Safe Exercise Guidelines for Eating Disorder Recovery

A Structured Approach to Physical Activity During Treatment

Psychiatry

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Last updated: Mar 24, 2025

Introduction

This guide outlines a structured approach to reintegrating physical activity during eating disorder recovery. Always follow your treatment team's specific recommendations, as they may differ based on your individual situation.

Pre-Exercise Requirements

  • Medical clearance from your treatment team
  • Stable vital signs
  • Adequate nutritional intake
  • Normal electrolyte levels
  • Regular menstruation (if applicable)

Phase 1: Initial Recovery (Weeks 1-4)

Activities Permitted:

  • Gentle stretching (10-15 minutes)
  • Short walks (10-15 minutes)
  • Light yoga (non-heated)

Frequency:

  • 2-3 times per week
  • Must be supervised

Phase 2: Progressive Integration (Weeks 5-8)

Activities Permitted:

  • Longer walks (20-30 minutes)
  • Basic strength training
  • Low-impact activities

Frequency:

  • 3-4 times per week
  • Supervision recommended

Warning Signs to Stop Exercise

  • Dizziness or lightheadedness
  • Chest pain
  • Excessive fatigue
  • Anxiety about missing sessions
  • Compensatory behaviors

Important Guidelines

  1. Always exercise with a treatment-approved partner
  2. Maintain food and fluid intake as prescribed
  3. Keep an exercise log
  4. Report any concerns to your treatment team

Progress Monitoring

Your treatment team will regularly assess:

  • Vital signs
  • Weight stability
  • Mental state
  • Exercise attitudes

This program should only be followed under medical supervision as part of a comprehensive treatment plan.

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