Psychological Treatment for Anorexia Nervosa: A Comprehensive Guide

Psychological treatment for anorexia nervosa: a comprehensive guide. Anorexia nervosa is a severe mental illness that demands thorough treatment, with a particular focus on psychological intervention. In this article, we explore the critical role of psychological treatment in the recovery process for individuals battling anorexia, with an emphasis on Melbourne psychologists and therapists specializing in eating disorders.

Overcoming Treatment Barriers

Regrettably, many individuals with eating disorders, including anorexia, face obstacles in accessing appropriate treatment consistent with clinical guidelines. These barriers may stem from an individual’s reluctance to seek help, limited screening, and the scarcity of suitable treatment options.

Assessment for Anorexia Nervosa: A Multifaceted Approach

Effective treatment begins with a comprehensive assessment. Clinical interviews are the gold standard for evaluating and diagnosing eating disorders. In this context, Melbourne psychologists play a pivotal role. The Eating Disorder Examination (EDE) serves as a valuable guide for assessment, while validated self-report questionnaires like the Eating Disorders Examination Questionnaire (EDE-Q) offer insights into recent eating disorder symptoms.

Given the potential impact of eating disorders on physical health, a medical assessment is also indispensable. The National Practice Standards for Eating Disorders (NEDC, 2018) and the Australia and New Zealand Academy for Eating Disorders (ANZAED) provide comprehensive guidelines for eating disorder assessment.

Psychological Treatment for Anorexia Nervosa: Melbourne’s Expertise

In the realm of psychological treatment, Melbourne is home to skilled therapists who specialize in eating disorders. Here’s what you need to know:

• Interdisciplinary Treatment: Effective anorexia treatment typically involves a multidisciplinary approach. It encompasses nutrition, medical care, and psychological therapy, often led by Melbourne therapists specializing in eating disorders.
• Specialized Therapist-Led Psychological Treatment: Long-term specialized therapist-led manualized psychological treatment is vital, with a focus on addressing cognitive and behavioral aspects of the disorder. Melbourne psychologists are equipped to provide expert guidance in this area.
• Family-Based Therapy for Young People: For adolescents, involving the family in the treatment process is particularly beneficial. Experienced Melbourne therapists actively facilitate family-based therapy to support young individuals.
• Hospitalization When Necessary: In severe cases where there’s a significant medical or psychological risk, hospitalization is considered. Melbourne therapists collaborate with medical professionals to ensure comprehensive care.

Keep in mind that individuals highly personalize their journey to recovery from anorexia. Psychological treatment, guided by Melbourne psychologists and therapists with expertise in eating disorders, is central to addressing the complex cognitive and behavioral aspects of the condition. With the right support, commitment, and access to Melbourne’s specialized therapists, individuals can conquer anorexia and regain control of their lives. If you or someone you know is struggling with anorexia in Melbourne, don’t hesitate to seek help. Early intervention can make all the difference in achieving a successful recovery.

AI Psychotherapy: A Promising Development or a Doomed Future?

AI Psychotherapy: promising development or doomed future? exploring benefits and challenges. Discover the intriguing integration of artificial intelligence (AI) in psychotherapy. Despite being in early stages, AI’s potential to transform mental health treatment is immense. In this blog post, we explore the exciting possibilities of AI in psychotherapy, highlighting its benefits and addressing potential challenges. Join us as we navigate the intricacies of AI psychotherapy and its implications for the future of mental healthcare.

Potential Benefits of AI in Psychotherapy

Accessibility and Affordability in Mental Health

One of the major advantages of AI in psychotherapy is its ability to expand access to mental health care. Virtual therapists powered by AI can be available anytime, anywhere, reducing the barriers associated with geographical limitations, long waiting lists, and high costs. This accessibility can provide support to individuals who might otherwise struggle to access traditional therapy services.

Personalised Mental Health Treatment Plans

AI algorithms have the capacity to process vast amounts of data and identify patterns that may elude human therapists. By integrating information from various sources such as medical records, personal diaries, and wearable devices, AI can generate personalised treatment plans tailored to individual needs. This targeted approach can optimise therapeutic interventions and improve treatment outcomes.

Enhanced Diagnostic Accuracy for Mental Illnesses

Accurate diagnosis forms the foundation of effective therapy. AI algorithms can analyze a wide range of data, including verbal and non-verbal cues, speech patterns, and behavioral indicators, to aid in the diagnostic process. Machine learning algorithms can identify patterns and subtle markers of mental health conditions, assisting clinicians in making more accurate diagnoses and developing appropriate treatment strategies.

