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Why Can’t My Kid Stop Eating?

You turn around to grab the drinks, and when you turn back, the bowl of chips is almost empty. Your child already ate. They’re full. Then their face changes, and you hear: “I don’t know why I did that.”
You’ve probably tried smaller portions, hiding the snacks, a serious talk about health. It works for a few days. Then it doesn’t. That’s because the eating isn’t the real problem. It’s a signal. It’s not your child’s fault, or yours.
What drives itWhat you see
The eating is the part everyone can see, but it isn’t the real problem; it’s a signal of what’s driving it.

Why can’t my kid stop eating? Weight is only the second problem

At Step Together, we call weight the second problem. It’s a symptom of the first problem, the thing actually driving the eating.

I know this firsthand: I grew up as the overweight kid with ADHD nobody had named (my story is in ADHD and Overeating in Kids). Everyone worked on my weight. Nobody looked at what was driving my eating.

Why won’t my child stop eating once they start?

Researchers call one pattern loss-of-control eating: episodes where a child feels they can’t stop. It often looks like this:
  • Eats very fast, barely tasting the food
  • Keeps going well past full
  • Eats alone, or hides it (see Why Is My Child Sneaking Food?)
  • Feels upset or ashamed afterward
One sign on its own doesn’t mean much. A big appetite is just a big appetite when your child eats, gets full, stops and moves on.
In a small Johns Hopkins study of 79 children aged 8 to 14, about 7 in 10 of the kids with ADHD had loss-of-control eating syndrome (repeated episodes like these), compared with about 2 in 10 without ADHD.[1] It shows a link, not a cause.

What’s driving it? Four common first problems

It’s usually one of these, or a mix, ADHD diagnosis or not (for autistic kids, it often looks different: see How to Help an Autistic Child Lose Weight):
  • Impulsivity: brakes that are still being built (see Food Impulsivity in Kids).
  • Reward-seeking: a brain searching for its next payoff, even on a full stomach (see My Child Is Overweight and Always Hungry).
  • Big feelings: eating to make a feeling smaller. In the same study, kids with more trouble controlling their emotions had higher odds of loss-of-control eating.[1]
  • The environment: a house set up for a different brain.
A mom came to her first call with us holding back tears: her 12-year-old son had just been benched from his sports team because of his weight. Treats stayed in the house because his siblings could eat them in moderation.
Brakes holdStill building
That house worked for his siblings, but for a boy whose brakes were still developing, it was set up for impulse-driven eating.
His parents changed the food environment and learned to hold boundaries together. We never worked with the boy directly, and nobody talked to him about his body.

Working through the parents isn’t just our hunch. In a randomized trial of 60 children, a parents-only program changed kids’ eating habits more than a program for the children themselves.[2] That’s how Step Together’s specialists work with the whole family: through the parents.

How to help a child who can’t stop eating

1. Get curious instead of lecturing

Your child already feels bad. Later, calmly ask: “What was going on for you right before that?” Every episode tells you something. None of them is a failure.

2. Change the environment, not the child

Keep the hardest-to-stop foods out of sight, or out of the house, even if they’re “for the siblings.” Do it quietly, not as a punishment.

3. Get on the same team, and take weight off the table

Agree with your partner on one or two boundaries and hold them together, firmly but lovingly. And stop making weight the topic. When I was a kid, the comments about my body didn’t stop my eating. They pushed it into hiding.

When to talk to your child’s doctor

Talk to your child’s doctor if the episodes happen often, involve very large amounts at once, or come with a lot of secrecy or distress. And always if you’re worried about an eating disorder. If you’re wondering about ADHD, ask the doctor too.

If your child takes ADHD medication and barely eats all day, then can’t stop in the evening, raise it with their prescriber and never change medication on your own (more in ADHD Medication and Appetite).

The eating is a signal, not a character flaw

You are not failing, and your child is not broken. Your job isn’t to win the fight at the pantry door. It’s to find the first problem underneath it.

That’s why I built Step Together: so a child’s first problem gets found early. If you’re ready to stop guessing, let’s take the first Step Together below.

With love,

Sources

  1. Reinblatt SP, Mahone EM, Tanofsky-Kraff M, et al. (2015). Pediatric loss of control eating syndrome: Association with attention-deficit/hyperactivity disorder and impulsivity. International Journal of Eating Disorders, 48(6), 580–588. PubMed
  2. Golan M, Fainaru M, Weizman A. (1998). Role of behaviour modification in the treatment of childhood obesity with the parents as the exclusive agents of change. International Journal of Obesity and Related Metabolic Disorders, 22(12), 1217–1224. PubMed

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