All in Your Head? [Depression]

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Depression is a Mental Disorder, not a Disease

There are plausible arguments for the non-existence of mental illness. But there are still people who declare themselves to have a mental illness. After all, being sick mentally has no physical symptoms; it’s not like a kidney stone or an inflamed appendix. One can only hope it was this simple.

Yet depression is a progressive and debilitating disorder. It is like having a ‘bruised brain’ that refuses to heal. There is an substantial list of psychological disorders. Technically depression is a mood disorder that has a series of symptoms. These symptoms are the evidence that something is definitely wrong.

  • Depressed mood (such as feelings of sadness or emptiness).
  • Reduced interest in activities that used to be enjoyed.
  • Change in appetite or weight increase/decrease.
  • Sleep disturbances (either not being able to sleep well or sleeping too much).
  • Feeling agitated or slowed down.
  • Fatigue or loss of energy.
  • Feeling worthless or excessive guilt.
  • Difficulty thinking, concentrating or troubles making decisions.
  • Suicidal thoughts or intentions.
http://www.nami.org/

The above list is a summary of something called the DSM-IV which doctors use to diagnose the mental disorder of depression. Having five or six of these may indicate a problem. Spinning off this, you will discover some other disorders, like:

  • Generalized anxiety disorder (GAD)
  • Panic disorder
  • Depersonalization/derealization
  • OCD (obsessive compulsive disorder)
  • Psychosis and paranoia
  • PTSD (post traumatic stress syndrome)
  • Specific Phobias (fears of something)
  • SAD (social anxiety disorder)
  • Schizophrenia
  • Eating disorders (bulimia, anorexia)

Even though mental illness is widespread in the population, the main burden of illness is concentrated in a much smaller proportion-about 6 percent, or 1 in 17 Americans-who live with a serious mental illness. The National Institute of Mental Health reports that one in four adults–approximately 57.7 million Americans–experience a mental health disorder in a given year.

Unfortunately, there is a great deal of misunderstanding and stigma for those who have these disorders. I suppose it is akin to having VD (venereal disease) or AIDS. It seems that our culture is pretty quick at labeling people as deviant or undesirable.

I hope this post helps. I can see a 100 holes in it, and alas, it is a meager attempt. But perhaps it will be of some value. Both NAMI.org, Psychcentral.com, and WebMD.com all have excellent info on Mental Illness. aabryscript

Choosing a +Christian+ Counselor

 Written by “Holly,”
“In my search for a counselor, I visited a secular psychologist, read books written by extremist biblical counselors, and had tearful talks with my own general practitioner. I wish I had known then what TYPES of Christian counselors were out there and how on earth I could find help I could trust and afford.”

Why Educate Yourself about Christian Counseling?

Perhaps you do not suffer from depression, have a great marriage, kids seem to be doing okay, everything is fine. Why should you look into various types of Christian counsel?

1) Think of a Christian counselor as an invaluable resource, much like the family lawyer, pediatrician, or accountant. When problems arise, wouldn’t it be nice to already have the information you need regarding local counseling services?

2) It’s always a good idea to have information at hand so that you can guide distraught friends and family members to a trusted counselor who can offer biblical guidance and support.

If you are a believing Christian, I MUST recommend seeking a Christian counselor.

“Consequently, you are no longer foreigners and aliens, but fellow citizens with God’s people and members of God’s household.”

Ephesians 2:19

The Problem with Secular Counsel

Many secular counselors will take your faith into consideration when treating you. However, as citizens of heaven, seeking counsel from a non-Christian is much like seeking counsel from someone who doesn’t speak your language…and he or she does not speak yours. Progress and inroads could be made, but in the long run, little will be accomplished.

There is wisdom and truth from godly counsel:

“The godly offer good counsel; they know what is right from wrong.”

Psalm 37:30

Find a Christian who is a professional counselor. There are a number of directories on the internet. Each individual counselor is different from the next, however, and you will need to interview any counselor before you decide to use his or her services.

