Deipnophobia: How to Address Anxiety with Eating in Public (2024)

Deipnophobia is a form of social anxiety disorder, manifesting as the fear of eating in front of others.

The condition can be difficult or even debilitating to deal with every day. Your fear of eating in front of others can severely restrict your social life, the choices you have, and the decisions you make.

But it doesn’t have to be forever. Therapy can help you overcome this fear, reenter the social world, and maybe even feel less alone.

Table of Contents

    What Is Deipnophobia?

    While there’s no official count of how many people struggle with deipnophobia,anxiety disordersgenerally impact about 12% of the population. [1]

    If you experience this anxiety as the fear of eating in public, the angst you feel may not necessarily be driven by food. Thefear of eating in public is also often connected to anxiety over how others view you eating.

    These particular concerns can be rooted in several different feelings, experiences, and co-occurring mental health conditions. And if left unaddressed, deipnophobia can negatively impact your social life, which may further impact your overall mental health.

    Who Struggles with Deipnophobia?

    While anyone can experience deipnophobia, some groups, in particular, may be more sensitive to this type of anxiety.

    Those who struggle with or are recovering from an eating disorder often have difficultyeating around others. They may be anxious that their loved ones will ask questions about their eating, that they will be pressured to eat, or that they will be judged for their behaviors around eating.

    It’s also not uncommon for people with larger bodies to experience anxiety around eating in public. Unfortunately, many people in larger bodies face societal discrimination around their appearance and behaviors, which could contribute to their fears or unease.

    And those who have experiencedtraumamay also have particular sensitivity around mealtimes. Eating with someone can be an intimate experience and represent a sensory minefield for people recovering from physical or psychological abuse. The sights or sounds of a shared meal could reawaken memories that trigger panicked feelings.

    What Does Deipnophobia Look Like?

    People with deipnophobia experience extreme stress if forced to eat in front of others. They may grow uncomfortable or panicked even at the thought of a shared meal.

    Case studies reveal people struggling with deipnophobia may encounter similar symptoms to a panic attack, which could lead to trouble chewing and swallowing and increase the odds of choking. [2]

    Other panic attack symptoms that may appear when you experience deipnophobia include: [3]

    • Chest pain
    • Sweating
    • Dizziness
    • Dry mouth
    • Headaches
    • Hot or cold flashes
    • Nausea
    • Numbness
    • Rapid heartbeat
    • Shaking
    • Shortness of breath

    Treatment for Deipnophobia

    Thankfully, the specific nature of deipnophobia makes it relatively easy to treat, with a number of options available to those seeking help for the condition. [4]

    Therapy

    Several types oftherapycan help people combat the kind of fear stirred up by deipnophobia.

    Cognitive behavioral therapy(CBT) teaches you new ways to think about, react to, and behave during situations that make you feel anxious. [5] Your doctor might suggest certain puzzles or assign “homework” that can help change the way you think—and, eventually, act—about certain situations.

    Exposure therapycan also be helpful. Through this course of treatment, you’ll be slowly exposed totriggering experiences, while a doctor will help walk you through the source of your anxiety and teach you coping strategies that may help.

    These treatments can take time, but you’ll emerge with several tools to cope with your deipnophobia.

    Medication

    Some people with anxiety disorders benefit from selective serotonin reuptake inhibitors, a class of anti-anxiety medications. [1]

    While many doctors recommendmedicationas a supplemental aspect of recovery, it may help ease chemical imbalances and allow you to gain control over your eating habits while you continue working through therapy.

    Deipnophobia: How to Address Anxiety with Eating in Public (2)

    How to Talk About Your Deipnophobia

    Another useful option for dealing with stressful scenarios may be opening up to trusted friends, family, and loved ones.

    You’re by no means required to tell anyone in your personal life about yourexperience with deipnophobia. But sharing your struggle with people you know and trust could help alleviate some stress and help you find allies and support.

    When someone you trust asks you to share a meal, you can explain how the scenario makes you feel. For example, you can talk about the anxious thoughts or physical feelings these situations cause and explain that eating with others makes you uncomfortable.

