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graph showing weight gain of over 5 kg per week

Monitoring Weight Gain

With eating disorders, the sooner the problem can be controlled, the better. When eating disorders become chronic, they are very difficult to treat.

One of the key components in Intensive Structural Therapy is monitoring weight gain in conjunction with therapy. Intensive Structural Therapy is a powerful model that leads to weight gain – often rapidly. The treatment is fast and the results are often maintained.

The chart above documents the progress of a 21 year old female student with an eating disorder for an eight year duration, undergoing a carefully-monitored, calorie-controlled diet. Starting with a BMI of only 14, she obtained a weight increase of more than five kilos a few weeks into treatment. Weight gain was acquired steadily and naturally. This graph shows how Intensive Structural Therapy is a rapid and successful approach to eating disorder treatment.

Note: 4/02/07 was the beginning of treatment.

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Book: Enduring Changes in Eating Disorders

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Endorsements from Clients

  • Hello Charles! I am unsure if you will even remember who I am haha, but this is [name withheld] – I saw you in (I think) 2017 with anorexia.

  • My wife and I felt quite emotional last Monday after our short Zoom session. All three of us hugged. It felt like the end of a relatively short but profoundly enriching journey with you which started in June at your home office on Waiheke Island.

  • Dear Dr Fishman Thank you so much for this website. I have a long history of swinging between bulimia and compulsive over-eating. I am currently a compulsive over-eater.