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If this happens, you may require a higher level of care, such as ",{"text":2358,"type":71,"marks":2359},"inpatient treatment",[2360],{"type":104,"attrs":2361},{"href":2362,"uuid":245,"anchor":67,"target":27,"linktype":31,"story":2363},"\u002Fget-care\u002Finpatient",{"name":248,"id":249,"uuid":245,"slug":250,"url":251,"full_slug":251,"_stopResolving":35},{"text":2308,"type":71},{"text":2366,"type":71,"marks":2367},"residential treatment",[2368],{"type":104,"attrs":2369},{"href":2370,"uuid":266,"anchor":67,"target":27,"linktype":31,"story":2371},"\u002Fget-care\u002Fresidential",{"name":269,"id":270,"uuid":266,"slug":271,"url":272,"full_slug":272,"_stopResolving":35},{"text":2373,"type":71}," or a ",{"text":2375,"type":71,"marks":2376},"partial hospitalization program (PHP)",[2377],{"type":104,"attrs":2378},{"href":2379,"uuid":286,"anchor":67,"target":27,"linktype":31,"story":2380},"\u002Fget-care\u002Fpartial-hospitalization-program-php",{"name":289,"id":290,"uuid":286,"slug":291,"url":292,"full_slug":292,"_stopResolving":35},{"text":2320,"type":71},{"type":2234,"attrs":2383,"content":2384},{"level":2236,"textAlign":67},[2385],{"text":2386,"type":71},"What is the anorexia relapse rate?",{"type":65,"attrs":2388,"content":2389},{"textAlign":67},[2390,2392,2398,2400,2405,2407,2413,2415],{"text":2391,"type":71},"Around one-third to one-half of those with ",{"text":2393,"type":71,"marks":2394},"anorexia nervosa",[2395],{"type":104,"attrs":2396},{"href":2397,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F5161",{"text":2399,"type":71}," relapse within the first year or two after treatment.",{"text":2401,"type":71,"marks":2402},"[1-3]",[2403],{"type":2404},"superscript",{"text":2406,"type":71}," The risk of relapse is high in the first few months after being discharged from treatment. The risk is particularly high if an individual leaves treatment prior to full ",{"text":2408,"type":71,"marks":2409},"nutritional and weight restoration",[2410],{"type":104,"attrs":2411},{"href":2412,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F1236",{"text":2414,"type":71}," and before they see a significant reduction in eating disorder symptoms. Relapse rates appear similar for males and females.",{"text":2416,"type":71,"marks":2417},"[4]",[2418],{"type":2404},{"type":2234,"attrs":2420,"content":2422},{"level":2421,"textAlign":67},3,[2423],{"text":2424,"type":71},"The good news? Recovery can build over time!",{"type":65,"attrs":2426,"content":2427},{"textAlign":67},[2428,2430,2434,2436,2439,2441],{"text":2429,"type":71},"People with anorexia nervosa often deepen their recovery more than 10 years after treatment. About a third of folks recover within nine years after discharge.",{"text":2431,"type":71,"marks":2432},"[5]",[2433],{"type":2404},{"text":2435,"type":71}," After 22 years, nearly two-thirds have fully recovered.",{"text":2431,"type":71,"marks":2437},[2438],{"type":2404},{"text":2440,"type":71}," Those who recover earlier (at a younger age) may have an increased chance of long-term recovery, pointing to the importance of early, intensive treatment.",{"text":2431,"type":71,"marks":2442},[2443],{"type":2404},{"type":2234,"attrs":2445,"content":2446},{"level":2236,"textAlign":67},[2447],{"text":2448,"type":71},"What is the bulimia relapse rate?",{"type":65,"attrs":2450,"content":2451},{"textAlign":67},[2452,2458,2460,2464],{"text":2453,"type":71,"marks":2454},"Bulimia nervosa",[2455],{"type":104,"attrs":2456},{"href":2457,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F15726",{"text":2459,"type":71}," relapse rates range from 25% to 45% within the first year.",{"text":2461,"type":71,"marks":2462},"[6-8]",[2463],{"type":2404},{"text":2465,"type":71}," After the first year, about a third of individuals will relapse.",{"type":2246,"content":2467},[2468,2479,2489],{"type":2249,"content":2469},[2470],{"type":65,"attrs":2471,"content":2472},{"textAlign":67},[2473,2475],{"text":2474,"type":71},"A large European study found that 37% of individuals with bulimia relapsed within 2.5 years after many symptoms had improved.",{"text":2476,"type":71,"marks":2477},"[2]",[2478],{"type":2404},{"type":2249,"content":2480},[2481],{"type":65,"attrs":2482,"content":2483},{"textAlign":67},[2484,2486],{"text":2485,"type":71},"Another study showed that two-thirds of those with bulimia nervosa recovered within nine years after discharge.",{"text":2431,"type":71,"marks":2487},[2488],{"type":2404},{"type":2249,"content":2490},[2491],{"type":65,"attrs":2492,"content":2493},{"textAlign":67},[2494,2496],{"text":2495,"type":71},"At the 22-year mark, two-thirds of those with bulimia nervosa had recovered.",{"text":2431,"type":71,"marks":2497},[2498],{"type":2404},{"type":2234,"attrs":2500,"content":2501},{"level":2236,"textAlign":67},[2502],{"text":2503,"type":71},"When is the risk of eating disorder relapse highest?",{"type":65,"attrs":2505,"content":2506},{"textAlign":67},[2507,2509,2512,2514,2520],{"text":2508,"type":71},"A study of 655 individuals with anorexia