Augmenting Therapist/ Psychologist Skills

AI can serve as a valuable tool for therapists, complementing their skills and expertise. Natural language processing algorithms can analyze therapy session transcripts, providing insights into client responses, emotional markers, and potential areas of concern. This feedback can help therapists gain deeper insights and improve their therapeutic approaches, leading to more effective interventions.

 

Potential Issues of AI in Psychotherapy

Ethical Considerations

The ethical implications of AI in psychotherapy cannot be overlooked. Privacy and data security must be prioritized to protect sensitive information shared by clients. Transparent and informed consent processes should be in place to ensure individuals understand how their data is used. Additionally, addressing issues of bias and fairness in AI algorithms is crucial to prevent potential harm or discrimination.

Loss of Human Connection

AI-powered virtual therapists may lack the human empathy and connection that are vital elements of the therapeutic process. While AI can provide valuable insights and support, it cannot fully replace the human-to-human interaction that many clients find essential for their healing journey. Striking the right balance between AI-driven tools and the presence of human therapists is essential for ethical and effective implementation.

Limited Contextual Understanding

AI algorithms primarily rely on data-driven analysis and may struggle to comprehend complex emotions or unique contextual factors that are central to psychotherapy. Understanding cultural nuances, interpersonal dynamics, and non-verbal cues require human intuition and sensitivity that AI may struggle to replicate fully. Human oversight and critical judgment are crucial to interpreting AI-generated insights appropriately.

The potential use of AI in psychotherapy opens up exciting avenues for improving mental health care. From enhanced accessibility and personalized treatment plans to improved diagnostic accuracy and augmented therapist skills, AI can contribute significantly to the field. However, ethical considerations, the preservation of human connection, and the limitations of AI’s contextual understanding should be carefully addressed. By combining the strengths of AI with the expertise of human therapists, we can harness the full potential of this technology to create a future where mental health care is more accessible, effective, and compassionate.

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New Funding for Eating Disorder Treatment in Australia

The Australian government has taken a significant step towards improving support for Australians grappling with eating disorders by announcing increased funding for treatment. This much-needed boost aims to address the growing concern surrounding these debilitating conditions, ensuring individuals receive comprehensive care. In this blog post, we will explore the details of the new funding for eating disorder treatment in Australia and its contribution to enhancing access to vital treatment options.

Government Commits Additional Funding for Eating Disorder Treatment in Australia

The Hon David Coleman MP, Minister for Health and Aged Care, announced that the Australian government is investing $24.3 million to expand eating disorder services across the country. This commitment comes in recognition of the rising prevalence of eating disorders and the urgent need for accessible and comprehensive treatment options.

Addressing the Growing Concern of Eating Disorders in Australia

According to recent data, approximately one million Australians are affected by an eating disorder, with a higher incidence among young people. These conditions have severe physical, emotional, and psychological consequences, making early intervention and treatment crucial for recovery.

The new funding aims to enhance access to evidence-based treatments and support for those suffering from eating disorders. By investing in treatment services, the government hopes to improve the overall well-being of affected individuals and reduce the long-term impact of these disorders on their lives.

Expanding Treatment Options and Access

One of the primary goals of the funding is to bolster the capacity of existing eating disorder treatment services and expand their reach. This will involve strengthening partnerships between public and private healthcare providers, community organizations, and specialized treatment centers. The aim is to create a comprehensive network of support that ensures individuals have access to the right resources at the right time.

Additionally, the funding will support the establishment of new specialized eating disorder treatment centers across Australia. These centers will offer multidisciplinary care, including medical, psychological, and nutritional interventions, to provide holistic treatment for individuals affected by eating disorders.

The Role of Psychology and Counseling in Eating Disorder Treatment

Psychological support, including counseling and therapy, plays a vital role in the treatment of eating disorders. Recognizing this, the new funding emphasizes the importance of psychological interventions as part of a comprehensive treatment plan.

With the expanded funding, more resources will be dedicated to increasing the availability of psychologists, counselors, and mental health professionals specializing in eating disorder treatment. This investment aims to reduce waiting times for therapy sessions and ensure that individuals receive the support they need promptly.

Optimising Treatment in Melbourne: The Three Seas Leading the Way

As part of this nationwide initiative, The Three Seas, will play a pivotal role in providing specialized care for individuals with eating disorders. With their team of experienced psychologists and counselors, The Three Seas is well-equipped to deliver evidence-based treatment tailored to the unique needs of each client.

