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Eating Disorders:
When Outpatient Treatment Is Not Enough

continued

TREATMENT OBJECTIVES

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Our objective is to help each client achieve a clear understanding of her eating disorder, its effect on her life, and what is necessary for her personal recovery. Our goal is to develop and initiate a plan for recovery that will be able to be maintained on discharge. We assist clients to:

  • Eliminate starving, bingeing, purging, and compulsive eating

  • Establish nutritious, healthy eating patterns

  • Get into balance nutritionally, biochemically, and metabolically

  • Gain insight into disordered thinking

  • Gain insight into the underlying causes of the eating disorder behaviors

  • Learn appropriate expression of anxiety regarding food and weight issues

  • Work toward achieving an "ideal body weight" within an accepted range

  • Gain insight into destructive attitudes and behaviors

  • Develop a balanced weight maintenance plan involving food and exercise

  • Improve body image

  • Use journal writing and self-monitoring

  • Discover and utilize alternative coping skills other than the eating disorder or any other self-destructive acts

  • Work with their significant others in the development of improved understanding and improved communication in order to break patterns that enable the eating disorder to continue

  • Alleviate depression and anxiety and improve self-esteem

  • Identify and constructively express emotions and receive support in developing coping strategies for living free of destructive behaviors

  • Use independent experiences and therapeutic passes in order to create a lifestyle that can be continued on discharge

  • Develop relapse prevention techniques


Entry Level Contract
Name __________________________________________
Date Initialed Dated
Orientation to Program by _____ _______
Eating Disorder Program Description Read _____ _______
Client Handbook Read _____ _______
Eating Disorder Inventory and EDSC _____ _______
ED Evaluation/Psychosocial by _____ _______
Dietary Assessment by _____ _______
Diet Recommendations (Energy Units) _____ _______
Observations _____ _______
Exercise Assessment by _____ _______
Initial Exercise Approved by _____ _______
History and Physical by Dr. _____ _______
Psychiatric Evaluation by Dr. _____ _______
Other Initial Goals/Comments _____ _______

In coming to Monte Nido I have agreed to begin a new journey toward wellness so that I can fully participate in life on earth. I realize that for this journey I will need a vehicle, a body. In order to have a healthy body, I will need to feed it with appropriate foods. While I'm learning to do this I may stumble along the way, as it is human to do so; but I will forgive myself and I will give myself permission to ask for assistance, guidance, and support. My goal is to abstain from intentionally harming or neglecting my body. I realize that this will be essential in completing my journey to recovery. I will strive to make my relationship with my body one of forgiveness for its imperfections and one of honor for its value. I realize that all of this will be a difficult task. I agree to go forward with these goals and have come to Monte Nido because I have been unable to accomplish them on my own. There will be times when I am afraid, I do not understand, or I do not trust those trying to help me. Nevertheless, since I believe I can find the help I need at Monte Nido, I will be honest, I will listen to the wisdom of those who have already completed the journey and recovered, and I will face my fear with them at my side.

I acknowledge that if I am unable to participate in the program at Monte Nido, I could be jeopardizing my health and therefore may need to transfer to a facility where more structure and medical care are available.

Client's Signature Clinical Director
_____________________ _____________________
   

* Individual Assignments = clients working on assignments

** Independent Cooking - dinner without Louise

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