nervosa and bulimia nervosa found that relapse was most likely to occur six to seven months after achieving partial remission.",{"text":2476,"type":71,"marks":2510},[2511],{"type":2404},{"text":2513,"type":71}," (Partial remission is when ",{"text":2515,"type":71,"marks":2516},"eating disorder symptoms",[2517],{"type":104,"attrs":2518},{"href":2519,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F8516",{"text":2521,"type":71}," have significantly improved but some behaviors remain).",{"type":65,"attrs":2523,"content":2524},{"textAlign":67},[2525,2527,2531],{"text":2526,"type":71},"Additional factors can increase the risk of relapse, as I discuss later in this piece, but there is no way to predict who will relapse and who won’t.",{"text":2528,"type":71,"marks":2529},"[9]",[2530],{"type":2404},{"text":2532,"type":71}," The transition from a structured treatment program to independent living can be a vulnerable time and symptoms may return during this transition.",{"type":2234,"attrs":2534,"content":2535},{"level":2236,"textAlign":67},[2536],{"text":2537,"type":71},"Eating disorder relapse in adults",{"type":65,"attrs":2539,"content":2540},{"textAlign":67},[2541],{"text":2542,"type":71},"At Eating Recovery Center (ERC), we often see adults struggling with relapse more than younger patients. There are so many complex factors that we face in adulthood that can impact our mental health, raise stress levels and make recovery more difficult. ",{"type":65,"attrs":2544,"content":2545},{"textAlign":67},[2546,2548,2554],{"text":2547,"type":71},"Being responsible for children, a career, finances, and other caregiving or household duties can all impact recovery and even lead to ",{"text":2549,"type":71,"marks":2550},"burnout.",[2551],{"type":104,"attrs":2552},{"href":2553,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fresources\u002Frecovery-burnout",{"text":2555,"type":71}," Reaching out to your care team or returning to treatment early offers the best chance for continued healing.",{"type":2234,"attrs":2557,"content":2558},{"level":2236,"textAlign":67},[2559],{"text":2560,"type":71},"Eating disorder relapse in children and teens",{"type":65,"attrs":2562,"content":2563},{"textAlign":67},[2564],{"text":2565,"type":71},"When parents and caregivers are fully engaged in treatment and recovery, we see lower relapse rates. If you are a parent, work closely with your child’s treatment team. Recovery is often strongest when the whole family is supported. ",{"type":65,"attrs":2567,"content":2568},{"textAlign":67},[2569],{"text":2570,"type":71},"At ERC, we also encourage caregivers to seek help for:",{"type":2246,"content":2572},[2573,2580,2587],{"type":2249,"content":2574},[2575],{"type":65,"attrs":2576,"content":2577},{"textAlign":67},[2578],{"text":2579,"type":71},"Untreated mental health conditions",{"type":2249,"content":2581},[2582],{"type":65,"attrs":2583,"content":2584},{"textAlign":67},[2585],{"text":2586,"type":71},"Unaddressed substance abuse problems",{"type":2249,"content":2588},[2589],{"type":65,"attrs":2590,"content":2591},{"textAlign":67},[2592],{"text":2593,"type":71},"Relationship or marital issues",{"type":65,"attrs":2595,"content":2596},{"textAlign":67},[2597],{"text":2598,"type":71},"There is no judgment here. Recovery is hard enough when everyone is at their best. If a parent is struggling, a child’s recovery can become even more difficult.",{"type":65,"attrs":2600,"content":2601},{"textAlign":67},[2602,2609],{"text":2603,"type":71,"marks":2604},"Find eating disorder resources for families here",[2605],{"type":104,"attrs":2606},{"href":2607,"uuid":423,"anchor":67,"target":27,"linktype":31,"story":2608},"\u002Ffamilies",{"name":426,"id":427,"uuid":423,"slug":424,"url":424,"full_slug":424,"_stopResolving":35},{"text":2320,"type":71},{"type":2234,"attrs":2611,"content":2612},{"level":2236,"textAlign":67},[2613],{"text":2614,"type":71},"What increases the chance of relapse?",{"type":65,"attrs":2616,"content":2617},{"textAlign":67},[2618,2620,2624],{"text":2619,"type":71},"Relapse is more likely to occur when people leave treatment before behaviors improve and full nutritional and weight restoration is achieved.",{"text":2621,"type":71,"marks":2622},"[10]",[2623],{"type":2404},{"text":2625,"type":71}," Other factors increasing the risk include:",{"type":2246,"content":2627},[2628,2635,2642,2655,2662,2669],{"type":2249,"content":2629},[2630],{"type":65,"attrs":2631,"content":2632},{"textAlign":67},[2633],{"text":2634,"type":71},"Struggling with an eating disorder for many years or having more severe symptoms",{"type":2249,"content":2636},[2637],{"type":65,"attrs":2638,"content":2639},{"textAlign":67},[2640],{"text":2641,"type":71},"Developing an eating disorder at an older age",{"type":2249,"content":2643},[2644],{"type":65,"attrs":2645,"content":2646},{"textAlign":67},[2647,2653],{"text":2648,"type":71,"marks":2649},"Excessive or compulsive exercise",[2650],{"type":104,"attrs":2651},{"href":2652,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F18411",{"text":2654,"type":71}," as