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Relapse Prevention and Changing Habits in Anorexia Nervosa 2.0

Key facts

Who runs it
New York State Psychiatric Institute
Where
New York, United StatesSee the site
Trial code
Status
Not yet recruiting
People taking part
120 people, planned
Starts
Dec 2026
Expected to end
30 Jun 2030
Type of study
Interventional, 24 groups
Treatments tested
  • Relapse Prevention and Changing Habits (REACH+ 2.0)
Record updated
10 November 2026

Who can take part

Age
18 years to 65 years
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 12 criteriaShow less

Who can take part

  • DSM-5 diagnosis of Anorexia Nervosa or Atypical Anorexia Nervosa
  • Completed acute treatment, including achieving weight-restoration
  • Has a medical treatment provider (e.g. primary care doctor) who can be made aware that the patient is participating in the study
  • Medically stable
  • Access to internet-connected device with videoconferencing capability
  • Will reside (after acute treatment discharge) in a state where a study therapist is licensed
  • Not seeking or engaging in additional psychotherapy outside of the study (support groups are allowed)

Who cannot take part

  • Daily medications that impact weight
  • Current substance use disorder or other co-occurring psychiatric diagnoses that requires specialized treatment
  • Current serious medical illness
  • Pregnant
  • High risk of suicide

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 65 years old?

Where in United States

  • New York State Psychiatric InstituteNew York, United StatesContact: Joanna Steinglass, MDNot yet recruiting

About the trial

What the trial wants to find out

This study aims to optimize a treatment package for the relapse prevention treatment of AN. In the current Optimization Phase, we will identify which components of treatment contribute to positive outcomes after structured treatment. We will carefully evaluate maintenance of remission, measured by rate of weight loss and end-of-trial status.

The 24 groups in the trial

  • Do, Accept, Values, Long-Term Food LogsTreatment being tested

    Behavior Do: Including in-session eating experiments. Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior. Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity. Food Monitoring - Long-Term: Use of food logs for duration of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Do, Accept, Values, Short-Term Food LogsTreatment being tested

    Behavior Do: Including in-session eating experiments. Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior. Motivation Through Values: Idenitfying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity. Food-Monitoring - Short-Term: Use of food logs for first 6 weeks of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Do, Accept, Values, No Food LogsTreatment being tested

    Behavior Do: Including in-session eating experiments. Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior. Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity. Food-Monitoring - None: No recommendation for food records or logs during treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Do, Accept, Narrative, Long-Term Food LogsTreatment being tested

    Behavior Do: Including in-session eating experiments. Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior. Motivation Through Narratives: Using stories of others with lived experience (e.g., writing, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators. Food Monitoring - Long-Term: Use of food logs for duration of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Do, Accept, Narrative, Short-Term Food LogsTreatment being tested

    Behavior Do: Including in-session eating experiments. Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior. Motivation Through Narratives: Using stories of others with lived experience (e.g., writing, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators. Food-Monitoring - Short-Term: Use of food logs for first 6 weeks of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Do, Accept, Narrative, No Food LogsTreatment being tested

    Behavior Do: Including in-session eating experiments. Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior. Motivation Through Narratives: Using stories of others with lived experience (e.g., writing, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators. Food-Monitoring - None: No recommendation for food records or logs during treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Do, Change, Values, Long-Term Food LogsTreatment being tested

    Behavior Do: Including in-session eating experiments. Thought Change: Monitoring and actively challenging distorted thoughts. Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity. Food Monitoring - Long-Term: Use of food logs for duration of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Do, Change, Values, Short-Term Food LogsTreatment being tested

    Behavior Do: Including in-session eating experiments. Thought Change: Monitoring and actively challenging distorted thoughts. Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity. Food-Monitoring - Short-Term: Use of food logs for first 6 weeks of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Do, Change, Values, No Food LogsTreatment being tested

    Behavior Do: Including in-session eating experiments. Thought Change: Monitoring and actively challenging distorted thoughts. Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity. Food-Monitoring - None: No recommendation for food records or logs during treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Do, Change, Narrative, Long-Term Food LogsTreatment being tested

    Behavior Do: Including in-session eating experiments. Thought Change: Monitoring and actively challenging distorted thoughts. Motivation Through Narratives: Using stories of others with lived experience (e.g., writing, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators. Food Monitoring - Long-Term: Use of food logs for duration of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Do, Change, Narrative, Short-Term Food LogsTreatment being tested

