Covid-19 Pandemic Caused Massive Surge in Eating Disorders

Many hospital beds are full. Waiting lists for outpatient treatment are bulging. And teens and adults seeking help for eating disorders are often finding it takes months to get an appointment.

The pandemic created treacherous conditions for eating disorders, leading to a surge of new cases and relapses that is not abating as restrictions are loosened and COVID-19 cases subside in many places, doctors and other specialists say.

"We are absolutely seeing massive increases," said Jennifer Wildes, an associate psychiatry professor and director of an outpatient eating disorders program at the University of Chicago Medicine. Some patients are waiting four to five months to get treatment such as psychotherapy and sometimes medication. Waits usually lasted only a few weeks pre-pandemic, Wildes said.

''We know that anxiety and isolation are typically very significant components of eating disorders," she said.

"We've seen an increase across the board," in patients of all races, adult, teens and sometimes even young kids, she said. That includes LGBTQ people, who tend to have higher rates of eating disorders than other groups. Women and girls are more commonly affected than men.

"People haven't really gotten back to their routines," she said, predicting that the surge in patients won't subside until the fall.

The Alliance for Eating Disorders Awareness, which started offering virtual therapist-led support groups for adults during the pandemic, has also seen a surge. Since January more than 7,000 people from every state and 32 countries have attended their support groups, said alliance CEO Johanna Kandel.

Eating disorders affect at least 9% of people worldwide. They will affect nearly 30 million Americans in their lifetimes and...