Webb Therapy Uncategorized Eating Disorders DSM-5

Eating Disorders DSM-5

Psychologists believe that the core issues of anorexia nervosa and bulimia nervosa are multifaceted, involving a combination of biological, psychological, and social factors. Here are some of the key issues:

Anorexia Nervosa

  1. Distorted Body Image: Individuals with anorexia often have a distorted perception of their body size and shape, seeing themselves as overweight even when they are underweight.
  2. Intense Fear of Gaining Weight: There is an overwhelming fear of gaining weight or becoming fat, which drives restrictive eating behaviors.
  3. Control Issues: Anorexia can be a way for individuals to exert control over their lives, especially if they feel powerless in other areas.
  4. Perfectionism: Many individuals with anorexia have perfectionistic tendencies, striving for an unattainable ideal of thinness.
  5. Emotional Regulation: Restricting food intake can be a way to manage or numb difficult emotions and stress.

Bulimia Nervosa

  1. Binge-Purge Cycle: Bulimia is characterized by cycles of binge eating followed by purging behaviors such as vomiting, excessive exercise, or misuse of laxatives.
  2. Body Dissatisfaction: Similar to anorexia, individuals with bulimia often have a negative body image and are preoccupied with their weight and shape.
  3. Impulsivity: Bulimia is often associated with impulsive behaviors and difficulties in regulating emotions.
  4. Shame and Guilt: After binge eating, individuals with bulimia often feel intense shame and guilt, which perpetuates the cycle of purging3.
  5. Co-occurring Mental Health Issues: Anxiety, depression, and other mental health disorders are commonly seen in individuals with bulimia.

Both disorders are complex and can have severe physical and psychological consequences. Treatment typically involves addressing these core issues through therapy, medical monitoring, nutritional counselling, and support groups.

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Psychological & Emotional ChallengesPsychological & Emotional Challenges

Across Australian Demographics in Today’s Climate: A Review of Current Statistics and Research | webbtherapy.org | 2025–2026

Introduction

Australia is navigating one of the most psychologically challenging periods in its modern history. Converging social, economic, and political forces — including a cost-of-living crisis, housing unaffordability, the lingering aftermath of the COVID-19 pandemic, and growing climate anxiety — are placing significant strain on the mental health of people across all age groups and demographics.

According to the National Mental Health Commission’s National Report Card 2024, approximately 3.8 million Australians aged 16 and over — nearly one in five — experienced a mental disorder in the past year, with anxiety and depression the most prevalent conditions (NMHC, 2025). This document draws on the most current Australian research and data to provide a demographic overview of the psychological and emotional issues affecting Australians today.

1. Children & Adolescents (Ages 12–17)

Young Australians are experiencing rising rates of psychological distress at a level that represents a genuine public health emergency. Multiple intersecting pressures — financial insecurity in the home, climate anxiety, social media use, and disruptions to schooling and socialisation — are placing extraordinary demands on developing minds.

Key Statistics

Psychological distress: A 2025 headspace survey of over 3,000 young Australians found that nearly half (49%) were experiencing high or very high levels of psychological distress. Among 12–14 year-olds, the rate was 31%, rising to 65% among 18–25 year-olds (headspace, 2025).

Financial stress: The Mission Australia Youth Survey 2025 found that 64% of young people aged 14–19 identified cost of living as Australia’s most pressing national issue — the highest level since the question was first asked in 2010, and up from 56% in 2024 and 31% in 2023 (Mission Australia, 2025).

Mental health concerns: Two in five young people (39%) reported stress related to their own mental health and wellbeing, and nearly one in five (19%) reported experiencing high psychological distress in the weeks prior to being surveyed (Mission Australia, 2025).

Gender differences: The ABS National Study of Mental Health and Wellbeing (2020–22) found that 34.2% of females aged 16–24 reported high or very high psychological distress, compared with 18% of males in the same age group (ABS, 2023).

At-risk subgroups: Distress rates are especially elevated among LGBTIQA+ young people (77%) and First Nations young people (59%) (headspace, 2025).

