In a world where food fads, “clean eating” trends, and #wellness culture dominate our social feeds, the pursuit of a healthy lifestyle can sometimes take a dangerous turn. Experts are raising concerns about the rise of orthorexia nervosa—an eating disorder that disguises itself as healthy eating but quickly spirals into obsessive and restrictive behavior. First named by Dr. Steven Bratman in 1997, orthorexia nervosa combines the Greek words “ortho” (correct) and “orexi” (appetite), and while it is not officially recognized as a separate diagnosis in the DSM-5, it is acknowledged as an unspecified feeding and eating disorder.A Hypothetical Case: When Healthy Turns HarmfulConsider “Mr. P,” a 30-year-old man whose life once revolved around balanced nutrition and fitness. What began as a quest to feel healthy evolved into rigid dietary restrictions. He progressively eliminated entire food groups and eventually prided himself on only consuming organic fruits, vegetables, nuts, and juices. He spent hours planning meals, refused to eat at restaurants, and judged others’ eating habits. Slip-ups led to shame and fasting.Despite no alarming lab results or medical history, his mental state—marked by anxiety, guilt, and social withdrawal—indicated something deeper. He wasn’t just eating clean; he was consumed by the idea of eating “right.” This is where orthorexia differs from simply being health-conscious—it’s about control, anxiety, and moral judgment tied to food.The Language of Clean Eating—and Its PitfallsThe modern obsession with clean eating is more than just a wellness trend. It’s filled with rules, recipe swaps, and approved grocery lists, often seen on influencer pages or even reputable medical websites. While raising awareness about food sourcing and sustainability is valuable, the phrase “clean eating” is inherently problematic. It creates a dichotomy—foods are either “clean” or “dirty.” That moral value system fuels guilt, shame, and rigidity.Harriet Brown, author of Brave Girl Eating, emphasizes that “language shapes the way we view the world.” Once food is tied to morality, any deviation from these rules can feel like a personal failure. Diet culture, amplified by social media and health influencers, reinforces this mindset, normalizing disordered behaviors.Orthorexia Is Not Just a Diet Gone Too FarWhile diets like clean eating might appear harmless, orthorexia is a severe mental health condition. According to experts, eating disorders have the highest mortality rate among mental illnesses. The key difference lies in flexibility and intention. Healthy eating supports overall wellbeing and allows room for variety, spontaneity, and enjoyment. Orthorexia, on the other hand, involves rigid thinking, fear, and anxiety around food choices.Registered dietitian Jessica Setnick highlights this distinction through her model contrasting positive and pathological nutrition. When food choices are driven by fear, shame, or rigid rules—rather than nourishing your body and lifestyle—it may signal disordered eating.So, How Can You Tell the Difference?Ask yourself:Do I feel anxious or guilty when I eat certain foods?Do I avoid social events because of food?Do I spend an excessive amount of time planning or thinking about my meals?Do I judge others (or myself) for eating differently?If the answer is yes, it may be time to reflect on your relationship with food.There’s Help—and HopeOrthorexia, like other eating disorders, is treatable. A clinical interview with a mental health professional is key to diagnosis, often supported by input from family or friends. If you’re experiencing distress, guilt, or rigidity around food, know that you're not alone—and you don’t have to navigate it without support. Eating should nourish both your body and your life.