Establishing a contract with a patient diagnosed with anorexia nervosa to participate in measures designed to produce a specified weekly weight gain can be a part of the treatment plan for several reasons:
Collaborative approach: By involving the patient in the process and seeking their agreement, it fosters a collaborative therapeutic relationship. It empowers the patient to take an active role in their recovery, increasing their sense of autonomy and responsibility.
Transparency and clarity: The contract sets clear and specific goals, such as achieving a specified weekly weight gain. This clarity helps the patient understand what is expected of them during the treatment process, reducing ambiguity and anxiety.
Motivation: The contract can serve as a motivating factor for the patient. Having a concrete target for weight gain can provide a sense of direction and purpose, helping the patient stay focused and engaged in their recovery efforts.
Measurement of progress: A specified weekly weight gain allows healthcare providers to track the patient's progress objectively. Regular weight monitoring is crucial in assessing the effectiveness of the treatment plan and making any necessary adjustments.
Safety and health concerns: In severe cases of anorexia nervosa, patients may be at risk of severe medical complications due to malnutrition and low body weight. The contract can ensure that weight restoration occurs in a controlled and monitored manner, reducing the risk of potential health complications.
Behavioral reinforcement: As the patient achieves the agreed-upon weight gain, they may experience a sense of accomplishment and positive reinforcement. This can help reinforce healthy behaviors and create a positive feedback loop for continued progress.
Accountability and commitment: The contract establishes a commitment between the patient and the treatment team. It emphasizes the importance of adhering to the treatment plan and encourages the patient to take responsibility for their recovery.
It is important to note that establishing a contract is just one aspect of the comprehensive treatment approach for anorexia nervosa. The contract should be part of a more comprehensive treatment plan that includes medical monitoring, nutritional counseling, therapy (such as cognitive-behavioral therapy or family therapy), and emotional support. Each patient's treatment plan should be tailored to their individual needs and circumstances, and the contract should be developed in a supportive and compassionate manner.