Eating Disorders Are Not One-Size-Fits-All: New Research, Old Assumptions, and the Way Forward12/18/2025 Author: Esme O'Neill  Introduction: Broadening the Clinical and Conceptual Framework of Eating Disorders
Despite decades of research and advocacy, public and clinical conversations about eating disorders are still limited by narrow assumptions and stereotypes. These disorders are still widely conceptualized as conditions primarily affecting thin, white, adolescent females motivated by concerns about appearance and thinness. While this demographic has been historically central to both clinical attention and media portrayals, such a limited framework obscures the broader reality of who is affected by eating disorders, how these disorders manifest, and what effective treatment requires. Eating disorders are complex psychiatric illnesses with multiple etiologies, involving biological, psychological, and sociocultural dimensions. They occur across the lifespan and among individuals of all genders, body sizes, and racial and ethnic backgrounds. Yet individuals who do not conform to prevailing stereotypes often experience significant delays in diagnosis, underrepresentation in research, and reduced access to appropriate treatment. These systemic disparities are compounded by stigma, which continues to influence both clinical judgment and public perception. This discussion seeks to engage in a current empirical conversation with critical thinking about practice and policy, to challenge narrow frameworks, and to promote the development of more inclusive, effective, and person-centered prevention and treatment of eating disorders. First, it addresses the unique challenges faced by males with eating disorders, which is a population that remains largely invisible in both clinical research and treatment protocols. Second, it examines the pervasive impact of weight stigma on individuals with higher body weight, including the ways in which it distorts diagnostic practices and therapeutic priorities. Third, it explores the rising prevalence of eating disorders in children and adolescents, emphasizing the importance of early intervention and family-based treatment models. Finally, it considers emerging research and future directions in the field, including advances in neurobiological understanding, the relevance of transdiagnostic factors, and the need for culturally responsive care. By integrating current empirical findings with critical reflections on practice and policy, this discussion seeks to challenge reductive narratives and support the development of more inclusive, effective, and person-centered approaches to the prevention and treatment of eating disorders. Section 1: Male Eating Disorders – Unseen, Underdiagnosed, and Misunderstood While eating disorders have long been associated with young women, a growing body of research reveals that a substantial proportion of individuals affected by these disorders are male. Estimates suggest that males comprise approximately one-third of all eating disorder cases, yet their experiences are frequently overlooked in both clinical assessment and treatment settings (Strother et al., 2012). This underrecognition stems in part from cultural stigmas and gendered assumptions that categorize eating disorders as "female problems," which discourages men from seeking help and leads to diagnostic criteria that fail to account for male-specific symptomatology. Males with eating disorders often present with different concerns than their female counterparts. While thinness may be a goal for some, many men are driven by a desire for leanness combined with muscularity, a condition sometimes referred to as muscle dysmorphia. This disorder, a variant of body dysmorphic disorder, is characterized by obsessive behaviors aimed at increasing muscle mass and reducing body fat. These behaviors can include compulsive exercise, rigid dietary control, and the use of performance-enhancing substances, often going unrecognized within traditional diagnostic frameworks (Leone et al., 2021). Diagnostic tools and treatment models also tend to reflect a female-centric understanding of eating disorders. For example, standard screening instruments may emphasize weight loss, amenorrhea, or fear of fatness. These are criteria that do not always align with how eating disorders manifest in males. As Nagata et al. (2022) argue, this misalignment contributes to underdiagnosis and delayed treatment, particularly in adolescent males who may internalize shame about their struggles or present symptoms that clinicians fail to interpret as disordered eating. Emerging research underscores the urgent need for gender-sensitive approaches that consider the full spectrum of male eating disorder presentations. As Le Grange and Brewerton (2022) highlight in their review, there is a growing recognition of the need to adapt treatment interventions to better serve male patients, including addressing body