Contributing Factors

The National Mental Health Commission (2025) identifies multiple drivers of deteriorating youth mental health, including increased financial insecurity, concerns about climate change, shifting social connection patterns — particularly the move to digital interaction over in-person connection — changes in sleep, screen time, and nutrition, and the disproportionate socioeconomic impact of the COVID-19 pandemic on young people’s lives.

2. Young Adults (Ages 18–35)

Young adults are among the most psychologically vulnerable groups in Australia at present. They face a unique confluence of pressures: the transition to independent adulthood, entry into an unaffordable housing market, tertiary education debt, precarious employment, and an uncertain political and economic landscape.

Key Statistics

Prevalence: Young adults aged 18–34 report the highest rates of mental health symptoms of any adult age group, with approximately 45% experiencing symptoms in 2025, up from 40% in 2023 (NMHC/AIHW, 2025).

Cost-of-living and mental health: A 2025 Compare the Market survey found that 72% of Gen Z respondents said cost-of-living pressures had worsened or triggered anxiety and depression, impacting their health, sleep and relationships — the highest rate of any age cohort (SBS Insight, 2025).

Housing stress: Australia’s Rental Affordability Index labels all major cities and regional areas as ‘critically unaffordable’ for people on lower incomes. A 2025 longitudinal study tracking more than 10,000 Australian renters found mental health declines sharply once housing costs exceed 30% of income (The Conversation, 2025).

Loneliness: Recent data suggests that 1 in 4 Australian men aged 15–34 report feeling lonely most days (Psychology NSW, 2025).

Emerging Concerns

Social comparison via social media, economic precarity*, and the perceived impossibility of home-ownership are contributing to a pervasive sense of hopelessness and deferred life milestones. Many young adults report anxiety about the future as a core psychological preoccupation.

*Precarity definition: the condition of existence without predictability or security, characterised by instability in employment, income, and social safety nets.

3. Men (All Ages)

Men represent a persistently underserved demographic in mental health. Cultural norms around masculinity continue to suppress help-seeking, while suicide rates among men remain disproportionately high across all age groups. In 2024, men accounted for 76.5% of all suicide deaths in Australia — a ratio that has remained largely unchanged for decades (ABS, 2025; AMHF, 2025).

Key Statistics

Suicide: 3,307 Australians died by suicide in 2024, of whom 2,529 (76.5%) were male. The age-standardised suicide rate for men was 18.7 per 100,000, compared with 5.5 per 100,000 for women. Men aged 40–44 accounted for the largest proportion of male suicide deaths (10.5%) (ABS, 2025; Life in Mind, 2025).

Working-age men: The number of suicides in men of working age (25–64) reached a record high in 2024 (AMHF, 2025), with males aged 60–64 experiencing an 18% increase in age-specific suicide rates from 2023 to 2024 (ABS, 2025).

Help-seeking gap: While men are 3.5 times more likely to die by suicide than women, they make up less than 40% of people seeking mental health support. Research indicates that 1 in 8 Australian men experience depression or anxiety, but fewer than half receive treatment (Psychology NSW, 2025).

High-risk occupations: Suicide rates among male construction workers are approximately double those of other male workers, with an age-standardised rate of 26.6 per 100,000 compared to 13.2 for other male workers (Lancet Regional Health, 2024).

Somatic presentation: Men are more likely to present with physical symptoms of depression and anxiety — chronic headaches, fatigue, back pain — rather than emotional ones, often delaying diagnosis and intervention (Psychology NSW, 2025).

4. Women (All Ages)

Women consistently report higher rates of psychological distress, anxiety, and depression than men. Additional psychological burdens arise from gendered experiences including domestic labour, caregiving, family violence, reproductive health, and workplace inequity.

Key Statistics

Distress rates: In the 2022 National Health Survey, women aged 18 and over were more likely to report high or very high psychological distress than men. Among young women aged 18–25, the rate was 34.2% — the highest of any adult demographic (ABS, 2023; Dharmayani & Mihrshahi, 2025).

Financial stress: 56.6% of millennial women surveyed in 2025 reported that cost-of-living pressures had worsened or triggered anxiety and depression (SBS Insight, 2025). Single mothers and women in casual employment are particularly vulnerable to financial-related mental health impacts.

Suicide: Women aged 25–29 had the highest age-specific female suicide rate (9.8 per 100,000) and accounted for the largest proportion of female suicide deaths (12.3%) in 2024 (Life in Mind, 2025).