an eating disorder symptom",{"type":2249,"content":2656},[2657],{"type":65,"attrs":2658,"content":2659},{"textAlign":67},[2660],{"text":2661,"type":71},"Increased concern with weight and body image\u002Fshape\u002Fsize",{"type":2249,"content":2663},[2664],{"type":65,"attrs":2665,"content":2666},{"textAlign":67},[2667],{"text":2668,"type":71},"Struggling with self-esteem or relationships",{"type":2249,"content":2670},[2671],{"type":65,"attrs":2672,"content":2673},{"textAlign":67},[2674,2676],{"text":2675,"type":71},"Experiencing a trauma or stressful event(s)",{"text":2677,"type":71,"marks":2678},"[11]",[2679],{"type":2404},{"type":65,"attrs":2681,"content":2682},{"textAlign":67},[2683],{"text":2684,"type":71},"When speaking about anorexia specifically, these factors may increase the risk of relapse:",{"type":2246,"content":2686},[2687,2694,2701,2708],{"type":2249,"content":2688},[2689],{"type":65,"attrs":2690,"content":2691},{"textAlign":67},[2692],{"text":2693,"type":71},"Limiting food groups or types of food eaten",{"type":2249,"content":2695},[2696],{"type":65,"attrs":2697,"content":2698},{"textAlign":67},[2699],{"text":2700,"type":71},"Reducing calories",{"type":2249,"content":2702},[2703],{"type":65,"attrs":2704,"content":2705},{"textAlign":67},[2706],{"text":2707,"type":71},"Desiring to lose weight",{"type":2249,"content":2709},[2710],{"type":65,"attrs":2711,"content":2712},{"textAlign":67},[2713,2715],{"text":2714,"type":71},"Having lower body fat even after weight restoration",{"text":2677,"type":71,"marks":2716},[2717],{"type":2404},{"type":65,"attrs":2719,"content":2720},{"textAlign":67},[2721],{"text":2722,"type":71},"We also see certain psychological and emotional factors increasing the risk of relapse:",{"type":2246,"content":2724},[2725,2732,2739,2746,2759],{"type":2249,"content":2726},[2727],{"type":65,"attrs":2728,"content":2729},{"textAlign":67},[2730],{"text":2731,"type":71},"Traits like perfectionism, rigid thought patterns, “black and white” thinking",{"type":2249,"content":2733},[2734],{"type":65,"attrs":2735,"content":2736},{"textAlign":67},[2737],{"text":2738,"type":71},"Fear of weight gain and\u002For poor body image",{"type":2249,"content":2740},[2741],{"type":65,"attrs":2742,"content":2743},{"textAlign":67},[2744],{"text":2745,"type":71},"Low social support",{"type":2249,"content":2747},[2748],{"type":65,"attrs":2749,"content":2750},{"textAlign":67},[2751,2753],{"text":2752,"type":71},"Struggles with ",{"text":2754,"type":71,"marks":2755},"emotion regulation",[2756],{"type":104,"attrs":2757},{"href":2758,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F19272",{"type":2249,"content":2760},[2761],{"type":65,"attrs":2762,"content":2763},{"textAlign":67},[2764],{"text":2765,"type":71},"Low levels of self-compassion",{"type":65,"attrs":2767,"content":2768},{"textAlign":67},[2769,2771,2777,2779,2785,2787,2793],{"text":2770,"type":71},"Those who have ",{"text":2772,"type":71,"marks":2773},"co-occurring mental health conditions",[2774],{"type":104,"attrs":2775},{"href":2776,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F19118",{"text":2778,"type":71}," along with the eating disorder, like ",{"text":2780,"type":71,"marks":2781},"depression",[2782],{"type":104,"attrs":2783},{"href":2784,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F12981",{"text":2786,"type":71},", anxiety, ",{"text":2788,"type":71,"marks":2789},"obsessive-compulsive disorder (OCD)",[2790],{"type":104,"attrs":2791},{"href":2792,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F18879",{"text":2794,"type":71}," and substance abuse, also face an increased chance of relapse.",{"type":2234,"attrs":2796,"content":2797},{"level":2236,"textAlign":67},[2798],{"text":2799,"type":71},"What are the signs of an eating disorder relapse?",{"type":65,"attrs":2801,"content":2802},{"textAlign":67},[2803],{"text":2804,"type":71},"If you or someone you care about is struggling in recovery, pay attention to these possible signs of a relapse. These “red light” warning signs can indicate a relapse:",{"type":2246,"content":2806},[2807,2814,2821,2828,2835,2856,2863,2870,2877,2884,2891,2898,2905,2912,2919,2926],{"type":2249,"content":2808},[2809],{"type":65,"attrs":2810,"content":2811},{"textAlign":67},[2812],{"text":2813,"type":71},"Not completing one’s meal plan",{"type":2249,"content":2815},[2816],{"type":65,"attrs":2817,"content":2818},{"textAlign":67},[2819],{"text":2820,"type":71},"Taking a longer time to finish meals",{"type":2249,"content":2822},[2823],{"type":65,"attrs":2824,"content":2825},{"textAlign":67},[2826],{"text":2827,"type":71},"Skipping meals or shrinking portion sizes",{"type":2249,"content":2829},[2830],{"type":65,"attrs":2831,"content":2832},{"textAlign":67},[2833],{"text":2834,"type":71},"Eliminating individual food items or groups of foods from one’s diet",{"type":2249,"content":2836},[2837],{"type":65,"attrs":2838,"content":2839},{"textAlign":67},[2840,2842,2854],{"text":2841,"type":71},"Avoiding discussions about ",{"text":2843,"type":71,"marks":2844},"eating disorder