Project Outreach

                                                                                         Service · Integrity · Compassion

	Problems:
	Persistent refusal to maintain a minimally normal body       weight		Presence of additional method of weight loss including self induced vomiting, misuse of laxatives or diuretics and excessive exercising
	Presence of intense fear of gaining eight with significant disturbance in the perception of the shape or size of his/her body		Presence of physical signs of starvation including lab findings, cold intolerance, fatigue, abdominal pain, constipation, hypotension, hypothermia, bradycardia, etc…
	Presence of amenorrhea		Erosion of dental enamel and calluses on the dorsum of the fingers from contact with teeth during vomiting
	Distorted viewing of weight loss as an impressive achievement and sign of extraordinary self control whereas weight gain is perceived as an unacceptable failure of self control

	Goals:
	Restore a more appropriate eating habits and healthier more realistic perception of body size and shape		Develop insight and awareness into distorted view of body image and relations to self esteem and societal pressures
	Eliminate all purging behavior as well as the use of laxatives and diuretics		Establish a healthier sense of self esteem based on criteria other than body weight and image
	Objectives:
	Patient will be honest with his/her pattern of eating		Patient will identify distorted thoughts and beliefs that lead to eating disordered behaviors
	Patient will disclose any habit of self induced vomiting and control of caloric intake		Patient will verbalize positive, healthy self-talks that will encourage normal food intake
	Patient will discontinue any and all use of laxatives and diuretics		Patient will develop greater insight into relationships between fear of failure, drive for perfection and low self esteem and eating disorder
	Patient will admit to persistent preoccupation with body image		Patient will verbalize his/her feelings of low self-esteem, loneliness, anger, need for nurturance and distrust that perpetuates eating disorder and distorted self image
	Patient will complete thorough physical and psychiatric examination and laboratory studies recommended by a physician		Patient will set reasonable limits on physical exercise
	Patient will take any medication as recommended by a physician		Patient will attend an eating disorder support groups
	Patient will eat at regular intervals, consuming minimum daily calories