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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By Erin McGinty Fort, MS, MHA, CPC, LPC-S, CEDS-C December 18, 2025
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Like the fir tree, a symbol of endurance rooted in hope, our Family Inclusive Recovery (FIR) approach reflects the strength that grows when families face challenges together. At our new residential center “The Greenhouse”, FIR is more than a treatment model, it’s a philosophy of healing that places families at the heart of recovery for adolescents and young adults navigating eating disorders, anxiety disorders, and obsessive-compulsive disorder (OCD). We believe lasting healing doesn’t happen in isolation; it’s built with the support of families through perseverance, hope, and compassionate care. What Is Family Inclusive Recovery (FIR)? Family Intensive Recovery (FIR) is a specialized and immersive approach that actively engages caregivers as central agents in their child’s healing process. Rather than seeing families as contributors to a problem, we view them as essential partners in recovery. Drawing from two evidence-based frameworks, Supportive Parenting for Anxious Childhood Emotions (SPACE) and Family-Based Treatment (FBT), FIR helps families cultivate resilience, confidence, and connection throughout the journey to recovery. Grounded in SPACE and FBT Through the SPACE model, parents learn how to recognize and reduce well-intentioned but unhelpful behaviors known as accommodations that can reinforce anxiety and OCD symptoms. By shifting from rescuing to supporting and challenging, parents develop the confidence to guide their child through discomfort, helping them build distress tolerance and self-trust. Simultaneously, Family-Based Treatment (FBT) empowers families to take an active, compassionate role in their child’s nutritional and emotional recovery. Parents learn how to support weight and nutritional restoration, disrupt the eating disorder’s patterns, and reestablish boundaries that promote health and growing autonomy. Together, these approaches strengthen both the individual and family system, allowing recovery to take root within an environment of empathy and optimism. From Blame to Collaboration A cornerstone of the FIR model is removing blame. At Thrive, parents are not viewed as the cause of their child’s struggles, but rather as key partners in recovery. Treatment focuses on joining forces to create a safe, supportive environment where: Families learn to sit with their child's discomfort alongside them without rushing to fix or control it. Parents practice compassionate firmness, setting boundaries grounded in care and safety. Teens and caregivers rebuild trust through open, honest communication. This collaborative framework helps families reestablish a sense of connection and confidence, fostering long-term resilience and open communication that extends beyond the treatment setting. Why Family Matters in Recovery Recovery from eating disorders, OCD, or anxiety isn’t a one-person job, it requires integrated care including the family. When families learn to navigate challenges together, they can model emotional regulation, reinforce healthy boundaries, and create conditions for sustained recovery. Through FIR, we aim to strengthen attachment bonds, reshape family interactions, and empower every member of the family to grow. The result is not only symptom reduction but also a deeper sense of unity, hope, and shared endurance, just like the steadfast fir tree that stands resilient through every season. Moving Toward Hope Family Inclusive Recovery invites caregivers and loved ones to become active participants in change. It’s a journey of learning, letting go, and leaning into love and acceptance. Together, families and clinicians can cultivate the courage in clients to face uncertainty, and in doing so, help them discover that recovery is not just possible, but enduring. If you’d like to learn more about Family Intensive Recovery at The Greenhouse or how we support families in eating disorder and OCD treatment, reach out to our team today.
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The Greenhouse at Thrive Wellness A New Chapter of Hope and Healing in Nevada On Friday, November 14 , we gathered with our partners at Molina Healthcare to share an important moment for our community. Together, we celebrated Molina’s generous $50,000 grant , an investment that is helping bring The Greenhouse to life. Their support is not only a financial contribution—it’s a statement of belief in the young people and families of Nevada who deserve access to compassionate, evidence-based mental healthcare close to home. This gathering marked the beginning of something we’ve dreamed about for years: a place designed specifically for adolescents and emerging adults to receive the care, connection, and support they need during some of the most vulnerable moments of their lives. Something New Is Growing In early 2026 , Thrive Wellness will open The Greenhouse , Nevada’s first residential treatment center devoted to adolescents and emerging adults navigating eating disorders, anxiety, and OCD . For too long, families have faced a heartbreaking dilemma—send their child far from home for treatment or go without the specialized care they need. The Greenhouse is our answer to that gap. It will be a place where young people can settle into an environment built for healing, where they are understood, supported, and surrounded by a team that believes in their capacity to recover. The Greenhouse represents a natural extension of our mission. It’s a living expression of our belief that recovery is possible—and that with the right support, families can find their footing again. 
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