There is a significant need for eating disorder support on college campuses. Collegiate recovery programs (CRPs) are providing specialized support for students in recovery from substance use disorders (SUDs) but struggle to support students with eating disorders, despite the high co-occurring rates of SUDs and eating disorders. This is a brief…

Eating disorders (EDs) are increasingly prevalent and pose significant public health challenges. Yet, deficits exist in counselor education programs regarding ED assessment, conceptualization, and treatment. Consequently, counselors report feeling incompetent and distressed when working with ED clients. We propose a conceptual framework, the 3 Cs…

This article describes the development and implementation of a peer advocate program for eating disorders and body image outreach on a college campus. Empirical and conceptual literature on the use of peer educators and peer advocates in college student mental health is reviewed. Peer advocate program mission, history, implementation, and training…

Numerous programs have been instituted to address the widely recognized problem of binge drinking in college students, with some excellent results. Yet binge drinking is commonly still viewed as a socially acceptable form of relaxing and bonding with peers, often with the stated goal of getting as drunk as possible as quickly as possible. The…

Everybody on campus is responsible for recognizing and responding to students in crisis. Sometimes the difficulty is knowing when to intervene. Being alert to students' mental health and wellness needs is an essential part of work life on today's campuses--even when it means stepping out of one's own narrow professional roles or risking leaving…

Eating disorder not otherwise specified (EDNOS; American Psychiatric Association, 2000) is, by far, the most common eating disorder that college counseling professionals encounter among their female clients. Empirical evidence and best practice guidelines support use of cognitive behavior therapy (CBT) with women experiencing EDNOS. This article…

This article focuses on the complex nature of eating disorders, specifically highlighting their use as coping mechanisms for underlying emotional and psychological concerns. Case examples of college counseling center clients are discussed in order to illustrate common ways in which eating disorders are utilized by clients with varying…

According to the American Psychiatric Association, college can be an exciting time, though for some it can be overwhelming and stressful. Depression, anxiety, substance use, and eating disorders are common mental health issues on college campuses. The 2010 American College Health Association National College Health Assessment found that 28 percent…

Students with severe and persistent mental illnesses (e.g., schizophrenia or other psychotic disorders; moderate to severe mood, anxiety, dissociative, eating, or personality disorders) are attending community colleges in increasing numbers. Their need for counseling services presents counseling centers with unique ethical issues to consider. This…

New communication technologies offer novel possibilities for the prevention of mental illness, in which geographical and psychosocial distances often hamper help-seeking. This paper introduces ES[S]PRIT, an Internet-based eating disorders (ED) prevention programme for university students. The programme follows a stepped-care approach combining…

Objective: This article builds on earlier discussions about college health research. The author suggests a 5-step framework that research practitioners can use to build models of practice that accurately address the needs of diverse campus populations. Methods: The author provides 3 illustrations, drawn from published research examining college…

Few would argue that athletic success depends on both physical and mental health. Given that, it would be reasonable to expect that college athletes avoid using alcohol and other drugs to preserve their overall health and enhance their athletic performance. In fact, college athletes use alcohol, spit tobacco, and steroids at higher rates than…

In this article, the author recalls and shares the first half of her college journey. Her memories do not play back to her in bursts of sounds or colors; friends or lovers; feelings, touches, tastes, or ideas. They play, rather, as silent images of herself that flicker disjointedly across her mind, the lens of her memory having recorded her…

Discusses how more college men are reporting eating disorders and other problems associated with body image, a so-called "Adonis complex." (EV)

What exactly is perfect? Students describe perfection as a combination of characteristics valued by their peer culture: intelligence, thin and fit physical appearance, social poise. As students chug through their daily lives--morning classes, organization meetings, club sports practice or the gym, dinner, another class, more meetings, library,…