Which outcome is most realistic and appropriate for a client with severe anorexia?

For a client with severe anorexia, establishing a healthy eating pattern is a realistic and appropriate outcome. This approach recognizes the complexity of anorexia nervosa, which often involves not just the physical aspects of eating but also significant psychological components. A healthy eating pattern involves gradually reintroducing food in a way that is sustainable and supportive of the client’s mental and physical health.

Developing a balanced approach to nourishment is crucial for recovery from anorexia, as it not only focuses on weight gain but also helps address underlying issues related to food aversion, body image, and emotional well-being. This outcome emphasizes the importance of gradual change and promotes long-term health rather than immediate weight gain.

In contrast, gaining a specific amount of weight in a very short timeframe can be unrealistic and potentially harmful, as it may not take into account the safety and psychological readiness of the client. Similarly, full participation in group activities may be challenging for someone in the midst of severe anorexia, especially if they are dealing with significant anxiety or discomfort around food and social interactions. Lastly, expressing satisfaction with one's current weight is unlikely to be a feasible outcome for someone with severe anorexia, as their perception of weight and body image is often distorted and not aligned with healthy standards.