recovery",[2845],{"type":104,"attrs":2846},{"href":2847,"uuid":2848,"anchor":67,"target":27,"linktype":31,"story":2849},"\u002Fresources\u002Frecovery-tips-tough-days","dffa4d9c-2ee3-4280-9731-d4bdead95805",{"name":2850,"id":2851,"uuid":2848,"slug":2852,"url":2853,"full_slug":2853,"_stopResolving":35},"Our List of 50+ Eating Disorder Recovery Tips for Tough Days",141816690272945,"recovery-tips-tough-days","resources\u002Frecovery-tips-tough-days",{"text":2855,"type":71},"; being less open to talking about recovery; refusing to believe that recovery is possible",{"type":2249,"content":2857},[2858],{"type":65,"attrs":2859,"content":2860},{"textAlign":67},[2861],{"text":2862,"type":71},"Experiencing weight loss or unexpected\u002Funaccounted for weight changes",{"type":2249,"content":2864},[2865],{"type":65,"attrs":2866,"content":2867},{"textAlign":67},[2868],{"text":2869,"type":71},"Eating alone or avoiding mealtimes",{"type":2249,"content":2871},[2872],{"type":65,"attrs":2873,"content":2874},{"textAlign":67},[2875],{"text":2876,"type":71},"Delaying nighttime snack until very late",{"type":2249,"content":2878},[2879],{"type":65,"attrs":2880,"content":2881},{"textAlign":67},[2882],{"text":2883,"type":71},"Locking the door to the bedroom or bathroom after meals",{"type":2249,"content":2885},[2886],{"type":65,"attrs":2887,"content":2888},{"textAlign":67},[2889],{"text":2890,"type":71},"Becoming more irritable with noticeable surge in anxiety and depression",{"type":2249,"content":2892},[2893],{"type":65,"attrs":2894,"content":2895},{"textAlign":67},[2896],{"text":2897,"type":71},"Refusing to eat or hiding food",{"type":2249,"content":2899},[2900],{"type":65,"attrs":2901,"content":2902},{"textAlign":67},[2903],{"text":2904,"type":71},"Eating alone or avoiding mealtimes with others",{"type":2249,"content":2906},[2907],{"type":65,"attrs":2908,"content":2909},{"textAlign":67},[2910],{"text":2911,"type":71},"Exercising in secret",{"type":2249,"content":2913},[2914],{"type":65,"attrs":2915,"content":2916},{"textAlign":67},[2917],{"text":2918,"type":71},"Unexpected weight changes",{"type":2249,"content":2920},[2921],{"type":65,"attrs":2922,"content":2923},{"textAlign":67},[2924],{"text":2925,"type":71},"Experiencing sleep loss, including insomnia",{"type":2249,"content":2927},[2928],{"type":65,"attrs":2929,"content":2930},{"textAlign":67},[2931,2933],{"text":2932,"type":71},"Being unable to manage ",{"text":2934,"type":71,"marks":2935},"food noise",[2936],{"type":104,"attrs":2937},{"href":2938,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F20020",{"type":65,"attrs":2940,"content":2941},{"textAlign":67},[2942,2944,2950],{"text":2943,"type":71},"If you spot these signs, reach out to the treatment team. If you don’t have a treatment team at the moment, make an appointment with a licensed therapist or ",{"text":2945,"type":71,"marks":2946},"registered dietitian",[2947],{"type":104,"attrs":2948},{"href":2949,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F18642",{"text":2951,"type":71}," that specializes in eating disorders.",{"type":2234,"attrs":2953,"content":2954},{"level":2236,"textAlign":67},[2955],{"text":2956,"type":71},"Who is at risk for a relapse?",{"type":65,"attrs":2958,"content":2959},{"textAlign":67},[2960],{"text":2961,"type":71},"Relapse is not always predictable—but certain factors can increase the risk:",{"type":2246,"content":2963},[2964,2971,2978,2985,2992,2999,3006],{"type":2249,"content":2965},[2966],{"type":65,"attrs":2967,"content":2968},{"textAlign":67},[2969],{"text":2970,"type":71},"Distress tied to one’s body image",{"type":2249,"content":2972},[2973],{"type":65,"attrs":2974,"content":2975},{"textAlign":67},[2976],{"text":2977,"type":71},"Feeling that one’s self-worth is tied to appearance",{"type":2249,"content":2979},[2980],{"type":65,"attrs":2981,"content":2982},{"textAlign":67},[2983],{"text":2984,"type":71},"Lack of a strong social support network",{"type":2249,"content":2986},[2987],{"type":65,"attrs":2988,"content":2989},{"textAlign":67},[2990],{"text":2991,"type":71},"Low motivation or thinking that recovery is not possible",{"type":2249,"content":2993},[2994],{"type":65,"attrs":2995,"content":2996},{"textAlign":67},[2997],{"text":2998,"type":71},"Intensified eating disorder thoughts and behaviors at time of discharge",{"type":2249,"content":3000},[3001],{"type":65,"attrs":3002,"content":3003},{"textAlign":67},[3004],{"text":3005,"type":71},"Discharge at a medically unstable weight",{"type":2249,"content":3007},[3008],{"type":65,"attrs":3009,"content":3010},{"textAlign":67},[3011],{"text":3012,"type":71},"Rapid weight loss following treatment",{"type":65,"attrs":3014,"content":3015},{"textAlign":67},[3016,3018,3030],{"text":3017,"type":71},"While these factors may raise the risk, relapse is never inevitable. Find out ",{"text":3019,"type":71,"marks":3020},"how to reduce the risk of eating disorder relapse here",[3021],{"type":104,"attrs":3022},{"href":3023,"uuid":3024,"anchor":67,"target":27,"linktype":31,"story":3025},"\u002Fresources\u002Feating-disorder-relapse-prevention-plan","c4c116b2-12f9-4f32-a1cc-465d265930eb",{"name":3026,"id":3027,"uuid":3024,"slug":3028,"url":3029,"full_slug":3029,"_stopResolving":35},"How