Where should a nutrition therapist start when helping a young person with a chronic history of anorexia nervosa?

When engaging with a young person who has a chronic history of anorexia nervosa, understanding their motivations is essential for fostering a positive therapeutic relationship. Capitalizing on their motivations can empower the individual to make choices that are aligned with their personal goals and values. This approach recognizes the importance of individual readiness for change and can enhance the likelihood of successful engagement in the treatment process.

When a therapist starts by exploring and reinforcing what motivates the young person, they can tailor interventions to resonate more deeply with the individual's unique situation. This may also increase the individual’s sense of autonomy and self-efficacy, crucial factors in recovery. Thus, focusing on motivations provides a strong foundation for any subsequent therapeutic work, enabling the young person to feel more involved in their recovery journey.

In contrast, while developing a support system, providing structure, and educating about nutrition are all important components of treatment for anorexia, they may be more effective after establishing an understanding of what motivates the person. Building from intrinsic motivation ensures that the individual is more likely to be receptive to support and education, making those subsequent steps more impactful.