Whether it’s individual therapy, group counseling, or family support, The Three Seas offers a holistic approach to eating disorder treatment. With the expanded funding, they will be able to enhance their services, reduce waiting times, and make a more significant impact on the lives of those seeking help.

Where Will the Money Go?

Where exactly will the money go?
The University of Sydney (InsideOut Institute): eClinic – $4,000,000
National Eating Disorders Collaboration: Right Care Right Place – $3,926,000
headspace National: Embedding eating disorder treatment in headspace centres – $1,530,000
The University of Sydney (InsideOut Institute): Digital GP Hub – $4,000,000
Butterfly Foundation: Virtual Intensive Outpatient Program (v-IOP) – $2,844,000
Eating Disorders Families Australia: Fill the Gap – $1,700,000
Eating Disorders QLD: Brief Intervention/Therapy for Eating Disorders (bITE) – $2,000,000
Medical Research Future Fund: Childhood Mental Health Research Plan* – $50,000,000

The increased funding for eating disorder treatment in Australia represents a significant step towards addressing the urgent needs of individuals affected by these conditions. With a focus on expanding treatment options, improving access to care, and emphasizing psychological support, the government aims to provide a lifeline to those struggling with eating disorders.

Organisations like The Three Seas are at the forefront of this transformative effort, offering specialised psychology and counselling services in Melbourne. Through the combined efforts of government support, healthcare providers, and community organizations, we can strive for a future where comprehensive and inclusive eating disorder treatment is accessible to all individuals in need, promoting awareness, understanding, and recovery for those affected by these conditions.

What Predicts Relationship Satisfaction?

In part two of our series on relationships, what predicts relationship satisfaction? Appreciation. At the Three Seas, we know that appreciation is an essential ingredient in maintaining healthy and happy romantic relationships. In fact, research has shown that appreciation is one of the key predictors of relationship satisfaction and longevity¹. In this blog post, we will discuss the importance of appreciation in romantic relationships and provide practical tips on how to incorporate appreciation into your daily routine.

Appreciation reduces stress and promotes mental health

Appreciation can also have a positive impact on mental health. Studies have shown that expressing gratitude and appreciation can reduce stress, depression, and anxiety². When we feel appreciated, we experience positive emotions such as joy and contentment, which can help to promote overall well-being.

 

Appreciation improves communication and reduces conflict

Effective communication is essential for a healthy and strong relationship. When we appreciate our partner, we create a safe and supportive environment for communication³. This helps to reduce misunderstandings and conflict, and fosters a deeper understanding and connection between partners.

 

Appreciation fosters a culture of love and respect

Appreciation is a key ingredient in creating a culture of love and respect in a relationship⁴. When we appreciate our partner, we demonstrate our love and respect for them, which helps to create a sense of trust and security. This can lead to a stronger emotional connection, increased intimacy, and a deeper sense of love and commitment.

 

In conclusion, appreciation is an essential aspect of a healthy and strong romantic relationship. By expressing appreciation for our partner’s positive qualities and actions, we can create a positive and supportive environment, promote mental health, improve communication, and foster a culture of love and respect.

 

So how can you incorporate appreciation into your daily routine?

Here are some practical tips:

1. Make a conscious effort to express gratitude and appreciation for your partner every day. This could be a simple thank-you for making dinner or a heartfelt expression of gratitude for their love and support.
2. Look for opportunities to compliment your partner and acknowledge their strengths and qualities. This could be a compliment on their appearance, their intelligence, or their kindness.
3. Write a love letter or a note expressing your appreciation for your partner. This is a great way to express your feelings and show your partner how much you care.
4. Practice active listening and validate your partner’s feelings and emotions. This shows that you value and respect their perspective, which is an important aspect of appreciation.

Summary: Appreciation is Key

appreciation is a crucial aspect of maintaining a healthy and happy romantic relationship. By expressing gratitude and appreciation for your partner, you can create a positive emotional climate, build trust and intimacy, reduce conflict, and improve your mental health and wellbeing. So take the time to appreciate your partner today, and watch your relationship thrive! If you want to dive in deeper on this topic, Jay Shetty has a fantastic book.

