When being 'good' with food has crossed a line — Gisela Ramirez
Disordered Eating

When being 'good' with food has crossed a line

Gisela Ramirez4 min read3 February 2025

Discipline, clean eating, willpower. The behaviours that are quietly costing you get complimented all day, which makes it unusually hard to notice when something has changed.

Nobody is worried about you. If anything, people admire it. You are disciplined. You eat clean. You have willpower where other people have excuses. Your colleague says she wishes she had your self-control, and you say something modest, and inside there is a small cold feeling, because you know what the self-control actually costs.

Food takes up a great deal of room in your head. What you will eat, what you have already eaten, what you will do to make up for it. There are rules, some you could explain and some you could not, and breaking one can ruin a day. You may be a perfectly ordinary weight, hold down a job, feed your family well. And still be spending most of your mental energy on this.

Why it is so hard to see

Most difficulties announce themselves as difficulties. This one arrives dressed as a virtue. The same behaviours that are quietly costing you, the restriction, the rules, the exercise that is not optional, get complimented at work and rewarded on your phone all day. It is genuinely hard to notice when something has crossed a line, because the world keeps telling you that you are on the right side of it.

So let me offer a different test: how much room it takes, rather than what you weigh or what you eat. Could you eat a meal without doing arithmetic? Could you get dressed without a verdict? Could you skip the exercise on a day you were ill without the rest of the day being wrecked? If the honest answer is no, the discipline has stopped being a choice and has become a rule you are not allowed to break.

The rules

Rules are the centre of disordered eating, and they are usually more numerous than people realise. Not after seven. Not that food. Only if I have earned it. Always less than the person opposite. Never in front of people. Each rule was adopted for a reason that made sense at the time, and each has become a wall. Breaking one produces a kind of collapse as well as guilt, as though the whole structure depended on it, which is a clue to how much weight the structure is carrying.

Checking

Alongside the rules there is the checking. Mirrors, waistbands, the scales, pinching, photographs. The number changes how you feel about yourself for the rest of the day, whichever way it goes. Down, and you feel briefly safe and immediately afraid of losing it. Up, and the day is ruined. The checking is meant to give you information, and what it gives you is a verdict, delivered every morning.

What restriction does

Restriction, even mild, even accidental, reliably produces preoccupation with food and makes bingeing more likely. A body that is being underfed thinks about food constantly, because that is what bodies are built to do. The obsession you are fighting is, in large part, being manufactured by the eating pattern itself. No amount of insight will settle it while the pattern is driving it, which is why regular eating comes first in the work, before any of the thinking, and why it is often the least popular part.

Where I stop

I am not an eating disorder specialist, and I want to be plain about scope, because it matters more here than almost anywhere else. Anorexia nervosa, a significantly low or falling weight, purging, and eating that has affected your physical health all need a specialist team and a doctor keeping an eye on you. If that is what you are describing, I will say so at assessment and help you find the right door. Being pointed somewhere better for the right reason is a good outcome, not a rejection.

What I work with well is disordered eating that sits inside anxiety, OCD, low self-esteem or body image difficulty: rigid food rules, the mental arithmetic, body-checking and avoidance, eating in response to distress, and the harsh beliefs about worth underneath it all.

What the work looks like

The method is CBT. We map the cycle. We loosen the rules gradually, as experiments rather than as willpower: what actually happens if I eat this, once. We drop the checking and comparing. And we work on the self-criticism that is driving all of it. There is no weighing, no meal plan and no food diary you have to hand over. The records we keep are about the thinking, and they are yours.

If the compliments have started to feel like a trap, there is more on how I work with disordered eating, and on where the line sits.