Eating Disorders: Recognizing Signs in Others

Eating Disorders: Recognizing Signs in Others

By Kim Simone

Warning Signs of Eating Disorders

Signs of eating disorders oftentimes go unrecognized by those around the struggling individual. While eating disorders such as anorexia nervosa, bulimia nervosa, and binge eating disorder each have their own risks, it is critical to know that they can be fatal if left untreated for a certain period of time. Fortunately, eating disorders can be treated by mental health care providers. Supportively encouraging an individual struggling with an eating disorder to seek treatment can save their life.

Warning signs may include but are not limited to:

Behavioral Signs:

  • Skipping meals
  • Withdrawal from friends and activities
  • Refusal to eat certain foods
  • Expressing preoccupation with food, weight, nutrition, etc.
  • Consuming only small portions of food at a time

Emotional Signs:

  • Extreme concern with body shape and size
  • Extreme mood swings

Physical Signs:

  • Noticeable fluctuations in weight
  • Dizziness and fainting
  • Feeling cold regularly
  • Difficulties concentrating
  • Stomach cramps and other gastrointestinal issues

Seeking Treatment

It is important to seek help as soon as warning signs appear given that the chance for recovery from an eating disorder increases the earlier it is detected, diagnosed, and treated. Cognitive Behavioral Therapy (CBT) is a commonly used psychotherapeutic approach for eating disorder treatment. It emphasizes the interaction between an individual’s thoughts, feelings, and behaviors. The approach is centered on shifting negative thoughts and behaviors to more positive thoughts and healthier alternatives.

The treatment for different eating disorders such as anorexia nervosa, bulimia nervosa, and binge eating disorder vary. During treatment, a mental health care provider can screen and treat for other underlying issues, such as anxiety and depression, as these can influence treatment outcomes. Medications can be an effective treatment option when combined with psychotherapy in treating individuals struggling with an eating disorder. Supportively encouraging an individual to seek treatment for an eating disorder can be lifesaving.

If you or someone you know is struggling with an eating disorder, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com.

Sources:

https://www.nationaleatingdisorders.org/warning-signs-and-symptoms

https://www.yourhealthinmind.org/mental-illnesses-disorders/eating-disorders/treatment

Image Source:

https://integrativelifecenter.com/how-diet-culture-influences-eating-disorders/

Body Image: The Role of Body Dissatisfaction on Self-Esteem

Body Image: The Role of Body Dissatisfaction on Self-Esteem

By Kim Simone

Body dissatisfaction is characterized by an individual’s persistent negative thoughts and feelings about his or her body. It is commonly influenced by external factors such as societal norms and perceived pressure from other individuals. High levels of body dissatisfaction can lead to low self-esteem and ultimately lead to harmful eating and exercising behaviors.

On the contrary, having a positive body image is associated with self-acceptance, higher self-esteem, and having healthier practices in regards to eating and exercising.

The Four Primary Elements of Body Image:

  1. Perceptual body image:  the way you see your body
  2. Cognitive body image:  the way you think about your body
  3. Affective body image: the way you feel about your body (often characterized by satisfaction or dissatisfaction)
  4. Behavioral body image: the behaviors you engage in as a result of your body image (may include unhealthy eating behaviors and exercising habits)

Body dissatisfaction fluctuates throughout the lifespan and is correlated with lower levels of self-esteem. These concerns are linked with poor self-concept, which not only affects physical and mental health, but also impacts individuals socially and academically. Since body dissatisfaction often leads to low self-esteem, individuals may be at risk for developing more serious disorders. A poor self-concept, and consequently a poor body image, may influence eating behaviors, making individuals more at risk for developing an eating disorder.

Given that the chance for recovery from an eating disorder increases the earlier it is detected, diagnosed, and treated, it is important to seek help as soon as warning signs appear. Cognitive Behavioral Therapy (CBT) is a commonly used psychotherapeutic approach for eating disorder treatment. The approach emphasizes having the individual understand the interaction and inter relatedness between his or her thoughts, feelings, and behaviors. This therapy focuses on shifting negative thoughts and behaviors to more positive thoughts and healthier alternatives. Furthermore, a mental health care provider can screen and treat for other underlying issues, such as anxiety and depression, as these can influence treatment outcomes.  

