Starting treatment for an eating disorder can feel overwhelming. Many of our clients share that before reaching out for help, they worried about what treatment would mean for them and if it would really work. And, if it did work, what would this change look and feel like. Would it really be better?
It’s completely normal to have fears about what the process will look like and whether you’ll still feel like “you” on the other side. As eating disorder clinicians, we often find it very important to work with our clients on getting clear on what they want for their lives on the other side. The more clarity the better!
Below are five common fears people have when starting eating disorder treatment. We’ve also included some truths our clients have learned along their own paths. We hope they bring you comfort and greater clarity.
1. “I’m afraid of gaining weight.”
This is one of the most common fears we hear from clients. We understand and it makes perfect sense! If your eating disorder has been connected to control, body image, or fear of change, the idea of weight restoration can feel terrifying.
What we want you to know: Weight gain (if it happens) is not the goal of treatment. Healing is. Our focus is on helping you restore your physical health, emotional wellbeing, and relationship with food and your body. Any changes in weight are guided by your body’s natural needs, not forced or rushed.
2. “I’m scared to lose control.”
Eating disorders often serve as a source of stability or structure in a chaotic world. Letting go of certain behaviors can feel like losing control altogether.
What we want you to know: Recovery doesn’t mean losing control, it means redefining it. Together, we’ll work to build new ways to feel grounded: developing emotional regulation, healthy coping tools, and self-trust. Over time, you’ll find that real control comes from choice, not from fear or rigidity.
3. “I don’t know who I’ll be without my eating disorder.”
For many, the eating disorder has been part of daily life for so long that it feels intertwined with identity. It may have shaped how you relate to others, structure your day, or cope with difficult emotions.
What we want you to know: You are so much more than your eating disorder. Treatment is a space to rediscover the parts of you that have been waiting beneath the surface. Your work with your team will help you create more space in your life for creativity and fun. While it can feel like loss at first, it’s also a process of becoming whole again.
4. “I’m afraid people won’t understand.”
It’s common to fear judgment or misunderstanding from friends, family, or even professionals who don’t fully get what you’re going through.
What we want you to know: You deserve to feel understood and supported. In our work, we create a space where your experiences are met with empathy, not judgment. We’ll also help you find ways to communicate your needs with others and build relationships that support your healing.
5. “What if I fail?”
Recovery is rarely a straight line. It’s natural to worry about relapse or not feeling “good enough” at recovery.
What we want you to know: There is no failing in recovery. Healing is a process of learning, practicing, and trying again. Every step counts. We’ll be here to help you navigate setbacks with compassion and curiosity, not shame.
Fear is a normal part of change, especially when the path forward feels uncertain. But healing doesn’t have to happen alone. With the right support, guidance, and care, recovery is possible and life can begin to feel freer, more peaceful, and more like you.
If you’re ready to take the next step or even just learn more about what treatment might look like, we’re here to help. Together, we can face these fears and begin the journey toward healing.
Reach out today for a complimentary intake phone call.
We look forward to connecting with you soon!