Review |
First group of each day. Review of meal plan adherence and ED behaviours since last in DP, problem-solving of challenges experienced. |
Planning |
Planning for time between leaving DP and until next day due to return, with respect to meal plan compliance and management of ED behaviours. Using problem-solving and motivational interviewing approach. |
Nutrition Group |
Session delivered by dietitian. Providing information, education and skill development on relevant topics, e.g., starvation syndrome, regular and adequate eating, fluids, macronutrients, food rules, feared foods, metabolism, cooking, meal preparation, evaluating nutritional advice, and social eating. |
Physical Recovery |
Collaborative weighing, review of meal plan adherence and risk assessment (carried out individually). |
Goal Review |
Reviewing achievement of individual goals set over previous week and problem-solving. |
Goal Setting |
Setting 5 specific goals for week ahead to address ED behaviours, including setting a challenge snack to eat within DP supported meal and a goal to get back into normal life. |
Flexible Thinking |
Psychology-based group covering such topics as body image, perfectionism, self-compassion and also cognitive remediation therapy. |
Coping Skills |
Delivering dialectical behavioural therapy skills modules of mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness. |
Life and Relationships |
Issues that impact life and relationships in people with an ED, e.g., sleep, assertive communication skills, motivation for recovering, social media literacy, reviewing values, vocational choices. |
Mind |
Cognitive-behaviour therapy (CBT) strategies for EDs, e.g., developing an understanding of how the ED is maintained, identifying and addressing unhelpful thinking styles, developing understanding of thought, feelings and behaviour connections. |
Distress Tolerance |
Independent practice of strategies to manage distress with clinician available to provide support and engagement. For example, playing games, practising mindfulness, distraction activities, art. |
Mindfulness |
Education on mindfulness and practising various mindfulness activities. |
Creative Writing |
Delivered by professional writer, ‘writer in residence’. Guiding patients through various creative writing tasks, including poetry. |
Sensory |
Developing skills and knowledge to use sensory approaches in developing regulation skills (e.g., self-soothing or alerting/arousal using the 5 senses). |
Group Processes |
Review group dynamics and norms, to identify and address any issues. |