If Possible, Find a Specialist

You may wish to choose a counselor who specializes in a specific area. There a number of issues for which people seek counsel, including:

  • Abuse
  • Addiction
  • Anger Management
  • Anxiety
  • Coping with Stress
  • Depression
  • Divorce
  • Eating disorders
  • Emotional trauma
  • Family therapy
  • Financial difficulties
  • Grief
  • Loss
  • Major life changes
  • Marital discourse
  • Mental illness
  • Pain management
  • Parenting issues
  • Post-traumatic stress
  • Pre-marital counseling
  • Relationship conflict
  • Religious doubt/ confusion
  • Self-esteem
  • Sexual identity
  • Sexual/ intimacy difficulties

The first thing to consider when choosing a Christian counselor is whether or not they are capable or qualified to handle the particular issue you seek counsel for. A marriage counselor may not be the best person to go to if your thirteen year old daughter is battling anorexia. This seems like a given; however, be sure your counselor has experience handling your specific issue.

Decide whether or not you would feel more comfortable seeing a man or a woman for your particular problem.

Seek a Licensed Professional

Also, if you seek counsel outside of your church, make sure your counselor is a licensed professional. I suggest finding a professional who holds a minimum of a master’s degree in their field of study, who has completed the required number of supervised hours, and who has passed your state’s examination to become a licensed counselor.

Remember that most counselors employed by churches are Professional counselors, but few are not. A church counselor should be qualified through their educational experience, should have some sort of license or certification that enables them to counsel (generally they have a Christian counseling certification awarded from various Christian counseling training programs or colleges.)

Interview Your Prospective Counselor BEFORE Your First Session

Going into a counseling session before you know where your counselor is coming from can be dangerous, especially when you are in a vulnerable emotional position unable to clearly think or discern the counsel you receive.

Before your first session, make the counselor shares your faith and concerns about the issue at hand. If possible, bring a trusted companion along to get their opinion about the practice you are considering.

Some questions to ask your potential counselor are:

  • What is your Christian counseling approach?
  • Do they adhere strictly to biblical counseling or do they consider psychological approaches as well?
  • Will they work with your psychiatrist and or doctor?
  • What license or certification do you have? Is it from an accredited college? A Christian college? A training program?
  • Are you affiliated with any particular Christian counseling organization?
  • How do you integrate the bible into your counseling sessions?
  • How do your incorporate prayer into your counseling practice?
  • Do you have experience counseling people with (insert the issue for which you seek counsel)?
  • What is your payment structure?
  • Will my insurance cover my sessions with you?
  • What is your view on psychoanalysis, medication treatments for psychological ailments, and other scientific approaches to mental illness?

If you have an opportunity to interview your potential counselor in his or her office, take a good look at the books on the bookshelves. The types of books displayed give you an excellent indication of the types of counsel you will receive.

Before you make your final decision, pray on it, consult your Bible, and if possible, talk to your trusted general practitioner before seeking therapy.

Recap:

Educate yourself about the various types of Christian counselors. When finding a Christian counselor, remember to find a licensed, experienced CHRISTIAN professional capable of addressing your specific issue. Interview your prospective counselor before attending your first session. Go prepared with a series of questions that will help your gain knowledge about the kind of counsel you will be receiving. Prayerfully consider whether or not you and the counselor are a good fit.

 

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Taken from a great website for believers with issues:

http://www.getoutofthestorm.com

How Does Your Church See Mental Illness?

Going my way?
This should supply direction and dialogue on the issues faced by every church member. It is a great opportunity we have been given— to minister to every person in the Body of Christ. —Bryan
by Ken Camp, Associated Baptist Press  —

Living with depression — or any other form of mental illness — is like viewing life “through a glass darkly,” according to Jessy Grondin, a student in Vanderbilt University’s Divinity School. “It distorts how you see things.”

Like one in four Americans, Grondin wrestles with mental illness, having struggled with severe bouts of depression since her elementary-school days. Depression is one of the most common types of mental illness, along with bipolar disorder, another mood-altering malady. Other forms of mental illness include schizophrenia and disorders related to anxiety, eating, substance abuse and attention deficit/hyperactivity.

Like many Americans with mental illness, Grondin and her family looked to the church for help. And she found the response generally less-than-helpful. “When I was in the ninth grade and hospitalized for depression, only a couple of people even visited me, and that was kind of awkward. I guess they didn’t know what to say,” said Grondin, who grew up in a Southern Baptist church in Alabama.

