back in florida.....bleh.
my new contract.

I, Milo Burdine, acknowledge the importance of a continued commitment to my recovery program. I have worked with my therapist to develop this contract and know that I have had appropriate input. By signing this contract, I am agreeing to the following:

See outpatient team as scheduled including family and individual therapy, medication management, and nutrition counseling

Maintain a weight of a minimum of 140 lbs

I would only agree to inpatient treatment, if I was unable to maintain my weight at a medically healthy level putting my life more in danger

Restore normal eating patterns, body weight, balanced fluid and electrolytes, and a realistic perception of body size.

? Terminate the pattern of binge eating and purging behavior with a return to normal eating of
Enough nutritious foods to maintain a healthy weight.

? Stabilize the medical conditions, resume patterns of food intake that will sustain life, and gain weight to a normal level.

? Gain sufficient insight into the cognitive and emotional struggle to allow termination of the eating disorder and responsible maintenance of nutritional food intake.

? Develop alternate coping strategies (e.g., feeling identification and assertiveness) to deal with underlying emotional issues, making the eating disorder unnecessary.

??Change the definition of the self, so that it does not focus on body weight, size, and shape as the primary criteria for self-acceptance.


? Restructure the distorted thoughts, beliefs, and values that contribute to eating disorder development.
? Describe any regular use of dysfunctional weight control behaviors.



? Admit to a persistent preoccupation with body image/size.


? Submit to a dental exam.


? Take medications as ordered and report as to effectiveness and side effects.



? Cooperate with admission to inpatient treatment if a fragile medical condition necessitates such treatment.



? Eat at regular intervals (three meals a day), consuming at least the minimum daily calories necessary to progressively gain weight.



? Keep a journal of food consumption.



? Attain and maintain balanced fluids and electrolytes



? Identify and replace irrational beliefs and distorted self-talk messages associated with eating normal amounts of food.


? Verbalize positive, reality-based self-talk regarding weight status and body size.



? Verbalize acceptance of sexual impulses and a desire for intimacy.



? Identify the relationship between the fear of failure, drive for perfectionism, and the roots of low self-esteem.



? Acknowledge and over-come the role that passive-aggressive control (e.g., the refusal to accept guidance) has in the avoidance of eating.


? Acknowledge and resolve separation anxiety related to the emancipation process.


? Develop assertive behaviors that allow for healthy expression of needs and emotions.


? Verbalize the feelings of low self-esteem, depression, loneliness, anger, need for nurturance, or lack of trust that underlie the eating disorder.



? State a basis for positive identity that is not based on weight and appearance but on character, traits, relationships, and intrinsic value.


? Verbalize the connection between suppressed emotional expression, difficulty with interpersonal issues, and unhealthy food usage.


? Understand and verbalize the connection between too-restrictive dieting and binge episodes.



? Verbalize the acceptance of full responsibility for choices about eating behavior.



? Terminate dysfunctional weight control behaviors.


? Attend an eating disorder group if available.



Sign____________________________________ ________

Date____________________________________ ________


Therapist’s signature_______________________________ _________

Nutritionist signature_______________________________ __________

Family therapist_______________________________ _______________

Medical doctor__________________________________ ______________