Eating disorders thrive on secrecy - and pandemic shelter-in-place orders have provided just that for millions.
"Suddenly everyone was in isolation, having to change their routine, or having a lack of routine and structure," says licensed counselor Lisa Clark.
According to a new study in the International Journal of Eating Disorders - many suffering from anorexia have been restricting their eating more - during the pandemic while those with bulimia and binge-eating disorder are doing just the opposite.
"With the pandemic, people were panicking and going to the grocery store. they were afraid things were going to close down so now instead of following their normal routine and structure, they have access to food all the time," Clark says.
She tells her patients to try to get outside regularly. she says it's also important to socialize - safely - as much as possible.
"Get on a zoom call with friends and talk to other people, ask "how are you doing," and just stay in touch whether it's family members or just people in your city who you haven't been able to see," Clark says.
As students return to college away from parents, secrecy becomes easier.
“They struggle with stress and anxiety anyway, and again sometimes food is a way that they can feel they have control," Clark says.
If you are struggling with an eating disorder - you can find help by calling the National Eating Disorders helpline at 1-800-931-2237.