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Their bodies are constantly changing, their hormones are on safari, they are bombarded by a horde of different media messages imparting what they should now look and feel like, and their emotions can be difficult to control. If you have a child currently in their teenage years, it’s safe to say this can be a trying time for both of you. As parents, you have an important role to play in creating an environment in which they feel safe and where they can develop into healthy, happy adults. A big part of this process is developing a positive body image and sense of self – something that has become very difficult nowadays. According to a landmark report, by the age of 10, 80% of American girls will have been on a diet.

In this article, we look at what parents can do to ease their children through the developmental process and come out stronger, happier, and healthier – and with a more positive body image.

1. Create a safe home environment

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As mentioned, a safe and happy home environment is key. Growing up in this kind of space can help your child to develop an internal sense of control and a positive sense of self, which will equip them to avoid eating disorders.

Teen body image refers to how adolescents perceive their bodies. It includes their feelings about their body and how they take care of it and is an essential part of adolescent development. Teen body image is also closely linked to self-esteem, largely because society and the media place so much importance on the way we look. This focus on appearance contributes to teenage body image issues and teen eating disorders.

“An important challenge faced by teenagers is internal versus external locus of control,” says Linda Swanepoel, therapeutic manager and occupational therapist at Akeso Montrose Manor. “This means the extent to which a person believes they have the power over events in their lives. A person with an internal locus of control believes that they can influence events and their outcomes, while someone with an external locus of control blames outside forces for everything and seeks external approval and validation to feel good about themselves.”

External locus of control

A healthy, confident child will learn to have an internal locus of control, but if the child is raised in a household where there is instability and chaos, and at times a lack of safety, they may learn an external locus of control.

“When a child is too young to have the resources to cope they soon learn that ‘if I can help Mommy and Daddy to feel better, I will feel better’. As they grow older, face more stress, and carry the weight of expectations, their focus turns to pleasing or impressing others, rather than developing a sense of self.”

Children need to feel safe so that they can focus on themselves rather than feeling responsible for others. Swanepoel points out that it’s important to avoid the ‘drama triangle’ – perpetrator, victim, and rescuer.

“This is when one parent complains to the child about the other parent. The child will feel the need to take sides and rescue, immediately starting the external locus of the control cycle. This leads to low self-esteem, which can lead to body image problems, such as restricting  (trying to be perfect) or binging (as a result of avoidance). Parents need to work as a team and find a parenting style that suits them both. This helps the child feel safe and avoids manipulation which the child will soon become very good at.”

2. Raise them to respect their health

A healthy teenager tends to be a happy teenager, and this always starts in the home. It is therefore important that the parents establish healthy habits as a family, such as enjoying family activities that encourage fitness, preparing healthy, wholesome meals, getting enough sleep at night, and spending enough time outside.

According to Do.Something, globally, 95% of people with eating disorders are between the ages of 12 and 25, and only 10% will ever seek professional help. For this reason, it is important for children to already have a positive body image at a young age. Make an effort to attend their sporting events and encourage them to spend time enjoying sports – this is one of the best ways to stay healthy when you are young.

If you raise a child to understand how important a healthy lifestyle is and they are enjoying the benefits thereof, their eventual body image can go beyond simply how they look in photos or in the mirror, but to what their bodies are able to do, for example, climb a mountain or play a volleyball game. And remember, the earlier you start this, the better.

In addition, here are some practical tips
  • Develop a healthy relationship with food and avoid labeling good or bad food in the home
  • Don’t talk about your own weight issues – be a good example (even if you don’t feel like being one).
  • Eat meals as a family – home-cooked if possible
  • Encourage outdoor living and exercise – it’s not about winning but about enjoying
  • Teach respect and appreciation for your body.  If you treat it well, it will reward you
  • Avoid judgment – rather be curious as to why your child behaves in a certain way. Listen with an open mind before giving advice.  Discuss rather than lecture.  When you have an internal locus of control, you can feel inside yourself what is right and wrong from an early age. Teach children to listen to their inner voice.
  • Be aware of making your child fearful of negative emotions.  Encourage a comfortable relationship with all emotions – anger and sadness are healthy if they are managed properly. Try not to allow the home space to become one filled with chaos and endless ’emergency’ situations that evoke extreme feelings.
  • Create firm boundaries – teenagers are not ready for independence, even if they think they are. By making your child responsible for the consequences of their behavior, they learn to believe in their own internal resources.

3. Help them build a healthy sense of self

Teenagers experience increased school and societal pressures at a time when significant changes are taking place in their bodies. Thus, if they have not learned to believe in their own resources to cope with life, their focus will be on what other people expect or think of them, rather than on how they feel about themselves.

