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For individuals facing the dual challenge of alcoholism and eating disorders, recovery can feel overwhelming and complex. These co-occurring conditions, often rooted in trauma, anxiety, or depression, are intricately connected and require a nuanced, integrated approach to treatment. As more awareness grows around this intersection, specialized eating disorder and alcohol treatment centers are evolving to meet the needs of individuals living with both conditions. But what should you look for when choosing the right facility for a holistic approach and effective care?

Understanding the Link Between Alcoholism and Eating Disorders

Alcoholism and eating disorders often coexist, creating a cycle of shame, secrecy, and self-destruction. Research shows that individuals with eating disorders—particularly bulimia nervosa and binge eating disorder—are significantly more likely to misuse alcohol. In many cases, alcohol is used to cope with emotional distress, regulate anxiety, or suppress appetite. Similarly, eating disorders may develop as a way to regain control when life feels chaotic due to alcohol dependency.

The psychological effect of alcohol can exacerbate the symptoms of eating disorders, and vice versa. For example, alcohol and binge eating disorder can reinforce impulsive behaviors, damage self-esteem, and intensify emotional dysregulation. Because these disorders feed off each other, treating them separately can hinder recovery. That’s why it’s crucial to seek treatment at centers experienced in addressing both alcoholism and eating disorders concurrently.

While we do not offer eating disorder treatment at Sana at Stowe, we can help you find the help you need. 

Key Features of Effective Eating Disorder and Alcohol Treatment Centers

When seeking help, it’s essential to find a treatment center that acknowledges the unique complexities of eating disorder and alcoholism dual diagnoses. Here are the most important elements to look for:

  1. Multidisciplinary Treatment Teams

    Integrated care requires collaboration across various fields. Look for programs that include medical doctors, psychiatrists, licensed therapists, registered dietitians, and trauma specialists. A strong team can assess the severity of both alcohol use disorder and disordered eating behaviors, create a comprehensive treatment plan, and adapt it as recovery progresses.

  2. Dual Diagnosis Expertise

    The best dual diagnosis treatment centers are equipped to treat co-occurring disorders simultaneously. It’s important to understand the difference between dual diagnosis vs co-occurring disorders: while often used interchangeably, dual diagnosis specifically refers to the combination of mental illness and substance use disorder. A center specializing in this area will not only provide evidence-based addiction treatment but also prioritize mental health recovery.

  3. Trauma-Informed Care

    Trauma is frequently the underlying driver behind both alcohol misuse and eating disorders. Look for centers that practice trauma-informed care—an approach that acknowledges how trauma affects behavior, relationships, and healing. Trauma-informed care ensures that treatment environments feel safe, nonjudgmental, and empowering.

  4. Individualized Treatment Plans

    No two recovery journeys are alike. The best eating disorder and alcohol treatment centers tailor treatment plans to each individual’s physical health, mental state, and history of trauma. These plans often include:

    • Medically supervised detox (especially important for alcohol withdrawal)
    • Psychiatric evaluation
    • Nutritional counseling
    • Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Acceptance and Commitment Therapy (ACT)
    • Trauma-focused therapies like EMDR
    • Family therapy and aftercare planning
  5. What is Residential Treatment?

    Residential treatment provides a safe, immersive environment where clients can fully focus on recovery. Unlike outpatient programs or virtual services, residential care offers round-the-clock medical and emotional support, structured schedules, and peer community—all of which are essential for dual diagnosis recovery. When addressing alcoholism and eating disorders together, this level of support can be life-saving. Again, we do not offer eating disorder treatment at Sana at Stowe, but we can help you find the care you need while working to treat other symptoms. 

  6. Wellness and Holistic Services

    True healing involves the body, mind, and spirit. High-quality centers integrate holistic practices into their programming. These may include yoga, meditation, creative expression therapies, and mindfulness-based stress reduction. These services help clients reconnect with their bodies in a healthy way and build sustainable self-care practices. 

Mental Health vs. Addiction: Which Comes First?

In cases of eating disorder and alcoholism, one condition often precedes the other. For some, an eating disorder may emerge first, and alcohol later becomes a way to cope. For others, excessive alcohol use may lead to disordered eating as a side effect of emotional turmoil or body image struggles. Understanding the primary occurrence helps tailor effective treatment—but in either case, both must be treated concurrently to ensure sustainable recovery.

Alcohol Screening Test and Diagnostic Criteria

Part of early treatment at reputable centers includes screening tools to assess alcohol use disorder. An alcohol screening test, such as the AUDIT (Alcohol Use Disorders Identification Test), helps clinicians determine the severity and impact of alcohol use. Diagnosis is typically based on criteria for alcoholism including:

  • Cravings and strong urges to drink
  • Loss of control over alcohol consumption
  • Withdrawal symptoms
  • Continued use despite health or social problems

Combining this with eating disorder assessments ensures a comprehensive understanding of the individual’s needs.

Empowering a New Beginning

Recovery from alcoholism and eating disorders is possible, but it requires the right kind of support. By choosing a center that offers trauma-informed, integrated treatment in a residential setting, individuals give themselves the best chance at lasting healing. While we do not offer eating disorder treatment at Sana at Stowe, we can help you find the right support. 

If you or a loved one is living with alcohol and eating disorders, don’t wait. Contact Sana at Stowe today to learn more about our programs and begin your journey toward holistic recovery in the serenity of Vermont. Call us today at (802) 553-3836 to speak to one of our qualified professionals.