If you or someone you know is struggling with body dissatisfaction, self-esteem, and/or eating disorders, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://nedc.com.au/eating-disorders/eating-disorders-explained/body-image/

https://psycnet.apa.org/record/2012-14627-021

https://www.waldenu.edu/online-masters-programs/ms-in-clinical-mental-health-counseling/resource/what-is-body-dissatisfaction-and-how-does-it-lead-to-eating-disorders

Image Source:

https://img.huffingtonpost.com/asset/5bb5f917210000d501c88483.jpeg?ops=scalefit_720_noupscale&format=webp

Eating Disorders Part 5: Eating Disorders among Latina Women

By: Abby Erasmus

Latina women are caught between two cultures and are therefore at risk of experiencing acculturative stress (a term discussed in “Eating Disorders: Part 4”). As mentioned previously, increased acculturative stress is linked to an increase in eating- related pathology, thus disordered eating patterns are not uncommon among Latina women. The rate of occurrence of eating disorders among Latina women is equivalent to the rate of the general population of U.S. females; however, anorexia nervosa (AN) is rarely noted in Eating Disorder (ED) studies in regard to Latina women. This does not mean AN does not exist among Latina Women, AN is just thought to be the least prevalent in the community. Researchers have found that bulimia nervosa (BN) and binge eating disorder (BED) are the most common, with lifetime prevalence rates of 2% to 2.3-2.7% respectively. Further, researchers have identified key differences in the presentation of both dietary restriction and drive for thinness in comparison to European- American white women. Latina women are less likely to engage in dietary restriction, and if they do, it is often followed by a binge- eating episode. Latina women also find themselves caught between the thin ideal belonging to Western culture and the curvy but flat- stomached ideal belonging to the Latinx community, and these conflicting body image ideals can result in disordered eating behaviors. Additionally, and quite similarly to Asian American culture, food is the love language of the Latinx community, yet, similarly to Asian American women, these women will be scrutinized for gaining weight. Latina women also experience the paradox, and providers should keep this paradox in mind to understand root causes of EDs within the Latinx community.

Binge eating within the Latinx community is associated with significant levels of distress as well as psychopathology, and is often accompanied by obesity. Despite reporting significant levels of distress, the majority of Latina women do not seek treatment, and when they do, they often refer to primary care doctors in which obesity is the only thing that gets identified. Their ED goes unnoticed. In order to correctly diagnose EDs among Latina women, providers must understand the high prevalence rates of BED, BN, and binge- eating behaviors within the population which, in turn, can result in obesity. Once the ED is addressed, obesity can be addressed. Again, with cultural competency added into the equation of treatment, Latina women’s EDs will be correctly diagnosed and they will receive proper treatment.

If you or someone you know is seeking therapy for an eating disorder, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://yourlatinanutritionist.com/blog/eating-disorders-among-latinas

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2680162/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4078895/

Eating Disorders Part 4: Eating Disorders among Asian- American Women

By: Abby Erasmus

Unique cultural values and experiences of Asian Americans can lead to the development of an eating disorder for individuals in the community. Similar to Western culture, Asian American (AA) culture idealizes the thin body and individuals face scrutiny from family members if they don’t meet this ideal; paradoxically, food is said to be the love language of Asian culture. Many AAs report being “force fed” by the same family members who criticize their weight. This creates pressure and anxiety around food, and due to this paradox, the complex relationship between food, love, and weight, bulimia nervosa (BN) tends to be the most pervasive ED in the AA community. Furthermore, AAs have to go through the process of acculturation: they must adapt to the practices and values of the dominant culture while maintaining their own. This can result in acculturative stress which is a positive predictor of disordered eating. In turn, research shows that AA college students report higher rates of restrictive eating, purging, and muscle building in comparison to their white counterparts. Also, second generation AA women report more ED behaviors than first and third generation women. This gives us insight into who is more likely to be affected within the community and what the ED behaviors are.

Different cultural values in the AA community such as interdependency, a complete reliance on the family for help rather than a stranger (therapist), and stigma surrounding mental health in general, contribute to the lack of help seeking. Further, some mental health providers are unable to recognize ED- like behaviors in the AA community as they are an under researched group when it comes to this pathology; lack of diagnosis and treatment can thus lead to poor prognosis. Once EDs are officially seen as a disorder that affects all ethnic and demographic groups at similar rates, stigma can be lessened and providers will recognize ED symptoms in this community. Again, cultural competency must be encouraged. Providers should understand the unique stressors AAs face like acculturative stress, as well as the complex relationship between food, showing love, and the idealization of the thin body. Although anorexia nervosa is prominent in the AA community, BN and binge- eating behaviors are the most common in the community; 1.50% are diagnosed with BN and 4.74% experience binge eating behaviors (See Eating Disorders Part 1 for DSM definitions). Once providers are more familiar with BED and BN, as well as the unique factors AAs face, they will be able to have culturally appropriate treatment for AAs with EDs.