Generally, most Christians she knew dealt with her mood disorder by ignoring it, she said. “It was just nonexistent, like it never happened,” she said. “They never acknowledged it.” When she was an adolescent, many church members just thought of her as a troublemaker, not a person dealing with an illness, she recalled. A few who acknowledged her diagnosed mood disorder responded with comments Grondin still finds hurtful. “When dealing with people in the church … some see mental illness as a weakness — a sign you don’t have enough faith,” she said. “They said: ‘It’s a problem of the heart. You need to straighten things out with God.’ They make depression out to be a sin, because you don’t have the joy in your life a Christian is supposed to have.”

A Baylor University study revealed that among Christians who approached their local church for help in response to a personal or family member’s diagnosed mental illness, more than 30 percent were told by a minister that they or their loved one did not really have a mental illness. And 57 percent of the Christians who were told by a minister that they were not mentally ill quit taking their medication.

That troubles neuroscientist Matthew Stanford. “It’s not a sin to be sick,” he insists. Stanford, professor of psychology and neuroscience and director of the doctoral program in psychology at Baylor, acknowledges religion’s longstanding tense relationship with behavioral science. And he believes that conflict destroys lives. “Men and women with diagnosed mental illness are told they need to pray more and turn from their sin. Mental illness is equated with demon possession, weak faith and generational sin,”

Stanford writes in his recently released book, Grace for the Afflicted. “The underlying cause of this stain on the church is a lack of knowledge, both of basic brain function and of scriptural truth.” As an evangelical Christian who attends Antioch Community Church in Waco, Texas, Stanford understands underlying reasons why many Christians view psychology and psychiatry with suspicion. “When it comes to the behavioral sciences, many of the early fathers were no friends of religion. That’s certainly true of Freud and Jung,” he noted in an interview.

Many conservative Christians also believe the behavioral sciences tend to justify sin, he added, pointing particularly to homosexual behavior. In 1973, the American Psychiatric Association famously removed homosexuality from its revised edition of its Diagnostic and Statistical Manual of Mental Disorders. As a theologically conservative Christian, Stanford stressed that scripture, not the Diagnostic and Statistical Manual, constitutes the highest authority.

But that doesn’t mean the Bible is an encyclopedia of knowledge in all areas, and all people benefit from scientific insights into brain chemistry and the interplay of biological and environmental factors that shape personality. Furthermore, while he does not presume to diagnose with certainty cases of mental illness millennia after the fact, Stanford believes biblical figures — Job, King Saul of Israel and King Nebuchadnezzar of Babylon, among others — demonstrated symptoms of some types of mental illness. “Mental disorders do not discriminate according to faith,” he said.

Regardless of their feelings about some psychological or psychiatric approaches, Christians need to recognize mental illnesses are genuine disorders that originate in faulty biological processes, Stanford insisted. “It’s appropriate for Christians to be careful about approaches to treatment, but they need to understand these are real people dealing with real suffering,” he said. Richard Brake, director of counseling and psychological services for Texas Baptist Child & Family Services, agrees. “The personal connection is important. Church leaders need to be open to the idea that there are some real mental-health issues in their congregation,” Brake said.

Ministers often have training in pastoral counseling to help people successfully work through normal grief after a loss, but may lack the expertise to recognize persistent mental-health problems stemming from deeper life issues or biochemical imbalances, he noted. Internet resources are available through national mental-health organizations and associations of Christian mental-health providers. But the best way to learn about available mental health treatment — and to determine whether ministers would be comfortable referring people to them — is through personal contact, Brake and Stanford agreed. “Get to know counselors in the community,” Brake suggested. “Find out how they work, what their belief systems are and how they integrate them into their practices.”

Mental-health providers include school counselors and case managers with state agencies, as well as psychiatrists and psychologists in private practice or associated with secular or faith-related treatment facilities, he noted. Stanford and Brake emphasized the vital importance of making referrals to qualified mental-health professionals, but they also stressed the role of churches in creating a supportive and spiritually nurturing environment for people with mental-health disorders. Mental illness does not illustrate lack of faith, but it does have spiritual effects, they agreed. “Research indicates people with an active faith life who are involved in congregational life get through these problems more smoothly,” Brake said.

