Suicide and Eating Disorders: A Co-Occurring Condition

It’s not uncommon for an individual to experience more than one mental health condition at once.

Those with eating disorders are no exception. Depression and anxiety are two of the most common co-occurring disorders in individuals diagnosed with an eating disorder (ED). When an individual is depressed, it can be common to turn to self-injurious behaviors and suicide when suffering becomes overwhelming.

The Statistics:

Anorexia nervosa (AN) is the most lethal mental health diagnosis after opioid use disorder. Medical complications from this disorder are the first leading cause of death while suicide is the second. In relation to the general population, those with binge eating disorder (BED) and bulimia nervosa (BN) have elevated rates of suicidal behavior. Matched to comparison groups relative to age and gender, the chance is 18 times more likely for those with AN to die by suicide and seven times more likely for those with BN.

The Link:

Research suggests that eating disorders may not be the cause of suicide but rather the comorbid disorders that exist alongside them like depression and other mood disorders. Genetics and temperament also play a role in risk for EDs and suicide. While an individual may be born with certain genetic predispositions, nutritional and environmental factors can further influence outcomes. Environmental factors such as cultural and social norms and expectations, media messaging, family dynamics, access to healthcare, and level of food security compound risk. While not exclusive, traits such as perfectionism, rigidity, impulsivity, hypersensitivity, and emotional instability can increase the chance for an eating disorder to develop during difficult periods of life. Because perfectionism is a risk factor for suicide, Dr. Karen Lynn Cassiday, FAED states we need to challenge this perfectionism by, “...offer[ing] treatments that have patients practicing risk-taking, making mistakes, recovering from mistakes, laughing at mistakes, appreciating daily small experiences, and seeing the beauty in the challenge of stressors,” (Cassiday, 2018). Other research suggests that those with EDs, specifically AN, have a higher capability to die by suicide due to significant and frequent participation in painful ED behaviors. This makes sense because to complete suicide, one must have both a desire and capability to do so. Capability is determined by factors such as level of fearlessness and pain tolerance. Pain tolerance and fearlessness build over time, ultimately leading to lethal attempts. Finally, some research indicates that ED symptoms lead to increased feelings of loneliness, burdensomeness, and lack of belonging which can lead to suicidal thoughts. No matter the cause, there is a strong association between EDs and suicidality. 

Risk Factors:

Illness severity, substance abuse, alexithymia, excessive exercise, and co-occurring psychiatric illnesses such as borderline personality disorder all increase the risk of an individual with an ED to experience suicidality. While self-injurious behaviors usually do not have suicidal intent, these behaviors can increase the risk of suicidality. There is a higher prevalence of non-suicidal self-injury in BN and AN binge-purge subtype patients. In terms of age, adolescents with EDs tend to have an increased risk for suicidal behavior and suicide completion. This is why it can be imperative to know the warning signs to get individuals timely and appropriate treatment.

Recognize The Warning Signs:

While this list is not at all inclusive of every sign, the following are often the most common.

  • Communicating with language related to suicide (i.e., “I wish I would not wake up,” “I'm going to kill myself”)

  • Intense feelings of shame and guilt

  • Expressing feeling like a burden

  • Feelings of intense hopelessness

  • Communication of suicide plans (i.e., texting, social media)

  • Preparing for death (i.e., giving away possessions)

  • Previous attempts to kill oneself

  • Self-harm/non-suicidal self-injury (i.e., cutting, burning, hitting)

  • Impulsive/risky behaviors (i.e., speeding)

  • Obsession or fixation with death

  • Changes to appearance (i.e., hygiene, weight)

  • Changes in usual behaviors and/or feelings

  • Changes in sleeping patterns (more or less sleep)

  • Sudden change in mood from depressed to calm or improved

What This Means:

As a result of the close tie between EDs and suicide, clinicians and caretakers must recognize warning signs, address concerning behaviors, and assess risk frequently. Clinicians are encouraged to regularly assess for suicide risk in patients with ED diagnoses due to the increased likelihood of suicidal behaviors in these individuals. Clinicians and caretakers can work with folks to help them access an appropriate level of care and treatment approach given their unique circumstances and needs.

Resources

April R Smith, Kelly L Zuromski, Dorian R Dodd, Eating disorders and suicidality: what we know, what we don’t know, and suggestions for future research, Current Opinion in Psychology,

Volume 22, 2018, Pages 63-67, ISSN 2352-250X, https://doi.org/10.1016/j.copsyc.2017.08.023.

