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Queer Bodies, Hidden Struggles: Eating Disorders and the Fear of Being Seen

Brett Moran, Resident Therapist

Shirtless man with green hair posing against a dark background, expressing vulnerability and body image themes.
Shirtless man with green hair posing against a dark background, expressing vulnerability and body image themes.

Table of Contents

  • A Frightening First Call

  • The Driving Forces Behind Disordered Eating

  • Same Mask, Different Person

  • Beauty Behind the Mask

  • Reclaiming the Body Through Functionality

“For the first time I feel seen… and that frightens me,” he said over the phone. By then I was a crisis counselor for only two months, and had never spoken to any queer people on the line. He called to process his thoughts of suicide after recently coming out. While he described this experience as “liberating,” he also felt pressured to look like the “other” gay men. What he truly feared was, once again, not being accepted by others. As a queer man who has also navigated this pressure, I was incredibly moved by how similar our stories were. Our conversation made me realize how universal these body-image concerns are in LGBTQIA+ circles. It took becoming a queer-affirming therapist to learn why many people in our community feel hypervisible for their bodies.

The Driving Forces

Eating disorders thrive in privacy. Rituals such as binging, restricting, or compulsively exercising can easily go unnoticed. While anyone can develop these habits, research shows that eating disorders are especially common in the LGBTQIA+ community. This prevalence accounts for the stigma, prejudice, cultural norms, and other unique stressors that permeate queer spaces:

  • A devalued society identity, which might be countered by appearing physically “attractive”

  • The conditioned fear of “taking up space,” which can manifest into restrictive eating

  • The distress of gender dysphoria, which can lead to binge or restrictive eating

  • An internalized lack of masculinity, which is often combated by bulking or anabolic-androgenic steroids (AAS)

  • The pressure to appear thin or “genderless,” which many non-binary people face 

Two nude Black and queer individuals sitting close together against a light blue background, expressing intimacy, vulnerability, and body positivity

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Same Mask, Different Person

I often think of eating disorders as masks: Something we wear to be hidden or falsely seen. Lesbian, gay, bisexual, transgender, and non-binary people face similar, yet different challenges that contribute to body shame or disordered eating. For queer men, dating apps (e.g., Grindr) are known to prize hegemonic masculinity, which sets the standard of muscularity and leanness. These ideals are also rooted in history, as queer men in the 1980-90s were driven to appear fit or “healthy” to signal their HIV/AIDS-negative status. 

These standards also reflect the hegemonic portrayals of masculinity and femininity that transgender and non-binary people face. As these standards are fully realized around puberty, a sense of powerlessness often ignites. The need for control can be overwhelming as secondary sex characteristics (e.g., breasts, hips, thighs, etc.) start to develop. For transgender people, these anatomical features often conflict with their gender identity, intensifying the belief of being born in the “wrong” body. 

Transgender people of color (TPOC) are especially susceptible to body shame and disordered eating as they face high rates of sexual assault and objectification. This trend is often rooted in the historical thread of African Americans being objectified and treated as sexually insatiable (e.g., the “Jezebel” caricature). These interlocking forms of oppression (e.g., cissexism, racism, sexual objectification) are yet more reasons why queer people feel hypervisible for their bodies. 

Beauty Behind the Mask

For my intake session with a former therapist, I described my disordered eating as an attempt to be visible. How remarkable it was to not only navigate this feeling with my counselor, but to do the same now with clients. 

Growing comfortable with our body is a journey with no destination. It is ever-changing and life-long. I once asked a client to name two words that described their body image. These words not only revealed how they viewed themselves, but which underlying beliefs maintain the eating disorder. Disordered eating often reduces the sense of isolation that many queer people face. Others might describe their eating habits as a “means to power.” I am eager to learn what revolves around the client’s body and eating habits. I might employ logotherapy to explore what meaning their body brings. I have read—and learnt from experience—that eating disorders can provide that divine sense of control we long for; to avoid the subjective and objective constraint that queer people face. Thus, comes the overarching question: How do we build a strong and reciprocal relationship with our body?

