There’s a fair amount of talk today about body positivity, self-improvement, and combatting unhealthy workout and diet culture. At the same time, I also think there’s a lot of fear to admit that sometimes we do feel self-judgemental—even to our closest friends.

I always wondered why being on a college campus in recovery from an eating disorder is so much harder than being elsewhere, and I think I finally have my “why.” It’s because no one talks about it. I...