BeWell

Back to School Eating Disorder Triggers: Why September Can Be Difficult for Teens and Young Adults

September often feels like a fresh start.

New classes. New routines. New goals.

But for many teens and young adults, returning to school can also bring increased stress, pressure, and changes in eating behaviors.

A student may appear excited about returning to school while privately struggling with anxiety around meals, body image, or food choices. These changes can be easy to overlook because they often develop gradually.

Back to school is not only a transition academically. It can also be a vulnerable time for individuals experiencing eating disorders or disordered eating patterns.

This article explores why school transitions can affect eating habits, what signs families should look for, and when additional support may be helpful.


Why Back to School Can Increase Eating Disorder Symptoms

Transitions create uncertainty.

For many students, summer provides more flexibility around meals, schedules, and social situations. Returning to school often introduces:

  • Fixed lunch periods
  • Less control over meal timing
  • Academic pressure
  • Social comparison
  • Increased exposure to appearance-related conversations

For someone struggling with their relationship with food, these changes can feel overwhelming.

Eating disorders are complex mental health conditions influenced by biological, psychological, and social factors. Stressful transitions can intensify existing thoughts, emotions, and behaviors.


How School Stress Can Affect Eating Habits

1. Skipping meals because of busy schedules

One of the most common changes during the school year is irregular eating.

Students may:

  • Skip breakfast because they are rushing
  • Avoid lunch because they do not feel comfortable eating at school
  • Delay eating until they get home

While skipping meals may seem small, consistent missed meals can affect concentration, mood, energy, and growth and development.

2. Increased comparison with peers

School environments often increase exposure to conversations about:

  • Weight loss
  • Exercise
  • Calories
  • Appearance

Even casual comments about food or bodies can influence how students view themselves.

For someone already experiencing body dissatisfaction, these conversations can reinforce harmful beliefs.

3. Feeling pressure to control food

Some students respond to school stress by trying to create more control around eating.

This may include:

  • Creating strict food rules
  • Avoiding certain foods
  • Tracking food excessively
  • Feeling anxious when routines change

What begins as an attempt to feel organized can become rigid, restrictive and stressful.


Signs Parents and Caregivers Should Pay Attention To

Eating disorder symptoms are not always obvious.

Some signs may include:

  • Changes in eating patterns
  • Avoiding meals with family
  • Increased anxiety around food
  • Frequent comments about weight or appearance
  • Withdrawal from social activities involving food
  • Increased exercise or movement used to compensate
  • Changes in mood or energy

One sign alone does not mean someone has an eating disorder. However, patterns that continue or worsen deserve attention.


How Families Can Support Teens During Back to School

Create predictable meal routines

Regular meals help support physical and emotional regulation. Be mindful of ensuring lunch and snacks are available when the teen is at school (ie: packing lunches).

Avoid focusing conversations on weight

Shift conversations toward energy, health, and wellbeing, as well as what the body can do as opposed to just what it looks like.

Ask about experiences, not just behaviors

Instead of asking, “Why didn’t you eat lunch?” try:

“How has eating at school been feeling lately?”

Seek support early

Early intervention improves outcomes and can prevent symptoms from becoming more entrenched. Your teen does not have to be diagnosed to benefit from support: waiting for diagnosis may mean waiting for things to get worse.


Final Thoughts

Back to school can be an exciting transition, but it can also create challenges for those struggling with eating concerns.

Paying attention to changes in eating behaviors, stress levels, energy and emotional wellbeing can make it easier to provide support early.

You do not need to wait until symptoms become severe before reaching out.


References

Golden, N. H., Schneider, M., & Wood, C. (2016). Preventing obesity and eating disorders in adolescents. Pediatrics, 138(3).

American Psychiatric Association. (2023). Practice guideline for the treatment of patients with eating disorders.

Reviewed and Edited by NourishED Program Manager: Sara Dalrymple, RSW

About the Author

SARAH SCHWALM Registered Psychotherapist

With over 20 years of experience, Sarah offers a compassionate, strength-based, holistic therapy space that supports youth, adults, families, and parents. She is trained in CBT, DBT, Narrative Therapy, Brief Solution-Focused Therapy, Motivational Interviewing, and Mindfulness. In addition to her professional role, Sarah is also a mom, which brings an added depth of empathy and understanding to her work with children and families.


AGE RANGES

Youth Adults Families & Parents

SPECIALTIES

Trauma Self-Esteem ADHD Relationship & Family Conflict School Avoidance Body Image Substance Use Complex Mental Health

SERVICES

Talk Therapy

SHIRI BARTMAN Psychologist & BCBA

Shiri is a dually registered Clinical Psychologist and Board Certified Behaviour Analyst. She has extensive experience working with neurodivergent children, teens, and their families, including conducting developmental, diagnostic and psychoeducational assessments.


AGE RANGES

Children Teens

SPECIALTIES

Neurodivergence Diagnostic & Psychoeducational Assessments Behavioural Interventions Developmental Support Family Coaching

SERVICES

Assessment & Diagnosis