Neurodivergence and Eating Disorders: Signs, Challenges and Support

Given we recently welcomed Tessa - our eating disorder expert, I thought it was timely to spend some time reflecting on eating disorders and neurodivergence.

Eating disorders are often misunderstood. They’re not about vanity or attention; they’re usually a response to overwhelm, sensory stress, burnout or life feeling too heavy. For neurodivergent people, eating difficulties can look very different from the typical picture because food, hunger, routine and safety are closely tied to the way their brain works.

There’s a strong overlap between Autism and eating disorders. Research shows that 20 to 35 percent of people treated for anorexia nervosa are Autistic and up to 80 percent of people diagnosed with ARFID have autistic traits or long-standing sensory-based food differences. Sensory sensitivities, perfectionism, a need for predictability and chronic stress all contribute, and many autistic people stay in treatment longer simply because their support needs aren’t fully recognised.

When you look at everyday neurodivergent experiences, these patterns make complete sense. Some textures or smells are truly unbearable. Hunger signals may not register clearly. Routine changes can completely disrupt eating. Executive functioning challenges can make preparing food feel overwhelming. Masking and emotional overload can quietly shape eating patterns too. These are real, valid neurobiological differences and not behavioural issues.

A neuroaffirming approach focuses on emotional and sensory safety rather than pushing compliance. That might mean using sensory-safe foods, predictable routines, slower pacing, visual supports or simply communicating in ways that feel gentle instead of shaming. Our aim is always to work with a person’s neurotype, not against it.

Neurodivergent people bring honesty, creativity, resilience and deep insight to their recovery. So much progress happens when someone finally feels seen, understood and supported in ways that make sense for them.

If you or someone you support is navigating eating concerns alongside neurodivergence, you’re not alone. To learn more about our neuroaffirming approach get in touch.