to Create an Eating Disorder Relapse Prevention Plan",141816832064470,"eating-disorder-relapse-prevention-plan","resources\u002Feating-disorder-relapse-prevention-plan",{"text":2320,"type":71},{"type":2234,"attrs":3032,"content":3033},{"level":2421,"textAlign":67},[3034],{"text":3035,"type":71},"There is always hope for recovery",{"type":65,"attrs":3037,"content":3038},{"textAlign":67},[3039],{"text":3040,"type":71},"We want you to experience life free from the eating disorder. These illnesses can be sneaky, manipulative and tricky. When a relapse occurs and eating disorder symptoms worsen, you may lose hope for recovery. I tell my patients to learn from it and seek help. Remember: Early intervention is key. Many who relapse return to recovery stronger and more committed than before. With support, structure and self-compassion, healing continues.",{"type":65,"attrs":3042,"content":3043},{"textAlign":67},[3044,3046,3050,3057,3060,3062,3066],{"text":3045,"type":71},"If you are seeking additional support for you or a loved one, please reach out to our compassionate admissions team. You can",{"text":3047,"type":71,"marks":3048}," ",[3049],{"type":2306},{"text":3051,"type":71,"marks":3052},"fill out this brief form",[3053,3056],{"type":104,"attrs":3054},{"href":3055,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fform\u002Fself-assessment-form",{"type":2306},{"text":3047,"type":71,"marks":3058},[3059],{"type":2306},{"text":3061,"type":71},"or call us today at ",{"text":3063,"type":71,"marks":3064},"(866) 622-5914",[3065],{"type":2306},{"text":3067,"type":71},". Recovery is within reach!",{"type":2234,"attrs":3069,"content":3070},{"level":2236,"textAlign":67},[3071],{"text":3072,"type":71},"Relapse FAQs",{"type":65,"attrs":3074,"content":3075},{"textAlign":67},[3076,3080,3081],{"text":3077,"type":71,"marks":3078},"Will I ever recover from my eating disorder?",[3079],{"type":2306},{"type":77},{"text":3082,"type":71},"Eating disorders are treatable conditions and recovery is always possible. You may feel like you can’t recover or that you’ll never overcome this illness, but that’s not true. What is true is that listening to your treatment team matters—they know the path forward. ",{"type":65,"attrs":3084,"content":3085},{"textAlign":67},[3086],{"text":3087,"type":71},"As providers, we’re not looking for you to get a little bit better, but to experience complete freedom from your eating disorder. Yes, recovery takes work, energy and time, but the commitment is worth it for a lifetime of healing and freedom.",{"type":65,"attrs":3089,"content":3090},{"textAlign":67},[3091,3095,3096,3098,3102,3104,3110],{"text":3092,"type":71,"marks":3093},"Is weight restoration related to relapse?",[3094],{"type":2306},{"type":77},{"text":3097,"type":71},"For those who need weight restoration in treatment, being fully weight-restored is tied to a lower risk for relapse. Adolescents, especially, are more likely to relapse when discharged at lower body weights.",{"text":3099,"type":71,"marks":3100},"[13]",[3101],{"type":2404},{"text":3103,"type":71}," Having said that, there is still a chance of relapse in those who have fully ",{"text":3105,"type":71,"marks":3106},"weight-restored",[3107],{"type":104,"attrs":3108},{"href":3109,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F19207",{"text":2320,"type":71},{"type":65,"attrs":3112,"content":3113},{"textAlign":67},[3114,3118,3119],{"text":3115,"type":71,"marks":3116},"I’m really struggling with relapse. What can I do?",[3117],{"type":2306},{"type":77},{"text":3120,"type":71},"Eating disorder recovery often comes with ups and downs. You go to treatment and come out in a better place. Before long, the eating disorder might creep in, little by little, escaping detection until a relapse is fully underway. Life gets busy quickly after treatment. Relapse can sometimes take hold before you realize it; I’ve seen it happen to thousands of patients. ",{"type":65,"attrs":3122,"content":3123},{"textAlign":67},[3124,3126,3132,3134,3137],{"text":3125,"type":71},"The more momentum the eating disorder picks up, and the longer it goes undetected, the more difficult it can be to confront and treat. This is why early intervention is so important. If you’re struggling, please reach out for support. ",{"text":3127,"type":71,"marks":3128},"Fill out this brief form",[3129,3131],{"type":104,"attrs":3130},{"href":3055,"uuid":67,"anchor":67,"target":67,"linktype":17},{"type":2306},{"text":3133,"type":71}," or call us today at ",{"text":3063,"type":71,"marks":3135},[3136],{"type":2306},{"text":3138,"type":71}," if you need help. Recovery is always within reach.",{"id":67,"alt":67,"name":14,"focus":67,"title":67,"source":67,"filename":14,"copyright":67,"fieldtype":175,"meta_data":3140},{},"Blog","Recovery","Stephanie