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Writer's pictureDanie van Kay

Unpacking the Complexities of Weight Gain in Eating Disorder Recovery: Navigating the Unknown

Eating disorder recovery is a challenging journey filled with hurdles. One of the most daunting aspects of this path is the potential for weight gain, which can often lead to feelings of fear, confusion, and resistance. Understanding weight gain in the recovery context is crucial for individuals undergoing treatment and their support networks. In this post, we will explore the intricacies of this process, the emotional responses involved, and practical tools to navigate the changes that come with recovery.


The Emotional Landscape of Weight Gain


Navigating weight gain during recovery can stir up many emotions. For many, the prospect of gaining weight can lead to anxiety, fear, and even an urge to return to disordered behaviors. It is essential to acknowledge these feelings to begin addressing their impact.

Despite being aware that weight gain is inevitable for individuals with eating disorders, it is still emotionally challenging for us to deal with.


Individuals with eating disorders often fixate on weight as a measure of self-worth. For instance, a study found that 78% of those recovering from anorexia nervosa express deep anxiety about increasing their weight. This can make the prospect of weight gain feel like losing control. Remember that these emotions, while distressing, are a normal part of the recovery process.


One aspect of recovery that is frequently overlooked is the mental component. If weight gain were the only measure of someone's recovery, it would be so much simpler. Recovery encompasses all the thoughts, feelings, eating disorder behaviors, rules, etc., that are hidden or done in secret.


THIS is what recovery truly entails: nutritional rehabilitation combined with neural rewiring. This means that for each individual, even if they are at a "healthy weight," they may still need to gain weight if they have a significant amount of neural rewiring to address, such as overcoming eating disorder behaviours. No one likes to acknowledge this, but eating disorders are not just a weight issue; it's a deadly mental illness.

Recovery goes beyond physical changes to encompass emotional growth, self-acceptance, neural rewiring, and nutritional rehabilitation.Engaging in activities like journaling, therapy, coaching, or support groups to address these emotions can promote resilience, enabling individuals to cultivate a more positive attitude towards their weight.

Always try to seek help!


Understanding the Body's Response to Recovery


The body undergoes significant changes during recovery, particularly after periods of restriction or disordered eating. Weight gain is often a necessary and natural response for the body to heal and regain balance. Research shows that individuals who have experienced significant restriction typically see an initial weight gain of 5% to 10% to restore basic physiological functions.


When food intake is increased, the body starts to recover from malnourishment. This recovery process typically includes weight fluctuations before reaching a stable state. Moreover, the body's metabolism may adapt to process nutrients more effectively. Having knowledge of these physiological reactions can help clarify the transformations that take place. Acknowledging that the body naturally seeks balance can promote understanding and empathy during this difficult period. Having the support of a healthcare professional or someone with lived experience might make you feel less alone. (it helped me).

Each person will encounter various symptoms, ranging from edema to extreme mental or physical hunger, among other "side effects."


The Role of Support Systems


A strong support system is crucial for navigating the complexities of weight gain. Friends and family can provide much-needed encouragement to tackle emotional challenges. Maintaining open communication is vital; discussing feelings related to body changes can reinforce understanding and empathy.

Not everyone may comprehend the intricacies of recovery and weight gain, so if you feel misunderstood, seek out a support network that truly understands you.

For instance, you could turn to social media accounts, TikTok recovery accounts, group coaching, therapy, Facebook groups, and more.

Some of the services I provide include:


  1. Personalized 1:1 coaching (I do not offer group coaching)

  2. A one-time boost session where you can freely express yourself and ask questions for an hour with someone (myself) who has personal experience and is a professional.

  3. My DVK recovery method® guide, which includes access to a supportive recovery community (akin to a family on a private Facebook messenger group) comprising individuals from diverse backgrounds, including my personal support (I check in regularly) and two assistants who also have personal experience. If you are interested, click on the link to receive my action-based guide and gain immediate access to the private messenger group.


