Written by: Suren Chiu, RDN, LDN

Healthy eating is often esteemed. We tend to think more highly of peers who eat “healthy.” Like those who with a colorful plate, eat rounded meals, and avoid the high fat high sugary foods. But can this habit ever go too far? The answer is, yes. It can. When a person becomes too focused on what they are eating, this can affect other areas of life.

Orthorexia is a term for obsession of eating healthy. Let me explain.  

It is not an official diagnosis (like anorexia or bulimia). But it does describe an unhealthy obsession with eating foods that one perceives as “pure,” “clean,” or “healthy.”  

Unlike other eating concerns that focus on quantity like calories or portions, orthorexia focuses on the quality. This often starts with good intentions. The desire to improve health. But this can go down a rabbit hole unintentionally to fear and anxiety around eating altogether.  

Signs of Orthorexia 

• Constantly checking ingredient lists or food labels  

• Cutting out whole food groups (without medical reasons) 

• Feeling extreme guilt or shame after eating a “forbidden” food  

• Avoiding social events because of food options  

• Feeling anxious or “unsafe” eating foods prepared by others  

• Believing moral worth is tied to food choices  

Why Worry about Orthorexia 

Orthorexia is when healthy eating backfires. When I say backfire, I mean the original intention is no longer the outcome. We detract from the nutrients we need to function.  

• Nutrient deficiencies – from avoiding entire food groups 

• Social isolation – if eating rules prevent one from spending time with family or friends 

• Increased anxiety – around eating, preparing food, and every day living  

• Strained relationship with food – meals become stressful and no longer enjoyable 

This is when eating is no longer about the food. It takes a toll on everything else. Your mental, emotional, and social wellbeing.  

Take Steps Back to Health 

Orthorexia is sneaky. Good intentions can turn into harm on our wellbeing. If you notice signs of this in yourself or someone you care about, know that you are not alone. Healing often starts with loosening the rigid food rules and remembering that all foods fit into a healthy lifestyle.  

Working with a registered dietitian can help build your trust with your body and food. Particularly ones who focus on non-diet, compassionate ways to nourish. Therapy can also be an important part as well. Since anxiety and perfectionism are often factors that contribute to the issue.  

Wanting to eat for health is a good thing. Red flags are when it becomes more tedious than enjoyable. True health comes from balance, flexibility, and self-compassion. Not perfection.

If this post resonates with you, reach out to a qualified dietitian or mental health professional. You deserve a peaceful, nourishing relationship with food.