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Are Food Rules Helpful or Harmful?
Food rules can sound harmless, even supportive. They offer a sense of structure and the promise of health, and yet the more we lean on external rules to decide what or how to eat, the more distant we become from our own body’s cues. What begins as a way to feel agency often erodes trust in hunger/fullness and the ability to make choices rooted in care rather than fear.
External Rules vs. Internal Decisions
The basic difference between food rules and what we know as intuitive eating lies in orientation. Rules are external: “avoid carbs,” “don’t eat after 7 pm,” “fast for 16 hours.” They apply a fixed standard no matter the situation.
Internal decisions, on the other hand, are responsive. They account for hunger and fullness, as well as context, access, health conditions, and lived realities. For example, someone working with a dietitian to stabilize blood sugar may choose to eat small amounts every few hours, even if that timing doesn’t feel instinctive. Another person whose medication blunts appetite may still plan meals, knowing that skipping food would leave them depleted and irritable by the end of the day. These are not “rules” but flexible, body-oriented choices guided by the body’s needs rather than external dictates.
This distinction is at the heart of intuitive eating, the framework developed by dietitians Evelyn Tribole, MS, RDN, and Elyse Resch, MS, RDN, CEDRD-S, and outlined in their book Intuitive Eating: A Revolutionary Anti-Diet Approach. It emphasizes rebuilding trust in hunger and fullness cues, but also broadens to include gentle nutrition, emotional well-being, and the rejection of diet mentality.
Harmful Food Rules You Might Be Following
Below are patterns that often pass as “healthy habits” yet can quietly reinforce disordered eating.
Clean Eating as a Standard of Purity
What starts as an interest in whole foods can slide into rigidity. Clean eating rhetoric often assigns moral value to food, dividing meals into “pure” and “toxic.” Over time, the pursuit of purity can narrow the range of foods considered acceptable and feed guilt when rules are broken. At its most extreme, this becomes orthorexia, a term coined by physician Stephen Bratman from the Greek roots ortho and orexis,1 or “right appetite.” While not a formal diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM), orthorexia is used to describe an unhealthy obsession with eating only foods perceived as healthy or pure, and is generally considered to fall under the category of other specified feeding or eating disorders (OSFED).
Carbs as the Enemy
Dismissing carbohydrates has become almost automatic in wellness spaces. Yet rules against bread, pasta, or rice often disguise a deeper discomfort with fullness and energy needs.
Carbohydrates are the body’s primary fuel source, and glucose is essential for brain function. They also provide quick energy when it’s needed most, whether that’s for athletic performance, to raise blood sugar for someone with diabetes, or simply to restore energy when hunger hits hard.
Many grains and starchy foods are also rich in fiber, supporting digestion and overall nutrition. Cutting them out not only sets the stage for rebound hunger, binge-restrict cycles, and unnecessary shame but also strips away these fundamental benefits.
Fasting Framed as Health
Fasting has a long history in many religious and cultural traditions, where it is practiced with intention and meaning. That is distinct from the kind of intermittent fasting promoted in diet culture. Marketed as a tool for energy, focus, or longevity, fasting in this context often normalizes skipping meals and ignoring hunger cues. It may also carry real health risks.
For people vulnerable to disordered eating, it blurs the line between a health practice and a socially sanctioned restriction. This can also show up as rules about not eating after a certain hour, even though hunger does not follow the clock. It may also lead to fatigue, irritability, and difficulty concentrating when the body is deprived of a consistent supply of nutrients.
Good Foods vs. Bad Foods
Categorizing food into “allowed” and “forbidden” reinforces black-and-white thinking. Sometimes these rules extend to habits as well, like treating nighttime eating as automatically harmful or dismissing calorie-containing beverages as useless. The structure may feel protective in the short term, but it feeds guilt and shame when those “bad” foods or behaviors inevitably appear. Over time, this turns eating into a moral test instead of a way to nourish body and mind.
The Benefits—And The Cost
Food rules can feel safe. They offer clear boundaries and predictable choices, which may seem easier than navigating hunger or uncertainty. But the safety is deceptive. Over time, relying on external rules works like a shrinking comfort zone. What begins as a wide range of acceptable foods can contract until only a narrow set feels manageable. Situations that once felt ordinary, such as eating with others or buying groceries, may start to feel threatening if they fall outside the “safe” zone.
As the comfort zone shrinks, life does too. The cost is not only nutritional but also social and emotional. Rules that promise protection eventually create fragility, leaving little space for flexibility or trust in the body.
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Moving Beyond Food Rules
Supportive food choices emerge from flexibility rather than rigid standards. They grow out of curiosity about what will provide steadiness, comfort, or nourishment in the moment. That may involve eating when hungry or planning ahead when the next chance to eat will be much later. In either case, the decision is internally directed.
When food rules are rigid and moralizing, they often create more harm than help. They distance people from their own cues and can strengthen patterns of anxiety and shame. Choices that reflect body awareness and personal context encourage flexibility and ease. The goal is not perfection but the ability to approach food as a source of support instead of fear.
Resources
- Donini LM, Barrada JR, Barthels F, Dunn TM, Babeau C, Brytek-Matera A, Cena H, Cerolini S, Cho HH, Coimbra M, Cuzzolaro M, et al. (2022). A consensus document on definition and diagnostic criteria for orthorexia nervosa. Eating and Weight Disorders; 27(8):3695-3711.
The opinions and views of our guest contributors are shared to provide a broad perspective of 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.
Tina is currently a Doctoral Candidate who holds a Master’s Degree in Clinical Social Work with a concentration in Mental Health and Trauma from the University of Denver. She completed her BA in Psychology at the University of Maine and is currently the Clinical Director of ‘Ai Pono Hawaii’s Residential & Virtual Intensive Outpatient Programs.
Tina has served the Maui community for over a decade through her work with children, people experiencing homelessness, and women with eating disorders. In her own therapeutic work, Tina uses an integration of cognitive behavioral therapies (CBT), internal family systems therapy (IFS), and a strengths-based approach to empower her clients to overcome challenges and develop the tools they need in their journey of healing and personal growth.