder is identified and treated, the better the treatment outcomes. Research shows that getting support quickly after the disorder’s onset is linked to faster recovery, lower relapse rates, and healthier long-term development (Treasure & Russell, 2011). Waiting too long to seek help can mean medical complications, deeply ingrained behaviors, and a more difficult path to healing. For many adolescents, a caring provider who notices the signs and advocates for treatment can make all the difference in recovery and can even save lives. Recognizing Early Warning Signs Adolescents may not always disclose their struggles directly, so providers should keep an eye out for a range of indicators: Physical signs: noticeable weight changes, menstrual irregularities, digestive issues, dizziness, or fatigue. Behavioral patterns: skipping meals, restrictive eating, excessive exercise, frequent dieting, eating in secret, or leaving for the bathroom after meals. Emotional and cognitive signs: preoccupation with weight or body shape, food rituals, heightened anxiety around eating, or perfectionistic tendencies. It’s important to remember that eating disorders don’t always “look” a certain way. Teens can be distressed about food and body image even if their weight appears to be within a “normal” range. Screening Tools and Assessments Using free screening tools available online can be an effective way to gauge a patient’s needs and gain further insight on treatment options for a possible eating disorder. Here are 4 free screening resources we recommend you use before making a referral for a higher level of care. EDE-Q (Eating Disorder Examination Questionnaire) : helps assess eating attitudes and behaviors. Nine Item Avoidant/Restrictive Food Intake disorder screen (NIAS) : helps to assess the signs of ARFID in children. Eat 26 Screening Tool : a screening measure to help you determine attitudes towards food and eating. BEDS-7 (Binge Eating Disorder Screener) : for situations where binge eating is suspected. When possible, gathering input from parents, teachers, or coaches can also help, as teens may minimize their experiences out of fear or shame. The Role of Primary Care and Pediatric Providers Routine checkups are often where eating disorders first come to light. Providers treating children, teen, and adolescents can: Incorporate simple questions about eating habits and body image into wellness visits. Track growth charts and weight trends while pairing them with questions about mood, anxiety, and behavior. Foster trust by creating a safe, nonjudgmental space where adolescents feel comfortable sharing sensitive information and know there will be no weight stigma. Coordinating Multidisciplinary Care Supporting a young person with an eating disorder works best when care is collaborative . In order to treat the whole person, there are usually multiple members of a treatment team needed, including: Medical support: monitoring vital signs, lab work, and physical health. Therapeutic care: evidence-based approaches such as family-based therapy (FBT) and cognitive-behavioral therapy (CBT) help address thoughts and behaviors. Nutritional guidance: dietitians provide education, meal support, and reassurance. Family involvement: engaging caregivers empowers them to support recovery in everyday life. Addressing Barriers and Stigma Many families face challenges in seeking help, whether due to stigma, lack of awareness, or limited access to specialists. To help, providers can: Normalize conversations about body image and mental health as part of overall well-being. Use culturally sensitive approaches that honor diverse experiences with food, body, and health. Connect families to community organizations, online resources, or telehealth when in-person specialty care is limited. Eating disorders in adolescents are serious, but with early recognition and timely support, recovery is possible. Providers are often the first to notice changes and can play a vital role in opening doors to crucial support. By blending professional expertise with empathy and collaboration, providers can guide adolescents and their families toward lasting recovery and a healthier future. References National Institute of Mental Health. (2023). Eating Disorders . Treasure, J., & Russell, G. (2011). The case for early intervention in anorexia nervosa: theoretical exploration of maintaining factors. The British journal of psychiatry : the journal of mental science, 199(1) , 5–7.
By Julia Actis, LCSW September 11, 2025
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