Intuitive Eating and Eating Disorders: Why They Don’t Mix (At First)

The idea of intuitive eating is incredibly appealing. Imagine being able to listen to your body, eat what you want without guilt, and trust that your hunger and fullness cues will guide you toward balance. For many, this sounds like freedom. But if you’re still in the grips of an eating disorder—or even in the early stages of recovery—intuitive eating can feel less like freedom and more like chaos. Here’s why.

Distorted Signals
When you’ve been engaging in restricting, bingeing, purging, or cycling between any of these patterns, your body is invariably robbed of its natural cues for hunger and fullness. Restriction can numb hunger; bingeing can override fullness. Sometimes, what feels like a craving is actually your body rebounding from deprivation. When any of these behaviors are present, it’s just too hard to follow body cues reliably.

Loud Food Rules
One of the cornerstones of intuitive eating is giving yourself unconditional permission to eat. But when the eating disorder mindset is in charge, thoughts like “you can’t eat that,” “you’ll lose control,” or “you didn’t earn this” drown out any sense of permission. The rules of the eating disorder act like static, interfering with your ability to hear what your body actually wants or needs.

Fear and Intuition Don’t Mix

For individuals in an eating disorder mindset, eating is rarely a straightforward act of nourishment. It becomes tied to issues of safety, control, and self-worth. A simple plate of food can feel less like a meal and more like an evaluation. In these moments, the intensity of anxiety and self-criticism can overwhelm internal cues, leaving little space for genuine intuitive awareness to emerge.

 Building a Foundation
True intuitive eating is built on a foundation of nourishment, consistency, and trust in your body. If you’re still skipping meals, ignoring hunger, or compensating after eating, the foundation isn’t there yet. Just like you can’t run a marathon on a sprained ankle, you can’t expect intuition to flourish in the middle of an active eating disorder.

Restoring Trust

In treatment and recovery, we often talk about “mechanical eating”—a structured approach where you eat consistently (usually every 3–4 hours) regardless of whether you feel hungry. It may not feel intuitive at all, but it’s a bridge. Over time, this steadiness helps regulate appetite cues and quiet the ED voice. With support, you can begin to reconnect with your body’s signals—but only after they’ve had a chance to reset.

The good news is intuitive eating isn’t off the table forever. It’s a long-term goal for many people in recovery. But it requires healing first—restoring nourishment, repairing your relationship with food, and learning to recognize (and challenge) the eating disorder’s rules. Only then can intuition speak clearly, and only then can you trust what it’s saying.

 

MELISSA GERSON, LCSW

Melissa Gerson is the founder of Columbus Park Center for Eating Disorders in New York City. Over the last 20-plus years, she has trained in just about every evidence-based eating disorder treatment available to individuals with eating disorders: a dizzying list of acronyms including CBT-E, CBT-AR, DBT, FBT, IPT, SSCM, FBI and more.

Among Melissa’s most important achievements has been a certification as a Family-Based Treatment provider; with her mastery of this potent and life-changing (and life-saving!) modality, she’s treated hundreds of young people successfully and continues to maintain a small caseload of FBT clients as she also focuses on leadership and management roles at Columbus Park.

Since founding Columbus Park in 2008, Melissa has trained multiple generations of eating disorder professionals and has dedicated her time to a combination of clinical practice, writing, and presenting.

https://www.columbuspark.com
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Beyond the Binary: Understanding Eating Disorders in the LGBTQ+ Community