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References

1. Joel, S., Eastwick, P. W., Allison, C. J., Arriaga, X. B., Baker, Z. G., Bar-Kalifa, E., Bergeron, S., Birnbaum, G. E., Brock, R. L., Brumbaugh, C. C., Carmichael, C. L., Chen, S., Clarke, J., Cobb, R. J., Coolsen, M. K., Davis, J., De Jong, D. C., Debrot, A., Dehaas, E. C., . . . Wolf, S. (2020). Machine learning uncovers the most robust self-report predictors of relationship quality across 43 longitudinal couples studies. Proceedings of the National Academy of Sciences, 117(32), 19061-19071. https://doi.org/10.1073/pnas.1917036117
2. Monin JK, Poulin MJ, Brown SL, Langa KM. Spouses’ daily feelings of appreciation and self-reported well-being. Health Psychol. 2017 Dec;36(12):1135-1139. doi: 10.1037/hea0000527. Epub 2017 Jul 20. PMID: 28726476; PMCID: PMC5800303.
3. Davoodvandi M, Navabi Nejad S, Farzad V. Examining the Effectiveness of Gottman Couple Therapy on Improving Marital Adjustment and Couples’ Intimacy. Iran J Psychiatry. 2018 Apr;13(2):135-141. PMID: 29997659; PMCID: PMC6037577.

 

 

 

The Physical Symptoms of Depression

It’s Not Just In Your Head – The Physical Symptoms of Depression

The emotional and cognitive symptoms of Depression co-occur with severe physical symptoms. Four of the nine diagnostic criteria for Depression are physical: changes in sleep, weight, psychomotor abilities and physical fatigue¹. Those with Depression can be three to four times more likely to experience comorbid psychomotor, musculoskeletal and inflammatory diseases1. Although the two predominant symptoms involve mood and cognition, physical symptoms can be easier to observe. Therefore, they may be more useful in noticing a depressive episode in yourself or someone else. Research suggests that depression is the result of a combination of biological, physiological and social factors. Recently more attention has been paid to the co-occurrence of physical and psychological symptoms of depression. It’s well known that the physical and psychological symptoms of depression exacerbate each other, for example, physical fatigue stop someone from engaging in activities that boost their mood. Recently research has linked the co-occurrence of the psychological and some of the physical symptoms of depression to dysregulation of neurotransmitters (serotonin and norephedrine) and inflammation in the body².

Sleep and Fatigue

A symptom of Depression is a change to regular sleep patterns experienced most days for more than two weeks. This can either be increased (Hypersomnia) or decreased (Insomnia) hours of sleep as well as difficulties breathing during sleep (Obstructive Sleep Apnoea)­³. It’s estimated that 75% of adults with depression also experience insomnia⁴. Notably, those with hypersomnia often don’t feel rested even after a long period of sleep. Another symptom of Depression is feeling fatigued or a loss of energy most days for at least two weeks. This is likely due to the dysregulation of serotonin and norephedrine, amongst other factors⁵. Many antidepressants assist in the release of serotonin and some additionally affect norephedrine. Serotonin is associated with calm, sleep and mood regulation whereas norepinephrine with attention and energy levels.

Weight

There are many reasons for weight changes including aging, hormones and lifestyle factors. For those with depression weight changes can occur for multiple reasons⁶. Firstly, changes in mood and stress that leads to depression can change dietary and exercise habits. People often eat excessive or unhealthy food in response to low mood or distress. Those with depression also lose motivation and interest in previously pleasurable activities, especially those with a delayed reward-like exercise. This combination paired with irregular sleep patterns often leads to fluctuations in weight. Everybody is different and depression manifests differently. Those with predispositions around disordered body image and food may start to lose weight, which is also highly correlated with depression. Unfortunately, some anti-depressants prescribed for depression can cause weight gain. Luckily there are many types of antidepressant treatments with differing side effects.

Psychomotor Agitation and Retardation

Another symptom of depression is psychomotor retardation or agitation. This involves changes in movement and speech: Speech typically becomes slower, with more pauses, lower volume and less expressivity; Gross body movement of the limbs, torso and head is slowed; Eye movement becomes more static and eye contact is less frequent; Posture tends to be more slumped⁷.

Pain

Those with depression are more likely to experience specific and general physical pain that has no other medical cause². They also tend to have a lower pain tolerance and threshold⁸. It’s theorised that this is due to dysregulation of neurotransmitters and/or because of increased inflammation. Research suggests that inflammation is a contributing factor to depression and its resulting fatigue and pain. Those with depression frequently report headaches, back and neck pain. Women with depression may experience more severe period pain as well.

