Table 3.

Treatment goals and progress

Goal	Objectives	30-Day	60-Day	90-Day	120-Day	150-Day progress	Discharge progress
1. Decrease the frequency and intensity of daily bingeing and night eating episodes and increase daytime and overall nourishment Client’s words: To “not be obsessed by food”, “have a normal relationship with food”, and “cook more fresh foods”	A. Eliminate daily bingeing and night eating episodes	Bingeing less than 1×/day; Night eating occurring 1×/night	Bingeing 1-2×/week; Night eating occurring less than 1×/night	No longer bingeing; Night eating occurring more than 1×/night	Night eating occurring during 1 out of 3 wake periods	Night eating occurring 1×/night	Remains active
	B. Eat according to meal plan routinely	Improvement but lacking consistency	Accomplished at home; Applying outside of the home	Completing meal plan but having urges to restrict	Missed some meals and snacks when not at home	Met	Continues to complete 100% of meal plan
	C. Practice mindful and intuitive eating skills daily	Recognizes fullness and completes daily meal logs	Able to honor fullness	Working on feeling hunger cues	Recognizes hunger and engages in distraction- free eating	Practicing mindful eating	Remains active
	D. Prepare/cook and try new foods several times a week	Cooking at least 1×/week in cooking class and trying new foods more than 2×/week	Tried additional new foods and recipes	Cooking meals and trying new foods at least 2×/week	Cooking and trying new foods independent of cooking class	Met	Continues to regularly prepare/ cook and try new foods
2. Examine and mend her connection to her body and adopt caring thoughts about her body Client’s words: To “move more in general” and “sit less and get out of the house more”	A. Engage in gentle movement to increase strength and flexibility several times a week	Attending movement group 2×/week	Not attending movement group consistently; Moving more in daily activities	Attending movement group when available; Completing household chores	Attending movement group; Going for walks with care partner	Met	Attending fitness program up to 3×/week outside of program
	B. Experience joy in movement several times a week	Participating but not experiencing joy	Exploring types of movement that bring her joy	Creating list of dance songs and having a “dance party” at home 1×/week	Enjoying walks with care partner; Reports enjoying movement group 50% of the time	Continue to enjoy walks; Appreciates movement group more with music she likes	Remains active
	C. Challenge negative body image thoughts and develop sense of self outside of body appearance	Reminding herself that others like her for who she is not what she looks like	Recognizing sources of beliefs about beauty and weight	Struggling with increase in negative body image thoughts	Challenging belief that positive sense of self is tied to weight	Shifting focus to other aspects of self when having negative body image thoughts	Remains active
3. Improve general sense of self-worth and challenge negative thoughts about herself Client’s words: To “be kinder” and more “compassionate to myself”	A. Replace negative self-talk with positive or neutral self-talk	Using affirmations daily	Struggling with increase in negative self-talk	Refraining from family interactions that trigger negative self-talk	Negative self-talk has decreased	Able to rephrase negative self-talk into more neutral statements	Remains active
	B. Explore core beliefs underlying negative self-talk and challenge	Recognizing core beliefs about being a “bad person”	Practicing challenging core belief that she is “unworthy”	Able to accept that she is “worthy”	Experiencing greater sense of self-respect	Realizing that core beliefs are not accurate	Remains active
	C. Engage in self-care and fulfilling activities several times a week	Engaging in self-care (e.g., doing hair and makeup) 2×/week; Attending art class and spending time with pets 2×/week	Met	Unable to attend class class but spending more time with spouse	Met		Continues to engage in self-care and participate in fulfilling activities
4. Decrease depressive symptoms, PTSD symptoms, and process past trauma Client’s words: To “be more mindful” and “listen more”	A. Practice mindfulness and emotion regulation daily	Practicing mindfulness daily during meals/snacks	Experiencing increased comfort with mindfulness	Using relaxation skills and working on regulating emotions by ensuring adequate sleep	Continuing to use tools daily to promote mindfulness and emotion regulation	Sharing progress with others in group	Remains active
	B. Gain greater insight into the emotional states of self and others	Developing awareness of others’ perspectives; Receiving compliments without assuming malintent	Able to understand perspective of others with greater ease	Working on identifying and understanding own emotional state	Met		Continues to recognize emotional states of self and others
	C. Report and monitor any SI and commit to the prepared safety plan	Denies any SI since start of program	Fleeting passive SI but no plan; Committing to safety plan	No SI in over 2 weeks	No SI for 4-6 weeks	No SI for 2-3 months	Continues to be free from SI