image concerns specific to men, creating more inclusive clinical environments, and training providers to recognize male-specific signs and symptoms. Ultimately, addressing eating disorders in males requires both systemic and cultural shifts. Clinicians must adopt inclusive screening practices, researchers must continue to expand representation in studies, and public health messaging must dismantle the myth that eating disorders are exclusively female conditions. Only then can the field move toward equitable and effective care for all individuals affected by these disorders. Section 2: Addressing Eating Disorders in Individuals with Higher Weight – Confronting Weight Stigma in Treatment Eating disorders can affect individuals across the weight spectrum, yet those with higher body weight often face significant barriers in receiving appropriate diagnosis and care. Despite the well-documented prevalence of eating disorders such as binge-eating disorder (BED), bulimia nervosa, and other specified feeding or eating disorders (OSFED) among people with higher weight, these individuals are frequently underdiagnosed or misdiagnosed due to pervasive weight stigma in healthcare settings. This stigma not only contributes to delayed or inadequate treatment but can also lead to harmful therapeutic practices that exacerbate disordered eating behaviors. In response to these disparities, the National Eating Disorders Collaboration (NEDC) in Australia developed a comprehensive clinical practice guideline to improve the management of eating disorders in individuals with higher weight. Central to this guideline is a rejection of weight-centric models of care in favor of weight-inclusive approaches that prioritize psychological well-being, behavioral health, and quality of life over weight loss. The guideline underscores that eating disorders are serious mental health conditions that warrant evidence-based treatment regardless of body size. Among the key recommendations are implementing psychological treatments—particularly cognitive-behavioral therapy—as first-line interventions, promoting interprofessional collaboration across medical, psychological, and nutritional domains, and creating clinical environments that are free of weight bias. The guideline also calls on healthcare providers to confront and unlearn internalized weight stigma, fostering more inclusive and compassionate care for all patients. By shifting away from a narrow focus on weight loss and recognizing the complex interplay of mental, physical, and social health, this approach aims to ensure equitable treatment for individuals with higher weight. It highlights the urgent need to reform both clinical practices and societal attitudes in order to better support this often-overlooked population within the broader conversation on eating disorders. Section 3: Eating Disorders in Children and Adolescents – A Rising Crisis and the Role of Family-Based Therapy The prevalence of eating disorders (EDs) among children and adolescents has risen sharply in recent years, marking an urgent public health concern. Global studies report that more than one in five adolescents now engage in disordered eating behaviors, with clinical diagnoses such as anorexia nervosa (AN), bulimia nervosa (BN), binge-eating disorder (BED), and avoidant/restrictive food intake disorder (ARFID) increasingly common. In the United States alone, an estimated 2.7% of adolescents aged 13 to 18 have experienced a diagnosable eating disorder. The COVID-19 pandemic intensified these trends, as social isolation, disrupted routines, and heightened exposure to appearance-based social media led to a documented surge in adolescent ED-related hospitalizations (The Journal of Pediatrics, 2023). Contributing to this crisis are both external pressures and internal psychological vulnerabilities. Generalized anxiety symptoms (such as persistent worries about health, future uncertainty, or past behaviors) are relatively common in childhood and have been prospectively associated with the development of disordered eating. These anxious states may drive children and adolescents toward restrictive eating behaviors as a maladaptive strategy to alleviate distress. Neurobiological research suggests that dietary restriction can have an anxiolytic effect via serotonin regulation in some individuals, offering negative reinforcement and increasing the risk of progression toward anorexia nervosa (Kaye, 2008). These findings highlight the need to view EDs not only through a sociocultural lens but also as manifestations of deeper emotional and neurobiological processes. Early identification and intervention are critical, yet many adolescents remain undiagnosed or face delays in care due to stigma, lack of awareness, or limited access to trained providers. Research by Neumark-Sztainer et al. (2019) and Forman et al. (2003) underscores the importance of family engagement and comprehensive treatment approaches