AI and Body Image: Emerging Risks for Eating Disorders in Durham Region

As artificial intelligence (AI) becomes part of everyday life, it’s changing how people look for emotional support and mental health information. But for individuals living with eating disorders (anorexia, bulimia or ARFID) or body dysmorphic disorder (BDD), these tools may quietly do more harm than good.

If you’re seeking eating disorder therapy in Durham Region, it’s important to understand how digital technology can affect body image and recovery—and when professional support may be the healthier choice.

When Helpful Technology Becomes Harmful

AI chatbots are designed to engage users, not to provide accurate or therapeutic guidance. It is important to note, these programs often prioritize interaction over truth.

While they may sound caring and supportive, they can unintentionally:

• Reinforce unhealthy eating behaviors

• Validate distorted body image beliefs

• Share inaccurate or fabricated health information

• Promote weight-loss and diet culture content that can trigger relapse

For people already managing eating disorder symptoms, this misinformation can increase anxiety, shame, and self-criticism.

AI and the Risk of Biased Body Image Feedback

Eating disorder therapists are warned about another risk—people with eating disorders may engage in seeking appearance-related feedback from AI.

When users ask chatbots or AI image tools for comments on their looks, they can receive biased or unrealistic feedback shaped by cultural stereotypes. These systems often reflect societal beauty biases involving racism, sexism, ageism, and ableism. Over time, this can worsen body dissatisfaction and reinforce perfectionistic thinking, especially among those already vulnerable to body dysmorphia or disordered eating.

Supporting Loved Ones in the Digital Age

If someone you care about is struggling with body image or disordered eating, connection and understanding are essential. You can support them by:

• Encouraging open, non-judgmental conversations

• Promoting professional therapy rather than online advice

• Reinforcing body neutrality and self-compassion

• Helping them set healthy boundaries with technology

At Cedar Tree Therapy, we help clients in Whitby, Oshawa, Pickering, and across Durham Region develop healthier relationships with their bodies and with the digital world around them.

Eating Disorder Therapy in Durham Region

Cedar Tree Therapy offers compassionate, evidence-based eating disorder therapy for individuals across Durham Region, including Whitby, Oshawa, Ajax, and Pickering.
We provide both in-person and virtual sessions, helping clients heal their relationships with food, body, and self.

Frequently Asked Questions (FAQ)

1. Is AI safe for mental health advice?

While AI chatbots can provide general information and emotional support, they are not a substitute for professional therapy. It is important to note they are designed to always be validating to promote user engagement. AI lacks the ability to provide personalized guidance, challenge unhealthy behaviours, or accurately assess risk for eating disorders and body dysmorphic disorder. If you’re concerned about your mental health or body image, it’s best to seek eating disorder therapy in Durham Region from a licensed professional, such as those at Cedar Tree Therapy.

2. How can I tell if someone needs professional eating disorder support?

Signs that a loved one may need help include restrictive eating, compulsive exercise, frequent body checking, extreme concern about weight or shape, or emotional distress related to food and body image. Early intervention with a qualified therapist can improve recovery outcomes. Cedar Tree Therapy offers confidential support for individuals across Whitby, Oshawa, Pickering, and Ajax and virtually to anyone living in Ontario.

3. Can AI worsen body image issues?

Yes. AI chatbots and image-based tools can unintentionally reinforce unrealistic beauty standards or biased feedback. These systems may reflect societal stereotypes, including sexism, ageism, racism, and ableism, which can amplify anxiety, self-criticism, and disordered eating behaviours. Professional therapy provides a safe and evidence-based alternative.

4. How do I find eating disorder therapy in Durham Region?

Start by looking for licensed therapists who specialize in eating disorders and body image concerns in your area. Cedar Tree Therapy provides both virtual and in-person therapy for individuals in Whitby, Oshawa, Ajax, Pickering, and the surrounding Durham Region. Booking a consultation allows you to explore therapy options in a safe, supportive environment. If you’re tired of being in this alone, we are here to walk along side you.

About the Author

Dana Etherington is an Occupational Therapist, Psychotherapist and the owner of Cedar Tree Therapy, a psychotherapy practice located in Brooklin, Ontario. Dana uses evidence based treatment modalities to treat anxiety, obsessive compulsive disorder (OCD) and eating disorders.

How to Help A Friend In Eating Disorder Recovery

When someone you care about is in recovery from an eating disorder, it’s natural to want to help, but knowing how can be difficult. Eating disorders are complex, deeply rooted struggles that go far beyond food or appearance. As a therapist who works closely with clients in recovery, I’ve seen firsthand how crucial support from friends and loved ones can be. Done well, your support can help reinforce recovery and rebuild trust in connection. Done carelessly, even well-meaning comments can inadvertently trigger shame or setbacks.