Churches cannot “fix” people with mental illness, but they can offer support to help them cope. “The church has a tremendous role to play. Research shows the benefits of a religious social support system,” Stanford said. They stressed the importance of creating a climate of unconditional love and acceptance for mentally ill people in church — a need Grondin echoed. “There needs to be an unconditional sense of community and relationships,” she said. She emphasized the importance of establishing relationships that may not be reciprocally satisfying all the time.

People with mental-health issues may not be as responsive or appreciative as some Christians would like them to be, she noted. “Others need to take the initiative and keep the relationship established. People don’t realize how hard it can be (for a person with a mood disorder) to summon the courage just to get out of bed,” Grondin said. Christians who seek to reach out to people with mental illness need to recognize “they are not able to see things clearly, and it’s not their fault,” Grondin added.

Mostly, Christians need to offer acceptance to people with mental illness — even if they don’t fully understand, she insisted. “Just be present. Offer support and love,” Grondin concluded. “You won’t always know what to say. Just speak words of support into a life of serious struggles. That means more than anything.”

(EDITOR’S NOTE — Camp is managing editor of the Texas Baptist Standard.)
 

A great book:

“Grace for the Afflicted: A Clinical and Biblical Perspective on Mental Illness” [Paperback] can be found at www.Amazon.com, by Matthew S. Stanford Ph.D

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For more information: National Alliance on Mental Illness (800) 950-6264 Anxiety Disorders Association of America (240) 485-1001  Depression & Bipolar Support Alliance (800) 826-3632  American Association of Christian Counselors (800) 526-8673 Stephen Ministries (314) 428-2600

 

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The Numbers Don’t Lie: Mental Illness in America

giving-up2

~Mental Illness in America, 2016

Mental disorders are common in the United States and internationally. An estimated 26.2 percent of Americans ages 18 and older — about one in four adults — suffer from a diagnosable mental disorder in a given year.1

When applied to the 2004 U.S. Census residential population estimate for ages 18 and older, this figure translates to 57.7 million people.2 Even though mental disorders are widespread in the population, the main burden of illness is concentrated in a much smaller proportion — about 6 percent, or 1 in 17 — who suffer from a serious mental illness.1

In addition, mental disorders are the leading cause of disability in the U.S. and Canada.3 Many people suffer from more than one mental disorder at a given time. Nearly half (45 percent) of those with any mental disorder meet criteria for 2 or more disorders, with severity strongly related to comorbidity.1

In the U.S., mental disorders are diagnosed based on the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-V).4

Mood Disorders

Mood disorders include major depressive disorder, dysthymic disorder, and bipolar disorder.

  • Approximately 20.9 million American adults, or about 9.5 percent of the U.S. population age 18 and older in a given year, have a mood disorder.1,2
  • The median age of onset for mood disorders is 30 years.5
  • Depressive disorders often co-occur with anxiety disorders and substance abuse.5

Major Depressive Disorder

  • Major Depressive Disorder is the leading cause of disability in the U.S. for ages 15-44.3
  • Major depressive disorder affects approximately 14.8 million American adults, or about 6.7 percent of the U.S. population age 18 and older in a given year.1, 2
  • While major depressive disorder can develop at any age, the median age at onset is 32.5
  • Major depressive disorder is more prevalent in women than in men.6

Dysthymic Disorder

  • Symptoms of dysthymic disorder (chronic, mild depression) must persist for at least two years in adults (one year in children) to meet criteria for the diagnosis. Dysthymic disorder affects approximately 1.5 percent of the U.S. population age 18 and older in a given year.1, This figure translates to about 3.3 million American adults.2
  • The median age of onset of dysthymic disorder is 31.1

Bipolar Disorder

  • Bipolar disorder affects approximately 5.7 million American adults, or about 2.6 percent of the U.S. population age 18 and older in a given year.1, 2
  • The median age of onset for bipolar disorders is 25 years.5

Suicide

  • In 2006, 33,300 (approximately 11 per 100,000) people died by suicide in the U.S.7
  • More than 90 percent of people who kill themselves have a diagnosable mental disorder, most commonly a depressive disorder or a substance abuse disorder.8
  • The highest suicide rates in the U.S. are found in white men over age 85.9
  • Four times as many men as women die by suicide9; however, women attempt suicide two to three times as often as men.10

