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Stigma is part of the reality of eating disorders – be it for the person affected, for men and family members. More frequent stigmatisation has been associated with lower self-esteem, a longer duration of an eating disorder and more marked symptoms.

Underpinning factors and perceptions:

  • That an eating disorder is about personal responsibility and a lack of self-control, self-discipline
  • That someone is simply giving in to social pressure relating to thinness
  • That people affected by eating disorders are hard to communicate with and that they need to pull themselves together
  • That dating someone affected by an eating disorder may lead to negative experiences such as conflict
  • That friendship with someone with an eating disorder would feel under strain, or be difficult
  • People may maintain social distance from someone with an eating disorder due to concerns about close personal interactions for example, going to dinner or living with the person
  • Negative perceptions about someone’s intelligence, competence, that they were psychologically fragile
  • That people with bulimia were seen as more responsible for their eating disorder and more self-destructive than those with anorexia

Consequences of stigma:

  • A feeling that eating issues were dismissed or not taken seriously during a health assessment.
  • Not wishing to reveal difficulties to others and being unable to speak due to a fear of being judged.
  • That symptoms and concerns may be misinterpreted, dismissed, viewed as a sign of weakness or a ‘character flaw’.
  • Feelings of shame, guilt and embarrassment play a role in hindering disclosure, ultimately leading to a delay in seeking help.
  • Some individuals may avoid seeking counselling in part due to self-stigma and anticipated outcomes of attending this form of support.


Men affected by eating disorders may encounter barriers to treatment in part due to the perception that eating disorders primarily affect women. Consequently, some have hidden their experiences from others due to fear of how they might react. Worries about being laughed at, judged and misunderstood are also sometimes part of what men experience. Specific issues for men include depression and shame, excessive exercise to compensate for caloric intake, a ‘runaway diet’, muscle dysmorphia, use of steroids and growth hormones and substance abuse may be apparent in some cases. It may take some men months or years to recognise their experiences as being that of an eating disorder. The realisation may be precipitated by a crisis event or situation such as a marked deterioration in health. Some men have experienced self-harm, increasing isolation and uncertainty about how to seek help.


Stigma associated with eating disorders may contribute to the distress experienced by family members and carers. Researchers from the United Kingdom found that some family members may experience high levels of blame and shame, including hearing insensitive remarks. One study found that parents felt others tended to trivialise the issue. Close friends were empathetic and supportive, whilst acquaintances were perceived as less informed and parents were reluctant to discuss their experiences due to a fear of stigmatisation. Parents may experience feelings of helplessness, isolation, exhaustion and they may neglect their own needs. Feeling judged and stigmatised in their capacity as a parent may also be a part of their experiences.

Crisp, A.H. (2005) Stigmatization of and discrimination against people with eating disorders including a report of two nationwide surveys. European Eating Disorders Review, 13(3), 147-152.

Wingfield, N. et al. (2011). College students’ perceptions of individuals with anorexia and bulimia nervosa. International Journal of Eating Disorders, 44(4), 369-375.

Crisafulli, M.A. et al. (2010) Stigmatization of Anorexia nervosa: Characteristics and response to intervention. Journal of Social and Clinical Psychology, 29(7), 756-770.

Crisp, A.H. et al. (2000) Stigmatisation of people with mental illnesses. British Journal of Psychiatry, 177, 4-7.

Gowers &, S.G. & Shore, A. (1999) The stigma of eating disorders. International Journal of Clinical Practice, 53(5), 386-8.

Stewart, M.C., Keel, P.K. & Schiavo, R.S. (2006) Stigmatization of anorexia nervosa. International Journal of Eating Disorders, 39(4), 320-325.

McLean, S.A. et al. (2014) Stigmatizing attitudes and beliefs about bulimia nervosa: Gender, age, education and income variability in a community sample. International Journal of Eating Disorders, 47(4), 353-361.

Sobal, J. & Bursztyn, M. (1998) Dating people with anorexia nervosa and bulimia nervosa: attitudes and beliefs of university students. Women Health, 27(3), 73-88.

Link, B.G. et al. (2004) Measuring mental illness stigma. Schizophrenia Bulletin, 30(3), 511-541.

Griffiths, S. et al. (2014) Young people’s stigmatizing attitudes and beliefs about anorexia nervosa and muscle dysmorphia. International Journal of Eating Disorders, 47(2), 189-195.

Roehrig, J.P. & McLean, C.P. (2010) A comparison of stigma towards eating disorders and depression. International Journal of Eating Disorders, 43(7), 671-674.