If you're wondering how to be a truly supportive friend, here are some guidelines to keep in mind.

1. Educate Yourself

Start by learning about eating disorders and what recovery actually entails. Eating disorders are not choices, they are serious mental health conditions with physical, emotional, and behavioural dimensions. Recovery isn't linear, and it doesn’t end with weight restoration or the ability to eat certain foods again. Understanding this helps you approach your friend with empathy instead of judgment or oversimplified advice.

Local Ontario resources to explore:

• NEDIC (National Eating Disorder Information Centre): Offers information, support, and a toll-free helpline across Canada.

• Body Brave: Based in Ontario, this organization offers virtual support programs for individuals and loved ones.

• Sheena’s Place: A Toronto-based community mental health charity offering free support groups and workshops (virtual and in-person) for people affected by eating disorders.

2. Avoid Talking About Bodies and Food

Even compliments like “You look healthy” or “I’m so glad you’re eating more” can be triggering. You don’t know how your friend interprets these comments, they might equate “healthy” with “gained weight,” which can activate eating disorder thoughts. These comments are unnecessary and perpetuate the faulty idea that the most important thing about a person is their appearance.

Instead:

• Compliment other attributes about them that are not related to their physical appearance. Their kindness, their thoughtfulness, their intellect.

• Focus on how they’re feeling, not how they look.

• Let them set the tone if they want to talk about food or meals.

3. Respect Their Boundaries

Your friend may not want to talk about their eating disorder, and that’s okay. Or they may want to talk, but not all the time. Respect where they are. Ask open questions like, “Do you feel like talking about how things are going?” rather than pushing them to open up.

Also, avoid becoming their therapist. Your job is not to treat them, it’s to be a steady, non-judgmental presence. If you're concerned, encourage them to reach out to a professional rather than trying to take it all on yourself.

4. Offer Support Around Meals (If Invited)

Meal times can be one of the most stressful parts of recovery. If your friend expresses that they’d like support, offer to sit with them during a meal or create a distraction after eating to help them cope with the anxiety.

Avoid watching what they eat or making comments like:

• “Are you sure that’s enough?”

• “I could never eat that much!”

• “You’re doing so well!”

Instead, try being a calming, normalizing presence. You can say:

• “I’m glad we get to enjoy a meal together”

• “Want to watch something after?”

• Offer distracting conversation, unrelated to food or appearance.

5. Be Patient with Setbacks

Relapsing back into disordered eating habits is not uncommon in eating disorder recovery. Don’t treat it as failure. Instead, show your friend that your care for them isn’t conditional on their progress.

You might say:

• “I’m here for you no matter what.”

• “You’re not alone in this. We can take things one day at a time.”

• “Have you talked to your therapist about how you’re feeling?”

It is likely your friend is already feeling a lot of shame. Scolding or lectures from you will only add to it. Instead, your steady, compassionate presence can help reduce it.

Final Thoughts

Your friend’s recovery journey is theirs alone, but your support can make an enormous difference. By listening without judgment, respecting their autonomy, and showing up consistently, you send a powerful message: You are not alone. You are worthy of care. You matter.

That message - more than any advice- might be exactly what they need to keep going.

If you or a loved one is navigating an eating disorder, I invite you to reach out. You don’t have to do it alone. To learn more about therapy for eating disorders or to schedule a virtual consultation, please contact me using the button below.

About the Author

Dana Etherington is an Occupational Therapist, Psychotherapist and the owner of Cedar Tree Therapy, a psychotherapy practice located in Brooklin, Ontario. Dana uses evidence based treatment modalities to treat anxiety, obsessive compulsive disorder (OCD) and eating disorders.

A Compassionate Path to Eating Disorder Recovery

Eating disorders are complex. They are not just about food, weight, or appearance—they are deeply rooted in emotional pain and, often, a need for control or safety. Whether you or someone you love is struggling, know this: eating disorders are rarely simply about the food.

As a therapist who specializes in eating disorder treatment, I’ve had the privilege of walking beside clients through some of their most vulnerable moments. This work has shown me over and over again that recovery is not only real, but transformative. If you’re reading this and wondering whether healing is truly possible, I want you to know: it is.

Understanding Eating Disorders: More Than Meets the Eye

Eating disorders come in many forms and affect people across all ages, genders, body types, ethnicities, and backgrounds. They are not always visible from the outside. People of all body shapes and sizes can experience eating disorders.