Schizophrenia

  • Approximately 2.4 million American adults, or about 1.1 percent of the population age 18 and older in a given year,11, 2 have schizophrenia.
  • Schizophrenia affects men and women with equal frequency.12
  • Schizophrenia often first appears in men in their late teens or early twenties. In contrast, women are generally affected in their twenties or early thirties.12

Anxiety Disorders

Anxiety disorders include panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder, generalized anxiety disorder, and phobias (social phobia, agoraphobia, and specific phobia).

  • Approximately 40 million American adults ages 18 and older, or about 18.1 percent of people in this age group in a given year, have an anxiety disorder.1,2
  • Anxiety disorders frequently co-occur with depressive disorders or substance abuse.1
  • Most people with one anxiety disorder also have another anxiety disorder. Nearly three-quarters of those with an anxiety disorder will have their first episode by age 21.5 5

Panic Disorder

  • Approximately 6 million American adults ages 18 and older, or about 2.7 percent of people in this age group in a given year, have panic disorder.1, 2
  • Panic disorder typically develops in early adulthood (median age of onset is 24), but the age of onset extends throughout adulthood.5
  • About one in three people with panic disorder develops agoraphobia, a condition in which the individual becomes afraid of being in any place or situation where escape might be difficult or help unavailable in the event of a panic attack.12

Obsessive-Compulsive Disorder (OCD)

  • Approximately 2.2 million American adults age 18 and older, or about 1.0 percent of people in this age group in a given year, have OCD.1, 2
  • The first symptoms of OCD often begin during childhood or adolescence, however, the median age of onset is 19.5

Post-Traumatic Stress Disorder (PTSD)

  • Approximately 7.7 million American adults age 18 and older, or about 3.5 percent of people in this age group in a given year, have PTSD.1, 2
  • PTSD can develop at any age, including childhood, but research shows that the median age of onset is 23 years.5
  • About 19 percent of Vietnam veterans experienced PTSD at some point after the war.13 The disorder also frequently occurs after violent personal assaults such as rape, mugging, or domestic violence; terrorism; natural or human-caused disasters; and accidents.

Generalized Anxiety Disorder (GAD)

  • Approximately 6.8 million American adults, or about 3.1 percent of people age 18 and over, have GAD in a given year.1, 2
  • GAD can begin across the life cycle, though the median age of onset is 31 years old.5
To finish reading this article, you will need to go to its source at:

http://www.nimh.nih.gov/health/publications/the-numbers-count-mental-disorders-in-america/index.shtml  

 

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Mental Illness Week

Mental illness is a serious medical condition that often disrupts a person’s thinking, feeling, ability to relate to others and daily functioning. Mental illness affects an estimated one in four American families and can have a profound effect on the individual, their family and the community.

Many people affected by mental illness do not know where to turn for information, support, help and hope. NAMI is a lifesaver for tens of thousands of individuals and families, virtually and in local communities across the country. Through clear information resources, free education and support group programs, advocacy initiatives, awareness events and personal connections with volunteer leaders in every state, NAMI works every day to save every life.

 

 

 

 

 

 

 

 

 

 

 

Anorexia & Bulimia

What Are Eating Disorders?

An eating disorder is marked by extremes. It is present when a person experiences severe disturbances in eating behavior, such as extreme reduction of food intake or extreme overeating, or feelings of extreme distress or concern about body weight or shape.

A person with an eating disorder may have started out just eating smaller or larger amounts of food than usual, but at some point, the urge to eat less or more spirals out of control. Eating disorders are very complex, and despite scientific research to understand them, the biological, behavioral and social underpinnings of these illnesses remain elusive.

The two main types of eating disorders are anorexia nervosa and bulimia nervosa. A third category is “eating disorders not otherwise specified (EDNOS),” which includes several variations of eating disorders. Most of these disorders are similar to anorexia or bulimia but with slightly different characteristics. Binge-eating disorder, which has received increasing research and media attention in recent years, is one type of EDNOS.

