Implementing the Rest of Step One

The remaining five sessions of Step One are principally focused on assessing the patient’s progress in not weighing between sessions, adopting an active lifestyle, and implementing regular eating. Another new procedure to address the patient’s eating style is introduced if it is contributing to dysregulated eating and overeating. Patients are advised to formalize eating, consuming meals with clear beginnings and ends, seated at the table. Other suggestions are avoiding eating directly from packages or pans, not associating eating with other activities, addressing “grazing” or “picking at” food, and abnormal eating speeds.