Setliff",[3145],{"name":3146,"created_at":3147,"published_at":3148,"updated_at":3149,"id":3150,"uuid":3151,"content":3152,"slug":3247,"full_slug":3248,"sort_by_date":67,"position":3249,"tag_list":3250,"is_startpage":177,"parent_id":3251,"meta_data":67,"group_id":3252,"first_published_at":3253,"release_id":67,"lang":201,"path":67,"alternates":3254,"default_full_slug":67,"translated_slugs":67,"_stopResolving":35},"Stephanie Setliff, MD","2026-03-02T07:24:37.163Z","2026-05-01T17:47:53.114Z","2026-05-01T17:47:53.127Z",150514389695892,"4465faba-5d06-4301-8cb8-e07265252aa1",{"bio":3153,"_uid":3154,"body":3155,"layout":3156,"status":3157,"facebook":3158,"linkedin":3159,"pronouns":3160,"component":3161,"instagram":3162,"locations":3163,"twitter_x":3167,"categories":3168,"meta_title":14,"bio_heading":3169,"credentials":3170,"designation":3171,"person_type":3172,"specialties":3175,"medical_staff":3179,"what_we_treat":3181,"featured_image":3182,"portrait_image":3188,"specialization":14,"languages_spoken":3191,"meta_description":3193,"advanced_training":3194,"areas_of_interest":3195,"education_history":3200,"listing_sort_order":3225,"board_certifications":3226,"schema_person_address":14,"schema_person_same_as":14,"show_in_all_locations":35,"schema_person_works_for":14,"clinical_information_text":3233,"primary_clinical_location":3236,"professional_associations":3237},"\u003Cp>Dr. Stephanie Setliff is the Regional Medical Director of the Texas Region at ERC Pathlight and a dedicated child, adolescent, and adult psychiatrist based in Dallas, Texas, specializing in the treatment of eating disorders. She founded the eating disorders program at Children’s Health in North Texas and was subsequently invited to establish a comprehensive program for the Eating Recovery Center and Pathlight Mood &amp; Anxiety Center. Under her leadership, ERC Dallas has evolved into a fully integrated treatment program, providing inpatient and residential care for individuals of all ages.\u003C\u002Fp>\u003Cp>Through her dedication and collaboration with renowned researchers and fellow clinicians, Dr. Setliff has set the standard for eating disorder treatment in the United States. Her innovative treatment regimens have been extensively studied and are being adopted by other medical providers and treatment centers nationwide. Families from across the country have entrusted their loved ones to her care, confident in her belief that each patient deserves personalized attention and support.\u003C\u002Fp>\u003Cp>In addition to her clinical work, Dr. Setliff is a passionate advocate for eating disorder awareness. She frequently speaks at educational, prevention, and treatment programs to address the growing epidemic of eating disorders, engaging with corporate giants such as Raytheon and Apple. Her insights and expertise have made her a sought-after speaker, and she has been featured in numerous local and national media outlets, solidifying her role as a prominent voice for eating disorder awareness across the United States.\u003C\u002Fp>","24cff125-5f73-4620-8114-ed1f791b22aa",[],"standard","Active",{"id":14,"url":14,"linktype":31,"fieldtype":18,"cached_url":14},{"id":14,"url":14,"linktype":31,"fieldtype":18,"cached_url":14},"She\u002FHer\u002FHers","staff",{"id":14,"url":14,"linktype":31,"fieldtype":18,"cached_url":14},[3164,3165,3166],"2cc0f14c-dd48-4d5d-a66c-f9ed6103e1cf","2f825b14-1d4f-4688-ad23-1dbacbdf4d62","924c757e-10fa-46b8-843d-fc71a8f4dae8",{"id":14,"url":14,"linktype":31,"fieldtype":18,"cached_url":14},[1516],"\u003Cstrong>About\u003C\u002Fstrong> Stephanie","CEDS","Regional Medical Director - South Region",[3173,3174],"Center Leadership","Regional Leadership",[3176,3177,3178],"Certified Eating Disorder Specialist","Child & Adolescent Psychiatry","Psychiatry",[3180],"Medical Directors\u002FLeaders",[],{"id":3183,"alt":3184,"name":14,"focus":3185,"title":14,"source":14,"filename":3186,"copyright":14,"fieldtype":175,"meta_data":3187,"is_external_url":177},166637563178021,"Stephanie Setliff, MD, CEDS","342x43:343x44","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F650x900\u002Ff3ccc0099a\u002Fstephanie-setliff.jpg",{"alt":3184,"title":14,"source":14,"copyright":14},{"id":3183,"alt":3184,"name":14,"focus":3189,"title":14,"source":14,"filename":3186,"copyright":14,"fieldtype":175,"meta_data":3190,"is_external_url":177},"283x43:284x44",{"alt":3184,"title":14,"source":14,"copyright":14},[3192],"English","Stephanie Setliff, MD, CEDS-S is Regional Medical Director, Texas at Eating Recovery Center and Pathlight Mood & Anxiety Center",[],[3196,3197,3198,3199],"Child and Adolescent Psychiatry","Eating Disorder Treatment","Mood & Anxiety","Obsessive Compulsive Disorder",[3201,3207,3212,3216,3220],{"_uid":3202,"year":3203,"degree":3204,"component":3205,"university":3206},"uuid-E0Q9w","1998-2000","Child and Adolescent Psychiatry Fellowship ","education","University of Texas Southwestern Dallas, Texas",{"_uid":3208,"year":3209,"degree":3210,"component":3205,"university":3211},"uuid-MBHB5","1996-1998","Adult Psychiatry Residency"," University of Texas Southwestern, Dallas, Texas",{"_uid":3213,"year":3214,"degree":3210,"component":3205,"university":3215},"uuid-L5u95","1996-1996","Creighton