Income and distress: Research from Dharmayani and Mihrshahi (2025), using Australian National Health Survey data, found that psychological distress increased as personal weekly income decreased, confirming income insecurity as a significant driver of poor mental health among women.

5. Older Adults (Ages 65+)

Older Australians face a distinct set of psychological challenges shaped by major life transitions — retirement, bereavement, declining health, loss of independence, and changing living arrangements. These experiences, when compounded by social isolation, can have profound effects on mental health.

Key Statistics

Loneliness and social isolation: According to the AIHW (2024), approximately 16% of Australians aged over 65 experience loneliness, and 11% are socially isolated. Research suggests loneliness may increase the risk of premature death to a degree comparable to smoking or obesity (Ausmed, 2026).

Depression in aged care: Approximately 52% of older adults in residential aged care experience depressive symptoms, while 8.2% of community-dwelling older adults experience depression (ScienceDirect, 2021).

Men aged 85+: Older men are at particularly elevated suicide risk. In 2024, males aged over 85 had the highest age-specific suicide rate of any group at 31.2 per 100,000 (Life in Mind, 2025).

Digital exclusion: Australians aged 65 and over remain the least digitally included age group, with an Australian Digital Inclusion Index score of 49.7 compared to the national average of 63.0 (NMHC, 2022). This digital exclusion compounds social isolation, particularly post-pandemic.

Contributing Factors

As identified by Engel and Mihalopoulos (2024) in the Medical Journal of Australia, the ‘loneliness epidemic’ represents a major public health concern in older age. Life transitions including retiring from work, loss of friends and partners, declining physical health, and the move to residential aged care all increase vulnerability to loneliness, depression, and anxiety.

6. Aboriginal & Torres Strait Islander Peoples

Aboriginal and Torres Strait Islander peoples experience significantly higher rates of psychological distress and suicide compared to non-Indigenous Australians. These outcomes must be understood within a broader cultural, historical, and social context that includes the ongoing impacts of colonisation, systemic racism, intergenerational trauma, and ongoing barriers to accessing culturally safe services. Mental health in this context is better understood through the framework of social and emotional wellbeing (SEWB), which encompasses connection to Country, family, kinship, community, and culture.

Key Statistics

Psychological distress: In 2022–23, approximately 30% of Aboriginal and Torres Strait Islander adults experienced high or very high levels of psychological distress in the four weeks prior to interview (ABS, 2024; NMHC, 2025). This is more than double the general population rate of 14% (ABS, 2022).

The role of discrimination: Analysis of the Mayi Kuwayu study (2018–2021) found that 42% of First Nations people experienced high or very high psychological distress; among those experiencing everyday racial discrimination, the rate was 49%, compared with 32% for those who did not report such discrimination (ABS, 2024).

Suicide: In 2024, Aboriginal and Torres Strait Islander people had an age-standardised suicide rate of 33.9 per 100,000 — more than triple the non-Indigenous rate. This rate was 6.5% higher than in 2023. For Aboriginal and Torres Strait Islander men, the rate was 55.1 per 100,000 (Life in Mind, 2025).

Anxiety: Anxiety was the most common mental or behavioural condition reported in the 2022–23 National Aboriginal and Torres Strait Islander Health Survey, affecting 21% of respondents aged two and over; it was 1.5 times more common among females (25%) than males (17%) (ABS, 2024).

Access to services: Around one in four First Nations people aged 15 and over (26%) would have liked to access mental health support but did not in the 12 months prior to survey, with access barriers particularly pronounced in remote areas (ABS, 2024).

7. LGBTIQA+ People

LGBTIQA+ Australians continue to experience disproportionately poor mental health outcomes compared to their heterosexual and cisgender peers. These outcomes are directly linked to experiences of stigma, prejudice, discrimination, and social exclusion — often described through the lens of minority stress theory. Progress in legal rights does not automatically translate to psychological safety or equitable mental healthcare.

Key Statistics

Mental disorders: People with a diverse sexual identity are three times more likely to be diagnosed with a mental disorder compared to heterosexual people (ABS, 2023).