Some of the most common eating disorders include:

• Anorexia Nervosa: Characterized by restriction of food intake, intense fear of gaining weight, and a distorted body image.

• Bulimia Nervosa: Involves cycles of binge eating followed by the compensatory behaviour of purging.

• Binge Eating Disorder (BED): Involves recurring episodes of consuming large quantities of food, often rapidly and to the point of discomfort, without compensatory behaviors.

• Avoidant/Restrictive Food Intake Disorder (ARFID): A pattern of eating disturbances often tied to sensory issues or fear of aversive consequences, not driven by body image concerns.

• Orthorexia (not yet officially recognized in the DSM): An unhealthy obsession with "clean" or "healthy" eating that can severely disrupt a person’s life.

While each disorder has unique traits, they all share a common thread: emotional distress expressed through food and the body.

Myths That Get in the Way of Healing

Eating disorders are surrounded by harmful myths that can delay treatment and deepen shame. Let’s dispel a few:

• “You don’t look like you have an eating disorder.” Eating disorders do not have a “look.” People of all sizes can experience eating disorders.

• “It’s just a phase.” Eating disorders are serious mental health conditions that require professional support and are not to be brushed off. They are the most fatal psychiatric illness.

• “If they would just eat, they’d be fine.” Recovery is not just about eating differently, it’s about healing psychologically as well.

• “They’re just doing it for attention.” There is immense shame that comes with an eating disorder and it is a mental illness that no one would willfully choose.

Letting go of these myths opens the door for empathy, intervention, and hope.

What Recovery Really Looks Like

Recovery from an eating disorder is not a straight line. It’s more like a winding path—filled with highs and lows, setbacks and breakthroughs. That’s not a sign of failure. It’s how real, meaningful change works.

Here’s what recovery may involve:

1. Reconnecting with the Body

Many people with eating disorders feel disconnected from their bodies—either ignoring hunger cues or feeling at war with their physical selves. In recovery, we begin to rebuild trust with the body: listening, responding, and caring for it rather than controlling or punishing it.

2. Addressing the Root Causes

Eating disorders often serve a function: numbing emotional pain, providing a sense of control, or coping with trauma, anxiety, or low self-worth. Therapy creates space to explore and heal these underlying issues.

3. Rewriting the Inner Dialogue

The inner critic in eating disorders can be relentless. Part of recovery is learning to challenge that voice and cultivate a new one- one rooted in compassion, curiosity, and self-acceptance.

4. Creating a Life Beyond the Disorder

As healing progresses, clients begin to rediscover who they are beyond the eating disorder - reconnecting with passions, relationships, values, and dreams that may have been buried or put on hold.

What Progress Looks Like (Even When It’s Hard to See)

Recovery looks different for everyone and progress can take many forms. Sometimes, it might look like one of these things:

• Eating in a social setting with friends despite feeling anxious

• Choosing rest instead of compulsive exercise

• Recognizing a trigger before acting on it

• Crying instead of restricting

• Feeling an emotion fully, without numbing

These moments are profound victories. They may seem small, but they are the building blocks of sustainable healing.

For Those Who Love Someone Struggling

If someone you care about is living with an eating disorder, you may feel confused, helpless, or scared. You don’t need to have all the answers but your support makes a difference.

Here’s what can help:

• Listen without judgment.

• Avoid comments about weight, food, or appearance. Take a neutral stance to all bodies and food.

• Educate yourself about eating disorders. Meet with an eating disorder therapist yourself to gain a deep understanding of this psychiatric illness.

• Encourage professional help

• Practice patience. Recovery takes time and there will be ups and downs

Taking the First Step

If you’re considering therapy- or just wondering if your relationship with food and body is something to look at- that curiosity is enough. The first step doesn’t have to be big. It might be a phone call. A journal entry. A conversation.

And if you’re further along in your healing, know that setbacks don’t erase progress. Every part of your story matters. Every part deserves care.

Final Thoughts: You Are worthy of recovery

Eating disorders often leave people feeling like the eating disorder is their safe place for finding their worth, validation and comfort.

Recovery is about coming home to yourself. It’s about learning that you are enough as you are- not because of your weight, your achievements, or your willpower- but simply because you exist. You are worthy.

If you or a loved one is navigating an eating disorder, I invite you to reach out. You don’t have to do it alone. Healing is possible, and you are deserving of it.

Let’s take that first step together.

To learn more about therapy for eating disorders or to schedule a virtual consultation, please contact me using the button below.

