Why provide so much individual therapy, especially when patients are less likely to respond when at such a low weight?
Castlewood provides frequent individual therapy for all patients even when they are very underweight. Most programs do not provide individual therapy during the stabilization and/or weight gain portion of treatment. We realize that most therapies have been found to be most successful when patients are at a normal weight. True change and growth may not occur until adequate nutrition is restored. On the other hand, we know that without supportive trusting relationships it is difficult to achieve the behavioral changes that would allow weight restoration. Therapy at this stage can nurture fragile motivation, provide hope, and facilitate appropriate goal setting and expectations. It is the best way for the team to understand the rituals associated with eating, the value of the symptoms to the individual, assess motivation, illuminate fears and identify beliefs which maintain the symptoms. Therapy begins the process of helping our residents understand how their experience makes sense, how t
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