Thanksgiving and Eating Disorder Recovery: How to Survive Family Comments


Thanksgiving is right around the corner. Are you counting down the days or is your mind filled with worry and stressful thoughts? When you are going through recovery or living with an eating disorder, Thanksgiving can be one of the most challenging and stressful holidays of the year. You may worry about the menu that will be served, the portion of the food and how to follow your meal plan. On top of this, you might have to deal with potentially insensitive comments made by family members. How will you cope with these triggers and deal with negative eating disorder thoughts that arise?

Prepare yourself by reading these tips on how to respond to some of the most common triggering comments.

1. “You look like you’ve gained/lost weight. Good for you!”


Although this might look different this year due to COVID-19, Thanksgiving often implies coming together with family members you haven’t seen in months. Most of your family members have no clue about how emotionally, exhausting, and scary going through recovery is. They also didn’t see you gradually gaining or losing weight over the past months, meaning they will only have a ‘Before and After’ image in their head. In addition, 

In the weight-obsessed, beauty and diet focused world we’re living in, commenting on someone’s appearance is often the first thing people do.

I remember myself being in that situation when I was struggling with an eating disorder. One of my aunts told me how great I looked and that she could really tell I gained a lot of weight. This got filtered through the eating disorder voice in my head and all I heard was, “You see I am fat and ugly now”. This distorted way of thinking is an immediate result of the eating disorder. Nonetheless, being aware of that doesn’t change the actual feeling.

What can you do in a situation like this? Change the topic of the conversation. Develop a list of topics beforehand so you’re prepared and able to change the topic strategically. Think of television programs you are watching, the latest album of your favorite artist, or plans for your next vacation. Anything that helps you divert the topic of weight. Remind yourself that most people don’t know what it’s like to have an eating disorder and that looking  recovered doesn’t have anything to do with being recovered.

2. “Are you sure you want that turkey? There are loads of fat in the stuffing.”

Compiling this list really makes me travel back in time. I can instantly feel what a comment like this did to me. It might be said with the best intentions, but the result is often a state of distress and increased discomfort around the remaining courses of the Thanksgiving dinner.

It also sends a message that ‘fat’ automatically means ‘bad’ and it’s fueling an eating disordered way of thinking. Try to prepare yourself for this comment. What you can do is write down a list of potential comments. This will result in the actual moment being less stressful because you are able to think “You see, I knew she was going to say that.” It makes it almost funny since it’s such a predictable comment.

3. “I thought you would be afraid of eating that.” 


This is another typical example of what someone might say to you during Thanksgiving – or any other – family gathering. Of course, someone says this with the best intentions and is not aware of the triggering effect it has on you. I would suggest telling the person in a kind way that it’s nice he/she cares about your struggle, but that you’re old enough to make your own decisions. This will also strengthen your self-confidence and self-esteem.

4. “Wow that is a big piece, I am proud of you!”

Something like this can really encourage eating disorder thoughts and urges. I had someone say this to me when I was in recovery and I remember all I wanted was to go to my room and cry for the rest of the evening. (You see, I’m such a loser, people are now ‘proud’ of me for eating pie) Of course, this doesn’t help you!

Instead, you can call them out. It will also make your family members more aware of the triggering effect of their comments, even when they are meant to compliment you. You could say that a comment like this isn’t really helpful and that it took you a tremendous effort to come to this point.

5. “One piece of pumpkin pie won’t make you fat, you can work it off tomorrow.”


I am sure a lot of people recognize this one. The diet talks are inevitable during the holidays and family members often don’t realize they encourage eating disorder thoughts. Remember that this is something media and society focus on by the end of the year and has nothing to do with you. It used to make me very upset and defensive. It also sends the wrong message that enjoying an elaborate Thanksgiving dinner isn’t normal. Something you can say is that you are working very hard to get rid of weight (and food) related feelings and that something like this only makes you feel very guilty and upset. Don’t feel bad when calling it out when someone makes you feel like that.

6. “You are so lucky for being so thin.”


I can be very short in this one. I’ve had this comment many times when I was struggling with a severe eating disorder – and even after I was fully recovered. My therapists taught me that I could easily cut off this subject by simply saying “I only look like this because I have a life-threatening disease and I’m far from being healthy (or happy), so saying something like this is really hurting me.” The other person will instantly realize it wasn’t the most clever thing to say.

7. “I assume you don’t want dessert.”

This is a common, but annoying and frustrating comment. This particular one is one I’ve struggled with even years after I officially finished treatment. Even today, when I don’t want something, people automatically assume it’s because of my eating disorder past and ask me questions like “Is everything alright with you?”. The example from above would work here as well. Say that you can make your own decisions and that, instead of making you feel guilty and upset, they can help by offering support or changing the topic. 

8. “Is that everything you’re eating?”


Remember that this is always said with the best intentions. Your family cares about you and may actually think they help you with saying something like this. You can explain that you would appreciate them not paying attention to the portions you’re eating and that focusing on portion sizes will increase your anxiety and fear relating to food or weight-gain.

Remind yourself that whatever your family members will say to you, they are just trying to compliment and help you and their comments are well-intentioned.

It’s simply not possible for a person who had never had an eating disorder to fully understand what it’s like.

Discuss your worries and fears with your treatment team. Also, look out for a family member who can provide you with the support you need. It can really help you prepare and predict typical conversations that may arise without leading to self-destructive coping behaviors.

Be nice to yourself and try to enjoy this holiday. 

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  1. says: Megan

    Dear Miriam, thankyou for your post! I am currently struggling through a relapse, but my younger sister is also really struggling and has recently lost a lot of weight. I try to help because I understand better than my other family members, but at the same time I seem to just trigger both of us if I ever try to approach the subject of food/underlying issues. Do you have any tips on what I could do to help us?
    Best wishes xxxxxx

  2. says: Akio

    Great article, I enjoy reading it so much. I have experience every one those thing, those comment to me, but I would never be able to reply back to someone like that with a witty comment, either prepared or unprepared. I always get so scared maybe I hurt someone feeling and I always think it better for me just take it because that what good for me. I don’t know how that work or why it that way. I hate standing up for myself, I hate it. I always get panic attack now if I try be in any way to defend myself with word and I just get lost and can’t think straight anymore and get physically sick and weak.

  3. says: Monique

    Thank you for this Miriam. It is very helpful! I always try to remember my family is just looking out for me and feel grateful that I am not stuck in eating disorder behaviours, like I notice with my mother. My heart goes out to her. I live in New Zealand and don’t celebrate Thanksgiving, but this is pertinent for Christmas dinners and meals also! Thank you ????????

  4. says: b

    Thanks you for the list. Ill need it for xtmas dinner and other familiar’s lunch.
    also its so tw when they said to yout cousin or sister “Dont eat more of that, it have too much calories” while you are eating it.

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