Social Worker – Client Interaction Lifecycle with Eating Disorders

Social Worker License

by Social Worker License Staff

Updated: January 5th, 2023

Eating disorders are serious mental illnesses characterized by abnormal eating behaviors and distorted thoughts about food, weight, and body image. According to the National Institute of Mental Health (NIMH), eating disorders affect about 3% of the U.S. population and are more common among females than males. There are several different types of eating disorders, including anorexia nervosa, bulimia nervosa, and binge eating disorder.

Social workers can play a vital role in the treatment of individuals with eating disorders. They are often involved in the initial assessment, diagnosis, and treatment planning process, as well as providing ongoing support and monitoring progress. They may also work with the individual’s family to provide education and support, and may make referrals to other professionals, such as registered dietitians or psychiatrists, as needed.

Social workers are trained to help individuals address the underlying issues that may be contributing to their eating disorder, such as trauma, low self-esteem, or difficulty with relationships.

It is difficult to estimate the percentage of social workers compared to other healthcare professionals who work with individuals with eating disorders, as this may vary depending on the specific setting and location. However, social workers are often an important part of the healthcare team that helps individuals with eating disorders. They may work in hospitals, outpatient clinics, schools, or private practice, and may collaborate with other healthcare professionals such as doctors, nurses, nutritionists, and psychiatrists to provide comprehensive care to individuals with eating disorders.

Social Work Interaction Lifecycle Working with Clients Suffering from Eating Disorders

Initial Assessment

The social worker will conduct an initial assessment to gather information about the individual’s eating habits, physical health, mental health, and overall functioning.

An initial assessment for someone with an eating disorder typically involves a comprehensive evaluation of the individual’s physical, emotional, and social functioning. The purpose of the assessment is to gather information about the individual’s symptoms, behaviors, and medical history related to their eating disorder, as well as their overall physical and mental health.

The initial assessment may include the following steps:

  1. Meeting with the individual and their family members, if applicable, to gather information about their history and current situation.
  2. Conducting a physical examination to assess the individual’s weight, height, and vital signs, and to look for any physical signs of malnutrition or other health issues related to the eating disorder.
  3. Administering psychological and psychiatric assessments to assess the individual’s emotional and mental health, and to identify any underlying psychological issues that may be contributing to the eating disorder.
  4. Reviewing the individual’s medical history, including any previous treatment for their eating disorder or other mental health conditions.

Diagnosis

After the initial assessment, the mental health professional will make a diagnosis based on the criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). To be diagnosed with an eating disorder, an individual must meet certain criteria for one of the following disorders: anorexia nervosa, bulimia nervosa, or binge eating disorder.

Treatment Planning

Once a diagnosis has been made, the social worker will work with the individual to develop a treatment plan that addresses their specific needs.

A treatment plan is a detailed document that outlines the specific interventions and activities that an individual will participate in as part of their treatment for an eating disorder. The purpose of the treatment plan is to ensure that the individual receives the care and support they need to manage their disorder and achieve their recovery goals.

The treatment plan should be developed by the mental health professional who is overseeing the individual’s care, in collaboration with the individual and their family members, if applicable. It should be based on the results of the initial assessment and diagnostic evaluation, and should take into account the individual’s specific needs and goals related to their eating disorder.

The treatment plan should include information about the following:

  • The specific interventions that the individual will participate in, such as therapy, medication, nutrition counseling, or other activities
  • How often will the interventions will take place?
  • How long will the interventions will last?
  • Who will be involved in the individual’s care, such as a therapist, doctor, or nutritionist?
  • Any other resources or support services that will be provided to the individual, such as support groups or occupational therapy
  • The expected outcomes of the treatment, such as improvements in the individual’s physical and mental health, and progress towards their recovery goals

The treatment plan should be reviewed and adjusted as needed based on the individual’s progress and any changes in their needs or circumstances. The mental health professional will work with the individual to monitor their progress and make any necessary adjustments to the treatment plan to ensure that it is meeting their needs and helping them achieve their treatment goals.

Monitoring Progress

The social worker will regularly monitor the individual’s progress and make adjustments to the treatment plan should be reviewed and adjusted as needed based on the individual’s progress and any changes in their needs or circumstances. The mental health professional will work with the individual to monitor their progress and make any necessary adjustments to the treatment plan to ensure that it is meeting their needs and helping them achieve their treatment goals.

Termination of Treatment

When the individual has made significant progress and is able to maintain their recovery, the social worker will work with them to develop a plan for maintaining their progress and may recommend a referral to a lower level of care or no treatment at all.

The following are a few websites and organizations that provide information and resources about eating disorders:

These websites provide a range of information about eating disorders, including symptoms, causes, treatments, and resources for support. They also often have information about how to get help if you or someone you know is struggling with an eating disorder.

Resources:

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
  • National Institute for Health and Clinical Excellence. (2004). Eating disorders: Core interventions in the treatment and management of anorexia nervosa, bulimia nervosa, and related eating disorders. London: British Psychological Society and the Royal College of Psychiatrists.
  • Smink, F. R., van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: incidence, prevalence and mortality rates. Current Psychiatry Reports, 14(4), 406-414.