The Link Between Body Checking and Eating Disorders

Most of us want to present our best selves when we venture into the world, whether that means dressing a certain way or choosing a particular hairstyle; the mirror allows us to have some level of control over how the world sees us, and that can be an empowering, even comforting feeling. But there is a point when concern over what we look like becomes detrimental. When we’re obsessive and ritualistic about assessing our bodies, it’s known as body checking—and it can contribute to the development and relapse of eating disorders.

What Is Body Checking?

Body checking is the compulsive need to evaluate your body to gather information on your weight, size, or the size of various body parts. Examples of body checking include: 
  • Constant checking in the mirror (or other reflective surfaces like windows)
  • Frequent weighing
  • Measuring body parts
  • Squeezing and pinching the skin to evaluate fat or muscle tone
  • Checking muscle tone
  • Feeling and looking for bones
  • Comparing your body to others
  • Seeking validation about appearance from others (1)

What Makes Body Checking Dangerous?

Not only can body checking be a sign of an existing eating disorder, such as anorexia, bulimia, or binge eating disorder, but it can also contribute to the development of an eating disorder.  This behavior can escalate from a normal interest in one’s appearance to a harmful cycle of self-criticism and self-loathing. Body checking can grow into a dangerous obsession with one’s appearance, weight, shape, and size, which then often leads to harmful disordered eating behaviors.  Studies show that among people who suffer from anorexia, body checking leads to behaviors like food restriction, purging by self-induced vomiting or laxative use, excessive exercise, and water loading. As individuals increase the frequency of body checking, they are more likely to practice dangerous weight loss behaviors that can have life-threatening consequences (2).

How Does Body Checking Impact Body Image?

The more you engage in body checking, the worse you may feel about your body. Research shows that this behavior is associated with higher levels of body dissatisfaction and lower self-esteem. In addition to negatively impacting body image, body checking can adversely affect mood, emotions, and overall mental health. It may lead to or worsen anxiety and depression, worsen body dysmorphia, and trigger an obsession with beauty products and cosmetic procedures (1). Social media also has a significant influence on body image, and not always in a good way. Social media often glamorizes unrealistic beauty standards, and body-checking videos are rampant on platforms like TikTok and Instagram. This daily exposure to idealized, smaller body types leads individuals to compare their own bodies to unattainable ideals. Viewing these videos is associated with negative body image, higher body dissatisfaction, an increased obsession with thinness, and increased vulnerability to developing an eating disorder (3).

Signs That Body Checking Is a Problem

If body checking interferes with your daily life and relationships and dictates what you eat, what you wear, and how you spend your time, it has become a problem.  Specific signs that body checking has become harmful to your mental health:
  • Clouds your concentration and judgment
  • Consumes a significant amount of your time
  • Disrupts your eating habits or leads to food restriction
  • Causes you to exercise excessively
  • Affects your performance at school or work
  • Brings on feelings of sadness or hopelessness
  • Increases your anxiety when you can’t weigh yourself or look in a mirror
  • Causes feelings of self-loathing or shame (1)

How Can You Stop Obsessive Body Checking?

It’s crucial to address body checking before it causes serious problems with your body image, mental health, and physical well-being. By taking action early and finding ways to manage these behaviors, you can minimize your risk of long-term unhealthy habits.  The following actions can help you take back control:  Keep a record of how often you body check. This record will provide you with a visual representation of the frequency of your body checking behaviors; you may not realize how often you scrutinize your body until you see the data in front of you.  Try to resist or limit your urge to body check. For example, try not to weigh yourself more than once a day or measure your body parts more than once a month. Eliminate triggers. Get rid of the scale and the tape measures, or cover your mirror if it triggers your body-checking behaviors. Unfollow social media accounts that promote body checking or negativity and limit your overall social media use. Manage your stress. Finding activities that relieve your anxiety and keep your mind occupied can help you decrease stress levels. Get professional help. Body checking is closely associated with eating disorders. When this behavior becomes a ritual that you struggle to control, it’s time to get help from a healthcare professional, such as a psychiatrist or a therapist who specializes in eating disorder treatment therapies (1). As you navigate your issues with body checking, you may be tempted to avoid any exposure to your own body whatsoever. This behavior is known as body avoidance.  Body avoidance is the practice of obsessively avoiding looking at or acknowledging one’s own body. It’s characterized by behaviors that hide your body from the world and yourself, e.g., wearing loose or baggy clothing and avoiding situations or activities where one’s body might be exposed.  It’s important to understand that body avoidance does not help with body checking; it’s an unhealthy coping mechanism used by individuals who are experiencing severe body image distress.  A person who practices body avoidance may be suffering from a more severe eating disorder than one who engages in body checking alone (4).

