Hot Topics     Home and Family     Teen Health    

Eating disorders during the college years

College life can lead to developing and relapsing eating disorders

Eating disorders during the college years

Sending kids off to college can be anxiety-inducing for students and parents alike. Between newfound freedom, increased workloads, reduced structure, academic competition, increased social comparison and the miles away from home, life as an undergrad is often largely uncharted territory.

Even before COVID-19 and the surge of associated mental health challenges, researchers revealed some startling insight on college students’ mental health. One study, led by researchers at the University of Oxford, found one-third of college freshmen are coping with anxiety and depression at the start of the school year, and those numbers increase as the year progresses.

As if that weren’t enough, the college years also tend to intersect with the onset of most mental health conditions. Half of all cases begin by the age of 14 while 75% of lifetime mental illnesses present by the age of 24, according to research published in the “Archives of General Psychiatry,” with some of the most dangerous and prevalent mental health conditions on college campuses being eating disorders.

Navigating Mental Health Disorders

Trying to help young adults navigate their first real taste of “independence” – especially if you’re miles apart – can be a daunting task for parents. While the COVID-19 pandemic exacerbated many mental health conditions, it also helped make mental health awareness more of a household topic. Now, there are helpful resources for parents and students and less stigma attached to mental health diagnoses, so neither those with eating disorders nor their loved ones have to struggle alone.

Additionally, most people with eating disorders also struggle with other mental health conditions, such as anxiety, depression or ADHD. Managing a mental health condition is rarely easy and doing so in an unfamiliar environment – often without a proper diagnosis – can be especially difficult. By becoming familiar with the early behavioral, emotional and physical warning signs of eating disorders, parents may be better able to spot students’ problematic relationships with food and make early intervention a priority before symptoms spiral out of control.

READ MORE: What if your teen gets the blues?

Eating Disorders on the Rise

The unique convergence of environmental triggers, academic stress and neurological development during the college years makes students a high-risk population for the development of mental health conditions with eating disorders being some of the most common. The prevalence of eating disorders among college students was stable from 2009-2018, but increased sharply in 2021 for both women and men, according to a study published in “Nutrients.”

Signs of Trouble

Recognizing a college student’s eating disorder can be particularly difficult, especially when students are away from home attending school. Until it has progressed significantly, someone with an eating disorder may be quite effective at hiding it from others.

While different eating disorders present different symptoms, some common overarching signs that may suggest a problem include:

  • Increased interest in dieting
  • Excessive monitoring of food intake or weight
  • Frequent negative comments about body image
  • Poor eating habits, such as skipping meals or bingeing
  • Rigid or excessive exercise schedules
  • Significant changes in weight (loss or gain)
  • Social withdrawal
  • Changes in mood or behavior

Early Intervention

Early intervention can play a critical role in effective treatment of an eating disorder, but many families struggle with finding a treatment program that allows a college student to continue coursework while taking steps to improve health.

“A delay in eating disorder treatment can negatively impact the likelihood of recovery and increase the duration of the condition, needlessly prolonging suffering,” said Heather Russo, chief clinical officer for Alsana, a national eating recovery community that serves adult clients of all genders through in-person and virtual programs. “Parents of college students must be aware of the risks and triggers young adults face during these vulnerable years so they can help address issues and early warning signs as they arise.”

An option like Alsana’s Adaptive Care Model is a holistic approach to treatment that strives to create an inspiring healing experience and focuses on the patient’s total health through five core areas, including medical treatment, nutrition, movement, therapy and developing a stronger sense of self-purpose.

This customized approach to treatment is available to students who seek flexible scheduling options, allowing them to get help remotely or on an outpatient basis.

“Because eating disorders touch so many facets of a person’s life, treatment must address healing for the whole person in order for it to be effective, sustainable and nourishing,” Russo said.

Learn more about eating disorder treatment options that can help your student develop a healthier relationship with food at

Evaluating an Eating Disorder

If you’ve noticed some changes in your college student but can’t put your finger on exactly what’s wrong, an eating disorder could be to blame. Pinpointing a problem is the first step toward effective treatment.

If you’re concerned your college student might have an eating disorder, considering the answers to these questions, discussing them together and talking with a doctor can help put your loved one on a path toward recovery. Or, if your student tends to be more private, ask them to take a survey to learn more about the likelihood of an eating disorder at

  • Do you attempt to restrict calories or foods?
  • Do you make yourself sick because you feel uncomfortably full?
  • Do you worry you have lost control over how much you eat?
  • Have you recently lost more than 14 pounds in a three-month period?
  • Do you believe yourself to be “fat” when others say you are too thin?
  • Would you say food dominates your life?

Photos courtesy of Getty Images

(Family Features) 

Other articles by HVP News Reporters

  • Choose to move

    5 ways to help manage osteoarthritis

    Osteoarthritis (OA) is the most common form of arthritis and affects over 32.5 million U.S. adults. OA is a degenerative joint disease that causes pain and stiffness and can lead to limited function. read more »
  • Make these 10 doctor-recommended health resolutions in the new year

    Tips to help you get started

    The New Year is the perfect time to hit the reset button on your health and wellness. Not sure where to start? Doctors say you can make the biggest impact with small, incremental tweaks to your routine. read more »
  • Serve plant-based sweets this holiday season

    Try these dairy free salted caramel cupcakes

    Make this year’s festivities truly memorable by adding a touch of sweetness to holiday celebrations with this delightful combination of fluffy cupcakes, creamy frosting and a heavenly caramel drizzle. read more »
  • A full menu of festive holiday flavor

    From the main dish to dessert

    Cooking up a successful holiday gathering calls for everyone’s favorite recipes. From the centerpiece main dish to fresh salads and appetizers, roasted sides, and baked sweets, you can take seasonal get-togethers up a notch by mixing traditional classics with newfound favorites. read more »
  • Charity scam prevention tips

    How you can tell the difference

    The charitable spirit of New Yorkers is at an all-time high during the holiday season, so this week’s tips are meant to serve as a guide when choosing causes to donate to so donations get to the right place and not in the hands of scammers. read more »
  • A delicious way to support your immune system

    2 recipes your family is going to love

    Bolstering your immune system during winter, when coughs and colds seem to take control, is a must for the entire family. Supporting your wellness can start in a simple place – with the foods you eat and drink. read more »
  • Prevent package thefts during the holiday season

    Tips from the Department of State's Consumer Protection Division

    Tips on how you can protect yourself from thieves that are trying to steal both your holiday packages and your identity. read more »
  • Want to achieve your goals? Write them down

    Meet the newest winner of the G2 Overachievers Grant

    If you have a big idea, goal or dream about helping others, writing down your vision can help. Studies show you’re 42% more likely to achieve your goals if you write them down. read more »
  • The Bear Mountain Ice Rink is opening for the season

    Join them on November 4th for the first skate

    The Palisades Interstate Park Commission is pleased to announce the opening of the Bear Mountain Ice Rink for the 2023/24 season. Join us on November 4th for the first skate at the rink that was voted Best of the Hudson Valley three years running! read more »
  • Kingston Eats Veggies Campaign builds interest in local produce

    Kingston’s Creating Healthy Schools and Communities (CHSC) is piloting “Kingston Eats Veggies,” a vegetable of the month campaign. read more »