Eating disorders frequently appear during adolescence or young adulthood, but some reports indicate that they can develop during childhood or later in adulthood. Women and girls are much more likely than males to develop an eating disorder.

Men and boys account for an estimated 5 to 15 percent of patients with anorexia or bulimia and an estimated 35 percent of those with binge-eating disorder. Eating disorders are real, treatable medical illnesses with complex underlying psychological and biological causes. They frequently co-exist with other psychiatric disorders such as depression, substance abuse, or anxiety disorders. People with eating disorders also can suffer from numerous other physical health complications, such as heart conditions or kidney failure, which can lead to death.

Eating disorders are treatable diseases

Psychological and medicinal treatments are effective for many eating disorders. However, in more chronic cases, specific treatments have not yet been identified.

In these cases, treatment plans often are tailored to the patient’s individual needs that may include medical care and monitoring; medications; nutritional counseling; and individual, group and/or family psychotherapy. Some patients may also need to be hospitalized to treat malnutrition or to gain weight, or for other reasons.

Anorexia Nervosa

Anorexia nervosa is characterized by emaciation, a relentless pursuit of thinness and unwillingness to maintain a normal or healthy weight, a distortion of body image and intense fear of gaining weight, a lack of menstruation among girls and women, and extremely disturbed eating behavior. Some people with anorexia lose weight by dieting and exercising excessively; others lose weight by self-induced vomiting, or misusing laxatives, diuretics or enemas.

Many people with anorexia see themselves as overweight, even when they are starved or are clearly malnourished. Eating, food and weight control become obsessions. A person with anorexia typically weighs herself or himself repeatedly, portions food carefully, and eats only very small quantities of only certain foods. Some who have anorexia recover with treatment after only one episode. Others get well but have relapses. Still others have a more chronic form of anorexia, in which their health deteriorates over many years as they battle the illness.

According to some studies, people with anorexia are up to ten times more likely to die as a result of their illness compared to those without the disorder. The most common complications that lead to death are cardiac arrest, and electrolyte and fluid imbalances. Suicide also can result.

Many people with anorexia also have coexisting psychiatric and physical illnesses, including depression, anxiety, obsessive behavior, substance abuse, cardiovascular and neurological complications, and impaired physical development.

Other symptoms may develop over time, including:

  • thinning of the bones (osteopenia or osteoporosis)
  • brittle hair and nails
  • dry and yellowish skin
  • growth of fine hair over body (e.g., lanugo)
  • mild anemia, and muscle weakness and loss
  • severe constipation
  • low blood pressure, slowed breathing and pulse
  • drop in internal body temperature, causing a person to feel cold all the time
  • lethargy

TREATING ANOREXIA involves three components:

  1. restoring the person to a healthy weight;
  2. treating the psychological issues related to the eating disorder; and
  3. reducing or eliminating behaviors or thoughts that lead to disordered eating, and preventing relapse.

Some research suggests that the use of medications, such as antidepressants, antipsychotics or mood stabilizers, may be modestly effective in treating patients with anorexia by helping to resolve mood and anxiety symptoms that often co-exist with anorexia. Recent studies, however, have suggested that antidepressants may not be effective in preventing some patients with anorexia from relapsing. In addition, no medication has shown to be effective during the critical first phase of restoring a patient to healthy weight. Overall, it is unclear if and how medications can help patients conquer anorexia, but research is ongoing.

Different forms of psychotherapy, including individual, group and family-based, can help address the psychological reasons for the illness. Some studies suggest that family-based therapies in which parents assume responsibility for feeding their afflicted adolescent are the most effective in helping a person with anorexia gain weight and improve eating habits and moods.

Shown to be effective in case studies and clinical trials, this particular approach is discussed in some guidelines and studies for treating eating disorders in younger, nonchronic patients.

Others have noted that a combined approach of medical attention and supportive psychotherapy designed specifically for anorexia patients is more effective than just psychotherapy. But the effectiveness of a treatment depends on the person involved and his or her situation. Unfortunately, no specific psychotherapy appears to be consistently effective for treating adults with anorexia. However, research into novel treatment and prevention approaches is showing some promise. One study suggests that an online intervention program may prevent some at-risk women from developing an eating disorder.

