Nutrition Intervention for Eating Disorders: Nutrition Education


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Discourage patients from attempting to determine exactly which food caused which weight change. When a patient’s weight changes unexpectedly or does


not change when a patient hoped it would, reassure your patient that he or she is not a disappointment to you. Often eating disorder patients gauge their self-worth and their worth to others by their weight. You can role-model that weight is not relevant to your regard for your patient, and that you are proud of him or her for making the efforts that will ultimately lead to recovery. Focus on improved eating behaviors and weight will follow.


Family Education


Be sure to include concerned family members in your edu- cation about weight so that they bring their questions to you rather than to the patient. Encourage them to view recov- ery as much more than weight restoration or weight loss and to look for other signs of success. Education from you and the other treatment team members may be needed to combat the common misconception (or wishful thinking) of patients and family members that weight restoration or achievement of a healthy weight constitutes a full recovery. Emphasize that mental and physical recovery must con- tinue even after weight normalization, otherwise the risk of relapse is great. If a patient perceives that once weight is restored, he or she will no longer receive “special treat- ment,” attention, or needed mental health care, he or she may sabotage treatment


in order to “stay sick.” This is


referred to as “secondary gain.” If you believe that this is happening, share your concerns with the family therapist or other mental health professional on the team.


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