Eating Disorder Relapse Prevention

EDIT™ Worksheets | Believe In Your Self Success #3 | Relapse Prevention “Green light!” she screamed. We all started to run towards the finish line. “Yellow light,” she said. We all slowed our runs to a jog. And just when I took off in a sprint, I heard the fatal sound, “Red light!” My body was still moving before it registered what it heard. I had to go all the way back to the beginning because I had kept moving when I heard “red light.” Red Light, Green Light is a popular playground game. What seems like a silly kid’s game is actually a really important message for our clients. When you see a yellow light, slow down – because otherwise, the red light might suddenly appear – and then you’ll have to “start all over.” This Relapse Prevention worksheet is focused on helping clients recognize what the red, yellow and green lights are in terms of their recovery: Green Lights are the indicators that all is going well in recovery Yellow Lights are the warning signs that a relapse is possible Red Lights are sure indication that a relapse is occurring Although clients may not have to “start all over” if a full relapse occurs, it can be much harder to restore recovery practices once a relapse has occurred. In some cases, if the relapse persists and ED behaviors worsen – then clients may in fact need to “start all over” with intensive treatment. When clients are nearing the completion of their outpatient treatment with you as an EDIT™ Certified practitioner, this is an important time to use this worksheet. It’s best to do this worksheet in session. Start...

Eating Disorder Coping Skills

 EDIT™ Worksheets | Express Your Self Coping #1 | The 5-Rs   Eating disorder behaviors can often be impulsive – your clients may sometimes feel like “ED just takes over.” As your clients progress in recovery, they realize that there is a moment of choice – although at first it may be very brief. This is the window of opportunity for your clients to use alternatives to their eating disorder behaviors as a means of coping. In that moment of choice, your clients may not be able to think of their healthy coping skills – that’s because ED (Eating Disorder) is the predominant voice in their mind. In that moment of choice, your clients may be able to access IT (Intuitive Therapist) for a brief moment – long enough to think, “Hmmmm, what could I do right now instead of giving into ED?” This is where the 5-Rs Worksheet can be essential! If your client has completed this worksheet in session with you, or as a homework assignment, then they have the completed worksheet to refer to in their moment of need. When ED is active in their mind, they may have a difficult time remembering IT’s suggestions for healthy ways of coping. But if they pull out this completed worksheet, then they have plenty if ideas to use as alternatives to ED. Let’s look at each of the 5-Rs, so you can guide your client to complete this worksheet. The 5-Rs represent five different areas which the client can consider accessing based on their specific needs in the moment. Each of the 5-Rs begin with the letter R (to make these easier for your...

ED Recovery: Morning Self-Care

 EDIT™ Worksheets | Give To Your Self Self-Care Routine #1 | Morning Check-In Eating disorder behaviors can sometimes be your client’s way of life. Eating disorder recovery involves replacing ED (Eating Disorder) with Intuitive Self-Care – truly nurturing and nourishing habits developed through guidance from IT (Intuitive Therapist). As your client gradually integrates new habits which have meaning for them, their old eating disorder habits will gradually disappear. As your client’s life is filled with their new routines of Self-Care, and other meaningful activities in their life, they will suddenly realize, “ED hasn’t been around for a while…  I truly feel free… I wonder if this is what complete recovery is all about?” One of the best places to start guiding your client with Intuitive Self-Care is when they first wake up each day. Their initial waking hours can be a critical time in their day, as they set the stage for ED… or, recovery! This Morning Check-In worksheet illustrates a simple format for your client to complete each morning. The top section of this worksheet includes some basic details about your client’s sleep patterns, which is helpful for your client and also you as a clinician to also be aware of. You can suggest some holistic strategies to improve sleep hygiene – which is related to their bedtime routine (discussed in the next worksheet, page 48 of the pdf file– Evening Check-In). Many clients report having access to their Intuitive Therapist (IT) during their dreams, where they receive a direct message through the dream, or in the dream interpretation. Also of note is that the transition from sleep to waking is also a time when clients can...

Benefits of Eating Disorder Recovery

EDIT™ Worksheets | Believe In Your Self Recovery #1 | Winning the War Within Eating disorder or eating disorder recovery? That is a decision that many clients make every day – and sometimes multiple times a day. It can often feel like a “war within” – as the client’s voice of the Eating Disorder (ED) seems to compete with the recovery wisdom voiced by the Intuitive Therapist (IT). Rather than dismissing ED’s arguments for “giving up on recovery” and “giving in to eating disorder behaviors,” it can be helpful to look more closely at exactly what ED is saying in the client’s mind. Similarly, it can be helpful to guide clients to examine their recovery wisdom in more detail, to notice the risks of their eating disorder behaviors and the benefits of recovery. This worksheet walks clients through the various ED and IT messages, so they can clearly see the perspectives of both sides. Clients can “win the war within” as they honor ED and IT – and then make a decision where they choose to place their attention. If 51% of the client’s mind is focused on the benefits recovery, while 49% still considers the seeming advantages of their eating disorder – then recovery “wins.” The idea is to gradually guide clients to shift the percentage, so ultimately 100% of their attention is given to IT’s recovery wisdom. This worksheet can be done in session, or assigned as homework. Suggest that the client start by completing the corner of the grid where their thoughts seem to be the strongest in that moment. For the purpose of illustration, let’s look at the top left corner first. Here, the client...