The Body Image Course is a wonderful self guided e-course to compliment therapy for people living with eating disorders and their support people. Through powerful video lessons, reflective journaling prompts, and unique guided meditations, you’ll explore the roots of body image struggles, uncover the toxic impact of diet culture, and learn practical tools to build body image resilience.

Overcoming Low Self Esteem

A Guide to Building Confidence

Low self-esteem can be a challenging hurdle to overcome, impacting various aspects of life from relationships to career ambitions. However, it's important to remember that self-esteem is not a fixed trait; it can be improved with time, effort, and a commitment to inwards reflection. Confidence comes from having a sense of control of our motivation and behaviour as well as a sense of agency in our environment. Confidence is a trust we have in ourselves and our own abilities and skills, that we believe we are able to get through challenges that come our way. Here’s a guide to help you boost your self-confidence and develop a healthier self esteem.

Understanding Self-Esteem

Self-esteem refers to how we perceive and value ourselves. It encompasses our beliefs about our abilities, worth, and potential. Low self-esteem can manifest as feelings of inadequacy, self-doubt, and even self-loathing, affecting our overall well-being and happiness.

Signs of Low Self-Esteem

Before addressing low self-esteem, it’s crucial to recognize the signs. Common indicators include:

• Negative self-talk: Constantly criticizing or belittling oneself. Similarly, being overly critical of others is also a sign of low self esteem.

• Trying to be perfect: Avoiding challenges due to fear of not being good enough.

• Social withdrawal: Keeping to oneself to avoid judgment or rejection.

• Perfectionism: Setting unrealistically high standards and being overly critical of oneself when they're not met.

• Difficulty accepting compliments: Feeling uncomfortable or disbelieving when praised.

Signs of low self esteem differ from person to person. Take a look at some of these signs of low self esteem and ask yourself, are some of my behaviours actually the result of low self esteem?

Strategies to Improve Self-Esteem

Improving self-esteem is a journey that involves inward reflection and taking a close look at your behaviours, thoughts and feelings. Here are some practical steps to get started:

1. Practice Self-Compassion

Be gentle with yourself. Understand that everyone makes mistakes and faces setbacks. Treat yourself with the same kindness and understanding you would offer a friend facing similar challenges.

2. Challenge Negative Thoughts

Identify negative thoughts and challenge their validity. Ask yourself if there is evidence to support these thoughts or if they are simply self-imposed limitations. Working with a CBT informed therapist will really help you with this process.

3. Set Realistic Goals

Setting achievable goals can provide a sense of accomplishment and boost your confidence. Break larger goals into smaller, manageable steps and celebrate your progress along the way. This helps you to build mastery and not only boosts your self esteem, but your mood as well.

4. Focus on Strengths

Everyone has unique strengths and talents. Make a list of your positive qualities and accomplishments. Reflect on these regularly to remind yourself of your abilities and worth. If you find this process difficult, a good therapist will be able to assist you with identifying your strengths and help you to build off them.

5. Seek Support

Don’t hesitate to reach out for support from a skilled and qualified therapist. Everyone has blind spots in their personality that they may not be aware of. Working with a therapist will help you gain valuable insight on the root cause of your low self esteem, and how to let go of low self esteem moving forward.

6. Engage in Activities You Enjoy

Participating in activities that bring joy and fulfillment can enhance self-esteem and your mood. Whether it's a hobby, sport, or creative outlet, these activities can reinforce a positive self-image. Doing something that you are good at helps you to feel good.

The Importance of Patience

Improving self-esteem is not an overnight process. It requires patience, consistent effort and reflection. Celebrate small victories and be forgiving when setbacks occur. Remember, building self-esteem is a lifelong endeavour, and every step forward is progress.

Low self-esteem doesn’t have to control your life. By understanding and addressing the root causes, practicing self-compassion, and focusing on personal growth, you can cultivate a stronger, more confident self. Embrace the journey of self-discovery and believe in your ability to create a fulfilling and empowered life.

About the Author

Dana Etherington is an Occupational Therapist, Psychotherapist and the owner of Cedar Tree Therapy, a psychotherapy practice located in Brooklin, Ontario. Dana uses evidence based treatment modalities to treat anxiety, obsessive compulsive disorder (OCD), disordered eating and complex family relationships.

Body Shame Keeps Us Anxious & Distracted

We aren’t born hating our bodies, however most of us can find something we don’t like about ours.  Toddlers don’t hate their chunky thighs or chubby cheeks. This critical eye in which we view our bodies is something we learn to do. We learn it through small moments. We hear our grandmother compliment our sister’s recent weight loss. Our friend makes a comment while the two of you are out for lunch about how she must order a salad to stick to her diet. In these moments, we are subtly receiving the message that our body needs to live up to the thin ideal, thinner is better, and we must be in constant pursuit to be shrinking our bodies in order to be accepted, or to be viewed as successful or worthy.