If you or someone you know is seeking therapy for an eating disorder, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources

https://www.eater.com/2019/11/19/20955556/my-discomfort-with-comfort-food

https://centerfordiscovery.com/blog/eating-disorders-and-the-api-community/

https://www.medainc.org/eating-disorders-in-the-asian-american-community-a-call-for-cultural-consciousness/

https://www.nationaleatingdisorders.org/blog/anorexia-for-an-asian-american-a-recovery-story

https://www.frontiersin.org/articles/10.3389/fpsyg.2019.01950/full

https://anad.org/get-informed/about-eating-disorders/eating-disorders-statistics/

https://psychnews.psychiatryonline.org/doi/full/10.1176/appi.pn.2014.6b4

Eating Disorders Part 3: Eating Disorders in the LGBTQ Community

Members of the LGBTQ community experience an array of challenges that pose as risk factors in developing an eating disorder. Many members of the community experience fear of rejection from individuals they are close with and those outside their immediate circle; they often experience verbal or non- verbal violence, PTSD, discrimination, inability to meet the body image ideals within some LGBTQ contexts, internalized homophobia or transphobia, and more. These negative experiences can lead to depression or anxiety, which in turn can result in unhealthy coping mechanisms like an eating disorder. Past research indicates that about 54% of LGBT adolescents have been diagnosed with a full blown eating disorder (ED), and an additional 21% of LGBT adolescents reported they suspected having had an ED at some point in their lives. Further, about 61% of LGBT adolescents in one study reported that they had engaged in at least one disordered eating behavior in the past year. These statistics emphasize the importance of learning about the diverse, root causes of EDs within the community and how they manifest.

EDs manifest differently in the sub- groups of the LGBTQ community, and are experienced at higher rates compared to their straight or cis- gendered counterparts. In one study, adult and adolescent lesbians reported more binge eating, purging, and laxative use than their heterosexual counterparts, as well as the highest rate of binge- eating compared to any other sexual orientation. Lesbian women also report the highest rates of weight- based self- worth, while bisexual women have been found to report the highest levels of eating pathology compared to lesbian and gay men. Further, gay men report a higher likelihood of engaging in exercise with the intention of losing weight, restrictive eating, fasting, bingeing, purging, and diet pill use compared to their heterosexual counterparts. Lastly, transgender and gender- nonconforming youth seem to be at particular risk for developing an ED; this is due to all risk factors mentioned above, as well as conflicting gender identity and being dissatisfied with their body.

Despite these findings and the clear prevalence rate of such pathology within the community, and increased rates in relation to their straight/ cis- gendered counterparts, many members do not seek help. Many LGBTQ individuals fear their therapist or doctor won’t understand the unique problems within their community. In order to increase rates of treatment, we need to strive for cultural competency in which providers understand the unique experiences of LGBTQ individuals that can lead to EDs, and what EDs look like within the subgroups of the community.

If you or someone you know is seeking therapy for an eating disorder, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://jeatdisord.biomedcentral.com/articles/10.1186/s40337-020-00327-y

https://www.nationaleatingdisorders.org/learn/general-information/lgbtq

https://jeatdisord.biomedcentral.com/articles/10.1186/s40337-020-00327-y

https://onlinelibrary.wiley.com/doi/full/10.1002/eat.23257

Eating Disorders Part 2: Black Women with Eating Disorders

By: Abby Erasmus

Black women in America have a unique experience; their intersecting identities make them one of the most discriminated- against groups in America, resulting in mental health issues. Eating disorders (ED), for example, are not new within the Black community. Black women live with EDs at similar rates to all ethnic and demographic groups- but often times in the shadows. The majority of ED studies focus on white women. This ignores the fact that ED causes and manifestation can be different in other populations. Further, the most commonly researched ED is Anorexia Nervosa (AN), yet AN is not the typical ED experience of Black women. Binge Eating Disorder (BED) and Bulimia nervosa (BN) are the most common EDs among Black women, with Black girls being 50 times more likely to engage in BN behaviors than white girls. Because BED and BN aren’t frequently researched, they’re harder to correctly diagnose in patients; it is thus highly unlikely Black women will be diagnosed with an ED at all. To increase the likelihood that Black women will be correctly diagnosed and receive treatment, it is important to know the key symptoms of BED and BN. Listed here are some key symptoms:

BED: Recurrent, persistent episodes of binge eating & absence of compensatory behaviors like purging. The binge eating episodes are associated with 3 or more of the following: eating more rapidly than normal, eating until uncomfortably full, eating large amounts when not physically hungry, eating alone due to embarrassment of how much one is eating, feeling disgusted with oneself, depressed, or guilty after overeating.

