Which is the best initial intervention for a teen wrestler exhibiting eating disorder behaviors?

The best initial intervention for a teen wrestler exhibiting eating disorder behaviors is to discuss secondary gains driving the client's behavior. This approach is effective because it allows for a deeper understanding of the underlying motivations and psychological factors contributing to the eating disorder. Often, individuals with eating disorders are driven by various psychological needs, such as control, perfectionism, or self-esteem issues; these are referred to as secondary gains. By addressing these issues first, a clinician can gain insight into the patient's mindset and motivations, making it easier to tailor interventions that target the root causes of the behavior rather than just the symptoms.

Engaging the teen in a discussion about these secondary gains can also help build a rapport and trust between the client and the health professional, which is essential for effective treatment. This initial approach can pave the way for more comprehensive treatment plans that include nutritional education, therapy, and possibly involvement of family members, fostering a supportive environment for recovery.