Change Process Balance Sheet for Eating-Disorder Recovery Ambivalence

The Change Process Balance Sheet is a CBT-ED motivational worksheet for practitioners and guided self-help providers working with clients who feel ambivalent about giving up eating-disorder behaviors. It helps organize perceived positives and harms of the eating disorder alongside anticipated recovery challenges and personally meaningful recovery benefits.

CBTWorksheetIntervention planningEating disordersBehavior change

Explore the recovery balance sheet

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Tool guide

Learn more about this tool

Use this background section to understand when the tool fits, how practitioners use it, and what to consider before sharing it with clients.

What It Captures

The worksheet captures perceived positives and negative consequences of the eating disorder, anticipated recovery challenges, expected life improvements, and reflection where supported.

What It Avoids

It does not collect weight, BMI, dietary logs, medical risk markers, diagnostic criteria, or generated recovery steps.

Is this a general eating-disorder assessment?

No. It is a recovery ambivalence worksheet, not a diagnostic assessment, risk screen, meal plan, or recovery plan.

Can a client list only positives of the eating disorder?

Yes. The worksheet preserves the client's reflections without forcing balance or inventing recovery benefits.

Does the tool classify recovery readiness?

No. It organizes reflections and does not create a readiness classification or score.