Engaging with peers who have similar experiences can also be incredibly beneficial. For example, individuals in support groups often feel empowered by sharing their journeys. A report from the National Eating Disorders Association indicates that 70% of group participants felt more valid and understood after engaging with others facing similar struggles. Therefore, I initiated a support group. By paying €79, you will receive lifetime access.


Developing a supportive network not only alleviates feelings of isolation; it cultivates a sense of community that can be empowering on the road to recovery.


Reframing Weight Gain as a Step Towards Healing


Reframing the narrative surrounding weight gain is crucial. Instead of viewing it purely as an unwelcome change, see it as a sign of recovery and self-care. Consider weight gain a reflection of nourishment—a physical testament to your commitment to well-being.


Setting holistic recovery goals can help shift this perspective. For instance, focus on improving mental health, fostering self-acceptance, and building healthier relationships with food rather than fixating on scale numbers. I personally prioritized building new friendships since I had no remaining ones.


Using positive affirmations and self-talk can also aid in altering the mindset toward weight gain. Remind yourself that your worth is not defined by weight, and celebrate small victories that indicate progress in recovery.


Side note: Depending on your stage in the recovery process, be aware that weight gain will eventually plateau. The fear of perpetual weight gain is common among many individuals (myself included in the past), but rest assured that your body will settle into its natural weight range. While overshooting may occur, it is a transient phase of your body's healing process.



Practicing Mindfulness and Self-Compassion


Despite possibly seeming unconventional, integrating mindfulness into your daily routine can significantly impact your journey through recovery and weight fluctuations. Mindfulness enables individuals to connect with their emotions non-judgmentally, promoting a sense of awareness and acceptance of the present moment. By staying present, mindfulness prevents getting caught up in future anxieties. I used to excel at envisioning negative scenarios where I believed I wouldn't deserve happiness due to weight gain, loss of identity, and other challenges. Taking things one day at a time proved to be the most beneficial approach for me, alongside incorporating various other strategies.


Self-compassion is also vital. In moments of doubt, practicing self-kindness can be comforting. Understanding that recovery is not a linear process can alleviate some pressure associated with weight gain.


If you find yourself thinking negatively, try shifting your focus to appreciate your body's capabilities and the nourishment it gives you. This change in perspective can help improve your emotional connection with yourself and food. Engaging in distractions and focusing on the positive aspects of life has also shown to be beneficial. Remember, your body size, weight, or appearance are not the most important things about you!


Seeking Professional Guidance


Having professional support from therapists, coaches, dietitians, or medical doctors can be invaluable during recovery. Professionals help individuals understand the changes their bodies are undergoing and develop strategies for coping with weight gain feelings.


Customized meal plans, action plans (I usually combine a customized POA with a meal plan for clients if necessary), and emotional support are frequently offered, establishing a path to achieve both physical and mental recovery. Seeking their guidance can result in a deeper comprehension of overcoming challenges and rediscovering a self-identity that goes beyond just weight. Once again, you are far more than just a number on the scale.


A serene nature landscape signifying healing and recovery

Embracing the Journey of Recovery


Weight gain during eating disorder recovery is an intricate dance of emotions and physiological changes. Trust me, I've been there. By acknowledging emotional struggles, understanding bodily responses, and relying on support systems, individuals can navigate this complex journey more effectively. Doing it all alone kinda sucks, doesn't it?


Reframing weight gain as part of healing, practicing mindfulness, and seeking professional guidance are powerful and essential tools on this journey. Remember that recovery is measured not just in weight but in overall health, self-acceptance, and emotional resilience.


Embrace this difficult but life-changing journey, allowing each step to guide you towards a hopeful, healing, and self-loving future. Remember, experiencing tough days with negative body image is part of the process. In the end, recovery means rediscovering your connection with food, your body, and your inner self—maneuvering through the intricate challenges and unknowns that come your way.


You got this, honey.




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