Almost half of primary teachers in England see pupils with eating disorders, survey finds

Almost half of primary school teachers are seeing pupils with eating disorders “at least occasionally”, rising to four in five at secondary level, according to a survey by the UK’s largest education union.

The findings emerged in a poll of 10,000 teachers in English state schools about pupils’ mental health, which also revealed “overwhelming” exam anxiety in secondaries and dwindling numbers of counsellors to support students.

Asked whether they had observed children showing signs of an eating disorder in the past year, 45% of primary teachers and 78% of secondary teachers said they had seen it at least occasionally.

Of those, 4% at primary level said they saw evidence of eating disorders “regularly”, compared with 14% of secondary teachers and 20% in special schools and pupil referral units.

The National Education Union (NEU) poll also revealed that two-thirds (68%) of secondary school teachers who responded regularly encountered absenteeism linked to students’ mental ill-health.

Three-quarters (76%) regularly saw their students experiencing social difficulties, while the number of teachers complaining that their school did not have a counsellor rose from 29% to 40% in three years.

The rise in mental health problems among children and young people is well documented. A study published in the Lancet Child & Adolescent Health journal last year reported a 65% increase in annual hospital admissions between 2012-3 and 2021-2 for children and young people aged five to 18 with mental health concerns. Increases were “particularly steep” for eating disorders, rising from 478 to 2,938 over the same period – an increase of 515%.

The consultant paediatrician Dr Lee Hudson said eating disorders had become more common but pointed out that the term covered a wide spectrum of conditions, not just anorexia.

He said young children could have early anorexia or avoidant/restrictive food intake disorder (Arfid), characterised by limiting food type or quantity. “Eating disorders have become more common. We know it’s going up, but we don’t know why,” he said.

Almost half of teachers (48%) who responded said they regularly witnessed chronic anxiety among pupils, while almost a third (31%) saw students living with social isolation.

Daniel Kebede, the NEU general secretary, said: “Schools are unable to keep pace with the obvious acceleration in the levels of mental health support needed by young people. Demand clearly outstrips the available resources. In many cases, this rules out early and timely intervention for students.

“Teachers are crying out for nurses, mental health leads, and quicker access to child and adolescent mental health service support in schools. The majority tell us they have none of these. The rest tell us they do, but it isn’t enough.”

The NEU, which is holding its annual conference in Brighton this week, is due to debate the “violence and behaviour crisis in schools” on Wednesday. The motion calls for the establishment of a violence in school taskforce to monitor trends and develop policy.

A survey conducted before the conference found 66% of teachers said bad behaviour by pupils was regularly disrupting learning – almost exactly the same as in 2024 (67%), but significantly higher than in 2022 (48%).

The poll found disruption because of behavioural issues was worse in primary schools and special schools or pupil referral units, where 70% and 69% of teachers respectively said behaviour impacted negatively on lessons regularly or all the time, compared with 60% at secondary level.

Teachers told the NEU their ability to manage behaviour was being hampered by a lack of resources and understaffing, particularly for special educational needs.

One unnamed respondent said: “Due to unmet Send needs and insufficient specialist provision, staff are increasingly required to manage complex behaviours without adequate support or intervention from senior leadership.”

Another identified extreme views on social media as a contributing factor. “Increasing exposure to concerning attitudes and beliefs on the internet: misogyny is clearly having a huge effect, especially as a female teacher when dealing with the behaviour of male students.”