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Schedule
2025
Friday, March 7th
1:00 PM

Compassionate Diagnosis: From 'Disorder' to Emotional Healing

Kobe Hayward, University of Montana, Missoula

UC North Ballroom

1:00 PM - 2:00 PM

The Counseling profession aims to shift perceptions of mental health from a pathological view to a wellness, or whole person orientation. Counselors may be conflicted when applying a wellness orientation to certain clinical diagnoses, personality disorders in particular. Improved client care means conceptualizing complex mental health concerns with increased flexibility, compassion, and more accurate root causes that ensure treatment is able to meet clients where they are, as well as provide hope for release from persistent patterns of functioning which are not fixed anchors of personality.

Counseling diagnosis and treatment evaluations of underlying complex trauma (C-PTSD) patterns may present as fixed personality traits, falsely leading to a personality disorder diagnosis with poor prognosis. Research has pointed to substantial similarities in self and interpersonal problems between the two diagnoses, however C-PTSD has less clinical relevance and may be ruled out in briefer models of therapy due to the intricacies of diagnosis (Felding, 2021).

This proposal aims to outline an enhanced framework for client care with individuals diagnosed with histrionic personality disorder. By exploring the literature of histrionic personality disorder and complex trauma, there is evidently space for revitalized treatment by exploring patterns of self and interpersonal development that are flexible and able to foster resilience through stress (antifragility). Patterns of early childhood emotional/physical abuse and neglect lead to external “fixed” personality traits of external validation seeking, emotional volatility, low frustration tolerance, and more. Due to current medicalization and pathologization of symptoms, there is a lack of research into alternative models of personality disorders that promote change. Authentically exploring the human experience of unprocessed emotional wounds through counseling has the ability to cultivate deeper client connections and expand client care from diagnosis to treatment.

1:00 PM

Juvenile Arthritis, Body Image, and Disordered Eating: An Exploration of Experiences

Katelyn A. Melcher

UC North Ballroom

1:00 PM - 2:00 PM

This qualitative study examined eating and body experiences among youth with juvenile arthritis (JA). JA, an autoimmune condition affecting nearly 300,000 youth in the United States, poses significant challenges including chronic pain, disability, and psychological concerns such as anxiety and depression. Although adolescence is a critical developmental time for body image and disordered eating concerns to emerge, no qualitative research has explored the interactions of JA, body image, and eating behaviors among youth. Twelve youth with a JA diagnosis participated in a semi-structured qualitative interview examining their experiences with JA and their feelings about their bodies and food as they relate to their disease. Interviews were transcribed, description-focused coding was generated, and the data was analyzed for themes. Four primary themes were identified: ability status, symptom severity, medication side effects, and dietary restrictions. Generally, participants attributed lower ability status, increased symptoms, medication side effects, and dietary restrictions to having a negative impact on their body image and relationship with food. However, participants also reported having more positive body image due to feeling stronger and more able-bodied during periods of remission. Findings indicate that mental health providers and JA specialists should be aware of the relationship between JA and eating pathology and body image concerns. The findings also suggest a need to develop eating disorder and body image prevention and interventions that specifically address aspects of juvenile arthritis and chronic illness management (i.e., medication side effects and dietary restrictions). Finally, given the relationship between physical and psychological health, there is a need for additional eating disorder and body image research in youth with autoimmune illnesses.

1:00 PM

Supporting Students' Emotional Wellbeing while Teaching Climate Change Curriculum

Clare Maguire, University of Montana, Missoula

UC North Ballroom

1:00 PM - 2:00 PM

Numerous researchers have described climate change as the single greatest threat to humanity. In 2022, a survey conducted by Inside Higher Ed and College Pulse reported that at least 81% of students are worried about climate change, and many consider campus sustainability when deciding where to attend college. As concerns regarding climate change have grown, so have the impacts on mental health, which are often categorized under terms such as climate anxiety and ecological grief. This has increased professional advocacy for climate change education in many disciplines across campuses. The Association for Counselor Educators recently proposed adding climate change/environmental justice competencies and curriculum standards for counselor education and supervision. Further, many universities are developing specific climate change degree programs and incorporating climate change education into general education coursework.

The literature suggests that climate change education should be incorporated into every major on college campuses and in the K-12 curriculum standards. Incorporating mental health implications of climate change is a key component of climate change education. This presentation will provide an overview of mental health concerns related to climate change. It will provide strategies from positive psychology to support students’ well-being while meeting the need to incorporate climate change education into coursework.

This practical project hopes to contribute to climate change advocacy by demonstrating the need for climate change education standards to be developed across disciplines while supporting students’ emotional well-being and offering exercises in meaning-making and resilience. In the future, this exploratory study plans to gather data using a quasi-experimental pre/post design comparing students' self-reports on climate anxiety, ecological grief, and resilience measures in two courses offered at UM. The data will help inform teaching practices and curriculum standards in climate change education.