“Eventually, everything they choose to do in their lives is dependent on assumptions they make about how they will be perceived by others,” Swanepoel adds. “Body image plays an important role in this too.”

Teenagers tend to see the concept of a ‘middle path’ as average and boring, and Western society reinforces this all-or-nothing thinking. This leads to beliefs like you must have the perfect body, you must go to university and you must make money,” Swanepoel says.  “This is why body positivity is important. If we can get our society to be more middle path thinkers, teenagers with an external locus of control may be able to be more realistic and accepting of themselves. With less stress and pressure, it is easier to listen to your own voice and develop your own sense of self.”

4. Decide as a family on a screen time rule

While they may see their mobile phones and televisions as lifelines to their social lives, the screens in their lives aren’t helping their body image one bit. Studies show that the more reality television a young girl watches, the more likely she is to find appearance important. More than one-third of people who admit to ‘normal dieting’, will merge into pathological dieting. Roughly a quarter of those will suffer from a partial or full-on eating disorder.

In addition, students, especially women, who consume more mainstream media, place greater importance on sexiness and overall appearance than those who do not consume as much. Like anything in life, different forms of media can have positive and negative effects, and it is up to you and your teen to decide how it will affect him or her.

To prevent this negative effect, it is important to have honest family discussions on how much screen time should be considered acceptable. A study recently conducted on one million teenagers indicated that the preferred amount of time to be spent on social media is roughly one hour per day – also, the teens who spent less time on social media were happier than the ones glued to their phones. Engage your teen in your discussion and let them have a part in the decision that is eventually made. Work together to determine the amount of time spent on screens and ensure they understand the influence it can have on them.

Body image and weight risk factors

Maintaining a weight lower than your natural set point, or trying to lose weight, immediately activates “all or nothing” thinking. It takes motivation, discipline, and determination to restrict food intake, so teens develop strict rules and often the rewards are external (for example, praise from others). This applies to both girls and boys, with the latter now experiencing pressure to have a highly muscled build while still in high school.

“If you break a rule you’ve set for yourself, you feel weak and like a failure, and believe you are a greedy person,” says Swanepoel. “Greed, indulgence, and selfishness are bad words in Western society and can lead to guilt. Once the rules are broken, at-risk teens tend to go off the rails and binge on forbidden foods. This may lead to secret eating rituals, comfort eating and avoidance of life, which may, in turn, lead to obesity.”

According to Maslow’s Hierarchy of Needs, people need to meet basic needs like food, sleep, water, health, and safety before they can strive for self-esteem and self-actualization.  “People who diet are depriving themselves of these needs in a drive for self-actualization,” Swanepoel says. “They compromise their health, their relationships, and their goals and aspirations as they become preoccupied with food, exercise and weight, becoming prisoners to their own habits.  They end up lonely, exhausted, and feeling like a failure – and they hate their bodies no matter what size they are as perfection is unattainable. This is where depression, self-harm, and suicide become possibilities.”  

Look out for these warning signs

  • Loss or gain of weight or fluctuating weight – often from bulimia – are the most common symptom of eating disorders among teenagers.
  • Increased exercise and keeping busy all the time, as fear of boredom may lead to binge urges
  • Avoiding social situations, as they have too many secrets to keep and need to stay in control
  • Rigid thinking and ‘all or nothing’ thinking – judgemental, critical and catastrophizing
  • Isolation
  • Spending many hours on social media
  • Spending time preparing food and baking for others, but not eating themselves
  • Making excuses at mealtimes (I’m going to work in the library, I’ll get a takeaway lunch)
  • Many demands at restaurants – food rules become important (I’m gluten/lactose intolerant, I’m a vegetarian/vegan. I’m banting. No carbs, no sauce, and no salad dressing)
  • Becoming angry and defensive when help is offered
  • Wearing baggy clothes, usually in neutral colors – black, white, grey
  • Spending time with people who are not matched to the teenager’s personality
  • depression, anxiety, and obsessive-compulsive disorder (OCD) symptoms.

Bottom line

If you suspect your child has an eating disorder, talk with them about the problem. If you or your child require professional help, contact Akeso at 0861 435 787. The sooner medical and psychological treatment can start, the faster you or your child will be on their way to recovery.

Johane du Toit

Johane du Toit

Johané du Toit is a content specialist and freelance editor for Longevity Magazine. With an Honours degree in journalism from the North-West University at Potchefstroom, she has a keen interest in medical and scientific innovations and aspires to provide the public with the latest reliable news in the fields of medicine, fitness, wellness, and science. Johane is happiest outdoors, preferably near a large body of water or in the mountains, and loves waterskiing, cooking, travelling and reading.


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