Body Checking in Eating Disorder Recovery

Body checking can contribute to an eating disorder relapse. When you’re in recovery, pay attention to your body checking behaviors. If you find yourself tempted to body check or to body check more frequently, you may need to reach out for support. Remember: eating disorder relapse doesn’t happen instantly. There is often a series of minor slip-ups and signs that culminate in a relapse. It’s important to determine if body checking is one of your red flags (5). An eating disorder treatment program can help you change harmful behaviors and replace them with healthy coping skills. Aster Springs offers a variety of evidence-based treatment options tailored to meet each individual’s needs. If you want to begin your journey toward recovery, contact our team at 804-415-7603 and get the guidance you deserve.   
Resources:
  1. Arzt, N. (2022, September 22). What is body checking? Choosing Therapy. https://www.choosingtherapy.com/body-checking/
  2. Goeden, A. V., Schaefer, L. M., Crosby, R. D., Peterson, C. B., Engel, S. G., Le Grange, D., Crow, S. J., & Wonderlich, S. A. (2023). Examining the momentary relationships between body checking and eating disorder symptoms in women with anorexia nervosa. Eating Behaviors, 50, 101751. https://pubmed.ncbi.nlm.nih.gov/37244020/  
  3. Jiotsa, B., Naccache, B., Duval, M., Rocher, B., & Grall-Bronnec, M. (2021). Social media use and body image disorders: Association between frequency of comparing one’s own physical appearance to that of people being followed on social media and body dissatisfaction and drive for thinness. International Journal of Environmental Research and Public Health, 18(6), 2880. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8001450/ 
  4. Bijsterbosch, J.M., Keizer, A., Boelen, P.A., van den Brink, F., & Sternheim, L. C. (2022). Understanding relations between intolerance of uncertainty and body checking and body avoiding in anorexia nervosa. Journal of Eating Disorders, 10, 122. https://jeatdisord.biomedcentral.com/articles/10.1186/s40337-022-00647-1#citeas
  5. National Eating Disorders Association (NEDA). (n.d.). Recovery from an eating disorder. Retrieved March 18, 2024, from https://www.nationaleatingdisorders.org/learn/general-information/recovery

Explore this article

Let’s be honest about eating disorders.

Alycia Aldieri, Head of Admissions for Aster Springs, has firsthand experience with eating disorder recovery, as well as years of experience working directly with individuals struggling with eating disorders. In this video series, Aldieri explores some of the most common and powerful barriers to seeking treatment.

Let’s be honest about financial concerns.

The cost of treatment can feel overwhelming — but your recovery is priceless.

Let’s be honest about being close to home.

Being close to home feels comfortable — but is it what’s best for recovery? Eating disorders thrive on routine and familiarity, making the idea of traveling for treatment feel overwhelming. But staying close to home can also make it easier to leave treatment when things get tough.

Let’s be honest about denial.

Denial keeps eating disorders alive. Eating disorders thrive in secrecy and denial. If you don’t believe you’re sick, why would you seek help? That’s precisely how eating disorders stay in control.

Let’s be honest about denial in parents.

Denial is a natural response — but delaying the proper care can prolong suffering. For many parents, accepting that their child needs eating disorder treatment is an overwhelming and emotional experience. But early, appropriate intervention is key to lasting recovery.

Let’s be honest about isolation.

Eating disorders thrive in isolation, convincing you that you’re better off alone. But the truth is, isolation only makes things worse. It shrinks your world and traps you in a cycle of self-doubt and despair.

Let’s be honest about change.

Change is hard, but so is staying stuck. Living with an eating disorder can feel like the only way to survive. Even when it causes chaos, it becomes familiar — making change feel overwhelming.

Let’s be honest about guilt + shame in parents.

As a parent, it’s heart-wrenching to make the decision to send your child to treatment, especially when that child doesn’t want to go.

Let’s be honest about guilt + shame.

Guilt and shame can trap you in the cycle of an eating disorder, making it challenging to seek the treatment you need.