Cassiday, K. L. (2018, August 3). Learning to live well with depression and eating disorders. National Eating Disorders Association. https://www.nationaleatingdisorders.org/blog/learning-live-well-depression-eating-disorders

Hackert, April N. et al. Journal of the Academy of Nutrition and Dietetics, Volume 120, Issue 11, 1902 - 1919.e54, https://www.jandonline.org/article/S2212-2672(20)30904-7/fulltext#secsectitle0010


Konstantinovsky, M. (2022, September 15). Suicide rates are higher in eating disorder populations - here’s what you need to know. Equip Health. https://equip.health/articles/understanding-eds/suicide-and-eating-disorders

OTHER COUNSELING SERVICES OFFERED AT WELLMINDED COUNSELING

Therapy for depression isn’t the only service we offer. WellMinded Counseling offers the following counseling services:

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Mastering the Art of Organization: Essential Skills for College Students

By: Emma Miles

College life is a thrilling journey filled with new opportunities, learning experiences, and personal growth.

Orange clock in front of a blue background. Representing an organization skill that a Tampa therapist for college students is talkin about in this blog. Time management is a skill you can learn in therapy or counseling for college students.

Amidst the excitement, maintaining effective organizational skills becomes paramount. Developing strong organizational habits not only enhances your academic performance but also contributes to a more balanced and fulfilling college experience. In this blog, we will delve into essential organizational skills that every college student should master.

Time Management: The Key to Success

Time management is the foundation of effective organization. Balancing classes, assignments, extracurricular activities, and personal time requires a strategic approach:

  • Create a Schedule: Utilize digital calendars, planners, or time management apps to schedule classes, study sessions, and social activities.

  • Set Priorities: Identify your most important tasks and allocate sufficient time to tackle them. Learning to say no to less important commitments is equally crucial.

  • Break Tasks into Smaller Steps: Divide large projects into manageable chunks, making them less overwhelming and more achievable.

3 young adult friends laughing around a laptop. Representing the type of fun that a young adult therapist can help you relax & have during college. Through organization skills therapy for college students can help you enjoy your time in Tampa, FL!

Effective Study Strategies for College Students: Quality Over Quantity

Efficiency in studying is essential for college success. Adopting effective study techniques can help you retain information and reduce stress:

  • Active Learning: Engage with the material actively through techniques like summarizing, teaching concepts to others, and participating in group discussions.

  • Pomodoro Technique: Work in focused intervals (e.g., 25 minutes of studying followed by a 5-minute break) to maintain concentration and prevent burnout.

  • Organized Study Space: Create a clutter-free, dedicated study environment with all necessary materials within reach.

Digital Organization: Harnessing Technology

In the digital age, mastering digital organization tools can greatly streamline your college experience:

  • Cloud Storage: Use platforms like Google Drive or Dropbox to store and access documents from any device.

  • Note-Taking Apps: Apps like Evernote or OneNote allow you to organize class notes, research, and ideas in one place.

  • Task Management Apps: Stay on top of assignments and to-do lists with apps like Todoist or Trello.

A young adults desk with paper, pens, plant, & a keyboard. Showing how relaxing these organization tips from a young adult therapist in Tampa, FL can be. Get more tips as a part of therapy or counseling for college students in Tampa, FL!

Declutter Your Physical Space: A Clear Mind Starts with a Clear Environment

A clutter-free living space fosters a clear mind and reduces stress:

Goal Setting: A Roadmap to Achievement

Setting and tracking goals helps you stay focused and motivated:

  • SMART Goals: Create Specific, Measurable, Achievable, Relevant, and Time-bound goals for both short-term and long-term aspirations.

  • Celebrate Milestones: Acknowledge and celebrate your achievements along the way to maintain a positive outlook.

Mastering organizational skills is an investment in your college journey that pays dividends in both academic and personal spheres. By implementing effective time management, study strategies, digital tools, decluttering habits, and goal-setting techniques, you can navigate the challenges of college life with confidence and success. Remember, organizational skills are not innate; they are learned and honed over time. Start small, be patient with yourself, and watch as your newfound organizational prowess propels you toward excellence in both your academic pursuits and your overall college experience.

Start Counseling for College Students in Tampa, FL today!