BN: Recurrent episodes of binging that are characterized by eating an amount of food within a 2- hour period that is definitively larger than what most people eat in that time period, accompanied by feeling unable to stop eating/ control the amount one is eating & recurrent compensatory behaviors like: self- induced vomiting, misuse of laxatives, excessive exercise, and more.

Additionally, stigma exists in the Black community in regard to receiving help due to complex stereotypes, histories, etc., and stigma in regard to EDs is dramatized as they are labeled a white woman’s problem. Once we call attention to ED prevalence and manifestation in the community, stigma will be reduced both within and outside of the community. This will then increase the likelihood that Black woman will receive an accurate diagnosis and appropriate treatment for their ED. Further, when providers are made aware of the daily micro and macro aggressions that can result in poor mental health and potentially maladaptive coping mechanisms like an ED, providers will be prepared to address such issues during sessions. The nuanced narrative of EDs within the Black community must be disseminated.

If you or someone you know is seeking therapy for an eating disorder,  please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://www.nationaleatingdisorders.org/blog/new-dsm-5-binge-eating-disorder

https://www.centralcoasttreatmentcenter.com/blog-1/invisibility-of-eating-disorders-in-the-black-community-its-more-than-the-eating-disorder-stereotype

https://www.ncbi.nlm.nih.gov/books/NBK519712/table/ch3.t16/

Beyond “Eating Disorders Don’t Discriminate”

Eating Disorders Part 1: More than Just One Narrative

Eating Disorders Part 1: More than Just One Narrative

By: Abby Erasmus

Eating disorders don’t discriminate; about 1 in 7 male individuals and 1 in 5 female individuals experience an eating disorder by age 40. Girls as young as 8 or 9 are walking into the doctor’s office with cases of anorexia nervosa, bulimia nervosa, and other types of eating disorders. Individuals regardless of race, class, gender, religion, and sexual orientation can suffer from an eating disorder (ED). EDs are an extremely serious matter; they have the highest mortality rate of all mental illnesses. Keeping all of this information in mind, it is extremely important to understand and acknowledge that EDs affect all demographic groups and can manifest differently within these groups. Different demographics have complex histories with different cultural backgrounds that can affect how one displays an ED, and why a group develops one. Because people are unaware that different demographic groups experience EDs, stigma often surrounds their diagnosis by both people within their community as well as outside the community. Knowing that EDs have the highest mortality rate, it is our responsibility to reduce the stigma by disseminating information about how EDs affect a wide variety of populations.

The typical narrative of an ED tells the struggle of a white, straight, cis- gender woman. This population does experience EDs, and it’s extremely important to provide them with appropriate help and support; however, this typical narrative leaves out the experience of many other groups of people with EDs and why different demographics might development them. In reality, the rates of EDs are about the same across demographic groups in the United States, but because one narrative is told, other groups are significantly less likely to receive treatment. In a series of blog posts, I will discuss how EDs affect different populations: Black women, the LGBTQ community, Asian American women, Latina Women, and men in general.

If you or someone you know is seeking therapy for an eating disorder, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://www.state.sc.us/dmh/anorexia/statistics.htm

https://jamanetwork.com/journals/jamanetworkopen/article-abstract/2752577

https://www.webmd.com/mental-health/eating-disorders/anorexia-nervosa/features/changing-face-anorexia

https://www.nationaleatingdisorders.org/people-color-and-eating-disorders#:~:text=Eating%20disorders%20have%20historically%20been,help%20for%20their%20eating%20issues.

Eating Disorders; How Stress Impacts Eating Disorders

By: Jillian Hoff

Stressful situations often can cause individuals to lean on food to cope. When someone has an eating disorder any stressful situation could possibly be one of the triggers for them. It is known that these individuals tend to have an increased desire to binge eat or restrict their diet so that they can feel more in control. This sense of stability to them is a means of a stress reliever. While stress in itself is not healthy for a person, the result of an eating disorder also tends to create problems for a person’s health. Eating disorders can often cause the individual to have a constant worry about their weight and the food that they are eating. At times this constant worry could lead to anxiety, low self-esteem and even depression. It is important especially for individuals who suffer from an eating disorder to find other ways to cope with stress so that they can try to decrease the chance of either binging or restricting food.