Bulimia Nervosa

Bulimia nervosa is characterized by recurrent and frequent episodes of eating unusually large amounts of food (e.g., binge-eating), and feeling a lack of control over the eating. This binge-eating is followed by a type of behavior that compensates for the binge, such as purging (e.g., vomiting, excessive use of laxatives or diuretics), fasting and/or excessive exercise.

Unlike anorexia, people with bulimia can fall within the normal range for their age and weight. But like people with anorexia, they often fear gaining weight, want desperately to lose weight, and are intensely unhappy with their body size and shape. Usually, bulimic behavior is done secretly, because it is often accompanied by feelings of disgust or shame. The binging and purging cycle usually repeats several times a week. Similar to anorexia, people with bulimia often have coexisting psychological illnesses, such as depression, anxiety and/or substance abuse problems. Many physical conditions result from the purging aspect of the illness, including electrolyte imbalances, gastrointestinal problems, and oral and tooth-related problems.

Other symptoms include:

  • chronically inflamed and sore throat
  • swollen glands in the neck and below the jaw
  • worn tooth enamel and increasingly sensitive and decaying teeth as a result of exposure to stomach acids
  • gastroesophageal reflux disorder
  • intestinal distress and irritation from laxative abuse
  • kidney problems from diuretic abuse
  • severe dehydration from purging of fluids

As with anorexia, TREATMENT FOR BULIMIA often involves a combination of options and depends on the needs of the individual.

To reduce or eliminate binge and purge behavior, a patient may undergo nutritional counseling and psychotherapy, especially cognitive behavioral therapy (CBT), or be prescribed medication. Some antidepressants, such as fluoxetine (Prozac), which is the only medication approved by the U.S. Food and Drug Administration for treating bulimia, may help patients who also have depression and/or anxiety. It also appears to help reduce binge-eating and purging behavior, reduces the chance of relapse, and improves eating attitudes.

CBT that has been tailored to treat bulimia also has shown to be effective in changing binging and purging behavior, and eating attitudes. Therapy may be individually oriented or group-based.

@

For more on these Eating Disorders, see: http://www.nimh.nih.gov/health/publications/eating-disorders/complete-index.shtml

For a Christian perspective: http://www.christiananswers.net/q-eden/eatingdisorders.html

24/7 Crisis Lines

List of Hotlines–1-800 Phone Numbers

In general, hotlines have three things in common:

1) they are available to call 24/7
2) they are 100% confidential
3) they are free

Here’s a list of hotlines that may help you in whatever situation you find yourself in:

Christian Counseling Services-General

New Life Clinics 1-800-NEW-LIFE
National Prayer Line 1-800-4-PRAYER
Bethany Lifeline Pregnancy Hotline 1-800-BETHANY
Liberty Godparent Ministry 1-800-368-3336
Grace Help Line 24 Hour Christian service 1-800-982-8032
The 700 Club Hotline 1-800-759-0700
Want to know Jesus? 1-800-NEED-HIM
Biblical help for youth in crisis 1-800-HIT-HOME
Rapha National Network 1-800-383-HOPE
Emerge Ministries 330-867-5603
Meier Clinics 1-888-7-CLINIC or 1-888-725-4642
Association of Christian Counselors 1-800-526-8673
Minirth Clinic 1-888-MINIRTH (646-4784)
National Christian Counselors Association 1-941-388-6868
Pine Rest 1-800-678-5500
Timberline Knolls 1-877-257-9611

Abortion
Post Abortion Counseling 1-800-228-0332
Post Abortion Project Rachel 1-800-5WE-CARE
National Abortion Federation Hotline 1-800-772-9100
National Office of Post Abortion Trauma 1-800-593-2273

Abuse

National Sexual Assault Hotline 1-800-656-HOPE (4673)
Stop it Now! 1-888-PREVENT
United States Elder Abuse Hotline 1-866-363-4276
National Child Abuse Hotline 1-800-4-A-CHILD (422-4453)
Child Abuse Hotline / Dept of Social Services 1-800-342-3720
Child Abuse National Hotline 1-800-25ABUSE
Children in immediate danger 1-800-THE-LOST
Exploitation of Children 1-800-843-5678
Missing Children Help Center 1-800-872-5437