Self-harm: Trans and gender-diverse Australians are twice as likely to engage in self-harm throughout their lifetime compared to cisgender Australians (ABS, 2023).

Psychological distress in youth: Among young people, LGBTIQA+ respondents reported a distress rate of 77% — significantly above the general youth population rate of 49% — in the Headspace 2025 survey.

Suicidality: Members of the LGBTQIA+ community report suicide attempts at rates up to 10 times higher than the general population (Lifeline, 2025).

Healthcare barriers: In the Private Lives 3 national survey, 57% of LGBTIQ respondents reported being treated unfairly in the past 12 months based on their sexual orientation, and 77.5% of trans and gender-diverse respondents reported being treated unfairly based on their gender identity. Only 43.4% of LGBTIQ respondents felt accepted when accessing health services (AMA, 2024).

Rural/regional compounding: Research published in 2025 found LGBTQ+ people in rural and regional communities experienced compounded psychological harm due to conservative social environments, limited peer connection, and inadequate access to inclusive services (Tandfonline, 2025).

8. Financial Stress as a Cross-Cutting Issue

Economic pressures represent one of the most significant cross-cutting determinants of psychological distress across all Australian demographics. The confluence of rising housing costs, elevated mortgage rates, rental stress, and a persistent cost-of-living gap is affecting people’s mental health in tangible and measurable ways.

Key Statistics

Financial stress prevalence: Close to 7 in 10 Australian households (69%) are dealing with significant financial stress, with 57% struggling to afford household essentials including groceries, utilities, and healthcare (Real Insurance, 2024).

Mental health impact: A 2025 Compare the Market survey found that nearly half of Australians (48.7%) said cost-of-living pressures had worsened or triggered anxiety and depression, affecting their health, sleep, and relationships (SBS Insight, 2025).

Housing stress: In 2024–25, an estimated 1.26 million low-income households were in financial housing stress, spending more than 30% of their disposable income on housing (AIHW, 2025). Almost half (44.5%) of households with a mortgage spent above this threshold (AIHW, 2025).

Skipping healthcare: Almost two-thirds of financially stressed Australians (65%) have skipped essential medical appointments — including mental health appointments — due to cost (Real Insurance, 2024).

Beyond Blue’s Clinical Spokesperson Dr Luke Martin has noted the bidirectional relationship between financial stress and mental health: financial hardship affects mood, cognition, sleep, and relationships, while poor mental health in turn impairs a person’s capacity to manage money and seek help — creating a cycle that is often difficult to escape without external support (HIA, 2026).

9. Summary of Key Themes by Demographic

  • Children & Adolescents (12–17): Rising psychological distress (49% high/very high); financial stress at home; social media pressures; climate anxiety; loneliness; academic disruption. Elevated risk for LGBTIQA+ youth (77%) and First Nations youth (59%).
  • Young Adults (18–35): Cost-of-living and housing affordability crisis driving anxiety and depression; loneliness; identity and purpose challenges; deferred life milestones; highest mental disorder rates of any adult cohort.
  • Men (All Ages): Persistent help-seeking barriers; disproportionately high suicide rates (76.5% of deaths); somatic symptom presentation; high-risk occupations (construction); financial and work-related stress.
  • Women (All Ages): Higher distress and anxiety rates; financial vulnerability; caregiving burden; family violence; cost-of-living impacts; elevated suicide risk in young women aged 25–29.
  • Older Adults (65+): Loneliness and social isolation; depression; bereavement; loss of independence; digital exclusion; very high suicide risk in men aged 85+.
  • Aboriginal & Torres Strait Islander Peoples: Intergenerational trauma; systemic racism; high distress and suicide rates (33.9 per 100,000); cultural disconnection; access barriers to culturally safe care.
  • LGBTIQA+ People: Minority stress; discrimination in healthcare; three-fold increase in mental disorder diagnoses; elevated self-harm and suicidality; rural/regional compounding factors.

References

Australian Bureau of Statistics [ABS]. (2023). National Study of Mental Health and Wellbeing 2020–2022. ABS, Australian Government.

Australian Bureau of Statistics [ABS]. (2024). National Aboriginal and Torres Strait Islander Health Survey 2022–23. ABS, Australian Government.