in promoting recovery and preventing long-term psychological and physical consequences. Among the most effective interventions for adolescents with eating disorders is Family-Based Therapy (FBT), also known as the Maudsley Approach. FBT represents a significant departure from older therapeutic models that positioned parents as part of the problem. Instead, FBT empowers caregivers to take an active, central role in the recovery process. The treatment unfolds in three structured phases: first, parents assume full responsibility for ensuring nutritional restoration and disrupting ED behaviors; next, control is gradually returned to the adolescent as stability improves; and finally, therapy shifts to support healthy identity development and address broader family dynamics. What makes FBT particularly effective is its core set of principles. It adopts an agnostic stance toward the origin of the illness, focusing instead on urgent behavioral change. Therapists maintain a non-authoritarian role, acting as consultants to support parents without pathologizing them. Importantly, FBT externalizes the disorder which helps families to view the ED as separate from the child, which fosters unity rather than blame. Studies show that FBT yields higher remission rates than individual therapy for adolescent anorexia and shows promising outcomes for other ED subtypes such as bulimia nervosa (Le Grange & Lock, 2015). Still, FBT has several challenges. Firstly, successful implementation requires extensive time, emotional energy, and access to trained professionals, which are all resources that may not be equally available to all families. Yet, in settings where it can be properly delivered, FBT offers a powerful, evidence-based pathway to recovery. In sum, the rise of eating disorders among youth is a multidimensional crisis that demands early detection, integrated treatment, and family engagement. Approaches like FBT, when tailored to the needs of both the adolescent and their caregivers, provide a promising framework for interrupting the course of illness and restoring long-term health and well-being. Section 4: Looking Ahead – Innovation, Complexity, and the Future of Eating Disorder Treatment As clinical recognition of eating disorders expands, so too does the understanding that these illnesses are not only culturally and psychologically constructed but also deeply rooted in biological and neurological systems. Recent research points to the need for multidimensional frameworks that reflect the complexity of eating disorders, challenging simplistic or one-size-fits-all approaches to diagnosis and care. One of the most significant developments in the field is the increased focus on the neurobiology of eating disorders. Emerging evidence highlights alterations in brain reward systems, emotion regulation circuits, and cognitive control mechanisms across disorders such as anorexia nervosa, bulimia nervosa, and binge-eating disorder. These findings have led researchers to investigate how differences in brain connectivity and neurotransmitter activity (particularly involving dopamine and serotonin) may contribute to symptom persistence and treatment resistance. Understanding these neurological underpinnings opens the door to more personalized and potentially more effective interventions. At the same time, the field is seeing a growing appreciation for the role of transdiagnostic factors (shared traits such as perfectionism, emotion dysregulation, and trauma history) that cut across diagnostic boundaries. These factors help explain why individuals often move between different eating disorder diagnoses over time and underscore the need for flexible treatment models that can adapt to a person’s evolving clinical picture. This shift also aligns with newer conceptualizations of EDs as existing on a continuum, rather than fitting into discrete and rigid categories. The future of eating disorder treatment will likely involve greater integration of neuroscience with psychological and social frameworks. Promising avenues include the use of real-time neuroimaging to guide treatment, development of digital interventions that promote early symptom recognition, and exploration of gut-brain axis mechanisms that may influence appetite regulation and mood. Crucially, researchers are calling for interventions that are not only biologically informed but also equitable and culturally responsive, which will address the significant disparities in access and outcomes across marginalized populations. As knowledge advances, so does the imperative to apply these discoveries in ways that enhance clinical care. While many questions remain, what is clear is that progress depends on continued investment in research, inclusion of diverse populations in studies, and a willingness to adapt current systems to reflect the full complexity of these conditions. With these priorities in place, the future of eating disorder prevention and treatment