Psychosomatic Manifestation of Symptoms

People with depression often identify their physical symptoms before their psychological ones. If someone goes to their doctor for physical symptoms it can be upsetting to hear it’s caused by a psychological issue9. People tend to interpret this as ‘all in their head’ and not real. For those with depression, who often experience unnecessary guilt and shame, this idea can reinforce feelings of unworthiness and hopelessness towards the possibility of recovery¹. Yet psychosomatic symptoms are real and can be just as severe as those that stem from diseases in the rest of the body². The public perception of psychosomatic symptoms stems from the same bias that made amputation and physical scarring easier to discuss than Shell Shock (PTSD) in World War 1 and 2. Psychosomatic symptoms are more common in cultures where mental health is a taboo10. It’s often theorised that when internal distress is not able to be expressed in healthy ways it is forced to present in physical problems. The research into psychosomatic symptoms is challenged because it can present itself in vastly different ways depending on the person.

In Summary

The symptoms of depression stretch far beyond the psychological. Often physical symptoms can be easier to spot at the beginning of a depressive episode. Despite public bias against psychosomatic symptoms, these are just as valid and significant in recovery from depression. For someone without a history of depression, I considered myself well informed about the symptoms and pain that it can cause. Writing this article has opened my eyes to the many ways in which it can affect a person’s life. My respect for anyone who works their way through this disorder has doubled.

If you or someone else needs help with their Depression or other mental health difficulties, please contact us at 9809 1000 or submit an online enquiry here.

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References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders : DSM-5. American Psychiatric Association.
Steffen, A., Nübel, J., Jacobi, F. et al. Mental and somatic comorbidity of depression: a comprehensive cross-sectional analysis of 202 diagnosis groups using German nationwide ambulatory claims data. BMC Psychiatry 20, 142 (2020). https://doi.org/10.1186/s12888-020-02546-8
Schimelpfening, N. (2019). Physical Effects of Depression. Verywell Mind. https://www.verywellmind.com/physical-effects-of-depression-1066890
Nutt, D., Wilson, S., & Paterson, L. (2008). Sleep disorders as core symptoms of depression. Dialogues in clinical neuroscience, 10(3), 329–336. https://doi.org/10.31887/DCNS.2008.10.3/dnutt
Newsom, R. (2020). Depression and Sleep. Sleep Foundation. https://www.sleepfoundation.org/mental-health/depression-and-sleep
McMillen, M. (2021, August 20). Does Depression Cause Weight Gain or Weight Loss? What’s the Depression/Weight Connection? WebMD. https://www.webmd.com/depression/features/depression-and-weight-connection
Buyukdura, J. S., McClintock, S. M., & Croarkin, P. E. (2011). Psychomotor retardation in depression: biological underpinnings, measurement, and treatment. Progress in neuro-psychopharmacology & biological psychiatry, 35(2), 395–409. https://doi.org/10.1016/j.pnpbp.2010.10.019
Schimelpfening, N. (2019). Physical Effects of Depression. Verywell Mind. https://www.verywellmind.com/physical-effects-of-depression-1066890
Zambito Marsala, S., Pistacchi, M., Tocco, P., Gioulis, M., Fabris, F., Brigo, F., & Tinazzi, M. (2015). Pain perception in major depressive disorder: A neurophysiological case–control study. Journal of the Neurological Sciences, 357(1-2), 19–21. https://doi.org/10.1016/j.jns.2015.06.051
O’Sullivan, S. (2017). When the Body Speaks | Psychology Today Australia. Www.psychologytoday.com. https://www.psychologytoday.com/au/articles/201701/when-the-body-speaks

 

How Retirement Can Affect Mental Health

How Retirement Can Affect Mental Health & Why Seeing a Therapist could ease this life transition.

Many people spend their entire careers counting the years to retirement. We are eager to get a break from the endless hassle of demanding bosses, conniving co-workers, and chronic financial worries. But retirement can affect mental health in unexpected ways. Somehow, when you finally hit the finish line, everything seems to change. It’s common to struggle with depression, anxiety, and self-esteem issues. The good news is that these problems often go away on their own as you settle into this new phase of life. Here are some of the most common challenges newly retired Aussies face.

Loss of Identity

Most people respond to queries about that they do with a response about their jobs or careers. We are raised to see our identities as inexplicably linked to work, so it’s no wonder that many new retirees experience a loss of identity when they first quit working. You might feel like you don’t have much to contribute now that you’re retired or worry that you’re irrelevant—either to your chosen field or your family. One of the easiest ways to combat this sense is to embrace a new hobby or learn a new skill.

