Eating disorders and addiction

Eating disorders and addiction share brain systems and often trade places over a lifetime. Bulimia and binge-eating disorder co-occur with alcohol and stimulant addiction most often. Both need specialist treatment — a rehab that only knows addiction can make an eating disorder worse.

Key signs

  • Restriction, bingeing, purging or compulsive exercise
  • Preoccupation with weight, body shape or food
  • Using stimulants (cocaine, amphetamines) for appetite suppression
  • Using alcohol to allow eating or trigger a binge
  • Hiding food or vomiting

The link to addiction

Cocaine, amphetamines and nicotine suppress appetite and are commonly used to control weight. Alcohol lowers restraint and drives binges. Both loops reinforce the eating disorder.

UK treatment pathway

You need a UK rehab with a specific eating-disorder programme (Priory, The Recover Clinic, Orri, Nightingale) or a specialist NHS eating-disorder service (BEAT helpline 0808 801 0677 for signposting). A standard addiction rehab is not enough on its own.

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FAQs

  • Will a normal rehab help my eating disorder?

    Rarely. Communal meals, weight gain from stopping stimulants, and untrained staff can make things worse. Choose a rehab with a named eating-disorder programme, a dietitian, and a psychiatrist experienced in both fields.

  • Is there NHS help for eating disorders?

    Yes — Community Eating Disorder Services (CEDS) exist in every UK area. Referrals via GP. Waits are typically 4–12 weeks. Charity BEAT provides free helpline and online support.

  • Can I recover from both together?

    Yes — and for many people this is the only way it works, because each disorder feeds the other. Integrated treatment gives the best outcomes.