holds both hope and possibility. Conclusion: One of the most persistent and damaging barriers to progress is stigma. Misconceptions about what eating disorders "look like"—who develops them, why they happen, and how serious they are—continue to influence everything from public awareness to clinical decision-making. Individuals in larger bodies are often told they don’t “look sick.” Boys and men may fear their suffering is invalid. Adolescents may be dismissed as going through a “phase.” These stigmas not only silence those in need but can delay treatment, increase shame, and intensify the very symptoms we seek to reduce. Tackling stigma is not a secondary concern. Rather, it is central to prevention, access, and recovery. It requires educating providers to recognize eating disorders in all forms, challenging weight bias in healthcare and society, and amplifying diverse narratives that reflect the reality of who is affected. Reducing stigma also means shifting the conversation away from appearance and toward mental health, emotional regulation, and lived experience. At the same time, advances in neurobiology, growing attention to transdiagnostic factors, and a broader commitment to equity are paving the way for more personalized and effective interventions. But the work is far from over. Persistent gaps in access and underrepresentation in research continue to limit who gets diagnosed, who receives care, and how recovery is defined. A more accurate and compassionate understanding of eating disorders must center the full spectrum of lived experiences. It must acknowledge the roles of trauma, anxiety, biology, and cultural context. And critically, it must translate research insights into practices that are not only evidence-based but also accessible, affirming, and inclusive. As we move forward, collaboration between researchers, clinicians, families, and communities will be essential. Only by addressing eating disorders in all their complexity and dismantling the stigma that surrounds them can we truly build systems of care that heal, empower, and include everyone struggling.
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Author: Cate Cabri  Connections with others have a major impact on our happiness as well as our well-being. One way that many people seek to strengthen these connections with others is through the use of social media. Social media has become so commonly used in our society as a main method of communication for many people, sometimes even replacing face-to-face interactions. Although there are some positive aspects of using social media, there are also major concerns, including raising levels of anxiety and depression. If used in an unhealthy way, social media can take a major toll on people's mental health. A few warning signs to look out for that social media could be negatively affecting your mental health include:
However, if used in a healthy way, there are many positive aspects of social media.
Research on the impacts of social media on anxiety has shown that anxious people tend to rely on social media as a means of escaping from what they are worried about. However, once on social media, new stressors become an issue that fuels the initial anxiety that the person was already experiencing. Individuals with Generalized Anxiety Disorder, for example, often compare themselves negatively with others on social media, which leads to a higher level of anxiety than they were initially experiencing. Social media can be an addictive platform. Research has shown that posting a photo and getting lots of likes and positive, validating comments can be addictive. When you receive positive feedback on a post, this triggers the release of dopamine in the brain (a “reward” chemical). This can cause people to want to continue posting to get more of this validation. This is something to keep in mind when using social media - what is your intention and why are you choosing to post? There is not necessarily one correct intention with posting on social media but it is something to consider, as using social media for the wrong reasons (like for the purpose of only using it to try to get validation or trying to fit in with others) can lead to an unhealthy relationship with social media and can contribute to feelings of anxiety and depression. Overall, there are positive aspects to social media when used in a healthy way, and it is important to consider your own social media use and how it is affecting your life. Check in with yourself on your social media use and consider any adjustments that you could make to ensure that social media is affecting your life in a positive way. Sources: Social Media and Mental Health The Impact of Social Media on Youth Mental Health Anxiety and Social Media Use Does Social Media Cause Depression?  About the Author:
