The co-occurrence of disordered eating and substance use disorders presents significant challenges in both diagnosis and treatment. Individuals with these comorbidities often use substances to cope with emotional distress related to their eating habits, while the substances themselves may exacerbate unhealthy patterns of eating or body image. This dual struggle is linked to common psychological factors, such as low self-esteem, anxiety, and impaired impulse control. Effective treatment requires an integrated approach that addresses both conditions in parallel, combining psychotherapy, nutritional counseling, and substance use interventions. By treating the root causes of both disorders simultaneously, individuals are more likely to achieve lasting recovery and improved mental health.