Australian Bureau of Statistics [ABS]. (2025). Causes of Death, Australia, 2024. ABS, Australian Government.

Australian Institute of Health and Welfare [AIHW]. (2024). Social Isolation and Loneliness. AIHW, Australian Government.

Australian Institute of Health and Welfare [AIHW]. (2025). Housing Affordability. AIHW, Australian Government.

Australian Men’s Health Forum [AMHF]. (2025). 10 New Facts About Male Suicide in Australia 2025. AMHF.

Australian Medical Association [AMA]. (2024). LGBTQIASB+ Health Position Statement. AMA.

Dharmayani, P. N. A., & Mihrshahi, S. (2025). The prevalence of psychological distress and its associated sociodemographic factors in Australian adults aged 18–64 years during COVID-19. Journal of Affective Disorders, 368, 312–319.

Engel, L., & Mihalopoulos, C. (2024). The loneliness epidemic: A holistic view of its health and economic implications in older age. Medical Journal of Australia, 221(6), 290–292.

headspace National Youth Mental Health Foundation. (2025). Nearly half of young Australians experiencing high levels of psychological distress. Media Release, October 2025.

Housing Industry Association [HIA]. (2026). The cost of living crunch. HIA Housing magazine, February 2026.

Life in Mind. (2025). ABS Causes of Death Data 2024 Summary. Everymind.

Lifeline Australia. (2025). Data and Statistics. Lifeline.

Life in Mind. (2025). Men: Suicide prevention priority populations. Life in Mind.

Mission Australia. (2025). Young Australians Call for Action on Cost of Living: Youth Survey 2025. Mission Australia.

National Mental Health Commission [NMHC]. (2025). National Report Card 2024. NMHC, Sydney.

Psychology NSW. (2025). Men’s Mental Health in 2025: Why Action Can’t Wait. Psychology NSW.

Real Insurance. (2024). The Real Struggle Report 2024. Real Insurance.

SBS Insight. (2025). The cost of living crisis has financially crippled many Australians. SBS.

The Conversation / Western Sydney University. (2025). Housing stress takes a toll on mental health. September 2025.

Tandfonline. (2025). Discrimination and Psychological Well-Being Among LGBTQ+ Australians: The Roles of Belonging and Place of Residence. Journal of Homosexuality.

Disclaimer

This document has been prepared for informational and professional development purposes. All statistics and research references were current as at April 2026. Data from some primary sources have been collected in prior years; readers are encouraged to consult primary sources for the most current figures. This document does not constitute clinical advice.

Quality Social Connections (Relationships)Quality Social Connections (Relationships)

Did you know that through a series of controversial (and incredibly sad) experiments, psychologist Harry Harlow, was able to demonstrate the importance of early attachments, affection, and emotional bonds on the course of healthy development. Harlow discovered that love and affections may be primary needs that are just as strong as or even stronger than those of hunger or thirst.

1 Think positive

This sounds easier said than done. I challenge you to intentionally consider alternatives to your habitual, default thinking pattern. We all want to be liked by others – because we want to belong to a group and to feel valued, needed and wanted. Worrying about social situations is very natural because we want to be perceived by others in a certain way. Other people’s perceptions are out of our control. So, we worry about it. We worry about things that are out of our control. We also know that we control our own behaviour, therefore, we feel responsible for behaving in ways that will mesh with others. We believe the likelihood of being liked will increase if we behave in certain ways.

Worrying can become problematic if we overthink past and future interactions, and perhaps we choose to avoid some or all interactions to protect ourselves. But then we don’t get the social connection we need.

I challenge you to think positive. Choose that instead. It will take energy because it might not be your default thinking pattern. Set your positive intention. Use mental energy. Trust that the opposite of your thinking can be true as well.

2 Forget comparison – unless you are a clone of someone else, you don’t have their genes, their life experience, their upbringing, their family history etc. It’s kind of illogical to compare yourself to someone else if you think about it, hey.

Don’t be concerned if others appear to have more or better friends than you. Quality and enjoyment matter more than quantity. Savour the moments of connection, wherever you can find them.