Cate is a student at Loyola University Chicago where she is majoring in Psychology with a minor in Psychology of Crime and Justice. She plans on attending graduate school to become a clinical social worker. In her free time, she enjoys hiking and spending time with family and friends. Author: Katie Borrman  My work friends and I were all freshly vaccinated and looked forward to having another dinner party together after a year of isolation. Most of us had kept to our “pods” (a limited group of friends/family to socialize with during the pandemic), and hadn’t risked socializing outside of that. It was the first time in a year I expanded my social circle to an indoor party with friends in different pods. I was excited. What I didn’t expect was to feel an inescapable level of anxiety. I remember feeling like I was watching myself in the group, asking myself, “Why aren’t you talking more? Why are you so tired? Do they think you’re not having fun? Do they think you have changed during this year of isolation? Have I changed for the worse? Do you have anything to contribute? Why are you being so boring? Does anyone else feel like the volume is too high?” This anxiety-induced questioning led me to a full bodily shutdown, and I felt paralyzed. The last thing I expected during this reunion was for me to excuse myself at 9:00 pm to read a book and fall asleep before anyone else. After this event, I tried my hardest not to judge myself, and instead, evaluate psychologically what was going on. The DSM-V describes social anxiety disorder with 10 main criteria, but for my situation, the first 3 criteria pertain the most directly:
These symptoms checked out with how I was feeling at the reunion. Social anxiety had never been a controlling element in my life, and I knew that the Covid-19 lockdown was a major contributor to this psychological state. As a society, we are going through something difficult, unpredictable, and traumatic. According to the Center for Disease Control and Prevention (CDC), “Elevated levels of adverse mental health conditions, substance use, and suicidal ideation were reported by adults in the United States in June 2020. The prevalence of symptoms of anxiety disorder was approximately three times those reported in the second quarter of 2019 (25.5% versus 8.1%).” Whether or not you have had experiences with social anxiety before, or are recently feeling its crippling effects, there are many reasons why an increase in this type of unhelpful habit of thinking may have developed over the past year: Expectations for personal growth during lockdown Lockdown brought about many opportunities for people to explore new interests, pick up old hobbies, or “reset” their bodies in a way that was not afforded to them while working full-time. It’s hard not to compare your own personal growth to those who share their experiences freely on social media. But not all experiences during lockdown are seemingly “self-enhancing.” According to the American Psychological Association’s Stress in America Report, since the pandemic started: 61% of adults reported experiencing undesired weight changes, nearly 1 in 4 adults reported drinking more alcohol to cope with their stress, nearly half of Americans said they delayed or canceled health care services, essential workers were more than twice as likely as nonessential workers to have been diagnosed with a mental health disorder, and Gen Z adults were the most likely generation to say that their mental health has worsened. Those dealing with social anxiety might fall victim to an illusion of unworthiness, or a cycle of thinking that minimizes their own experience. If this thinking has dominated your thoughts during the lockdown, then assimilating back into social circles face-to-face might bring about the same negative cycles of thinking - that your own experience is inadequate, disappointing, or depressing compared to those around you. Conflicting media information There are endless amounts of information one can digest through media outlets pertaining to Covid-19, and after a year of deciphering which information feels the most accurate, we are bound to come into conflicting points of view on the safety, regulation, and validity of the information we are taking as truth. The CDC has methods for tracking the deaths, outbreaks, and hospitalizations of Covid-19, as well as which public health measures seem to be working. However, according to the CDC, “...counting exact numbers of COVID-19 cases is not possible because COVID-19 can cause mild illness, symptoms might not appear immediately, there are delays in reporting and testing, not everyone who is infected gets tested or seeks medical care, and there are differences in how completely states and territories report their cases.” This ambiguity can cause tension within our community and social circles due to a lack of consensus and trust. These disagreements can turn into confrontation or avoidance, and in turn, exacerbate anxiety levels while socializing with new or familiar groups. Grief, loss, and survivor’s guilt For anyone grieving