Eating Disorders Part 2: Black Women with Eating Disorders

By: Abby Erasmus

Black women in America have a unique experience; their intersecting identities make them one of the most discriminated- against groups in America, resulting in mental health issues. Eating disorders (ED), for example, are not new within the Black community. Black women live with EDs at similar rates to all ethnic and demographic groups- but often times in the shadows. The majority of ED studies focus on white women. This ignores the fact that ED causes and manifestation can be different in other populations. Further, the most commonly researched ED is Anorexia Nervosa (AN), yet AN is not the typical ED experience of Black women. Binge Eating Disorder (BED) and Bulimia nervosa (BN) are the most common EDs among Black women, with Black girls being 50 times more likely to engage in BN behaviors than white girls. Because BED and BN aren’t frequently researched, they’re harder to correctly diagnose in patients; it is thus highly unlikely Black women will be diagnosed with an ED at all. To increase the likelihood that Black women will be correctly diagnosed and receive treatment, it is important to know the key symptoms of BED and BN. Listed here are some key symptoms:

BED: Recurrent, persistent episodes of binge eating & absence of compensatory behaviors like purging. The binge eating episodes are associated with 3 or more of the following: eating more rapidly than normal, eating until uncomfortably full, eating large amounts when not physically hungry, eating alone due to embarrassment of how much one is eating, feeling disgusted with oneself, depressed, or guilty after overeating.

BN: Recurrent episodes of binging that are characterized by eating an amount of food within a 2- hour period that is definitively larger than what most people eat in that time period, accompanied by feeling unable to stop eating/ control the amount one is eating & recurrent compensatory behaviors like: self- induced vomiting, misuse of laxatives, excessive exercise, and more.

Additionally, stigma exists in the Black community in regard to receiving help due to complex stereotypes, histories, etc., and stigma in regard to EDs is dramatized as they are labeled a white woman’s problem. Once we call attention to ED prevalence and manifestation in the community, stigma will be reduced both within and outside of the community. This will then increase the likelihood that Black woman will receive an accurate diagnosis and appropriate treatment for their ED. Further, when providers are made aware of the daily micro and macro aggressions that can result in poor mental health and potentially maladaptive coping mechanisms like an ED, providers will be prepared to address such issues during sessions. The nuanced narrative of EDs within the Black community must be disseminated.

If you or someone you know is seeking therapy for an eating disorder,  please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://www.nationaleatingdisorders.org/blog/new-dsm-5-binge-eating-disorder

https://www.centralcoasttreatmentcenter.com/blog-1/invisibility-of-eating-disorders-in-the-black-community-its-more-than-the-eating-disorder-stereotype

https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t16/

Beyond “Eating Disorders Don’t Discriminate”

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