One of the most common questions I receive is, “what do you think about having a romantic relationship when you have an eating disorder?” And some of the most common search terms that land people at my blog are, ”confiding ED to husband” and “husband + eating disorder” and “boyfriend + eating disorder.”
My husband, D, has guest posted on this topic; you can read his post HERE. But since I keep getting questions, I want to dive in a little deeper to this topic.
So D and I took one for the team and spent two afternoons at Starbucks talking about what to write about this topic. We’re so sacrificial. We decided to just tell our story, and intersperse our “lessons learned.”
When D and I met, I was in the throes of what I would now identify as a subclinical eating disorder. I ran 3-6 miles every day, would often work out twice in a day, restricted after eating anything I considered “unhealthy,” and would occasionally try to make myself throw up. I was honest with D and told him that I struggled with body image and with eating appropriately, but I would always follow up with “but I’m fine.”
At the time, he thought that if he just praised me enough, that I would be able to get into a healthier frame of mind. He now says that this is mistake #1- thinking that unhealthy body image can just be “fixed” by compliments.
During our sophomore year of college, I became increasingly reclusive and ritualistic in my eating habits. Our schedules didn’t parallel at all, so we only ate together a few times a week. In actuality, I could have eaten with him a lot more but “I” liked being alone when I ate because I was eating weird things. I also became a vegetarian during this time, so any dietary changes were masked by this.

One of the few social outings I went to that semester. I look miserable.
I lost quite a lot of weight during the semester, but D actually didn’t notice. He only noticed after Thanksgiving when I told him that my parents had been on my case about my weight. He now says that this was mistake #2: you should always be attentive to changes in your significant others’ body and eating habits, because even if they don’t signify an eating disorder they could signify depression.
Over Christmas and January break, I lost more weight and was diagnosed. D didn’t understand the severity of my weight loss until he saw me in late January. He said his heart just sank as I walked off the plane, and he could barely hug me because he was so upset.
Still, he didn’t understand the mental aspects until a few days later when I broke down in front of him about how I couldn’t go to a leadership dinner and had to get coffee to take to dinner so I would have something in my hands. He asked me gently, “aren’t you trying to gain weight?” I began ranting and raving, basically letting the eating disorder have control of my mouth, and as I wailed and stomped my feet on the ground –he finally got how horrible I felt on the inside.
Because of what he had witnessed, he refused to let me break up with him when I was sent home a few days later. He told me, “you’re not thinking straight and you need me. I will be here as long as you need me.” I cried and told him I was over him, but he just kept calling and emailing me until I realized that he was right–I needed him–and was grateful that he hadn’t left my side.
D wants me to point out here that any significant other should be true to their feelings. If a significant other does not really want to be in a relationship with the person with an eating disorder and doesn’t think there is a future, they should not stay just to “save” the person. Staying in a relationship because you feel sorry for the person is not healthy for you or the other person; it may even cause more damage to the person when you break up later. It is okay to help them get connected with help, and to support them as a friend, but unless you love the person (or feel romantically towards them) you shouldn’t just stay in the relationship to “protect” them.
In our case, D says he felt tender towards me and wanted to stay with me for as long as I would let him. He knew we might break up at any point, but he wanted to support me as long as he could.
So he learned about eating disorders. He spent time asking lots of questions to try to understand all that was going on in my twisted little brain. He made many mistakes, as did I, in communicating. What did we learn? Be honest when things hurt your feelings; be honest and tell the person when you’re struggling and how they can help; be honest when the person with the eating disorder is hurting you; just be honest.
During the recovery process, I was unusually irrational, irritable, weepy, and whiny. D walked on eggshells for a while, but then started to call me out on things. We learned that it wasn’t very helpful when D tried to “out argue” the eating disorder logic, but it was helpful when he would present a different viewpoint.
As an example: when I would cry that I was becoming ginormous, it would be fruitless for him to say, “no, you’re not fat.” I would just cry back, “yes I am!” Our conversations would go a lot better when he would say something like, “what do you weigh right now?” and then talk about how big the gap was between my healthy weight and my current weight. I never appreciated it when he told me that I was being illogical, but I always responded well when he led me to come to the conclusion on my own.
I also really liked it when D got me outside of myself. We went hiking, shopping, took road trips when I got stressed out by school, explored different coffee shops, went on photography expeditions, visited puppy stores, went to plays, and so forth. He was responsive when I was feeling too overwhelmed to do something, but he tried to present me with a variety of non-food-based social activities so I got used to going out and doing stuff again. He rarely treated me like I was sick.

I visited D one month before I was discharged from IOP treatment. It was my only break from IOP, and he took me hiking on Mt. Rainier. It was the most excitement I had had in months.
Hopefully this addressed some of the issues that come up when a couple is already dating when the eating disorder emerges. Our next post will focus on the question: should you start a relationship when you’re in the midst of an eating disorder?