the loss of loved ones close to them, or feeling loss and grief on a “global community” scale, reemerging from lockdown can feel emotionally overwhelming. According to the CDC, “...the prevalence of depressive disorder was approximately four times that reported in the second quarter of 2019 (24.3% versus 6.5%)”. Depression almost always contributes to anxiety levels, and after a year of isolation and social distancing, the question of how to reintegrate can feel nearly impossible to answer. The pressure to “reopen” may feel like too much too soon, and it’s important to let the phases of grief happen naturally and at whatever timeline feels right. Unwillingness to return to “normal” The “reopening” of our community structures is a relief for some, while for others creates a sense of dread. For some, this time in lockdown has given a much-needed dose of self-reflection and an opportunity to change personal circumstances and values. For others, reopening might feel simply unsafe. According to the APA Stress in America Report, when asked about feelings concerning the future, “...more than half said they feel uneasy about adjusting to in-person interaction once the pandemic ends (57% Black, 51% Asian, 50% Hispanic and 47% white).” The pressure to return to whatever “normal” was for us pre-pandemic might feel unaligned. I think the pressure becomes particularly more intense when our usual socializing habits have changed over the course of lockdown. Whether that be switching your social scene completely or having new boundaries around the time you spend socially, a new way of being can cause a lot of anxiety when confronting your peers. These are only a few of the endless reasons why we may be facing social anxiety at this point in a major world transition. It might be hard to end cycles of negative thinking that are based on realistic responses to a global pandemic; so the question of how to manage this type of anxiety can be tricky to relieve. Acceptance Commitment Therapy (ACT) has the goal of adjusting the language we use in talking to ourselves about our anxiety. This method is not trying to eliminate the symptoms themselves - which oftentimes creates more of a problem as the more you try to get rid of it, the worse it can become - but rather manage the anxiety through acceptance, mindfulness, and committed action based on our personal values. This means going towards one’s values, despite the anxiety, rather than waiting to overcome the anxiety to move in the direction of your values. Acceptance Commitment Therapy The first step in this therapeutic process is Cognitive Defusion. The goal of this technique is to separate yourself from the personal sensations, (such as thoughts, feelings, images, and memories), that send anxiety down a self-deprecating spiral; to create space between our private experiences and the reactionary impulse of having judgments and trying to control them. A huge component of this technique is accepting that thoughts of pain and suffering inevitably happen. Trying to eliminate them is like swimming upstream - the harder you try to control them the more the anxiety will build. Ways to practice cognitive defusion are by the use of labeling thoughts as they pop up into your mind. For example, the thought I had at the reunion, “I am being boring”, could have instead been phrased as, “I am having the thought that I am being boring.” In this way, we are becoming mindful of the “judgment” aspect of the thought, without trying to eliminate the thought from happening. Instead, we are acknowledging that it is a thought, as opposed to an objective truth. The second step is Acceptance. Letting unpleasant emotions come and go without resistance is a key factor in this therapeutic process. When we notice the anxiety emerge, we have a choice. We can let ourselves feel it - meaning we can let the anxiety be noticed, remaining in a state of curiosity. The other, more automatic, choice is having an anxious response to the experience of anxiety (i.e. having anxiety about having anxiety). This can be seen as the panic that follows social anxiety, focusing on your future actions, perceptions of others, and shaming oneself into a deeper level of discomfort (also known as “secondary emotions”). Meditative imagery is a useful tool in the acceptance process - imagining the anxious feelings being invited to sit down to tea with you; it can be there, without having to engage or push it away. The third step is Mindfulness. Being in contact with the present moment is at the heart of Acceptance Commitment Therapy. It is necessary to be in a state of mindfulness to achieve acceptance and cognitive defusion. Remaining present will help you not become lost in your thoughts, and will help heighten your level of awareness around the secondary emotions that emerge during episodes of social anxiety. The most simple and effective tool for mindfulness is breathwork. Paying attention to your breath