In my recovery, I was struck by the concept of “bodyfunctionality.” My therapist helped me realize how unrealistic of an expectation it is to love my body every moment of every day. You might be reminded of the #BODYNEUTRALITY trend that has seen waves on social media. I also learnt in counseling that we could view our body as a process, rather than a mere object. We can recognize the body for its ability to experience pleasure, or to execute our creative endeavors—such as writing, painting, or dancing. Never will I be a poet without hands. Our body, as a process, symbolizes time and growth. It acts as a vehicle to meaningfully connect with others. Our body is a gift that stores memory. At Expansive Therapy, the gift is sharing space with someone who might have walked in your shoes. Someone who has learnt that our worth is not dictated by our appearance.

Same Mask, Different Person

I often think of eating disorders as masks: Something we wear to be hidden or falsely seen. Lesbian, gay, bisexual, transgender, and non-binary people face similar, yet different challenges that contribute to body shame or disordered eating. For queer men, dating apps (e.g., Grindr) are known to prize hegemonic masculinity, which sets the standard of muscularity and leanness. These ideals are also rooted in history, as queer men in the 1980-90s were driven to appear fit or “healthy” to signal their HIV/AIDS-negative status. 

These standards also reflect the hegemonic portrayals of masculinity and femininity that transgender and non-binary people face. As these standards are fully realized around puberty, a sense of powerlessness often ignites. The need for control can be overwhelming as secondary sex characteristics (e.g., breasts, hips, thighs, etc.) start to develop. For transgender people, these anatomical features often conflict with their gender identity, intensifying the belief of being born in the “wrong” body. 

Transgender people of color (TPOC) are especially susceptible to body shame and disordered eating as they face high rates of sexual assault and objectification. This trend is often rooted in the historical thread of African Americans being objectified and treated as sexually insatiable (e.g., the “Jezebel” caricature). These interlocking forms of oppression (e.g., cissexism, racism, sexual objectification) are yet more reasons why queer people feel hypervisible for their bodies. 

Beauty Behind the Mask

For my intake session with a former therapist, I described my disordered eating as an attempt to be visible. How remarkable it was to not only navigate this feeling with my counselor, but to do the same now with clients. 

Growing comfortable with our body is a journey with no destination. It is ever-changing and life-long. I once asked a client to name two words that described their body image. These words not only revealed how they viewed themselves, but which underlying beliefs maintain the eating disorder. Disordered eating often reduces the sense of isolation that many queer people face. Others might describe their eating habits as a “means to power.” I am eager to learn what revolves around the client’s body and eating habits. I might employ logotherapy to explore what meaning their body brings. I have read—and learnt from experience—that eating disorders can provide that divine sense of control we long for; to avoid the subjective and objective constraint that queer people face. Thus, comes the overarching question: How do we build a strong and reciprocal relationship with our body?

In my recovery, I was struck by the concept of “bodyfunctionality.” My therapist helped me realize how unrealistic of an expectation it is to love my body every moment of every day. You might be reminded of the #BODYNEUTRALITY trend that has seen waves on social media. I also learnt in counseling that we could view our body as a process, rather than a mere object. We can recognize the body for its ability to experience pleasure, or to execute our creative endeavors—such as writing, painting, or dancing. Never will I be a poet without hands. Our body, as a process, symbolizes time and growth. It acts as a vehicle to meaningfully connect with others. Our body is a gift that stores memory. At Expansive Therapy, the gift is sharing space with someone who might have walked in your shoes. Someone who has learnt that our worth is not dictated by our appearance.

Two nude Black and queer individuals sitting close together against a light blue background, expressing intimacy, vulnerability, and body positivity

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Two nude Black and queer individuals sitting close together against a light blue background, expressing intimacy, vulnerability, and body positivity

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