University School of Medicine, Omaha, Nebraska",{"_uid":3217,"year":3218,"degree":3219,"component":3205,"university":3215},"uuid-tISYD","1990-1994","M.D. (Medicine)",{"_uid":3221,"year":3222,"degree":3223,"component":3205,"university":3224},"uuid-fQmve","1980-1983\t","B.A. (American Studies)","American Studies Knox College, Galesburg, Illinois\t","75",[3227,3231],{"_uid":3228,"value":3229,"component":3230},"uuid-yedOe","Adult Psychiatry","text_plain",{"_uid":3232,"value":3196,"component":3230},"uuid-f8N44",{"type":62,"content":3234},[3235],{"type":65},[881],[3238,3241,3244],{"_uid":3239,"value":3240,"component":3230},"uuid-OC0Qq","International Association of Eating Disorder Professionals ",{"_uid":3242,"value":3243,"component":3230},"uuid-SUxG1","American Academy of Child & Adolescent Psychiatry",{"_uid":3245,"value":3246,"component":3230},"uuid-Y9wj7","Academy for Eating Disorders ","stephanie-setliff","profile\u002Fstephanie-setliff",-160,[],148823052330811,"e47c4bb3-9fb9-4ffb-b25a-573e9f55d261","2026-03-02T07:24:37.206Z",[],"\u003Col>\u003Cli>Berends, T., van Meijel, B., Nugteren, W., Deen, M., Danner, U.N., Hoek, H.W., &amp; van Elburg, A.A. (2016). \u003Ca href=\"https:\u002F\u002Fbmcpsychiatry.biomedcentral.com\u002Farticles\u002F10.1186\u002Fs12888-016-1019-y\">Rate, timing and predictors of relapse in patients with anorexia nervosa following a relapse prevention program: A cohort study\u003C\u002Fa>. \u003Cem>BMC Psychiatry\u003C\u002Fem>, 16(316). \u003Ca href=\"https:\u002F\u002Fbmcpsychiatry.biomedcentral.com\u002Farticles\u002F10.1186\u002Fs12888-016-1019-y#citeas\">https:\u002F\u002Fbmcpsychiatry.biomedcentral.com\u002Farticles\u002F10.1186\u002Fs12888-016-1019-y#citeas\u003C\u002Fa>.\u003C\u002Fli>\u003Cli>Richard, M., Bauer, S., Kordy, H., &amp; COST Action B6. (2005). \u003Ca href=\"https:\u002F\u002Fpsycnet.apa.org\u002Frecord\u002F2005-06751-005\">Relapse in anorexia and bulimia nervosa--A 2.5-year follow-up study\u003C\u002Fa>. \u003Cem>European Eating Disorders Review\u003C\u002Fem>, 13(3), 180-190. \u003Ca href=\"https:\u002F\u002Fpsycnet.apa.org\u002Fdoi\u002F10.1002\u002Ferv.638\">https:\u002F\u002Fdoi.org\u002F10.1002\u002Ferv.638\u003C\u002Fa>.\u003C\u002Fli>\u003Cli>Sala, M., Keshishian, A., Song, S., Moskowitz, R., Bulik, C.M., Roos, C.R., &amp; Levinson, C.A. (2023). \u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F36623362\u002F\">Predictors of relapse in eating disorders: A meta-analysis\u003C\u002Fa>. Journal of Psychiatric Research, 158, 281-299. \u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F36623362\u002F\">doi.org\u002F10.1016\u002Fj.jpsychires.2023.01.002\u003C\u002Fa>.\u003C\u002Fli>\u003Cli>Strober, M., Freeman, R., Lampert, C., Diamond, J., Teplinsky, C., &amp; DeAntonio, M. (2006). \u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F16937384\u002F\">Are there gender differences in core symptoms, temperament, and short-term prospective outcome in anorexia nervosa?\u003C\u002Fa> \u003Cem>International Journal of Eating Disorders\u003C\u002Fem>, 39(7) 570-575. \u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F16937384\u002F\">doi: 10.1002\u002Feat.20293\u003C\u002Fa>.\u003C\u002Fli>\u003Cli>Eddy, K.T., Tabri, N., Thomas, J.J., Murray, H.B., Keshaviah, A., Hastings, E., Edkins, K., Krishna, M., Herzog, D.B., Keel, P.K., &amp; Franko, D.L. (2017). \u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F28002660\u002F\">Recovery from anorexia nervosa and bulimia nervosa at 22-year follow up\u003C\u002Fa>. \u003Cem>Journal of Clinical Psychiatry\u003C\u002Fem>, 78(2), 184-189. \u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F28002660\u002F\">doi: 10.4088\u002FJCP.15m10393\u003C\u002Fa>.\u003C\u002Fli>\u003Cli>Halmi, K.A., Agras, W.S., Mitchell, J., Wilson, G.T., Crow, S., Bryson, S.W., &amp; Kraemer, H. (2002). \u003Ca href=\"https:\u002F\u002Fjamanetwork.com\u002Fjournals\u002Fjamapsychiatry\u002Ffullarticle\u002F207003\">Relapse predictors of patients with bulimia nervosa who achieved abstinence through cognitive behavioral therapy\u003C\u002Fa>. \u003Cem>Archives of General Psychiatry\u003C\u002Fem>, 59(12):1105-1109. \u003Ca href=\"https:\u002F\u002Fjamanetwork.com\u002Fjournals\u002Fjamapsychiatry\u002Ffullarticle\u002F207003v\">doi:10.1001\u002Farchpsyc.59.12.1105\u003C\u002Fa>.\u003C\u002Fli>\u003Cli>McFarlane, T., Olmsted, M.P., &amp; Trottier, K. (2008). \u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F18473336\u002F\">Timing and prediction of relapse in a transdiagnostic eating disorder sample\u003C\u002Fa>. \u003Cem>International Journal of Eating Disorders\u003C\u002Fem>, 41(7), 587-593. \u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F18473336\u002F\">doi: 10.1002\u002Feat.20550\u003C\u002Fa>.\u003C\u002Fli>\u003Cli>Olmsted, M.P., MacDonald, D.E., McFarlane, T., Trottier, K., &amp; Colton, P. (2015). \u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F25545720\u002F\">Predictors of rapid release in bulimia nervosa\u003C\u002Fa>. \u003Cem>International Journal of Eating Disorders\u003C\u002Fem>, 48(3), 337-340. \u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F25545720\u002F\">doi: 10.1002\u002Feat.22380\u003C\u002Fa>.