    Finding Help for Deipnophobia

    Whether or not you feel comfortable talking to loved ones about your experience, seeking treatment for your condition can help.

    If there is someone in your life who you trust, you can ask them to help you practice eating in public. It’s not necessary to push yourself into going all-out and having dinner with a large group of people to combat this anxiety. You can start slowly, by getting something to go, ordering a snack or drink from a cafe, or only ordering an appetizer to begin.

    If you’re not comfortable sharing your experience yet, you can seek help from atrained medical professional. These people will be able to help you combat the anxiety you’re feeling and offer strategies for overcoming these uncomfortable feelings.

    Resources

    1. Das, A, Holland, J., Flynn, V., Thapa, P.B (2022).Deipnophobia: A Case of Social Anxiety Masquerading as Eating Issues.The Primary Care Companion for CNS Disorders; 24(2):21.
    2. Shimbun, N. (2022, March 21).Deipnophobia: Understanding the Fear of Dining With Others. The Japan Times. Accessed July 2022.
    3. Symptoms: Phobias. (2018, October). National Health Service. Accessed July 2022.
    4. McCabe, R., Bui, E. (2020).Pharmacotherapy for Specific Phobia in Adults.UpToDate. Accessed July 2022.
    5. Social Anxiety Disorder: More Than Just Shyness.(2022). National Institute of Mental Health. Accessed July 2022.

    The opinions and views of our guest contributors are shared to provide a broad perspective on eating disorders. These are not necessarily the views of Eating Disorder Hope, but an effort to offer a discussion of various issues by different concerned individuals.

    We at Eating Disorder Hope understand that eating disorders result from a combination of environmental and genetic factors. If you or a loved one are suffering from an eating disorder, please know that there is hope for you, and seek immediate professional help.

    Published & Approved on March 7, 2023, on EatingDisorderHope.com by Jacquelyn Ekern MS, LPC

    Deipnophobia: How to Address Anxiety with Eating in Public (3)

    Jacquelyn Ekern, MS, LPC

    Jacquelyn Ekern founded Eating Disorder Hope in 2005, driven by a profound desire to help those struggling with anorexia, bulimia and binge-eating disorder. This passion resulted from her battle with, and recovery from, an eating disorder.

    Deipnophobia: How to Address Anxiety with Eating in Public (2024)

    FAQs

    How to deal with anxiety eating? ›

    To help stop emotional eating, try these tips:
    1. Keep a food diary. Write down what you eat, how much you eat, when you eat, how you're feeling when you eat and how hungry you are. ...
    2. Tame your stress. ...
    3. Have a hunger reality check. ...
    4. Get support. ...
    5. Fight boredom. ...
    6. Take away temptation. ...
    7. Don't deprive yourself. ...
    8. Snack healthy.

    Why do I get anxiety when I eat in public? ›

    Many people experience anxiety around eating in public due to fears of being judged by others, either for the way they look or the food they want to eat. But food anxiety can also happen in private settings, particularly if someone was raised in a household that was critical around certain foods.

    What is the solution for Deipnophobia? ›

    Cognitive Behavioral Therapy (CBT): CBT teaches new ways to think about, react to, and behave during situations that make you feel anxious. A therapist might suggest certain exercises or assign “homework” that can help change the way you think—and, eventually, act—about dining situations.

    Why do people feel uncomfortable eating in front of others? ›

    People who have anxiety related to eating in front of others may be worried they will be judged for what they are eating or how they are eating. They may also experience a sense of shame if they feel others view them negatively for eating too much.

    What foods calm anxiety? ›

    Foods naturally rich in magnesium may, therefore, help a person to feel calmer. Examples include leafy greens, such as spinach and Swiss chard. Other sources include legumes, nuts, seeds, and whole grains. Foods rich in zinc such as oysters, cashews, liver, beef, and egg yolks have been linked to lowered anxiety.