Self-Esteem Issues

Particularly if you felt forced out of your previous job, you may experience self-esteem issues. This can affect your relationships with loved ones, your ability to care for yourself, and even your ability to find new ways to spend your time. Sometimes these issues wane with time, but if they get steadily worse, counselling can help.

Anxiety

Anxiety is filled with uncertainty. Now that you’re not spending most of your day at work, you have more time to think about the things that concern you, and you may also have some new worries. Finances, health, your children and grandchildren, how you and your spouse will get along now that you’re spending more time together, and similar topics can all figure prominently in retirement-related anxiety.

Unexplained Health Symptoms

Your physical and mental health are not easily separated. Each affects the other. Retirees sometimes find that the additional time they have around the house is additional time to worry about medical symptoms they previously never noticed. Moreover, some find that their body responds to the shock of retirement with unpleasant symptoms such as headaches and muscle pain. It’s important to get a regular check-up with your doctor but know that everyone experiences periodic aches and pains. Some other changes are common as you age, and nothing to worry about. Don’t allow yourself to fixate on minor health symptoms, or you may soon find that those symptoms overtake your life.

Depression

Depression is common among seniors. Boredom, lack of purpose, fear about the future, anxiety about retirement, changing health, and even age-related cognitive changes can lead to depression. Worse still, depression can look a lot like dementia in older adults since depression inhibits your ability to think clearly. Left untreated, depression may even lead to cognitive decline. Many seniors remain resistant to treating mental health symptoms, but doing so is vital to your long-term health. If you experience persistent feelings of guilt, worthlessness, hopelessness, or sadness, seek professional counselling. Seeing a psychologist or counsellor can assist with putting things into perspective and help you work through this sometimes-challenging life stage.

Our Client Connect Team is highly trained to match you with the right psychologist who specialises in this particular stage in life.

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Teen Eating Disorders: What Parents Can Do to Help

Research consistently shows that parents are concerned about bullying, substance abuse, and sexual behaviour among their children. But one of the most significant teenage risk factors might be one you never consider: eating disorders such as bulimia and anorexia. Most people with eating disorders first develop symptoms in adolescence. These disorders carry a higher fatality rate than any other mental illness, and can destroy your child’s health before you even notice the problem. Here’s what parents need to know about teens with eating disorders, and what they can do to help.

Teen Eating Disorders: Know the Warning Signs

Eating disorders thrive in secrecy, so knowing your teen and understanding what’s normal for her is vital to detecting symptoms before it’s too late. Some warning signs of eating disorders include:

• Disappearing after each meal.
• Unexplained tooth decay that may be due to vomiting food after a meal.
• Sudden excess growth of body hair.
• Unexplained weight loss.
• Changes in skin texture or appearance.
• Looking pale or weak.
• Low self-esteem or depression.
• Anxiety or controlling behaviour surrounding food; your teen might refuse to eat in certain circumstances, or get defensive when you ask innocuous questions about what she wants to eat.

Why Teens Develop Eating Disorders

Between 90%-95% of people with eating disorders are women, though eating disorders are becoming more common among young men. The reason for this is fairly simple: teens, especially girls, face enormous pressure to conform to an unreasonable standard of beauty that demands thinness. In the face of this pressure, some teens suffer a loss of self-esteem that causes them to take serious risks with their health and eating habits.

Some teens are more likely to develop eating disorders than others. Some risk factors include:

• A history of sexual abuse.
• Controlling parents.
• Obsessive or perfectionistic tendencies.
• Participating in sports that demand thinness, such as ballet, gymnastics, wrestling, or swimming.
• Suffering a recent trauma.
• A history of depression or self-esteem problems.
• A family history of eating disorders.

Of course, some teens develop eating disorders even though they have no risk factors, and others avoid disordered eating in spite of a range of risk factors.

What Parents Can Do

If your child has an eating disorder, your first inclination might be to get angry and even punish her. But attempting to control your child can actually make symptoms worse, since eating disorders are often about control and anxiety. Instead, talk to your child about her body image and ask what you can do to help. Counselling is of paramount importance. Don’t ignore the role your child’s psychology plays in her disordered eating, even if she promises to change or insists she’ll stop. Eating disorders are a lot like addictions; they happen for a reason, and children counselling can help you and your child uncover the reason.

At Three Seas, we partner with parents and their children to get to the heart of disordered eating. We can help you find ways to support your child as we work with your child to improve self-esteem and cultivate a lifetime of healthy eating.

Understanding Suicide

Understanding Suicide: Taking Suicidal Thoughts and Actions Seriously. Unveiling the Shocking Reality of a Common Tragedy.

