Flagged because: A standardized measure crossed its clinical cutoff
High
Restrict-then-binge pattern▲ pattern · 2026-08-12
Flagged because: 3 binge urges in the last 7 days followed restriction (a skip, a restrict urge, or a very low day) earlier that day or the day before · Restriction is a proximal antecedent of bingeing, raising odds the same day (OR 1.18) and the next day (OR 1.30); this restrict-then-binge cycle is the strongest modifiable driver (Zunker et al. EMA; Fairburn CBT-E)
High
6 hard meals (it felt hard)▲ pattern
Flagged because: it felt hard x4, anxious about it x3 · Eating-related distress tracks ED severity
High
4 concerning patterns at once▲ pattern
Flagged because: Co-occurring: restrict-then-binge cycle + 3 binge urges + 6 hard meals + mood declining · Combined signals are far more predictive than any one alone
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Chat safety flag (1)● event · 2026-08-12
Flagged because: AI moderation flagged 1 message: disordered-eating language · "Sometimes I feel like nothing I eat is okay." · Not a self-harm flag, so it is not triaged as a crisis
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Urges reported after meals● event · 2026-08-13
Flagged because: 6 meals in the last 7 days had an urge flagged at the post-meal check-in · urge to binge x3, body checking x2, urge to restrict x2
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Urge to binge reported after meals● event · 2026-08-12
Flagged because: 3 meals in the last 7 days had the urge to binge flagged · Recurrent binge urges are a proximal warning for loss-of-control eating, and a recent binge is the strongest predictor of another (OR ~2.0)
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Mood trending down▲ pattern
Flagged because: flagged range: sustained low ≥ 7d · Depressive symptoms are an established relapse predictor
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Moderate-risk note● event
Flagged because: A clinician marked a recent note moderate-risk
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Meal adherence
79%
11 eaten · 3 not · 0 pending
Days logged
11/14
days w/ a meal · 2d longest gap
Weight
132 lb
↑ 4.1 lb since 2026-06-25
Streak
4d
320 coins
Conversations
1 flag
last active 2026-08-13
Latest clinical note
SOAPmoderate riskSession 2026-08-06
Reports increased stress around exams and skipping dinner a few nights this week. · Engaged in session. Meal adherence down vs prior week; mood self-reported as low. · Stress-linked meal avoidance; monitor for escalation…
Open the Notes tab for the full record.
Weight (lb)
Calories / day
Meal adherence: did they eat it?
79%
of answered meals eaten
Eaten11
Not eaten3
Awaiting check-in0
Mood check-ins
😐Meh2026-08-13
😞Rough2026-08-12
😞Rough2026-08-11
😞Rough2026-08-10
😞Rough2026-08-09
😞Rough2026-08-08
Recovery goals
Set these together in session. The patient sees them read-only in their app.
Pippa