Are you a college student living in Tampa, FL, striving to enhance your academic performance and make the most of your college experience? Look no further! At WellMinded Counseling, we understand the challenges of college life and offer expert counseling services tailored to your needs. Our team of young adult therapists in Florida can help you develop strong organizational skills, effective time management techniques, and strategies to reduce stress and anxiety. Take the first step toward success and personal growth by:

  1. Contact us for a free consultation.

  2. Schedule your first appointment for counseling for college students

  3. Work together with a young adult therapist to make your college journey a fulfilling and balanced one.

OTHER COUNSELING SERVICES OFFERED in Tampa, FL, and throughout Florida and Colorado AT WELLMINDED COUNSELING

Therapy for depression isn’t the only service we offer. WellMinded Counseling offers the following counseling services:

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Summer Blues: Yes, depression can still exist during the bright and sunny days of summer

By: Steven Delain

When we think of depression, we often associate it with the gloomy days of winter, but mental health conditions are not strictly defined by the seasons of the year.

Contrary to popular belief, depression can manifest during any time of the year, including the summer season. While many associate summer with vacations, outdoor activities, and sunny days, it's important to be aware that depression can persist during these months. In this blog, we explore the concept of summer depression, its possible causes, symptoms, and coping strategies to validate that depression can still happen in the summer.

Causes of Summer Depression 

The onset of summer depression can be triggered by various factors. One common cause is the disruption of routine. For individuals accustomed to structured schedules during the school year or work, the sudden freedom of summer can be overwhelming. Additionally, the pressure to participate in social events and maintain a cheerful facade can exacerbate feelings of loneliness and isolation. Furthermore, seasonal affective disorder (SAD), typically associated with winter, can occur during summer, albeit less commonly. SAD during the summer may be linked to the excessive heat and increased sunlight affecting sleep patterns and serotonin levels.

Symptoms of Summer Depression

The symptoms of summer depression may differ slightly from those experienced in the winter. While winter depression often includes feelings of fatigue, weight gain, and oversleeping, summer depression may manifest as anxiety, restlessness, insomnia, poor appetite, and weight loss. The constant pressure to enjoy outdoor activities and the fear of missing out can lead to increased anxiety levels. Moreover, body image concerns may intensify during the summer, as societal expectations of a "beach-ready" physical appearance can trigger self-esteem issues and negative self-perception.

Coping Strategies

If you find yourself struggling with summer depression, there are several coping strategies that may be helpful in reducing your symptoms. First and foremost, don't hesitate to reach out for support. Talk to a trusted friend, family member, or mental health professional about your feelings. Engaging in self-care activities such as practicing mindfulness, exercising, and getting sufficient rest can also be beneficial. Additionally, setting realistic expectations for yourself and learning to say no to excessive social obligations can reduce stress and prevent burnout. Creating a daily routine that incorporates activities you enjoy and finding indoor hobbies can provide structure and a sense of accomplishment. Finally, remember that it's okay to take breaks and prioritize your mental well-being, even during the summer months.

Depression doesn't discriminate based on seasons. While summer is often portrayed as a carefree and joyful time, it's crucial to recognize that individuals can still experience depression during this period. By understanding the causes, recognizing the symptoms, and implementing appropriate coping strategies, we can validate the existence of summer depression and support those who may be struggling during the sunny season.

OTHER COUNSELING SERVICES OFFERED AT WELLMINDED COUNSELING

Therapy for depression isn’t the only service we offer. WellMinded Counseling offers the following counseling services:

Contact our Broomfield, Colorado office today!

Navigating Friendships in College: Building Connections that Last

By: Emma Miles

College is a transformative phase of life that presents endless opportunities for personal and academic growth.

One of the most exciting aspects of this journey is the chance to make new friends. These friendships can enrich your experience, provide support, and create lasting memories. However, forming meaningful connections in college requires effort, an open mind, and a willingness to step out of your comfort zone. In this blog, we'll explore some valuable tips for Tampa Bay area college students to make friends in college and building connections that can last a lifetime.

  1. Embrace the Fresh Start

Starting college is a chance to reinvent yourself and start anew. Embrace this opportunity with an open heart and mind. Leave behind any preconceived notions from high school or your hometown. Approach each interaction with curiosity and a willingness to learn about others. Remember, everyone is or recently was in the same boat as you!

2. Attend Orientation Events

Most colleges organize orientation events for incoming students. These events are designed to help you acclimate to campus life and meet your fellow students. Participating in these activities not only provides an easy way to break the ice but also exposes you to a diverse range of individuals who are also eager to make friends.

3. Join Clubs and Organizations

Colleges offer a plethora of clubs and organizations catering to various interests and hobbies. Whether you're into sports, arts, social justice, or academics, there's likely a group that aligns with your passions. Joining such groups not only connects you with like-minded individuals but also provides a platform to collaborate and bond over shared activities.

4. Engage in Class Discussions

College classes often involve group discussions, projects, and study sessions. Engaging actively in these academic activities can lead to organic friendships. By working closely with your peers on coursework, you'll have the chance to get to know them better beyond the classroom.

