Posts Tagged ‘Co-Occurring Disorders’

**Content warning: This article discusses the topic of suicide. Please use your discretion when reading and speak with your support system as needed. If you are experiencing suicidal thoughts, there are resources that can help. Contact the National Suicide Prevention Lifeline at 1-800-273-8255.

Eating disorders impact about 30 million people in the United States. They are associated with high levels of premature mortality, including an increased risk for suicide. Without treatment, up to 20 percent of people with a serious eating disorder will die. Much like eating disorders, suicidal thoughts can affect anyone regardless of age, gender, or any other demographic categorization. 

September is Suicide Prevention Awareness Month – this means that for the month of September, mental health advocates, prevention organizations, survivors, allies, and community members unite to raise awareness on this stigmatized topic and to spread hope and vital information to people affected by suicide. 

As providers, there are certain warning signs of suicidal thinking that you should be looking out for, as well as an appropriate way to approach someone when you spot these warning signs.

Episode description:

Emily Layden is a writer and former high school English teacher from upstate New York. A graduate of Stanford University, her writing has appeared in The New York Times, Marie Claire, The Billfold, and Runner’s World. She joins us in this episode of Peace Meal to discuss her debut novel All Girls. We explore the depiction of disordered eating and anxiety in the book and society more generally, using Emily’s experience with the co-occurring concerns as context along the way. 

We center our conversation on one of the characters of All Girls, Macy, who struggles with clinical anxiety and an eating disorder resembling ARFID. Emily tells us about her decision to write Macy as she did, eschewing graphic descriptions of behaviors to highlight Macy’s anxious thoughts instead. She describes what she hopes All Girls adds to the larger conversation about eating disorders and the adolescent females among whom eating disorders are particularly prevalent. Emphasizing the importance of taking both eating disorders and young women more seriously, we explore how society tends to think similarly of both.

Podcast: Play in new window | Download

Subscribe: Google Podcasts | Spotify | Stitcher | RSS

We in the eating disorder field are generally wary of restriction. Dieting is a key risk factor in the development of eating disorders, and eliminating it and other disordered behaviors is central to healing. One of the biggest gifts of recovery is the opposite of restriction: a life where food is just food, and all foods fit.

Even so, “all foods fit” does not necessarily mean that all foods fit for all people at all times. Like any pithy “all” statement, this generalization does not represent any unique considerations. For those with special dietary restrictions, all foods quite literally do not fit. For those with allergies and intolerances, some foods are forever off-limits, and those with conditions like type 1 diabetes or celiac disease need to closely monitor ingredients to avoid triggering their physical illness.

Similarly, gastrointestinal disorders such as inflammatory bowel disease (IBD) often require dietary restriction as part of their treatment. The relationship with food is especially complicated for people in this situation. IBD symptoms can overlap and interact with eating disorder ones, and there is no one nutritional plan proven to work for all of those suffering.

**Content warning: This is one person’s story; everyone will have unique experiences in recovery and beyond. Some stories may mention eating disorder thoughts, behaviors, and symptoms. Please use your discretion when reading and speak with your support system as needed.

Lisa Whalen has an M.A. in creative and critical writing and a Ph.D. in postsecondary and adult education. She teaches composition, literature, and creative writing at North Hennepin Community College in Minnesota. Whalen’s writing has been featured in several literary journals and edited collections. Her book, Weight Lifted: A Memoir of Hunger, Horses, and Hope, will be published near the end of 2020. For updates and more about Whalen’s writing, visit her website or follow her @LisaIrishWhalen on Facebook, Twitter, and Instagram.

Winter is tough, especially in northern states like Minnesota, where 2020 delivered the gloomiest January on record. Meteorologists claim the sun appeared on 3 of January’s 31 days, but I’m skeptical. Maybe I was teaching in windowless classrooms during the sun’s brief peeks from behind gray clouds, but in early February, I couldn’t remember a single yellow ray since mid-December.

According to the Centers for Disease Control (CDC), approximately 22 million individuals are living with either Type 1 or Type 2 diabetes. These individuals are also at significantly higher risk for eating disorders. When this dual diagnosis exists, treatment and recovery are often complicated by the complexity and conflicting demands of the two conditions.

Although the approach to treatment can vary among those with Type 1 (DMT1), Type 2 (DMT2) and latent autoimmune diabetes in adults (LADA), it is important to be aware of the increased risk these individuals carry for disordered eating and eating disorders. It is estimated that the risk for ED behaviors is three times higher in individuals with DMT1 (1) and that up to 40% of individuals with DMT2 are affected by ED behaviors (2). There are numerous factors that increase the risk for disordered eating for those with diabetes. Several common challenges include:

*Please keep in mind this is one person’s story and that everyone’s path to recovery and beyond will be unique.

Rachel Moe is a Registered Nurse, Emily Program client, Aunt, coffee connoisseur, and writer who loves sharing her experience through recovery in hopes of connecting with and helping others. Rachel started and leads an Eating Disorders Anonymous meeting in Duluth, MN. She also recently started a blog and plans to dive more into recovery advocacy, as she is passionate about ending the stigma around mental illness. She loves to hike, spend time with her family and friends, write, and practice yoga.

I vividly remember the first time I was told by someone that I may be an alcoholic and I should consider a life of sobriety. It was a hot August day in the Twin Cities, I was 24 years old, and sitting in my therapist’s office in a residential treatment center for my eating disorder. I had already been struggling with Anorexia Nervosa and Bulimia Nervosa since the age of 13. My parents were on the couch across from me, tears in both of their eyes, and we were participating in family week at treatment. Now, this was not the first time someone had brought up my drinking and substance abuse to me, this was just the first time that I chose to truly listen to what was being said. I could no longer deny my life was falling apart as a result of alcohol, drugs, and my eating disorder.

The flood of emotions came immediately that day—sadness, shame, anger, grief. I mostly felt sad for my parents. I felt as though I had already inflicted enough pain through my eating disorder, how could I add another diagnosis to the list that has been growing for as long as I can remember? I felt angry that once again, I was different from my peers. In my group of friends, I was always the friend who was too anxious to go out for pizza or ice cream, so how could I also be the sober one as well?