You may want to eat, yet it feels physically impossible: your throat seems to close, your stomach feels tight, and there is an unpleasant taste or smell in your mouth or nose. These experiences are common across eating disorders, restricted or disordered eating, extreme dieting, and appetite difficulties.

Disordered eating is often portrayed as being mainly about weight, body image, or wanting to look a certain way. While these factors can play a role, they are rarely the core issue on their own. In my view and experience, difficulties with eating and appetite are more often symptoms that develop over time and are closely linked to underlying mental health challenges.

Anxiety and fear, whether recognised or not, are frequently central. Managing food intake can become a conscious way of coping with unconscious or subconscious processes, including relationship and attachment difficulties, past or ongoing trauma, or anxious and avoidant patterns. In this sense, eating behaviours may function as an attempt to regain a sense of control.

Some people find short-term strategies helpful when eating feels overwhelming:

• Eating while distracted (for example, watching a video or eating on the go) to reduce mental focus on food

• Asking someone trusted to sit with you and talk about something unrelated while you eat

• Using shakes, smoothies, or protein drinks, which may feel easier to consume than solid food

It is important to speak to your GP and be honest, even if you keep it brief. Many people worry about being judged or immediately hospitalised, but this is unlikely unless the situation becomes medically serious. Early support can often prevent things from escalating.

Important note and support (UK)

This article reflects personal opinion and is shared in good faith. It is not a substitute for professional medical, psychological, or nutritional advice. If you are struggling with eating or appetite, please seek support from a qualified professional. In the UK, you can contact your GP or access trusted resources such as Beat Eating Disorders (beateatingdisorders.org.uk), which offers helplines, webchat, and information. You can also find guidance and referral pathways through the NHS by searching for eating disorder support on the NHS website or speaking directly with your GP

Claire Messenger

Talk Therapy with Claire