If someone comes to treatment struggling with restrictive behaviors, we work with them stabilizing their eating pattern. Clients may still experience challenging emotions and restrict. When this happens, the Dietitian and Therapist will implement behavioral interventions. The first is offering the clients supplementation. If a client continues to refuse supplement, there are various interventions depending on the client’s level of medical necessity and amount refused, again, very individualized. If a pattern of supplement refusal emerges behavioral interventions such as couch rest or bed rest may be implemented. Other avenues such as 1:1 meals and/or dropping in levels may be used as well.