    Behavior Do: Including in-session eating experiments. Thought Change: Monitoring and actively challenging distorted thoughts. Motivation Through Narratives: Using stories of others with lived experience (e.g., writing, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators. Food-Monitoring - Short-Term: Use of food logs for first 6 weeks of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Do, Change, Narrative, No Food LogsTreatment being tested

    Behavior Do: Including in-session eating experiments. Thought Change: Monitoring and actively challenging distorted thoughts. Motivation Through Narratives: Using stories of others with lived experience (e.g., writing, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators. Food-Monitoring - None: No recommendation for food records or logs during treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Talk, Accept, Values, Long-Term Food LogsTreatment being tested

    Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments. Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior. Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity. Food Monitoring - Long-Term: Use of food logs for duration of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Talk, Accept, Values, Short-Term Food LogsTreatment being tested

    Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments. Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior. Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity. Food-Monitoring - Short-Term: Use of food logs for first 6 weeks of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Talk, Accept, Values, No Food LogsTreatment being tested

    Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments. Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior. Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity. Food-Monitoring - None: No recommendation for food records or logs during treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Talk, Accept, Narrative, Long-Term Food LogsTreatment being tested

    Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments. Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior. Motivation Through Narratives: Using stories of others with lived experience (e.g., writing, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators. Food Monitoring - Long-Term: Use of food logs for duration of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Talk, Accept, Narrative, Short-Term Food LogsTreatment being tested

    Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments. Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior. Motivation Through Narratives: Using stories of others with lived experience (e.g., writing, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators. Food-Monitoring - Short-Term: Use of food logs for first 6 weeks of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Talk, Accept, Narrative, No Food LogsTreatment being tested

    Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments. Thought Accept: Mindfully accepting of unhelpful thoughts as passing mental phenomena that need not guide behavior. Motivation Through Narratives: Using stories of others with lived experience (e.g., writing, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators. Food-Monitoring - None: No recommendation for food records or logs during treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Talk, Change, Values, Long-Term Food LogsTreatment being tested

    Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments. Thought Change: Monitoring and actively challenging distorted thoughts. Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity. Food Monitoring - Long-Term: Use of food logs for duration of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Talk, Change, Values, Short-Term Food LogsTreatment being tested

    Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments. Thought Change: Monitoring and actively challenging distorted thoughts. Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity. Food-Monitoring - Short-Term: Use of food logs for first 6 weeks of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Talk, Change, Values, No Food LogsTreatment being tested

    Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments. Thought Change: Monitoring and actively challenging distorted thoughts. Motivation Through Values: Identifying individual motivators for recovery and opportunities to expand upon non-eating disorder aspects of identity. Food-Monitoring - None: No recommendation for food records or logs during treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Talk, Change, Narrative, Long-Term Food LogsTreatment being tested

    Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments. Thought Change: Monitoring and actively challenging distorted thoughts. Motivation Through Narratives: Using stories of others with lived experience (e.g., writing, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators. Food Monitoring - Long-Term: Use of food logs for duration of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Talk, Change, Narrative, Short-Term Food LogsTreatment being tested

    Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments. Thought Change: Monitoring and actively challenging distorted thoughts. Motivation Through Narratives: Using stories of others with lived experience (e.g., writing, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators. Food-Monitoring - Short-Term: Use of food logs for first 5 weeks of treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

  • Talk, Change, Narrative, No Food LogsTreatment being tested

    Behavior Talk: Discussion of recent eating and plans for upcoming eating; absence of in-session eating experiments. Thought Change: Monitoring and actively challenging distorted thoughts. Motivation Through Narratives: Using stories of others with lived experience (e.g., writing, podcasts) to appreciate long-term dangers of AN and the opportunity for symptom resolution with sustained recovery, without discussion of individualized motivators. Food-Monitoring - None: No recommendation for food records or logs during treatment.

    Treatment: Relapse Prevention and Changing Habits (REACH+ 2.0)

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Making the MOST of Relapse Prevention in Anorexia Nervosa: A Treatment Optimization Study Targeting Habits
Fit questions
Built from NCT07927504, who can take part
Record updated
10 November 2026