Let’s be honest about fear in parents.

Deciding to seek treatment for your child is scary — but doing nothing is scarier.

Let’s be honest about fear.

You are stronger than your fears. Treatment is hard, but so is staying stuck in the cycle of an eating disorder. You can do hard things. And on the other side of fear? A life worth living.

Executive Director, Outpatient Columbus

Kim LaBarge MS, NCC, LPCC-S

As Executive Director of Aster Springs Outpatient Columbus, Kim is dedicated to providing exceptional clinical care through group, individual, and family therapy.

She holds a bachelor’s degree in psychology from St. Mary’s College of Maryland. After several years at a Baltimore-based nonprofit, she transitioned to counseling to make a more profound impact. Kim earned her master’s in clinical mental health counseling from Johns Hopkins University, focusing on helping individuals achieve lasting positive change.

Executive Director, Outpatient Cincinnati

Natalie Fausey RD, LD

As the Executive Director of Aster Springs Outpatient Cincinnati, Natalie provides both clinical and operational leadership to the team.

She holds a bachelor’s in human nutrition from The Ohio State University and has been a registered and licensed dietitian since 2018. Previously, Natalie served as the clinical dietitian at Aster Springs for three years. She is passionate about food’s multifaceted role in life, from nourishment and enjoyment to fostering connection, culture, and tradition.

Dedicated to empowering her team, Natalie ensures the highest standards of care for every client. Outside work, she enjoys spending time with loved ones, exploring new destinations, and discovering unique coffee shops and restaurants.

Executive Director, Aster Springs VA & Outpatient Richmond

Sara Berry LMHC, MBA

Sara joined Aster Springs Outpatient Jeffersonville as Executive Director in August 2023, bringing nearly 20 years of clinical and operational experience. She has worked in community mental health, inpatient and residential psychiatric treatment, and child welfare services.

She earned a bachelor of arts in psychology and a master’s of education in counseling psychology from the University of Louisville, followed by a master’s in healthcare management from the University of Southern Indiana. Since 2005, she has worked in behavioral health across Jeffersonville and surrounding communities.

In leadership since 2009, Sara has held key roles blending clinical and operational expertise. Her clinical interests include eating disorders, mood and anxiety disorders, trauma, and family systems. Passionate about helping others reach their full potential, she enjoys reading, family time, and the outdoors.

Executive Director, Aster Springs VA & Outpatient Richmond

Melanie Vann MA, LPC, NCC

Melanie holds a master’s in counseling psychology from Regent University and is a licensed mental health provider in Virginia.

She began her career treating eating disorders and specializes in trauma-based therapy, DBT, and experiential therapies. She became a certified equine-assisted therapist through EAGALA and a certified life coach through AACC to deepen her expertise. Melanie has worked in various mental health settings, including program development, nonprofits, podcasting, consulting, outreach, and education. She has held roles such as primary therapist, program director, clinical director, and executive director.

Melanie’s client-centered, strengths-focused approach reflects her belief that full recovery from an eating disorder is possible. Passionate about fostering hope, she helps individuals live confident, empowered, and authentic lives.

Executive Director, Aster Springs TN & Outpatient Nashville

Amber Lucchino LCSW, LADAC

Amber is a licensed clinical social worker and a licensed alcohol and drug abuse counselor with nearly 20 years of experience in the behavioral health field. With 22 years of recovery from an eating disorder, she brings a unique understanding and perspective to her role as a leader at Aster Springs.

Amber earned her bachelor’s in social work from Union University and her master’s from Columbia University in New York City. She has experience in outpatient and residential treatment settings, where she has held positions ranging from direct client care to program management and director roles focusing on staff development and organizational wellness. In addition to eating disorders, she has clinical experience in trauma and co-occurring disorders. She enjoys providing training within the community and has served as an adjunct professor in the department of social work for Belmont University in Nashville, Tennessee.

Amber is married and has four children. In her spare time, she can be found at the barn with horses or hiking on nearby trails. She loves cake decorating, spontaneous dance parties, and anything outdoors. Her motto is: “Pay attention to what brings you joy and do more of that.

AVP of Eating Disorder Admissions

Stefan Glamp

Stefan is the National Director of Alum Services for Odyssey Behavioral Health, leading Aster Springs’ efforts to build compassionate, connected alum communities.

