Full Plate by Abbie Attwood
The Full Plate Podcast with Abbie Attwood, MS
The Part of Recovery No One Talks About: Hopelessness and Suicidal Ideation in Eating Disorders with Dr. Colleen Reichmann
0:00
-52:53

The Part of Recovery No One Talks About: Hopelessness and Suicidal Ideation in Eating Disorders with Dr. Colleen Reichmann

Plus the role of relationships in either deepening isolation or offering a lifeline

I felt overwhelming hopelessness many times in recovery. That quiet ache of wondering if life would ever feel worth it. If my relationship with food and my body could ever soften enough to make space for something bigger. If my brain could ever get it together. Some days, the pain felt endless. And I know I’m not alone in that.

Several weeks ago, a subscriber reached out to see if I’d be willing to talk about suicidal ideation in eating disorders. I knew right away that the answer was yes—because while it’s hard, it’s also necessary.

For so many people, an eating disorder is not just about food or weight—it’s about living in a body that feels like an unsafe place to be.

It’s about perfectionism that never lets you rest.
About shame that crawls under your skin.
About isolation that makes it hard to believe anyone could understand.

That combination can create a kind of exhaustion that’s hard to put into words, the kind that can lead to wondering if there’s any point in continuing.

If hopelessness is here, it doesn’t mean recovery isn’t. They can exist together.

There are conversations that sit heavy in the chest before they ever make it to words.
Today’s is one of them.

This newsletter is fueled by snacks, compassion, and reader support. If it has helped you, consider becoming a paid subcriber to keep Full Plate going strong.

In this week’s episode, I’m joined by Dr. Colleen Reichmann, a clinical psychologist, author, and eating disorders specialist, to talk about experiencing deep despair in recovery. Together, we explore how that profound emotional pain develops, why it’s so common in this community, and—most importantly—reasons to find and hold hope again.

Dr. Colleen Reichmann is a clinical psychologist who specializes in eating disorders, as well as maternal mental health, anxiety, and depression.

It’s not an easy topic, but that’s exactly why we went there.

Because silence makes suffering feel lonelier. Naming it, together, makes it human.


Tune in to the episode for more on:

  • How common it is to feel deep despair in recovery

  • Personality traits that fuel hopelessness in eating disorders

  • Nutrition, physiology, and how undernourishment affects mood

  • The role of relationships in either deepening isolation or offering a lifeline

  • How anti-fat bias and weight stigma compound psychological suffering

  • How to hold hope while you’re struggling

  • The false timeline of recovery and the importance of “invisible” progress

  • Support strategies that center validation over toxic positivity

  • How clinicians, friends, and loved ones can stay present in the discomfort

This conversation is not about quick fixes. It’s about telling the truth about pain, while leaving the door open—even if just a crack—for possibility.

If you’re here in that heavy place, or have ever been there, I want you to know this: your pain is real, you’re not alone in it, and there are people who can hold the hope for you until you can feel it again yourself.

Leave a comment

Share


Gentle Content Warning: This episode includes a nuanced discussion about suicidal ideation and eating disorders. It is hopeful, and without any graphic detail. That said, please take care while listening, and know that it’s okay to skip this one or come back to it when you're in a steadier place. If you're struggling, you are not alone—support is available (see resources below).


Resources:

  • Suicide & Crisis Lifeline (US) – Dial or text 988

  • Crisis Text Line – Text HOME to 741741 (Free, 24/7)

  • Trans Lifeline – 877-565-8860

  • The Trevor Project (LGBTQ+ support) – 1-866-488-7386


Discussion about this episode

User's avatar

Ready for more?