keeps your body regulated and fixated on the present moment. The fourth step is establishing your Values. Affirming oneself in their values builds a strong emotional foundation. From this foundation, one can feel confident and assured in situations that might shake their emotional stability. By reverting to our values we can feel assured that our actions align with our emotional goals and commitments. In my situation, my value was to be connected with my friends and our community. Rather than going to the other room and going to bed early, I chose to stay with them, despite the anxiety and the anxious thoughts, and chose to instead be present with them and my experience. And finally, Taking Action is the last step. Once one’s values are established, it becomes easier to take steps toward fulfilling goals. For people with symptoms of social anxiety disorder, those goals might be something like, “I want to reach out to someone I haven’t spent much time with”, or “I want to call a friend who lives in a different city”, or “I want to make sure I’m giving myself enough alone time, so I won’t feel drained in social situations.” Whatever the “action plan” is, the important thing is to keep the plan aligned with one’s values. Conclusion I tried to recall the feeling I had during the beginning of lockdown and remembered the “mourning” phase I went through in saying goodbye to the normal routine I had and prepared for the social, economic, and personal changes that were about to happen. This process changed my social routine, the way I interact with others, and the relationship I have with myself in ways that I didn't come to realize until being put back into a situation without the restrictions I had grown comfortable with. Having the psychological tools to ground yourself during moments of instability can make this journey all the more manageable. Unfortunately, we still have a long way to go. The next psychological phases have yet to present themselves, but they are surely going to change the way we live in a post-pandemic world. Looking at this time as an opportunity for growth and exploration is a comforting truth. We can all look to therapeutic techniques to support ourselves and each other. Sources: American Psychological Association (2021, March 11). Stress in America 2021 One Year Later, a New Wave of Pandemic Health Concerns. American Psychological Association. https://www.apa.org/news/press/releases/stress/2021/one-year-pandemic-stress Arlin, C. (2021, March 23). The Use of Acceptance and Commitment Therapy in Treating SAD. VerywellMind. https://www.verywellmind.com/acceptance-and-commitment-therapy-for-social-anxiety-3024910 Centers for Disease Control and Prevention. (2021, March 23). About CDC Covid-19 Data. Center for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/covid-data/about-us-cases-deaths.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fcases-updates%2Fabout-us-cases-deaths.html Czeisler MÉ , Lane RI, Petrosky E, et al. Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic — United States, June 24–30, 2020. MMWR Morb Mortal Wkly Rep 2020;69:1049–1057. DOI: http://dx.doi.org/10.15585/mmwr.mm6932a1external icon. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington, VA, American Psychiatric Association, 2013.
Author: Florence Almquist Checa  One of the episodes on the podcast, “Quiet: The Power of Introverts” discusses parenting a highly sensitive child. It hones in on how parents can help these kinds of individuals thrive. Research calls these kinds of children “orchid” children, because they are prone to anxiety and social difficulties when brought up in an unsupportive, tense environment. However, when raised in supportive households, they have some of the best outcomes and have the ability to “bloom.” Dr. Thomas Bois at UCSF thinks it’s important for the parents of these children to know that they are not just being “fussy” children. Rather, these kids have genetic differences, and hence are hardwired to act sensitively toward their environment. This can help explain why these genes have persisted in the human gene pool. It is important for parents to realize there are two sides to the “orchid” coin. These kids have the possibility of great risk, but also have extraordinary capabilities. They are not “bubble” children. There is no need to be overly scared about their future and abilities. “The hardest task as a parent,” explains Dr. Bois, “is knowing when to push and when to step back.” He says it must be done organically, according to the specific situation. It is important not to shelter this kind of child from hard social situations, like birthday parties, but to remove them from the situation if it gets to be too tough. Scott Barry Calfman from the University of Pennsylvania recommends exposing these kids to fears in small doses, building their way up, showing the child that they can handle the world, and that they can grow up to be resilient.