With extensive experience in addiction and mental health recovery, he specializes in fostering community partnerships and supporting clients in their unique recovery journeys, believing long-term recovery is achievable.

Stefan’s approach enhances treatment effectiveness by providing structured, ongoing support for all Aster Springs alums.

AVP of Eating Disorder Admissions

Alycia Aldieri LPC

As AVP of Admissions for Odyssey Behavioral Healthcare’s Eating Disorder Network, Alycia ensures a compassionate, responsive, and seamless admissions experience.

With a background in residential treatment for adults and adolescents with co-occurring disorders, Alycia holds a master’s in clinical psychology from Benedictine University and a bachelor’s in music therapy from East Carolina University. Her approach integrates clinical expertise, spiritual beliefs, and 12-step principles.

Committed to integrity, compassion, and ethics, Alycia believes recovery is possible for anyone willing to pursue it. She finds deep fulfillment in serving others and is dedicated to guiding clients and families with care and support through every step of the admissions journey.

National Director of Nutrition Programming

Tammy Beasley MS, RDN, CEDS-C

Tammy has over 35 years of experience in eating disorder recovery. She was the first dietitian certified as an eating disorder specialist (CEDS) by iaedp in 1993 and played a key role in securing certification approval for dietitians.

Tammy co-authored the Academy of Nutrition and Dietetics’ Standards of Practice for eating disorder RDNs and has developed nutrition programs nationwide. She mentors clinicians, serves as a media resource, and runs a private practice supporting clients and organizations.

Passionate about full recovery, Tammy’s guiding principle is “Do no shame.

AVP of Clinical Operations

Kate Fisch LCSW, CEDS

As AVP of Clinical Operations for the Odyssey Behavioral Health Eating Disorder Network, Kate plays a key role in shaping Aster Springs’ exceptional clinical care across all levels.

With nearly two decades of experience in eating disorder treatment, Kate has provided direct client care at every level and is deeply committed to clinical supervision. Her passion lies in supporting and developing fellow treatment providers to enhance the quality of care in the field.

Kate earned a bachelor’s degree in psychology from Indiana University and a master’s in social work from Washington University in St. Louis, Missouri.

Medical Director

Dr. Tom Scales

Dr. Scales is the network medical director for Odyssey Behavioral Healthcare’s eating disorder network, including Aster Springs, where he provides psychiatric and medical care to clients.

He earned his undergraduate degree from Wheaton College, attended medical school at the University of Tennessee, Memphis, and completed his internal medicine and psychiatry residency at Rush Presbyterian St. Luke’s Medical Center in Chicago, Illinois. An advocate for eating disorder awareness, Dr. Scales has delivered community presentations, made media appearances, and hosted the web-based radio show Understanding Eating Disorders.

He is a diplomat on the American Board of Internal Medicine, the American Board of Psychiatry and Neurology, and addiction medicine through the American Board of Preventive Medicine. Most importantly, he is a husband and proud father of two children. 

Chief Executive Officer

Chrissy Hall LCSW

As Group CEO, Chrissy oversees operations, the executive leadership team, and clinical service delivery at Aster Springs.

With over 25 years in behavioral healthcare, she began as a direct care staff member and has since held executive roles in clinical and business development. Her experience spans residential treatment centers, acute care hospitals, outpatient centers, and military treatment programs. Chrissy specializes in clinical best practices, program development, staff education, and quality and compliance for startups.

Passionate about leading teams to provide exceptional care in safe, therapeutic environments, Chrissy holds a master’s in social work from Virginia Commonwealth University and is a licensed clinical social worker.

Connect with the Aster Springs admissions team to start the referral process.

Connect with admissions at Aster Springs Outpatient Jeffersonville/Louisville.

Connect with admissions at Aster Springs Outpatient Columbus.

Connect with admissions at Aster Springs Outpatient Cincinnati.

Connect today with the Aster Springs Virginia admissions team.

Connect with admissions at Aster Springs Outpatient Nashville.

Connect today with the Aster Springs Tennessee admissions team.

Connect today with the Aster Springs admissions team.

Aster Springs Richmond

Located in the heart of Richmond’s West End in Glen Allen, VA, Aster Springs Outpatient specializes in treating adults of all genders, ages 18 and older, who struggle with eating disorders.

