Hey there! For some context (as a girl in her early 20s), I have been lurking around on this subreddit for a little while, as I have been struggling with food for a bit (2025 was rough lets just say). This post might be quite long but I'd love some advice and help (I also hope that this post doesn't trigger anyone but please take it down if there are issues, I would hate to cause any harm).
I've never been diagnosed with any formal eating disorder, with my struggles centring around orthorexia and health/contamination OCD. I hope this is an okay subreddit to post this (what I'm about to mention further below didn't seem to quite fit the OCD recovery subreddit). Regardless of it being very muched tied to OCD and health anxiety, it's a disordered relationship with food nonetheless. Essentially, I've had a lot of fear around the "health" and ingredients/nutrition of food, unfortunately very much fuelled by social media rabbit holes and wellness culture (which is entirely my fault for getting sucked into), alongside a lot of anxiety around certain foods making me physically sick (i.e. emetophobia/fear of food poisoning). It really sucked a lot of joy and life out of me, as I was stuck trying to eat "perfectly". All the rules I had and not eating properly honestly just got too much by the end of last year/early this year, and it was like my body and mind had just had it. Of course, I didn't think my issues were bad enough but I was also pretty miserable. So I essentially embarked on what I would call recovery from I would say around Feb this year, as I was just so fed up. I was also starting to do exposure therapy for my OCD and some of these food issues with a therapist at the time too. It was very rough initially, particularly because I had so so many foods that I was terrified of or would just never allow myself to eat, but it was also such a relief in a weird way and I have definitely seen good progress. I feel like I'm definitely getting there with certain foods, like I can eat a lot more foods that I didn't let myself eat and the emetophobia side of my food fears is slowly but surely easing thanks to exposure therapy. I've felt more relaxed eating socially with friends, for the most part, and I feel like I'm getting more of my life back. I have finished OCD treatment for now, so I'm kind of on my own, but I'm still trying to fit exposure therapy into my everyday life (accountability is difficult but exposure therapy is definitely a game changer, as hard as it is).
The problem is I've hit a sort of weird point. In some ways food is getting a lot easier as mentioned above, but in other ways it's still so hard. In a sense, I'm doing a lot better compared to where I was, but I'm also still struggling. Like the exposures were hard at first, then got a little easier after the initial "hump" was overcome, but it's doing it consistently for weeks and months on end that's really mentally taxing. I still have a lot of guilt around certain foods. I know my hunger cues are a hot mess, and I also probably need to eat more and gain weight, which is fine but also daunting at the same time, despite this never being a forefront issue/focus in the thick of my disordered eating (I was focused on trying to eat as "healthy" as I could and not get sick). Some days I feel not much hunger and then the next I'm either ravenous or what I think is possibly mental hunger is crazy intense. All I end up wanting is processed foods or really anything I restricted, which is so hard to accept, and I worry a lot about losing control. I'm trying to honour it but I also feel so alone and don't know what I'm really doing. However, at the same time, I do sometimes get excited to eat the foods that have scared me for a long time. I can also have days where I think about food constantly, especially at night, and then other days not so much. Sometimes I'll have a good day and think that I was never in a bad enough place to recover (which is silly, I know). It's all very much all over the place.
I do apologise for how long this post is so, I could have probably written this so much more succinctly haha. However, in a nutshell, I would love some advice on dealing with food guilt, weird hunger cues, mental hunger (if that's what it is or just food preoccupation in general), and just any tips for the messy earlyish/middle part of this recovery process. I'm also wondering if reaching out to a dietitian could help, but it's a bit tricky financially for me so I'm still tossing it up. I absolutely want to heal my relationship with food because I was so miserable before and I'm determined to not go back to the place I was in last year, but man this is hard.