Utilizing Harm Reduction Strategies in Eating Disorder Counselling
Utilizing Harm Reduction Strategies in Eating Disorder Counselling
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Issue Date
2024-05-05
Authors
Nyrose, Claire
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Abstract
Eating disorders are complex mental illnesses characterized by persistent challenging behaviours associated with food that significantly impact an individual’s daily activities. The risk factors and etiology of eating disorders are multifactorial, and EDs impact all individuals regardless of age, gender, and cultural background. EDs are regarded as highly difficult to treat, and individuals experiencing EDs are at risk of serious physical and mental health complications. This paper will examine the current landscape of ED care and treatment in Canada highlighting barriers individuals face when accessing care. This paper will also introduce the concept of harm reduction as a strategy to support individuals with EDs to minimize risks associated with harmful behaviours while continuing to engage in treatment. The potential benefits and ethical challenges of harm reduction approaches will be critically evaluated, to support counsellors in integrating this framework into their existing treatment modalities while prioritizing client safety and
respecting client autonomy and recovery goals.
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Keywords
eating disorder , harm reduction , abstinence , body image , embodiment , anorexia , bulimia , binge eating disorder , DSM-5 , lived experience , substance use disorder , recovery , social justice