logo
episode-header-image
Jul 2019
1h 7m

An Inside Look At Eating Disorders: Anor...

DAVID PUDER, M.D.
About this episode

What is an eating disorder?

One of the most important things about anorexia and bulimia is understanding that they are caused by a complex interplay of genetics, epigenetics, early development, and current stressors. They can lead to dangerous outcomes because of how the eating disorder changes both the body and the brain. Many therapists and nutritionists, as you’ll hear in my conversation with Sarah Bradley, don’t treat from multiple angles, and often lack empathy into this condition.

There are three main types of eating disorders we will cover here:

Anorexia is the practice of cutting calories to an extreme deficit or refusing to eat.

Bulimia involves purging, or vomiting, the food that has been eaten.

Orthorexia is a fixation and obsession on eating healthy food (like only eating green vegetables with lemon juice).

Statistics:

Anorexia traditionally lasts for an average of eight years.

Bulimia traditionally lasts for an average of five years.

Approximately 46% of anorexia patients fully recover, 33% improve, and 20% remain chronically ill.

Approximately 45% of those with bulimia make a full recovery, 27% improve, and 23% continue to suffer.

By listening to this episode, you can earn 1 Psychiatry CME Credits.

Link to blog.

Link to YouTube video.

Instagram:dr.davidpuder

Twitter:@DavidPuder

Facebook: DrDavidPuder

Youtube channel

Up next
Sep 26
Understanding Real Event OCD: When the Past Fuels Obsession
In this episode, Dr. David Puder is joined by OCD specialist Kevin Foss to dive deep into Real Event OCD, which is a form of obsessive-compulsive disorder where real past experiences become the focus of endless rumination, guilt, and shame. Together, they unpack the symptoms, rea ... Show More
1h 7m
Sep 16
Identity Diffusion
In this episode, Dr. David Puder and Mark Ruffalo dive into the history and theory of identity diffusion, from Kernberg’s structural model and Gunderson’s work on BPD to Akhtar’s clinical descriptions. We explore how identity diffusion shows up in patients’ lived experiences—feel ... Show More
1h 37m
Aug 29
Cannabis and Depression, Anxiety, PTSD, Sleep, and Cognitive Function Update and Review
In this episode, we explore the latest 2025 research on cannabis and mental health. Our discussion covers how cannabis use impacts depression, anxiety, PTSD, sleep, cognitive function, and cannabis use disorder (CUD). While many patients report short-term relief from symptoms, st ... Show More
1h 10m
Recommended Episodes
Sep 2021
Healthy Eating & Eating Disorders - Anorexia, Bulimia, Binging
In this episode, I discuss what drives hunger and satiety, and the role our brain, stomach, fat and hormones play in regulating hunger and turning off the desire to eat more. I also address how protein is assimilated better early in the day than it is later in the day, and why th ... Show More
2h 13m
Mar 2023
78. Let’s talk about eating disorders
In this episode we break down the psychology behind eating disorders - from anorexia to bulimia and binge eating disorder. Amalie Lee, the Host of the Recovery Talk podcast joins us to discuss her own experience with anorexia and as an eating disorder recovery coach as we break d ... Show More
1h 2m
Mar 2023
Surviving Anorexia
Anorexia is a complex and potentially life-threatening eating disorder. It is characterized by a persistent and distorted fear of gaining weight, leading to severe food restriction, excessive exercise, and sometimes purging. Individuals with anorexia often have a distorted body i ... Show More
50m 14s
Sep 2017
Eating Disorders - Radio Show Archive
If you or someone you love is suffering from an eating disorder, you’ll know how crippling they can be. And yet medical communities have almost no understanding of these conditions. Eating disorders include far more than just anorexia and bulimia and are shockingly common. Listen ... Show More
55m 8s
Dec 2019
How Anorexia and Bulimia Work
Anorexia and bulimia - those twin eating disorders that seem so common and maybe even just a phase for a teenage girl – are actually the deadliest mental illnesses in America. Cultivating an eating disorder can create issues that can last a lifetime. Learn more about your ad-choi ... Show More
1 h
Aug 2021
Real Life with Anorexia: One Woman's Journey
What do you picture when you think of someone who has anorexia? Today’s guest shares her journey with anorexia, from her sickest points, her diagnosis and treatment, and what life is like now that she is in recovery. She tells us how society’s limited understanding of eating diso ... Show More
29m 40s
Jul 2022
Eating Disorder and Body Dysmorphia Recovery with Elle Mace
Today, I’m talking to Elle Mace – Coach and Mentor, Intuitive Eating Coach and Nutrition and Weight Management Coach. Elle is also training with the National Centre for Eating Disorders gaining therapeutic skills to support people struggling with eating disorders and disordered e ... Show More
37m 29s
Oct 2022
Emotions, Not Feeling Good Enough and the Ego-Syntonic Nature of Eating Disorders
Today I talk more about the psychology of eating disorders and themes seen in the therapy room. I explore my observed differences between people who lean towards a restrictive eating disorder and those who swing between restriction and bingeing or overeating. I discuss the ego-sy ... Show More
22m 48s
Mar 2024
Eating Disorders: Using Lived Experience to help others
This week we're joined by Gemma and Steph who are both Peer Support Workers with Lived Experience of eating disorders.   The pair discuss: eating disorders provided at NSFT, their own personal experiences of eating disorders, their recovery, the importance of recognising progress ... Show More
40m 28s
Nov 2023
Battling Bulimia
Bulimia nervosa is an eating disorder characterized by a cycle of binge eating and compensatory behaviors to prevent weight gain. People with bulimia often consume large amounts of food in a discrete period, feeling a lack of control during these episodes. Following a binge, they ... Show More
1 h