What is one of the main concerns for therapists when a patient with anorexia is binge eating or under-eating?

One of the main concerns for therapists when a patient with anorexia is engaging in binge eating or under-eating is that these behaviors may indicate emotional distress. Anorexia is a complex mental health disorder often intertwined with underlying emotional issues such as anxiety, depression, or trauma. When a person with anorexia exhibits binge eating or under-eating, it can signal that they are struggling to cope with difficult emotions or situations, leading to maladaptive eating patterns as a form of emotional regulation. Recognizing these behaviors as a potential manifestation of emotional distress allows therapists to address the root causes of the eating disorder and support the patient in developing healthier coping strategies. Understanding the emotional context behind these behaviors is essential for effective treatment and recovery.