Source: https://podcasts.apple.com/us/podcast/quiet-the-power-of-introverts-with-susan-cain/id1065074566
Author: Florence Almquist Checa  LGBTQ+ adolescents are most at risk for self harm and suicide. Some of the key factors that influence whether LGBTQ+ individuals will self harm are: homophobic abuse, social isolation, early identification as LGBTQ+, and conflict with family or peers about sexual identity. Many LGBTQ+ individuals don’t seek help and if they do, they often seek it from untraditional places, like the internet or LGBTQ+ safe spaces. Oftentimes, it is misunderstood why many LGBTQ+ adolescents don’t seek in person help. People often think it is simply because there aren’t places that these teenagers can ask help from, but this isn’t the case as found in the research by McDermott et al in 2014. By analyzing online forums, they concluded that many LGBTQ+ youth seeking help for their depression and anxiety are transgressing “the intersecting social norms of adolescence, rationality and heterosexuality.” They are breaking the boundaries of being a “healthy minded”, independent citizen and of loving the “wrong” gender. Therefore, they are sometimes perceived as a threat to society by some individuals, which leads this kind of youth to internalize this homophobia into shame. Furthermore, many LGBTQ+ youth don’t want to be perceived as “weird” or “strange”, as dealing with mental health issues and homophobia is a lot to handle. This is why these youth often find comfort in online communities. A question worth asking then is how we as a society and as psychologists can make these young people feel more understood, and what can we do to make them feel that they can trust counseling services offered. McDermott and his colleagues discovered that a large issue is that many current psychiatric models individualize the problem instead of also looking at the social, political, cultural and economic harmful structures that are at play that influence depression/anxiety/internalized homophobia. Stigma, discrimination, social justice, and social exclusion are all topics that are important in the conversation of mental health in order to have a richer understanding of a teenager’s individual case. However, they are sometimes lacking when an LGBTQ+ issue is being diagnosed with depression/anxiety. These kinds of mental issues are not isolated events, but rather a part of a larger phenomenon at play. As psychologists, it is important to look at the bigger picture to further understand an individual case.  It is especially hard for these LGBTQ+ youth to feel understood since there is oftentimes already so much societal judgement on teenage-hood itself. Adolescence is often seen as a linear time of biological and cognitive changes, when in fact it is a tumultuous time where normalcy is often challenged. McDermott and his team explain that adolescence is a “technology to produce a certain kind of rational individual”, pressuring teenagers to feel like they need to grow up and get a grasp on their emotions instead of analyzing them and building a better mental health. By analyzing online forums, McDermott and his colleagues found that some LGBTQ+ youth feel they have failed as citizens that should comply with social norms and hence why there is so much internalized guilt and shame. When it comes to thinking about solutions to this issue, an obvious one seems to be LGBTQ+ sensitive services, but that still does not account for the social pressure that is burdening this youth. Perhaps the most long term efficient solution is to keep trying to change the social climate regarding LGBTQ+ individuals, so as not to make them feel “crazy” or “not acceptable.” The best way this can be done is by education and building tolerance and acceptance. Some useful resources for LGBTQ+ individuals are the “It Gets Better” website which encourages these youth to share their stories and instill hope in other struggling teens. Another helpful resource is the “Q Card Project and Q Chat Space” where LGBTQ+ teens can seek psychological help, and ask questions amongst each other to create online support groups. Lastly, “The Trevor Project” is a national organization that helps with crisis intervention and suicide prevention. Helpful links:
Source: McDermott E. (2014). Asking for help online: Lesbian, gay, bisexual and trans youth, self-harm and articulating the “failed” self. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 19(6), 561–577. doi:10.1177/1363459314557967
 In the past week, a photo of a woman wearing an Old Navy tank top and an accompanying Facebook post went viral. The woman who posted it told the story of over-hearing a mother and daughter duo laughing at the large size of the blouse. This is brought even more heat to the discussion of body shaming, but it also brings light to how a mother’s opinions of physical appearance might affect her child’s.
Laura Choate, a licensed professional counselor and a professor at Louisiana State University has spent her career writing about girls’ and women’s mental health. She is a firm believer that mothers mold their daughters’ views of body image and esteem even if they don’t realize it. A mother having a negative body image is one of the best predictors of whether the daughter will also hold a negative body image of herself, and that’s because mothers set an example by overly criticizing herself. Because they are constantly exposed to this example, they can come to believe that it’s normal for all women to feel this way, they adopt the views themselves. All hope it not lost though – she also offers some tips for mothers who think they might be sending these negative messages. 1. Accept your weight, shape and overall appearance 2. Avoid unhealthy dieting behaviors 3. Model and healthy and balanced lifestyle 4. Avoid talking excessively about your weight and appearance 5. Avoid talking about others’ weight and appearance Her take home message is that even though it might be hard, mothers can help out their daughters if they learn to value themselves first. |
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