If a client had a relapse, showed up, and expressed frustration about it… I would be celebrating. The client has not given up. They are back, and have continued to express motivation for change. I would want to ensure that they knew how important that is, and how that kind of response to a relapse is a very positive sign. It’s normal for people to feel frustrated and deflated. Then, I would invite the client to reflect back on the incident. What triggers were there? What happened? What would they want to see different, next time? How has their vision of themselves evolved? I would want the client to walk away with an enhanced action plan to move forward with.

I prefer to use the word lapse instead of relapse. The first thing to work with my clients is to validate the emotion they feel when they experience a lapse. Then they are able to listen to me saying: Lapses are often a natural part of the recovery journey from an eating disorder. These are learning opportunities to grow from. These will not diminish the progress you have already made. And I also often tell my clients that one of the strongest indicator of recovery is their willingness to go back to the meal plan that helped them before, to the skills that learned, to continue to count on their support system and to get curious about the triggers for a lapse.

I feel I echo a lot of the responses here, I would re-frame the relapse as part of the forward onward journey and take the time to do a current check in. What has happened? What led up to that? With skillful questioning to elicit the deeper responses. Then we work to create a new direction, re-focused or new goal setting and setting updated or new resources in place to support the onward journey. We discuss progress and support for the individual right where they are and for where they would like to get to.

If a client is feeling frustrated after a relapse, the key is to help them reframe their experience, regain confidence, and move forward with a renewed sense of purpose. Here’s how I would approach it: 1. Acknowledge Their Feelings. 2. Reframe the Setback 3. Identify Triggers & Patterns 4. Reinforce Their Strengths 5. Adjust the Plan if Needed 6. Encourage Self-Compassion 7. Recommit & Take the Next Step

When a client relapses, the first session back is crucial—not for dissecting mistakes, but for reclaiming progress. Start by normalizing the setback. A relapse isn’t failure; it’s data. What led here? What patterns emerged? Approach the conversation with curiosity, not correction. Identify what worked before and what might need adjusting. This isn’t about starting over but refining the path forward. Reinforce that progress isn’t erased—it’s tested. The goal isn’t perfection; it’s resilience. By shifting focus from frustration to insight, you help the client rebuild with clarity, self-compassion, and a stronger strategy.

Display empathy and withhold judgement in order to prevent the client from withdrawing from the process of sharing. Develop a proven relapse prevention plan with strategies and techniques (written documents that are shared with the client's treatment team and support group).

1. Valide os Sentimentos do Cliente 2. Reforce que a Recaída Faz Parte do Processo 3. Ajude-o a Refletir sobre o que Aconteceu 4. Foque nos Progressos já Feitos E não menos importante. 5. Estabeleça Metas Pequenas e Realistas

A relapse isn't the end of sobriety/clean time. It's like falling up the stairs; you get back up and keep going. You got this!!

Identify what the trigger was, validate that feeling. As feelings leads to behaviors. Look for ways to limit the trigger and add additional coping skills like reaching to support group and or family.