5. Utilize Social Media and Online Platforms

In today's digital age, social media platforms and online communities can be valuable tools for making friends in college. Many colleges have official social media groups for incoming students, where you can introduce yourself, ask questions, and connect with others before even stepping foot on campus.

6. Practice Good Communication

Effective communication is the foundation of any healthy friendship. Be attentive and respectful when others are speaking, and show genuine interest in their thoughts and experiences. Ask open-ended questions to encourage meaningful conversations and make an effort to remember details shared in previous interactions.

7. Attend Social Events

From parties and mixers to movie nights and cultural festivals, colleges frequently host a variety of social events. These gatherings provide a relaxed atmosphere where you can meet new people and bond over shared experiences. Don't hesitate to attend these events and put yourself out there.

8. Be a Good Listener

Being a good listener is a key trait of a great friend. When you engage in conversations, focus on understanding the other person's perspective rather than waiting for your turn to speak. Active listening not only shows that you value their thoughts but also creates a deeper connection.

9. Be Patient and Persistent

Forming meaningful friendships takes time, and not every interaction will lead to a lifelong connection. Be patient and persistent in your efforts to make friends. Keep putting yourself out there, even if some attempts don't result in immediate friendships.

10. Stay True to Yourself

While making friends is important, it's equally crucial to remain true to yourself. Authentic friendships are built on genuine connections. Don't compromise your values or interests solely to fit in. The right friends will appreciate you for who you are.

College is a unique and exciting phase of life that presents countless opportunities to forge new friendships.

By embracing the adventure with an open heart, engaging in various activities, and practicing good communication skills, you can build connections that enrich your experience and provide a strong support network throughout your college journey and beyond. Remember, friendships take time to grow, so be patient, persistent, and authentic as you navigate the exciting world of college friendships.

OTHER COUNSELING SERVICES OFFERED AT WELLMINDED COUNSELING

Therapy for depression isn’t the only service we offer. WellMinded Counseling offers the following counseling services:T

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Why being consistent in therapy is important

By: Kate Daley

One of the first questions clients have is, how long will I need to be in therapy?

The answer is often frustrating: it depends. However, two other aspects are arguably more important than duration: frequency and consistency. Today, we will dive into consistency.

Let’s start with an example.

Clients A and B have both been in therapy for twelve months. However, client A often misses and cancels sessions. She has only had 14 appointments, going weeks and months between some sessions. Client B started with weekly sessions for six months and then began to see her therapist biweekly given that she was making positive progress. Clients A and B may have both been in therapy for a year but client B has had more frequent and consistent sessions.

Why does this matter?

While it may be more inconvenient at first due to the weekly time commitment, the overall duration, or months/years in therapy, is likely to be much less. By seeing your counselor weekly, treatment is often more effective and efficient in appropriately addressing presenting concerns.

Think about if you were to ice skate for the first time in months. You might feel a bit wobbly at first. With a more consistent commitment to this activity, you’d likely feel more confident sooner rather than later. The same goes for counseling; practice makes progress. As you learn new skills, it is important to practice them. Consistent sessions help to keep what you are learning top-of-mind. 

Another important reason to stay consistent with therapy is to build a strong and trusting therapeutic relationship. It’s not easy to disclose personal details and struggles to just anyone. A significant part of the therapeutic process includes building rapport and strengthening the therapeutic relationship, or the relationship between you and your therapist. Week-to-week data and tracking of progress help us to better help you. When we understand you and your concerns on a deeper level, we can provide more nuanced and effective skills and solutions.

Not only is consistency important for you, but it's also important for your therapist! Just like when you meet a new friend, it takes time to get to know them and understand each other. The same goes for your counselor. When clients miss sessions and cancel last minute, this makes it more challenging for the therapist to get to know you and therefore help you. By being consistently present, there are better outcomes with your care.

But what if I can’t be consistent?

Great question! Of course, therapy is supposed to help add to your life, not take away from it. Also, you are human and life happens! That being said, it is important to know your WHY. Why did you seek out therapy? What are you hoping to get out of it? If addressing concerns and creating change in your life is a priority, skipping sessions will hinder the progress toward these goals. Maybe you can ask yourself, what is getting (or could get) in the way? This question can be a great place to start when first meeting with your counselor!

OTHER COUNSELING SERVICES OFFERED AT WELLMINDED COUNSELING

Therapy for depression isn’t the only service we offer. WellMinded Counseling offers the following counseling services:

Contact our Broomfield, Colorado office today!