Mond, J.M., Robertson-Smith, G. & Vetere, A. (2006) Stigma and eating disorders: Is there evidence of negative attitudes towards anorexia nervosa among women in the community? Journal of Mental Health, 15(5), 519-532

Wingfield, N. et al. (2011) College students’ perceptions of individuals with anorexia and bulimia nervosa. International Journal of Eating Disorders, 44(4), 369-75.

Stewart, M.C. et al. (2008) Stereotypes, prejudice and discrimination of women with anorexia nervosa. European Eating Disorders Review, 16(4), 311-318.

Bannatyne, A.J. & Abel, L.M. (2015) Can we fight stigma with science? The effect of aetiological framing on attitudes towards anorexia nervosa and the impact on volitional stigma. Australian Journal of Psychology, 67(1), 38-46.

Mond, J. et al. (2010) Eating disorders “mental health literacy” in low risk, high risk and symptomatic women: Implications for health promotion programs. Eating Disorders, 18(4), 267-285.

Crisafulli, M.A. et al. (2008) Attitudes towards anorexia nervosa: The impact of framing on blame and stigma. . International Journal of Eating Disorders, 41(4), 333-339.

Star, A. et al. (2015) Perceived discrimination and favourable regard toward underweight, normal weight and obese eating disorder sufferers: Implications for obesity and eating disorder population health campaigns. BMC Obesity,

Griffiths, S. et al. (2014) The prevalence and adverse associations of stigmatization in people with eating disorders. International Journal of Eating Disorders,

Evans, E.J. et al. (2011) Barriers to help-seeking in young women with eating disorders: A qualitative exploration in a longitudinal community survey. Eating Disorders, 19(3), 270-285.

Hepworth, N. & Paxton, S.J. (2007) Pathways to help-seeking in bulimia nervosa and binge eating problems: A concept mapping approach. International Journal of Eating Disorders, 40(6), 493-504.

Becker, A.E. et al. (2004) Secondary prevention for eating disorders: the impact of education, screening, and referral in a college-based screening program. International Journal of Eating Disorders, 36(2), 157-162.

Becker, A.E. et al. (2010) A qualitative study of perceived social barriers to care for eating disorders: Perspectives from ethnically diverse health care consumers. International Journal of Eating Disorders, 43(7), 633-647.

Penprase, B.B., Fahs, D.B. & Honan Pellico, L. (2014) What factors lead to self disclosure of bulimic women? Journal of Nursing Education and Practice, 4(2), 219-226.

Hackler, A.H., Vogel, D.L. & Wade, N.G. (2010) Attitudes toward seeking professional help for an eating disorder: The role of stigma and anticipated outcomes. Journal of Counseling & Development, 88(4), 424-431.

Zwickert, K. & Rieger, E. (2013) Stigmatizing attitudes towards individuals with anorexia nervosa: an investigation of attribution theory. Journal of Eating Disorders, 1:5.

Butterfly Foundation (2012) Paying the price: The economic and social impact of eating disorders in Australia. Deloitte Access Economics.

Robinson, K., Mountford, V.A. & Sperlinger, D. (2012) Being men with eating disorders: Perspectives of male eating disorder service-users. Journal of Health Psychology,

Strother, E. et al. (2012) Eating disorders in men: underdiagnosed, undertreated, and misunderstood. Eating Disorders: The Journal of Treatment & Prevention, 20(5), 346-55.

Räisänen, U. & Hunt, K. (2014) The role of gendered constructions of eating disorders in delayed help-seeking in men: a qualitative interview study. BMJ Open, e004342.

Griffiths, S. et al. (2015) Self-stigma of seeking treatment and being male predict an increased likelihood of having an undiagnosed eating disorder. International Journal of Eating Disorders,

Whitney, J. et al. (2007) Caring for people with eating disorders: factors associated with psychological distress and negative caregiving appraisals in carers of people with eating disorders. British Journal of Clinical Psychology, 46(4), 413-28.

Whitney, J. et al. (2012) Family work in anorexia nervosa: A qualitative study of carers’ experiences of two methods of family intervention. European Eating Disorders Review, 20(2), 132-141

Whitney, J. et al. (2005) Experience of caring for someone with anorexia nervosa: qualitative study. The British Journal of Psychiatry, 187(5), 444-449.

Kamerling V, Smith G, Treasure J, Schmidt U, MacDonald P. The carers’ perspective. In: The clinician’s guide to collaborative caring in eating disorders. The New Maudsley method. East Sussex: Routledge; 2010. p. 20–9.

Patel, S., Shafer, A., Brown, J. et al. (2014) Parents of children with eating disorders: Developing theory-based health communication messages to promote caregiver well-being. Journal of Health Communication: International Perspectives, 19(5), 593-608.