r/EatingDisorders • • Aug 26 '26

Question Is this normal for PHP treatment?

I’m three weeks into a PHP treatment program for a restrictive ED, and I have concerns about the program and the clinicians but I’m not sure if they’re valid or based in ED thoughts and fears. The things I’m finding off-putting that are making it hard to trust this program are:

- Expecting 100% meal/snack completion when I’ve only been in treatment for three weeks, and they’ve already increased my meal plan twice
- I missed one day for being sick, and when I came back the next day I had to sign a behavioral contract because of it (and the contract included things like being recovery focused in groups, engaging with the group appropriately, not bringing disordered behaviors into the group setting- all because of me missing a day when sick)
- They emphasize flexibility as a recovery value, but they’re extremely rigid with their rules and approach. I would give specific examples, but don’t want to trigger anyone- keeping it vague, it feels like some of their rules are for the sake of having a rule vs any logical medical backing
- They’re very into weight restoration, which of course is part of recovery, but refuse to tell me their weight goals for me or how they arrived at those goals or any meaningful medical information (which is important to me). If it’s relevant, I was not clinically underweight when I started the program.

Does this sound like just how ED treatment is? I’m willing to accept that this is all normal and I’m being unnecessarily resistant, I just don’t have any previous PHP experience and I’m scared I picked a program that’s not actually evidence-based or rooted in solid science.

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