Addiction

Marijuana Anonymous 1-800-766-6779
Alcohol Treatment Referral Hotline (24 hours) 1-800-252-6465
Families Anonymous 1-800-736-9805
Cocaine Hotline (24 hours) 1-800-262-2463
Drug Abuse National Helpline 1-800-662-4357
National Association for Children of Alcoholics 1-888-554-2627
Ecstasy Addiction 1-800-468-6933
Alcoholics for Christ 1-800-441-7877

Cancer

American Cancer Society 1-800-227-2345
National Cancer institute 1-800-422-6237

Caregivers
Elder Care Locator 1-800-677-1116
Well Spouse Foundation 1-800-838-0879

Chronic Illness/Chronic Pain

Rest Ministries 1-888-751-REST (7378)

Crisis Numbers for Teens (Under 18)
Girls and Boys town 1-800-448-3000
Hearing Impaired 1-800-448-1833
Youth Crisis Hotline 1-800-448-4663
Teen Hope Line 1-800-394-HOPE
Covenant House Nineline 1-800-999-9999

Crisis Numbers for Help (Any age)

United Way Crisis Helpline 1-800-233-HELP
Christian Oriented Hotline 1-877-949-HELP
Social Security Administration 1-800-772-1213

Crisis Pregnancy Helpline
Crisis Pregnancy Hotline Number 1-800-67-BABY-6
Liberty Godparent Ministry 1-800-368-3336

Cult Information
Cult Hotline (Mercy House) 606-748-9961

Domestic Violence
National Domestic Violence Hotline 1-800-799-SAFE
National Domestic Violence Hotline Spanish 1-800-942-6908
Battered Women and their Children 1-800=603-HELP
Elder Abuse Hotline 1-800-252-8966
RAINN 1-800-656-HOPE (4673)

Eating Disorders
Eating Disorders Awareness and Prevention 1-800-931-2237
Eating Disorders Center 1-888-236-1188
National Association of Anorexia Nervosa and Associated Disorders 1-847-831-3438
Overcomers Outreach, Inc. 1-800-310-3001
Remuda Ranch 1-800-445-1900

Family Violence
Family Violence Prevention Center 1-800-313-1310

Gambling
Compulsive Gambling Hotline 410-332-0402

Grief/Loss
GriefShare 1-800-395-5755

Homeless/Shelters
Homeless 1-800-231-6946
American Family Housing 1-888-600-4357

Homosexual/Lesbian
Recovery: Exodus International 1-888-264-0877
Helpline: 1-800-398-GAYS
Gay and Lesbian National Hotline 1-888-843-4564
Trevor Hotline (Suicide) 1-866-4-U-TREVOR

Parents
Hotline for parents considering abducting their children 1-800-A-WAY-OUT
United States Missing Children Hotline 1-800-235-3535

Poison
Poison Control 1-800-942-5969

Runaways
Boystown National Hotline 1-800-448-3000
Covenant House Nineline 1-800-999-9999
Laurel House 1-714-832-0207
National Runaway Switchboard 1-800-621-4000
Teenline 1-888-747-TEEN
Youth Crisis Hotline 1-800-448-4663

Salvation
Grace Help Line 24 Hour Christian Service 1-800-982-8032
Want to know Jesus? 1-888-NEED-HIM

Self-Injury, “Cutting”
S.A.F.E. (Self Abuse Finally Ends) 1-800-DONT-CUT

Sexual Addiction
Focus on the Family 1-800-A-FAMILY

Suicide
Suicide Hotline 1-800-273-TALK (8255)
Suicide Prevention Hotline 1-800-827-7571
Deaf Hotline 1-800-799-4TTY
NineLine 1-800-999-9999
Holy Spirit Teenline  1-800-722-5385
Crisis Intervention 1- 888- 596-4447
Crisis Intervention 1-800-673-2496


Mostly, these are Christian ministries that are there when life gets challenging.  Use these phone numbers wisely, and I would encourage you to pray for the counseling you.  Also, I am not able to check each number.  These numbers are to be used with some precaution as a result.

This list isn’t complete yet.  If you have a contact that isn’t here, please email me that information.  I’m Bryan Lowe at flash99603@hotmail.com.