Eating · Behavior Monitoring
Chewing/Spitting & Rumination Tracker
The behaviors clients rarely bring up unasked
Chewing-and-spitting and rumination (regurgitating and re-swallowing or re-spitting food) are under-disclosed ED behaviors that carry real dental, electrolyte, and nutritional cost. Clients rarely bring them up unasked. This tracker gives permission to name them and starts a delay plan.
This week
Food
Chew-spit / rumination
Duration (min)
Trigger
What I needed
What the behavior does for me (fear of intake, sensory, control, dissociation)
What I'd need to eat and keep it down instead
Delay & replacement plan for the next urge
Who on the treatment team knows about this behavior
Medical review is part of treatment
Rumination in particular can cause esophageal damage and electrolyte disturbance, and chewing/spitting can drive parotid gland enlargement and severe enamel loss. Loop the medical provider in — this is not a purely psychological behavior.