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From Distraction to Disorder: The ADHD-Eating Disorder Connection

CE Hours 1

About this course

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder diagnosed according to DSM -5 as persistent patterns of inattention, hyperactivity, and impulsivity that interfere with daily functioning and development. Eating Disorders (EDs) are one of the serious mental health conditions characterized by deviant eating behaviors, distorted body image, and significant medical and neuropsychological consequences. New research highlights an intersection between ADHD and eating disorders, suggesting shared neurobiological and psychological mechanisms. Statistically, recent studies indicate that clients with ADHD have a three to five-fold higher risk of developing an eating disorder or disordered eating compared to the general population. Approximately 31% of individuals with ADHD screen as being at risk for an eating disorder especially binge eating disorder and bulimia nervosa—compared to about 12% of those without ADHD. On the other hand, among patients with eating disorders, 25–37% exhibit clinically significant ADHD symptoms, with the highest rates observed in bulimia nervosa and the binge/purge subtype of anorexia nervosa. Sex differences play an important role in this association: females with ADHD are nearly twice as likely to develop an eating disorder compared to females without ADHD, while this association appears nonsignificant in males. The explanation for this sex difference relies on hormonal difference, level of impulsivity and social pressures in females on the body image. Etiologically, the intersection of ADHD and eating disorders arises from shared neurobiological, emotional, and cognitive dysfunctions — particularly dopamine pathway alterations, impulsivity, and emotional dysregulation — leading to parallel patterns of reward-seeking and loss of control behaviors. Understanding this comorbidity is essential for improving diagnostic accuracy, early detection, and ameliorating treatment outcomes. Traditional eating disorder interventions may be less effective when ADHD symptoms remain untreated. Therefore, integrated, multimodal treatment approaches—combining behavioral, nutritional, and pharmacological strategies—are recommended to target both attentional and emotional regulation challenges. Conclusion: Recognizing, diagnosing and assessing the ADHD–Eating Disorder overlap is crucial for clinicians, as it enhances individualized care, reduces relapse risk, and improves long-term prognosis

Learning Objectives

  • Describe the diagnostic criteria according to DSM-5 of Attention-Deficit/Hyperactivity Disorder (ADHD) and Eating Disorders (EDs).
  • Discuss the epidemiological data and prevalence of ADHD and eating disorders.
  • Summarize the shared psychological and neurobiological aetiology that underlie their intersection.
  • Identify behavioral and the pharmacological lines of therapy for this comorbidity to improve patient outcomes and to decrease relapse rates.

Learning Levels

  • All Levels

Course Instructor(s)

  • Heba Essawy

    Heba Essawy MD has been the Medical Director of the eating disorders clinics since 2013, at Institute of Psychiatry. She has practiced for 28 years, writing, lecturing, supervising and directing an outpatient eating disorders clinics. Her role has expanded treatment services to include pediatric, adolescents and adult populations. Heba is passionate about empowering and educating parents as well as their children. She maintains a private practice in psychotherapy and medication management in Cairo. Heba has presented extensively nationally and international conferences as well as provides campus- wide training. She has published in academic journals and the popular media as well as contributing chapters to several books and appeared on a variety of local and national news and radio outlets.Heba is the founder president of the Egyptian Association of Eating Disorders

References

  • Appolinario, J. C., de Moraes, C. E. F., Sichieri, R., Hay, P., Faraone, S. V., & Mattos, P. (2024). Associations of adult ADHD symptoms with binge eating spectrum conditions, psychiatric and somatic comorbidity, and healthcare utilization. Brazilian Journal of Psychiatry, 46, e20243728.
  • Brancati, G. E., Cosentino, V., Barbuti, M., Weiss, F., Calderone, A., Fierabracci, P., ... & Perugi, G. (2024). Prevalence and Correlates of Self-Reported ADHD Symptoms in Bariatric Patients: Focus on Mood and Anxiety Comorbidity, Disordered Eating, and Temperamental Traits. Obesity Surgery, 34(9), 3335-3347.
  • Griffiths, K. R., Boulet, S., Barakat, S., Touyz, S., Hay, P., Maguire, S., & Kohn, M. R. (2024). Exploring bi-directional impacts of Lisdexamfetamine dimesylate on psychological comorbidities and quality of life in people with Binge Eating Disorder. Journal of Eating Disorders, 12(1), 80.
  • Ryan, D., & Sadek, J. (2023). Risk and adversity factors in adult patients with comorbid attention deficit hyperactivity disorder (ADHD), binge eating disorder (BED), and borderline personality disorder (BPD): a naturalistic exploratory study. Brain Sciences, 13(4), 669.
  • Norton, B., Sheen, J., Burns, L., Enticott, P. G., Fuller-Tyszkiewicz, M., & Kirkovski, M. (2024). Overlap of eating disorders and neurodivergence: the role of inhibitory control. BMC psychiatry, 24(1), 454.

CE Process Info

Content

  • Distraction to Disorder The ADHD-Eating Disorder Connection
    1 parts
    • Distraction to Disorder The ADHD-Eating Disorder Connection

FAQs

From Distraction to Disorder: The ADHD-Eating Disorder Connection
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$30
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  • CE Hours
    1
  • Type
    Self-Paced
  • Publication Date
    Jun 25th, 2026

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