Supporting Those with Eating Disorders During Ramadan

 
 

Ramadan is a deeply spiritual time, one of reflection, devotion, and self-improvement. For many, it’s a month of heightened connection with faith, family, and community. But for those struggling with eating disorders (ED), this sacred time can bring feelings of fear, confusion, and emotional pain. The act of fasting while a central part of Ramadan can become a source of distress, especially for those in recovery or facing an active eating disorder.

It’s important to remember that fasting during Ramadan is not an obligation for those whose health may be at risk, including those with mental health challenges. If you or someone you care for is struggling with an eating disorder, recognising that fasting may not be the right choice this year is important. Prioritising health and well-being can be a crucial act of self-compassion.

Navigating the Emotional and Physical Challenges

For those in the early stages of an eating disorder or for those in recovery, Ramadan can be an extremely difficult time, both emotionally and physically.  Feelings of guilt, shame or anxiety when deciding whether or not to fast are likely to be prevalent, with the experience of food becoming the focal point of the day resulting in an elevated risk of relapse or intensification of symptoms.  The act of fasting can very easily trigger a relapse in both eating disorder behaviours and cognitions.  If you’re unsure about fasting, reaching out to a healthcare professional or an advisor can help you find the right path, grounded in both faith and self-care.

Fasting is meant to bring spiritual growth, not harm. If you choose to participate in other aspects of Ramadan, such as prayer or reflection, know that these practices are just as meaningful and valued. Allow yourself the grace to honour the spirit of Ramadan in a way that respects your health.

Managing Triggers and Practising Self-Compassion

The long fasting hours during Ramadan can make it harder to manage triggers like binge-purge cycles or feelings of hunger. To support recovery, it’s important to nourish yourself with balanced meals during sehri (pre-dawn meal) and iftar (meal after sunset). Don’t skip these meals - eating slowly and mindfully can help reduce the urge to restrict or binge.

If you do experience feelings of discomfort after eating, remind yourself that it’s normal to feel full, and that these sensations will pass. Engaging in activities like prayer, meditation, or spending time with loved ones can help ease the discomfort.

And if purging does occur, be kind to yourself. Don’t dwell on feelings of guilt or shame. Instead, focus on the next step - nourishing yourself, hydrating, and returning to your eating plan with compassion and understanding. Talk to a therapist or support person to reflect on what may have triggered the urge and to develop coping strategies for the future.

How to Support Loved Ones with Eating Disorders During Ramadan

If you’re supporting a loved one with an eating disorder during Ramadan, approach them with deep care and empathy. Gently remind them that they are exempt from fasting if it compromises their health. Encourage them to engage with other aspects of Ramadan that are meaningful, such as prayer, reflection, or acts of kindness.

It’s essential to create a space where food isn’t the focus. Avoid comments on weight or food, and instead, show love and encouragement through understanding and presence. Offering support during meals or simply being there to engage in post-iftar activities can provide a sense of comfort and connection.

Every person’s journey is unique, and it’s vital to ask how you can support them in a way that feels right for them. Just knowing they are supported and understood can make an immense difference during this time.

Ramadan is a month of spiritual growth, and while fasting is a key practice for many, this time can be honoured in a way that doesn’t negatively affect one’s health or recovery. With understanding, compassion, and professional guidance, it’s possible to navigate Ramadan in a way that respects both faith and well-being.

 
Dr Bryony Bamford