Eating · Nutrition & Structure
Bathroom & Movement Contract
Program-level structure translated into an outpatient agreement
In residential and PHP settings, bathroom use and movement are structured for a reason: unsupervised time after meals is when purging and driven exercise happen. This contract translates program-level structure into an outpatient agreement the client, family, and clinician sign together.
Bathroom agreement
- No bathroom use for 60 minutes after any meal or snack
- Door stays unlocked / cracked during that window
- Support person nearby (in room, hall, or on phone)
- Shower is not a bathroom workaround — same rule
- If the urge is unmanageable, I call ___ before acting
Movement agreement
- Movement plan approved by treatment team (type, minutes, days)
- No compensatory movement after eating or after body-image spikes
- No hidden movement (fidgeting/pacing to burn calories)
- Movement is paused if weight drops or behaviors return
- Rest days are non-negotiable, not earned
Support person(s)
What happens if I break the contract (not punishment — plan)
Client initials + date
Support person initials + date
Structure is care, not control
A contract exists so the person recovering doesn't have to negotiate with the ED alone in the moment. It moves the decision out of the hardest hour and into a calmer one.