3 Anticipate change

Our life circumstances can leave us vulnerable to a sense of isolation. Relationships shift over time, and we may lose touch with friends who were once important. People form new relationships, move away, start families, become busier at work or start studying etc. Accepting change as normal can help you adjust to a change in your relationships. Just as we grow, evolve, and change, so will our relationships. Couples who were once in love will fall out of love. And friendships that were once enjoyed may become less enjoyable overtime.

4 Tolerate discomfort

Anxiety may cause you to avoid socialising. Understand that feeling awkward or embarrassed in social situations does not mean you are doing anything “wrong”. I remember a period I went through growing up. I noticed people around me starting to use for sophisticated language. I thought I had nothing of value to say, or nothing of interest. I would struggle to form sentences in my head. I was becoming so anxious that my social cognition was compromised. Learning to be comfortable with myself, relaxing into conversations, and listening more deeply to the other person helped me. I remember going on dates thinking I have absolutely nothing to say to this person. That cognition, that thought, wasn’t true. It was part of a larger story that I was creating in my mind.

Reach out to others and your skills will improve with time.

5 Listen well

Practice listening. Ask questions and really listen to the answers, rather than just waiting for your turn to talk, or worrying about how you will respond. If you’re curious about what someone is saying, your mind will naturally form a question or recall a similar experience that you can share.

Respond warmly to people’s experiences through your posture, facial expressions and words. Put the mobile phone away and be present.

6 Rehearse

Out of practice with small talk? Spend some time thinking about questions you can use when conversation stalls. You might ask if the other person has been overseas or travelled, what music do they like, or what movies they like to see at the cinema. A natural question to ask is what did you get up to today? What do you have planned for the weekend?

I once attended a training for work. The facilitator shared her experience of often finding herself in similar situations, and she decided to formulate a “go-to” script for when she became tense, and a conversation stalled. Rather than panic, she had a mental go-to script to bridge the gap until the conversation returned to a natural flow. Sometimes it’s nice to allow for a silence, scan your environment and discuss something happening around you.

7 Go offline

Social media helps many people, but it can also increase disconnection, depression, loneliness, anxiety, and headaches. Ensure you have a healthy offline life. Perhaps invite trusted online friends to an offline meeting to build your relationship.

8 Help and service

Helping someone gives a feel-good rush. Oxytocin and dopamine neurotransmitters have been shown to be involved in human bonding. These chemicals can make us feel pleasure. Create a bond with someone by offering help or asking for it. If we’re not someone who asks for help often, the people who know us well will likely feel closer to you because you need them for something, nourishing the bond you have. Have you noticed that strangers in the street are often very willing to help someone with directions? It makes people feel good to help others and be helped in return. Something as little as assistance with a bag or holding a lift can help people feel seen and cared for.

9 Get involved

I know this one may make some people go “Eeeeek” and cringe. However, evolutionary and developmental psychology … and all psychology, has suggested time and time again, that feeling part of a larger community and getting involved makes us feel alive and part-of. Joining in connects you to other people, unites you in a shared activity, and provides an easy way to get to know people better.

Have you ever watched a group of people in the street having a laugh, or watched people playing a sports game, or doing an activity together – while you’re sitting alone on the outside. You might mock them to yourself to make yourself feel superior or protected. We’d rather be part of. It’s just the truth.

10 Manage stress

Everybody has some social situations they dread. Practice simple stress management techniques, such as breathing deeply and slowly, to help keep your stress in check through awkward moments.

We need stress to perform optimally. Befriend your stress. When it becomes overwhelming, recognise that it’s happening, allow it to be there, investigate where it’s living in your body, and nurture that part of yourself. Talk to a trusted friend in times of excessive or toxic stress. Do whatever you need to come back home to yourself. Rest. Drink water. Eat nutritious food. Shower or bathe. Spend time outdoors in nature. Watch something on tv. Listen to music. Come home to your true self, recharge the batteries, and then jump back in. You’re allowed to switch off for a while.

11. Practice, practice, practice

Relationship skills can be learnt. Don’t be discouraged. Remember that social connections are good for you. If you feel like you need support to build better connections skills, a counsellor or therapist can help.

We learn from new experiences. They create, wire, and strengthen, neural pathways in the brain. You can be silent and listen during social interactions. Get curious about the other person. Ask questions. Share some of your story and ideas. And breath. Practice makes progress – not perfection.