22/02/2026
As we mark Eating Disorders Awareness Week, I want to highlight something that is still too often missed in practice.
Eating disorders and disordered eating in midlife and older clients are often under diagnosed.
Last year, I wrote about this in my IACP article, looking at the role of body image, menopause, and wider psychological and social factors through a biopsychosocial lens.
A newly published scoping review supports this concern:
Vaidyanathan et al. (2026), Eating disorders and disordered eating behaviour in older adults: a scoping review (Journal of Eating Disorders).
The review found that eating disorders and disordered eating in older adults are a significant but under recognised public health issue, with women most commonly represented in the research. It also highlighted factors such as body image distress, menopause related changes, bereavement, caregiving stress, social isolation, and co occurring anxiety and depression.
This is such an important reminder that these difficulties do not only affect younger people. In midlife and older clients, they may sit alongside other concerns and be less visible, which increases the risk of under diagnosis.
If you are a therapist or allied health professional and want to learn more about working with binge eating, bulimia, and body image difficulties, I run a two day training in April where we look at assessment, formulation, and practical ways of working with these presentations.