    How to stop feeding anxiety? ›

    Cool down anxious thoughts

    ' fuel the fire of anxiety,” says Dr. Albers. Instead, think about what you can and cannot change about the situation. Then take steps to change what you can, and work on accepting what you can't.

    What triggers Deipnophobia? ›

    The exact cause of deipnophobia is unknown, but like all phobias, it is likely caused by various factors, including environmental, genetic, and cultural influences, as well as past experiences. Usually, a traumatic experience involving dining out is the biggest indicator leading to deipnophobia.

    How common is deipnophobia? ›

    Deipnophobia is a type of social anxiety disorder wherein the individual feels anxious while dining in public or engaging in dinner conversations. Social anxiety disorder is common in the general population, with a lifetime prevalence of around 12%. However, the exact prevalence of deipnophobia is unknown.

    How to overcome swallowing anxiety? ›

    Treatments for Swallowing Anxiety
    1. Cognitive behavioral therapy (CBT). This treatment involves conversations with a therapist that help you identify negative thought patterns. ...
    2. Exposure therapy. ...
    3. Eye movement desensitization and reprocessing (EMDR). ...
    4. Hypnotherapy. ...
    5. Medication.
    May 21, 2024

    How do I get rid of Decidophobia? ›

    Tips to Help You Cope with Decidophobia
    1. Take Actionable Decisions: It's okay to acknowledge that making a decision is scary. ...
    2. Reduce the Number Of Decisions: ...
    3. Be Curious: ...
    4. Shift Your Point of View: ...
    5. Empower Yourself. ...
    6. Know Your Why: ...
    7. See Both Sides of Risk: ...
    8. Learn from Mistakes:
    Jan 11, 2020

    How do I get rid of my public phobia? ›

    These steps may help:
    1. Know your topic. ...
    2. Get organized. ...
    3. Practice, and then practice some more. ...
    4. Challenge specific worries. ...
    5. Visualize your success. ...
    6. Do some deep breathing. ...
    7. Focus on your material, not on your audience. ...
    8. Don't fear a moment of silence.

    How do you calm anxiety phobia? ›

    Learning relaxation techniques can help you with the mental and physical feelings of fear. It can help just to drop your shoulders and breathe deeply. Or imagine yourself in a relaxing place. You could also try complementary therapies or exercise such as massage, t'ai chi, yoga, mindfulness techniques, or meditation.

    Why does eating trigger my anxiety? ›

    In some people, certain foods or food additives can cause unpleasant physical reactions. In certain people, these physical reactions may lead to shifts in mood, including irritability or anxiety. Try to eat healthy, balanced meals. Healthy eating is important for overall physical and mental health.

    Why am I scared to go out in public? ›

    Agoraphobia is a type of anxiety disorder. A person with agoraphobia is afraid to leave environments they know or consider to be safe. In severe cases, a person with agoraphobia considers their home to be the only safe environment. They may avoid leaving their home for days, months or even years.

    Why does my anxiety not let me eat? ›

    Anxiety triggers emotional and psychological changes in your body to help you deal with the pressure. These changes often affect the stomach and digestive tract and can make you lose your appetite. If stress is the reason, your hunger usually returns once you're feeling more relaxed.

    Why is eating so hard with anxiety? ›

    Anxiety triggers emotional and psychological changes in your body to help you deal with the pressure. These changes often affect the stomach and digestive tract and can make you lose your appetite. If stress is the reason, your hunger usually returns once you're feeling more relaxed. Could you have a stomach bug?

    Why do I eat so fast with anxiety? ›

    High cortisol levels, in combination with high insulin levels, may be responsible. Other research suggests that ghrelin, a "hunger hormone," may have a role. Once ingested, fat- and sugar-filled foods seem to have a feedback effect that dampens stress related responses and emotions.

    How do you keep food down when anxious? ›

    Anxiety can have a marked impact on your gastrointestinal system. It's not uncommon for anxiety to cause nausea and, in some cases, vomiting. If you have nausea related to anxiety, try deep breathing, mindfulness exercises, drinking clear fluids, eating mild foods, and getting some rest.

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