We see and hear this type of messaging constantly, more than we might even consciously realize. We start to internalize the message of “your body isn’t good enough” until we think it’s our own voice in our head. It’s not. It's the voice of the body shaming society that we live in. 

Body shame is the intense feeling that there is something wrong with our body the way it is. This can lead to the relentless pursuit to change it or hide it. Body shame causes us to shrink the full expression of ourselves and tells us that our bodies are wrong because we don’t look how we “should”. Body shame can cause isolation, and can cause us to be distrusting of others. We don’t want to get close to others because we are scared of being judged, assessed, evaluated or hurt.

Where Does My Body Shame Come From? 

Your grandmother that compliments other’s weight loss or your friend that talks about their diet, they are not the root cause of your body shame. They are a small part of a much larger picture of generational dieting and diet culture disguised as promoting health that we have absorbed and understood as rules and expectations for how we should look. They haven’t yet begun to challenge and think critically about the systems that contribute to body shame. 

What Can We Do About It? 

We can ditch external rules about food and exercise. When you are hungry, check in with yourself and not a calorie counting app. Move your body because it feels good and lifts your mood, not to close rings. We can let go of external expectations and turn towards internal cues and what feels good to you.

We can have body shame free friends and role models that live in their body without apology, that live with food freedom and don’t let body shame get in their the way. 

When others make comments that perpetuate body shaming, gently explain why it is harmful. We are the people that make up society, so if we would like to change the body shaming ways of society we have to start at the individual level. 

The problem is not your body, the problem is your thoughts about it and the societal messaging we have received that maintains those thoughts. Body shame and living in diet culture keeps you busy, anxious and distracted. Worrying about how you look is a distraction from discovering true self and living freely. If you’d like to explore who you would be and what your life would be like without diet culture and body shame, get in touch with Dana for a 1:1 session.

Author Bio 

Dana Etherington is an Occupational Therapist, Psychotherapist and owner of Cedar Tree Therapy in Whitby, Ontario. Cedar Tree Therapy specializes in treating teens and young adults with anxiety, perfectionism and body image issues. 

www.cedartreetherapy.com

IG: @cedartreetherapy 

Fostering healthy body image

Perhaps you’ve noticed that you teen is overly critical of their body, and is making attempts to hide how they look. Bringing up your concerns with your teen’s body image can be a tense topic. This post is aimed at helping parents discuss the challenging topic of body image with their teens. This conversation can be important for all young people who are learning how to love their bodies as they change and grow. It is especially important if you suspect that your teen is struggling with body image and self esteem. 

Start the conversation with validation. Create an atmosphere of safety and openness by telling them they are not alone in what they are feeling. 

You could say something like:

“ It’s normal to have some bad body image days, some days where you don't feel so comfortable in your body.” 

Go on to say: 

“It's important that you know that your worth isn’t determined by your appearance. Regardless of how you look, you are still worthy of people’s time, attention and respect. I hear that you would like to have the “perfect” body. What I think you might mean is that you would like to feel comfortable in your body. We can feel comfortable in our bodies regardless of their shape or size. Your body is not something to feel shame or guilt about, your body does so much for you and serves you in so many ways.” 

The conversation can be concluded by reinforcing the teen’s own unique qualities and strengths that are not related to appearance. 

You can encourage your teen to try out the following practical strategies if they are struggling with body image. 

• Stop comparing. As hard as it may be, resist the urge to compare yourself to others.

• Unfollow social media accounts that lead you to not feel good about your body. Any accounts promoting potentially harmful behaviours or products don't need your attention.

There are some do’s and don’ts for promoting positive body image with our teenage children. As a parent, don’t comment on a stranger's body, your own body or your teen’s body. Even if you are making a compliment, remain neutral about bodies.
Lastly, the most important tip of all — model positive body image. Teens absorb so much about how they feel about their body from how parents feel about theirs. Remove all “diet” language from the family conversations. Modelling acceptance of your own body will help your teen with acceptance of theirs.

 Author Bio

Dana Etherington is an Occupational Therapist, Psychotherapist and is the owner of Cedar Tree Therapy.  Cedar Tree Therapy is a psychotherapy practice that serves clients 13 and up all across Ontario with anxiety and body image challenges. Dana’s eating disorder experience comes from working in adolescent residential eating disorders treatment centres.