Location

3957 Westerre Pkwy., Ste. 208, Richmond, VA 23233

Who We Treat

Adults (ages 18+) of all genders

Levels of Care

Partial hospitalization program (PHP), intensive outpatient program (IOP)

What We Treat

Anorexia, ARFID, binge eating disorder, bulimia, body dysmorphic disorder, OSFED

Aster Springs Outpatient Nashville

Located near the heart of downtown Nashville, Aster Springs Outpatient specializes in treating adults of all genders who are struggling with eating disorders. Our programs are LGBTQIA+-affirming and inclusive of all religious preferences.

Location

2900 Vanderbilt Pl., Ste. 200B, Nashville, TN 37212

Levels of Care

Partial hospitalization program (PHP), intensive outpatient program (IOP)

Who We Treat

Adults (ages 18+) of all genders

What We Treat

Anorexia, ARFID, binge eating disorder, bulimia, body dysmorphic disorder, OSFED

Aster Springs Outpatient Columbus

Located in the heart of Dublin, Aster Springs Outpatient Columbus offers a warm, sunlit environment that feels like home. We specialize in treating adolescents and adults of all genders — ages 12 and older — who struggle with eating disorders and co-occurring conditions.

Location

3530 Irwin Simpson Rd., Ste. B, Mason, OH 45040

Levels of Care

Partial hospitalization program (PHP), intensive outpatient program (IOP), evening virtual IOP

Who We Treat

Adults + adolescents (ages 16 & older) of all genders

What We Treat

Anorexia, ARFID, binge eating disorder, bulimia, body dysmorphic disorder, OSFED

Aster Springs Outpatient Cincinnati

Located just northeast of Cincinnati in Mason, Ohio, Aster Springs Outpatient in Cincinnati specializes in treating adolescents and adults of all genders, ages 16 and older, struggling with eating disorders.

Location

3530 Irwin Simpson Rd., Ste. B, Mason, OH 45040

Levels of Care

Partial hospitalization program (PHP), intensive outpatient program (IOP), evening virtual IOP

Who We Treat

Adults + adolescents (ages 16 & older) of all genders

What We Treat

Anorexia, ARFID, binge eating disorder, bulimia, body dysmorphic disorder, OSFED

Aster Springs Outpatient Jeffersonville

Minutes away from the heart of the Ohio River Valley, Aster Springs Outpatient in Jeffersonville provides compassionate, innovative eating disorder treatment that is inclusive of diverse populations and cultures.

Location

4500 Town Center Blvd., Ste. 103, Jeffersonville, IN 47130

Levels of Care

Partial hospitalization program (PHP), intensive outpatient program (IOP), evening virtual IOP

Who We Treat

Adults (ages 18+) | Adolescents (ages 13-17)

What We Treat

Anorexia, ARFID, binge eating disorder, bulimia, body dysmorphic disorder, OSFED

Aster Springs Virginia

Aster Springs Virginia is composed of two locations in Richmond, each offering exceptional, compassionate eating disorder treatment within peaceful, comforting environments.

Locations

Manakin-Sabot & Glen Allen

Levels of Care

Residential treatment, partial hospitalization program (PHP) with housing, intensive outpatient program (IOP)

Who We Treat

Adult women (Residential) | Adults of all genders (PHP + IOP)

What We Treat

Anorexia, ARFID, binge eating disorder, body dysmorphic disorder, bulimia, OSFED

Aster Springs Tennessee

Located just minutes away from downtown Music City, our multidisciplinary treatment team provides tailored treatment plans designed to meet the unique needs of each client. 

Location

7544 Old Harding Pike, Nashville, TN 37221

Levels of Care

Residential treatment, partial hospitalization program (PHP) with housing

Who We Treat

Adults (ages 18+) | All genders

What We Treat

Anorexia, ARFID, binge eating disorder, body dysmorphic disorder, bulimia, OSFED

Aster Springs Ohio

Located near a winding creek on a peaceful, private stretch of land in Toledo, Aster Springs Ohio combines evidence-based, whole-person eating disorder treatment with a tranquil, home-like setting. 

Location

5465 Main St, Sylvania, OH 43560

Levels of Care

Residential treatment, partial hospitalization program (PHP) with housing

Who We Treat

Adults (ages 18+) | Adolescents (ages 10-17)

What We Treat

Anorexia, binge eating disorder, bulimia, purging disorder, ARFID, co-occurring mental health conditions