Some ways they can cope would to be to have some type of social support system. This would be someone that the individual can talk to at any time whether it is for emotional or financial help. The individual can also choose to focus on calming strategies like meditation or breathing exercises.  Writing down positive messages to yourself would also be a good coping mechanism especially due to the negative thoughts that they might feel due to their eating disorder. Some lifestyle changes could also help. This would include practicing time-management skills so that one does not feel overwhelmed. Also, by trying something new each day it could be used as a way to get your mind off any stressors in your life.

If you or someone you know is seeking therapy for an eating disorder, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

Sources:

https://www.mirasol.net/learning-center/chronic-stress.php

https://www.webmd.com/mental-health/eating-disorders/binge-eating-disorder/stress-binge-eating-disorder

Eating disorders: How You Can Help a Loved One with an Eating Disorder

Eating Disorders: How You Can Help a Loved One with an Eating Disorder

By: Hallie Katzman

Diet culture and body idealization are staples in society that often encourage people to overthink and become hyperaware of their body image, potentially leading to unhealthy relationships with food and exercise. Due to a combination of genetic and sociocultural factors, unfortunately eating disorders are very common and affect at least 9% of the population. Eating disorders take a strong mental, emotional and physical toll on peoples’ bodies. These symptoms can be scary or distressing for not only the person experiencing the symptoms firsthand, but also for their loved ones. Watching someone you care about struggle can make you feel helpless and worried.

Fortunately, there are supportive ways to help your loved one begin or continue their recovery journey. First, ask them if you can be involved in their eating disorder treatment to let them know that you are there for them and that you support them. Once the supportive, nonjudgmental relationship is fully established, you can consider encouraging them to go to therapy. This could mean group therapy, inpatient therapy or outpatient one on one therapy sessions with a mental health specialist. Additionally, supporting a loved one can be stressful or exhausting. Remember to take care of yourself and your own mental health as well. Be gentle towards your loved one and towards yourself and remember to not lose hope. Recovery is not always a linear process and the road to recovery may not always be easy, but it is possible.

If you or someone you know is struggling with an eating disorder or other mental health concerns, please contact our psychotherapy offices in New Jersey or New York to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at 201-368-3700 or 212-722-1920 to schedule an appointment. Please visit our website http://www.counselingpsychotherapynjny.com/ for more information.

Sources: https://www.rtor.org/2017/02/07/dos-and-donts-eating-disorder-recovery/?gclid=Cj0KCQjwxJqHBhC4ARIsAChq4au6fNUoIaQpHAwoyO3zvaQaUIPU4IdKB3ioYw5c3kEWhV58aJny_iEaAqtuEALw_wcB

https://anad.org/get-informed/about-eating-disorders/eating-disorders-statistics/?gclid=Cj0KCQjwxJqHBhC4ARIsAChq4atr2S1zgAy3MNj0_y9dXTNv7I6ObnrlxezDutSZg5l9CQrMwknDpQcaAlWGEALw_wcB

Image Source: https://unsplash.com/s/photos/support

Anxiety, Depression, Eating Disorders, ADHD, Et al: How to Support a Friend with Mental Illness

By: Sarah Cohen

When helping a friend with a mental illness, the first step should be assessment of their symptoms. Sometimes they just might be going through a difficult time, but if certain common symptoms associated with mental health issues persist it is imperative to respond sensitively. Majority of the time, friends will just want to know they have your support and that you care about them. A good way to show your support is by talking to them. If you provide a non-judgmental space for them to speak about their issues it will help encourage them to be open with their problems. Let them lead the conversation and don’t pressure them to reveal information. It can be incredibly difficult and painful to speak about these issues and they might not be ready to share everything. If you aren’t their therapist do not diagnose them or make assumptions about how they are feeling, just listen and show you understand. If someone doesn’t want to speak with you, don’t take it personally, just continue to show them you care about their wellbeing and want to help as much as possible. Just knowing they have support can give them the strength they need to contact someone who can help them.

If a friend is having a crisis, such as a panic attack or suicidal thoughts, you must stay calm. Try not to overwhelm them by asking a lot of questions and confronting them in a public setting. Ask them gently what would be helpful to them right now or reassure them. If they hurt themselves, get first aid as soon as possible. If someone is suicidal, contact the suicide hotline at 800-237-8255 immediately.

The best way to help someone is by connecting them to professional help. By expressing your concern and support you can show them that they can get help and their mental health problems can be treated.

If you or someone you know needs support with their mental illness, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit http://www.counselingpsychotherapynjny.com/

https://www.mentalhealth.org.uk/publications/supporting-someone-mental-health-problem

https://www.mentalhealth.gov/talk/friends-family-members