Suicide: Warning Signs, Why People Kill Themselves

What causes people to kill themselves? And how can you tell if someone you love is in danger of committing suicide? That requires careful, compassionate observation.

Why Do People Commit Suicide?

There’s no single cause that can explain every instance of suicide. Research shows that, for most suicide victims, it’s not a desire to die but a desire to no longer live. That might seem like a trivial distinction, but what it means is that suicide happens when its victims can no longer tolerate the circumstances of their lives. Some of the most common reasons people commit suicide include:

• Mental illness. As many as two-thirds of people who commit suicide had depression at the time of their death; mental illness is the single biggest predictor of suicide.
• Isolation and loneliness: People who feel unloved or who are isolated from family and friends are significantly more likely to commit suicide. This is why ignoring the pleas of a suicidal loved one or discounting his or her threats is so dangerous.
• The end of a relationship: Break-ups and divorces sometimes trigger depressive feelings that give rise to suicidal actions.
• Loss of a sense of identity: People who lose their jobs, a home, or something else from which they derived a sense of identity are at an increased risk of suicide.
• Physical health issues: Some people kill themselves because they do not want to be a burden to loved ones, or because their physical suffering feels too great to bear.

Suicide Warning Signs

People do not attempt or threaten suicide to manipulate loved ones, contrary to popular myth. You should take all suicidal actions and gestures seriously. Some common warning signs of suicide include:

• A history of depression or mental illness.
• Previous suicide attempts.
• Threatening suicide; the more frequent and specific the threats, the higher the risk.
• Creating a suicide plan or writing a suicide note.
• Giving away beloved possessions.
• Saying goodbye to loved ones.
• Transitioning from severely depressed and suicidal to calmer and happier. If nothing has changed and the person has not sought treatment, this could be because he or she has decided to commit suicide. Some people feel relief once they have established a suicide plan, contributing to an outward appearance of sound mental health.

How to Help a Suicidal Loved One

You cannot stop a loved one from killing himself or herself, even if you watch him or her 24 hours a day. This means you should never hold yourself responsible for another person’s suicide. Someone who is bound and determined to commit suicide will do if he or she does not get help and has the opportunity. If, however, someone you love is suicidal, there are things you can do to help, including:

• If the person is a child, alert a caring adult. This is often a parent, but not always. If the child’s relationship with the parent is strained or the parent is abusive, it might be better to talk to a grandparent, teacher, aunt, or uncle.
• Spend time with your loved one, and offer to do something fun together to take his or her mind off of the suffering. This can remind your loved one that his or her life has value, and that a suicide would hurt the people your loved one cares about.
• Encourage your loved one to seek treatment. Therapy can and does help people cope with suicidal feelings, even when they face extremely painful life circumstances.
  Contact emergency services if your loved one is in immediate danger.
• Ask your loved one to give you any weapons in the house until he or she feels better.
• Remind your loved one that things can get better. Offer to work with them on a plan to make life feel more bearable.
• Ask what you can do to help. Sometimes this is all it takes.

Three Seas regularly works with people who experience suicidal thoughts, so if you are struggling, please do not hesitate to contact us for help.

Contact Lifeline 24/7 crisis support.

Tips for Disclosing Your Mental Illness to Loved Ones

Sadly, mental health stigma is alive and well. Many people continue to believe that mental illness can be cured through willpower, conscious effort, or even prayer. But mental illnesses are every bit as serious and demanding of treatment as physical ailments. If you’re struggling to share your mental illness with someone you love, rest assured that there is nothing to be ashamed of. A little preparation and knowledge can go a long way. Our expert psychologists provide some tips for disclosing your mental illness to loved ones.

Know That You Don’t Have to Disclose your Mental Status

You are under no obligation to tell anyone about your mental illness. In fact, you don’t have to share that you’re sick at all, let alone that your troubles are psychological in nature. There’s no shame in lying to protect your privacy, particularly from the prying minds of co-workers and intrusive family members. You do not have to explain yourself or your behaviour to anyone.

Choose What Part of your Mental Health you want to Share

Even when you choose to disclose, it’s up to you to determine what you will and will not share. After all, a person who has diabetes is under no obligation to share his or her insulin schedule, so it similarly makes no sense that a person with depression would have to field questions about his or her use of medication or specific symptoms.

If you’re ready to share your mental illness, but not to fully give up your privacy, it can be helpful to practice in advance what you want to say. Sometimes people can be quite intrusive, and preparing for this intrusiveness helps you become a more effective and zealous advocate for yourself.

