Mind Matters | The effects of body shaming

I have issues with body image. I have always been a chubby child but now as a teenager, many of my friends and relatives make fun of me. They say I’m fat and I feel bad. I don’t want to go out and meet anyone. I fear being ridiculed. I try not to eat too much and sometimes I even try to make myself vomit the food I ate. I don’t feel good. I don’t know what’s happening with me and I think I need help.

Answered by Dr Rika Rijal, consultant psychiatrist

I understand that it must be very difficult for you and it sounds like you are facing a very challenging and distressing issue related to body image, which is a problem many young people are facing in today’s world. The feelings you’re experiencing are signs that your mental and physical health might be under continuous stress.

First and foremost, the criticism you’re receiving from others about your body can deeply affect self-esteem, especially during adolescence, a time when body image plays a major role in shaping identity. However, their comments don’t define your worth, and it’s important to recognize that body diversity is normal and healthy.

You said you are trying to restrict yourself from eating and making yourself vomit. This is concerning, as it may indicate the early signs of an eating disorder, such as bulimia nervosa or anorexia nervosa, both of which can have serious long-term health effects. These behaviors—whether it’s withdrawing from social situations, restricting food intake, or inducing vomiting (self-purging behavior)—often stem from a desire to regain control in situations where you feel powerless or overwhelmed by others’ opinions. But rather than providing relief, these actions can lead to emotional and physical harm, making it even more difficult to feel good about yourself.

When shame or anxiety around appearance becomes overwhelming, it’s common to avoid social contact, but this often worsens feelings of loneliness and sadness. You might also be experiencing anxiety or depression, both of which are common among people dealing with body image concerns.

Do you need help? Absolutely. What you’re going through is very real, and the emotional pain you’re feeling deserves proper support. I encourage you to talk to a trusted adult—a parent or teacher—who can help guide you to professional support with a mental health professional. They can help you explore the feelings, challenge unhealthy thoughts around food and body image, and develop healthier coping mechanisms.

You don’t have to go through this alone. Reaching out for help is the first step toward healing, and it can lead to a better understanding of both your emotional and physical well-being.