For many people struggling with eating disorders, the behaviors that develop around food are only one piece of a much larger picture. It’s not uncommon for individuals to also find themselves turning to other substances or coping mechanisms to manage emotional distress, regulate appetite, or escape from painful thoughts. These can include alcohol, caffeine, and sleep aids.

One pattern that can quietly emerge in recovery or during times of relapse is the misuse of sleeping medications. Whether it’s over-the-counter sleep aids, prescription sedatives, or herbal supplements taken in excess, these behaviors can be an attempt to “shut off” difficult emotions or control the body in some way that mirrors the function binge eating once served.

Why Sleep and Eating Are Closely Connected

Sleep and eating are deeply intertwined biological rhythms. When sleep is disrupted, the body’s hunger and fullness cues can become dysregulated, intensifying urges to binge or restrict. Similarly, after a binge episode, individuals may experience shame, discomfort, or restlessness. This will add to the difficulty they may already have trying to fall or stay asleep.

For some, using sleeping pills can feel like a quick fix: a way to escape the aftermath of a binge, quiet obsessive food thoughts, or regain a sense of control. But over time, this cycle can create new risks and deepen emotional distress.

The Hidden Dangers of Misusing Sleep Aids

Even when they’re legal or prescribed, sleep aids can be risky when used as a coping mechanism. Overuse can lead to:

• Dependence – needing the medication to sleep or cope emotionally

• Worsened mood and anxiety symptoms

• Physical side effects such as fatigue, grogginess, and digestive issues

• Interference with recovery by reinforcing avoidance of underlying emotions and needs

These behaviors often arise from the same emotional roots as eating disorder symptoms. For example, feelings of overwhelm, a need for control, or difficulty self-soothing without turning to external means.

Healing the Underlying Need

In therapy, we work to gently uncover what the sleeping medication is doing for you. Is it helping you numb emotional pain? Quiet racing thoughts? Regain control after a binge? Once we understand the purpose it’s serving, we can begin to develop healthier, more sustainable coping strategies—from trauma-informed mindfulness to structured nighttime rituals that support real rest.

Recovery involves not just giving up certain behaviors, but replacing them with new ways to meet your body and mind’s needs for comfort, safety, and calm.

If You’re Struggling

If you notice yourself turning to sleep aids more frequently, or using them alongside bingeing or restriction, know that you’re not alone. These patterns are understandable responses to distress, not signs of failure. A therapist trained in eating disorder treatment can help you explore what’s beneath these behaviors and find a path toward healing that supports both your body and your rest.

You deserve restful sleep, nourishment, and peace without needing to fight your body to get there. If you would like support in healing, we can help.  

Reach out today for a complimentary intake phone call.

We look forward to connecting with you soon!