Be Prepared With Some Literature on Mental Illness/ Mental Health

Even if you’re grown accustomed to discussing your mental health with your therapist, counsellor, psychologist or other professionals, you might be surprised by how emotional you feel discussing it with someone you love for the first time. This is especially true if the loved one is not completely supportive. For this reason, it can be incredibly helpful to have some literature ready. This way, you don’t have to field intrusive questions about your mental health status but can still educate your loved one about what life with mental illness means. The Centre for Clinical Interventions has some great articles on a variety of mental health issues.

Share What You Need

Even if the person with whom you’re sharing has no experience with mental illness or an imperfect reaction to your disclosure, odds are very good that he or she will want to help—particularly when the shock of your initial disclosure wears off. Of course, if the other person doesn’t have a particularly astute understanding of mental health, his or her attempts at helping might fall flat—and even undermine your mental health. Consider preparing with a list of ways your loved one might help. These could include:

• Assistance with household tasks or child care as you work toward recovery.
• Help finding a therapist or other treatment program.
• Assistance sharing your mental health issues with other loved ones.
• Help rebuilding your sense of self-worth.
• Support for understanding that mental illness is not your fault.

 At The Three Seas, we provide a range of counseling services including cognitive behaviour therapy services, anger management classes, clinical psychology and more! Browse our services today or contact us for more information.

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Mental Health First Aid: 5 Things to Do When You Need to Feel Better Right Now

Mental health first aid: 5 things to do when you need to feel better right now. Though mental illness stigma continues to be a problem, mental health issues are common. Fourteen percent of Australians, for instance, report experiencing anxiety each year. Of the millions of people who struggle with various mental health issues, only about a third will seek help. At Three Seas, we’re on a mission to change that. Seeking counselling is an act of courage and hope that has the power to forever change your life and shift your focus. Though counselling is important on the journey to feeling better, it’s certainly not the only tool. If you’re experiencing a mental health crisis right now—whether it’s intense anxiety, thoughts of suicide, or severe depression—you deserve relief as quickly as possible.

If you’re experiencing thoughts of suicide, you need help immediately. Call a loved one, therapist, doctor, or suicide hot line. If you’re experiencing another mental health crisis, try one of these surefire, research-backed strategies.

Get Moving

Exercise is great for your long-term mental health, and some studies even suggest it can treat depression and anxiety just as effectively as popular medications. But exercise is more than just a long-term solution; it’s also a quick fix. A quick aerobic workout gives you a burst of endorphins that can lift you out of a bad mood. In pain? That’s no excuse. Exercise offers both immediate and long-term benefits to chronic pain sufferers.

Change Your Environment

Sometimes boredom can feel a lot like depression, and a host of mental health issues, ranging from anxiety to schizophrenia, can sap your energy, convincing you you’re better off staying home. Changing your environment can help ease painful emotions. Try getting out for a cup of coffee, going for a brisk walk, or simply window shopping at your favorite boutique. Changing your scenery can give you a new outlook on the scenery of your life.

Get Social

When you’re feeling bad, talking to others may be the very last thing you want to do, but research consistently shows that human contact is one of the best ways to improve mental health. Don’t lock yourself away. You don’t have to talk to anyone about your feelings if you don’t want to, but the simple act of spending time with a friend or loved one can lift you out of your misery. Plan a weekly outing with someone you love, or simply go to a social event, such as a book club meeting or local festival. Make an effort to talk to people and you may be surprised to see how quickly your spirits improve.

Meditate

Meditation comes in many forms, from focusing on a single object to repeating inspiring mantras. And research shows that it doesn’t just make you feel better; it actually changes the way your brain responds to stress, making you more resilient and healthier over time. Commit to just 20 minutes of meditation a day, and you may see a long-term improvement. For now, though, meditate on the feelings you’d like to replace your current list with, and you may be surprised to see how fast the feelings you want become the feelings you have.

Nourish Your Body

Before you give up on the day or on yourself, ask yourself a simple question: when was the last time you ate? Hunger and dehydration can wreck your mood, even if things are going well. Before you pronounce this day the worst ever, drink a tall glass of ice water, and eat a meal high in protein and rich in fruits and veggies. In just 20 minutes, you might find that you feel better. If you find yourself chronically struggling with hunger-related anger, depression, or sadness, talk to a nutritionist, since deficits in your current eating habits might also help explain deficits in your mental health.

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