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 Co-occurring Eating & Substance Use Disorder Support

  • You’re not beyond help. You’re not too complicated. You’re someone trying to cope with pain and you deserve integrated, compassionate care.

At TruPaths, we know how often eating disorders and substance use go hand in hand each masking pain the other leaves behind. Whether you're navigating this dual struggle yourself or trying to help a loved one who is, we’re here to guide you toward care that sees the whole picture not just one piece of it.

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 What Are Co-occurring Eating & Substance Use Disorders?

This overlap is commonand often deeply misunderstood.

Co-occurring disorders happen when someone experiences both an eating disorder (like anorexia, bulimia, or binge eating) and a substance use disorder (involving alcohol, prescription
drugs, or other substances) at the same time.

Signs of Co-Occurring Eating and Substance Use Disorders

Recognizing these patterns can help identify when food and substance struggles overlap, so individuals can receive care that addresses both conditions together.

Body Image & Substance Use

Body Image & Substance Use

Using substances to manage body image anxiety or emotional eating give me heading for this

Using to Numb Guilt

Using to Numb Guilt

Drinking alcohol or using substances before or after meals to dull feelings of guilt or physical discomfort.

Extreme Weight Shifts

Extreme Weight Shifts

Experiencing extreme weight fluctuations, ongoing nutritional deficiencies, or declining physical health

Hidden Eating and Use

Hidden Eating and Use

Withdrawing from social situations, hiding behaviors, or leading a double life when it comes to eating and substance use

Emotional and Physical Strain

Emotional and Physical Strain

Experiencing mood swings, persistent fatigue, or symptoms of depression that are closely linked to eating habits

Challenges in Getting Help

Challenges in Getting Help

Facing difficulties in finding treatment that addresses both eating concerns and substance use together

What Kind of Support Actually Helps?

You deserve care that sees your whole story not just one diagnosis.

TruPaths helps connect individuals and families to programs designed specifically for treating both eating disorders and substance use disorders together. These programs don’t just treat symptoms they address the emotional, physical, and psychological roots behind them.

Dual-Focus Recovery Programs

Dual-Focus Recovery Programs

Dual-diagnosis treatment centers with expertise in both disorders.

Specialized Therapists

Specialized Therapists

Therapists trained in trauma, addiction, and disordered eating.

Family Recovery Support

Family Recovery Support

Support for families navigating co-occurring recovery.

Safe, Trigger-Free Programs

Safe, Trigger-Free Programs

Programs that avoid triggering food rules or shaming models

Trauma
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 Therapies That Heal Both Sides of the Cycle

When food and substance use are tied together, healing must be holistic. These therapies focus on both the behaviors and the pain that fuels them:

Integrated Cognitive Behavioral Therapy (CBT) or Dialectical Behavior Therapy (DBT)

Integrated Cognitive Behavioral Therapy (CBT) or Dialectical Behavior Therapy (DBT)

Emotional regulation

Supports individuals in managing impulsivity, shame, and overwhelming emotions.

Internal Family Systems (IFS) or Eye Movement Desensitization and Reprocessing (EMDR)

Internal Family Systems (IFS) or Eye Movement Desensitization and Reprocessing (EMDR)

Heal root causes

Addresses trauma beneath both disordered eating and substance use patterns.

Nutrition & Harm Reduction

Nutrition & Harm Reduction

Stabilize gradually

Helps restore balanced eating habits and reduce substance use safely over time.

Somatic Therapy

Somatic Therapy

Reconnect with the body

Encourages individuals to inhabit their bodies without fear, punishment, or disconnection.

Peer Support Groups

Peer Support Groups

Healing together

Provides shared understanding, accountability, and encouragement for people facing dual diagnoses.

12-Step + Eating Disorder–Informed Models

12-Step + Eating Disorder–Informed Models

Respect both paths

Offers recovery frameworks that honor the complexity of co-occurring eating disorders and substance use.

From the TruPaths Community

You Don’t Have to Choose Which Part of You Deserves Help

At TruPaths, we believe that eating disorders and addiction are not separate issues. They are often intertwined ways of coping and deserve to be healed together. We promise:

  • To connect you with care that treats the whole person
  • To never minimize the complexity of your experience
  • To walk beside you or your loved one with dignity and hope
“You are not too much. You are someone who deserves more support not less.”

Ready for Integrated Healing?

Whether you're looking for a dual-diagnosis center, trauma-informed therapy, or simply clarity on what to do next TruPaths is here to help.

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About TruPath's Recommendations

Recommendations are based on your location and recovery needs, including the programs you've explored, the services you've saved, and the filters you've used. We use this information to highlight similar treatment options so you never miss a trusted path forward.