\u003C\u002Fli>\u003Cli>Pike, K.M. (1998). \u003Ca href=\"https:\u002F\u002Fwww.sciencedirect.com\u002Fscience\u002Farticle\u002Fpii\u002FS0272735898000142\">Long-term course of anorexia nervosa: Response, relapse, remission, and recovery\u003C\u002Fa>, \u003Cem>Clinical Psychology Review\u003C\u002Fem>, 18(2), 447-475. \u003Ca href=\"https:\u002F\u002Fdoi.org\u002F10.1016\u002FS0272-7358(98)00014-2\">https:\u002F\u002Fdoi.org\u002F10.1016\u002FS0272-7358(98)00014-2\u003C\u002Fa>.\u003C\u002Fli>\u003Cli>Frostad, S., Rozakou-Soumalia, N., Dârvariu, Ş., Foruzesh, B., Azkia, H., Larsen, M.P., Rowshandel, E., &amp; Sjögren, J.M. (2022). \u003Ca href=\"https:\u002F\u002Fpmc.ncbi.nlm.nih.gov\u002Farticles\u002FPMC9144864\u002F\">BMI at discharge from treatment predicts relapse in anorexia nervosa: A systematic scoping review\u003C\u002Fa>. \u003Cem>Journal of Personalized Medicine\u003C\u002Fem>, 12(5), 836. \u003Ca href=\"https:\u002F\u002Fpmc.ncbi.nlm.nih.gov\u002Farticles\u002FPMC9144864\u002F\">doi: 10.3390\u002Fjpm12050836\u003C\u002Fa>.\u003C\u002Fli>\u003Cli>National Eating Disorders Collaboration. \u003Ca href=\"https:\u002F\u002Fnedc.com.au\u002Feating-disorders\u002Ftreatment-and-recovery\u002Frelapse-and-recurrence\">Lapses &amp; relapse\u003C\u002Fa>. Accessed June 24, 2025.\u003C\u002Fli>\u003Cli>Mehler, P.S., &amp; Andersen, A.E. (2022). \u003Ca href=\"https:\u002F\u002Fwww.amazon.com\u002FEating-Disorders-Comprehensive-Medical-Complications-dp-1421443589\u002Fdp\u002F1421443589\u002Fref=dp_ob_title_bk\">Eating disorders: A comprehensive guide to medical care and complications (4th ed.)\u003C\u002Fa>. Johns Hopkins University Press.\u003C\u002Fli>\u003Cli>Hetman, I., Brunstein Klomek, A., Goldzweig, G., Hadas, A., Horwitz, M., &amp; Fennig, S. (2017). \u003Ca href=\"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F29735810\u002F\">Percentage from target weight (PFTW) predicts re-hospitalization in adolescent anorexia nervosa\u003C\u002Fa>. Israel Journal of Psychiatry, 54(3), 28-34. PMID: 29735810.\u003C\u002Fli>\u003C\u002Fol>","Around one-quarter to one-half of individuals seeking treatment for anorexia or bulimia will experience relapse within a year of discharge. While relapse is common, it doesn’t mean failure. Seeking help from your treatment team early on can make it easier to get your recovery back on track. Know your individual risk factors and early warning signs so they can be addressed quickly. With a full course of treatment, long-term recovery is both possible and expected.",[],[],"Eating Disorder Relapse Statistics, Signs & Risk Factors",[],{"id":67,"alt":67,"name":14,"focus":67,"title":67,"source":67,"filename":14,"copyright":67,"fieldtype":175,"meta_data":3262},{},{"id":3264,"alt":3265,"name":14,"focus":14,"title":14,"source":14,"filename":3266,"copyright":14,"fieldtype":175,"meta_data":3267,"is_external_url":177},179168591438852,"Portrait of a young beautiful woman","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F2100x1400\u002F5c19a0981a\u002Fyoung-woman-portrait.jpg",{"alt":3265,"title":14,"source":14,"copyright":14},[],"Around one-quarter to one-half of people relapse after eating disorder treatment. Here are the latest anorexia & bulimia relapse rates & risk factors.",{"id":3264,"alt":3265,"name":14,"focus":14,"title":14,"source":14,"filename":3266,"copyright":14,"fieldtype":175,"meta_data":3271,"is_external_url":177},{"alt":3265,"title":14,"source":14,"copyright":14},[],"eating-disorder-relapse-statistics","resources\u002Feating-disorder-relapse-statistics",-2080,[3277,3278],"Relapse","Treatment",109705324666269,"19ea1053-bfa1-4f71-8b7f-01828a530ed2","2025-09-15T19:03:26.000Z",[],[],[],{"cache-control":3286,"connection":3287,"content-encoding":3288,"content-type":3289,"date":3290,"etag":3291,"referrer-policy":3292,"sb-be-version":3293,"server":3294,"strict-transport-security":3295,"transfer-encoding":3296,"vary":3297,"via":3298,"x-amz-cf-id":3299,"x-amz-cf-pop":3300,"x-cache":3301,"x-content-type-options":3302,"x-frame-options":3303,"x-permitted-cross-domain-policies":3304,"x-request-id":3305,"x-runtime":3306,"x-xss-protection":1974},"max-age=0, public, s-maxage=604800, stale-if-error=3600","keep-alive","gzip","application\u002Fjson; 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And so, as somebody is inputting information about 'I'm trying to lose weight,' and the chatbot is saying, 'Good job, you're losing weight.' And so, they start to adapt to what is happening and they start to almost encourage the behavior,\" Slaven explained.",{"type":65,"attrs":3464,"content":3465},{"textAlign":67},[3466],{"text":3467,"type":71},"Slaven advises parents to pay attention to clues.",[3469],"86c19221-c58b-4139-9138-a4cde149c18f","ERC's Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots are impacting eating disorders in kids. 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