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Hidden in Plain Sight: Eating Disorders in Males

CE Hours 1

About this course

Despite growing awareness of disordered eating in female populations, the presentation of disordered eating in males-particularly in athletic and tactical populations-remains significantly underrecognized and undertreated. Male athletes and military service members operate in high-pressure environments that prioritize leanness, strength, ands endurance. These expectations often foster a culture of normative behaviors that mask serious psychological and physiological distress. Consequently, disordered eating behaviors may be overlooked, misclassified as 'discipline' or 'grit,' or normalized within the subculture. This presentation will explore the unique clinical presentation of disordered eating in male high-performance populations, including differences in symptom expression, risk factors, and help-seeking behaviors. Unlike the thin ideal often seen in female populations, males may pursue leanness, or muscularity through excessive training, dietary restriction, supplement misuse, or cyclical bulking and cutting-all of which can contribute to serious physical and psychological harm. Additionally, trauma, and occupational demands interact to increase risk and contribute to low treatment utilization and poor symptom recognition-even among trained providers. Drawing from both clinical experience and emerging research in sports and military psychology, the session will present a comprehensive framework for understanding and addressing disordered eating in male clients. We will review assessment tools that are better suited to identifying risk in males, discuss indicators that are often missed by traditional screening instruments, and explore how trauma-informed, performance-aligned language can reduce defensiveness and increase engagement. Special attention will be given to the role of interdisciplinary collaboration-particularly between dietitians, therapists, coaches, and medical professionals-in breaking through stigma and supporting early intervention. Participants will learn practical strategies for tailoring assessment and treatment approaches to the specific demands of athletic and tactical environments, where performance is prioritized and disclosure is often discouraged. Case examples will be used to illustrate how disordered eating may emerge and persist in these populations, as well as how providers can support behavior change while respecting the identity, goals, and occupational context of the client. The session will also explore how to assess laboratory values and energy availability while fostering empathy and connections to improve engagement in care. By the end of this session, attendees will be better equipped to recognize disordered eating in male athletes and tactical personnel, apply assessment techniques that reflect their lived experiences, interpret laboratory findings, and provide affirming care that supports both performance and psychological well-being. This session is appropriate for dietitians, therapists, physicians, athletic trainers, and others working with high-performance male populations in clinical, athletic, or military settings.

Learning Objectives

  • Describe the ways disordered eating presents in male athletes and tactical athletes, including common misperceptions and underdiagnosed behaviors.
  • Identify key barriers to detection and care in male populations, especially in performance-focused cultures.
  • Apply practical, performance-oriented strategies to assess and support male clients struggling with disordered eating.

Learning Levels

  • Intermediate
  • Advanced

Course Instructor(s)

  • Priscilla Rumph, MS, RD, CSSD, CEDS

    Priscilla began her career in healthcare as a respiratory therapy and critical care air transport provider in the Air Force. Following her military service, Priscilla has been providing nutrition care in a variety of roles across civilian and military settings. She is board certified in sports nutrition and eating disorders. Since 2015 to present, she has been providing nutrition care for soldiers and their families, first in a patient-centered medical home and, since 2021, as a dietitian on the Army Holistic Health and Fitness (H2F) team on Joint Base Lewis-McChord in Washington state. Priscilla is also currently serving as president of the Washington State chapter of the International Association of Eating Disorder Professionals (iaedp).

References

  • Freedman, J., Hage, S., & Quatromoni, P. A. (2021). Eating disorders in male athletes: factors associated with onset and maintenance. Journal of Clinical Sport Psychology, 15(3), 227-248. https://doi.org/10.1123/jcsp.2020-0039
  • Flatt, R. E., Norman, E., Thornton, L. M., Fitzsimmons-Craft, E. E., Balantekin, K. N., Smolar, L., ... & Bulik, C. M. (2021). Eating disorder behaviors and treatment seeking in self-identified military personnel and veterans: results of the national eating disorders association online screening. Eating behaviors, 43, 101562. https://doi.org/10.1016/j.eatbeh.2021.101562
  • Fatt, S. J., George, E., Hay, P., Jeacocke, N., & Mitchison, D. (2024). Comparing population-general and sport-specific correlates of disordered eating amongst elite athletes: A cross-sectional study. Sports Medicine–Open, 10(1), 123. https://doi.org/10.1186/s40798-024-00791-9

CE Process Info

Content

  • Recording
    1 parts
    • Hidden in Plain Sight: Eating Disorders in Males
Hidden in Plain Sight: Eating Disorders in Males
You Have Completed This course
$25
You are enrolled
  • CE Hours
    1
  • Type
    Self-Paced
  • Publication Date
    Feb 15th, 2026

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