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Treatment Plan Update—June 24, 2016

Weight: 99 lbs.

BMI: 17

Summary:

Treatment team has approved patient transition to Stage Three of treatment, effective Monday, June 27, 2016. Patient will be transferred to the day treatment facility at 45 Forest Park Road.

Physiological Observations:

Patient weight has been increasing steadily and consistently with increases in meal plan. She remains significantly underweight but has been open to increasing food variety and reassessing body image distortions. No signs of refeeding syndrome. No other physical complications.

Psychological/Psychiatric Observations:

Patient has been completing meals and working on replacing negative eating-disorder behaviors with positive coping skills. She continues to struggle with poor body image but is working on challenging cognitive distortions.

Treatment Objectives:

Contingent upon medical stability and continued commitment to recovery, treatment team recommends a gradual and protracted increase in autonomy and exposure to normal life circumstances.

Patient will be required to present herself for treatment daily from 8:00 A.M. to 6:00 P.M. Patient will be allowed to complete dinner and evening snack alone and sleep at home.

Target caloric value: 3,500 calories daily, to be maintained upon discharge until adequate weight is reached.