For a client with anorexia nervosa looking to meaningfully use their time, what is the most appropriate initial plan?

The most appropriate initial plan for a client with anorexia nervosa looking to meaningfully use their time is to explore volunteer options with the OTR® or COTA®'s support. This approach is beneficial because it encourages social interaction and a sense of purpose, which can be particularly important for individuals dealing with the psychological challenges associated with anorexia. Volunteering provides an opportunity for the client to engage with others in a structured way, promoting a sense of community and accomplishment.

Additionally, participating in volunteer work can help shift the focus away from food and weight, allowing the client to develop new interests and skills outside of their eating disorder. The support of an occupational therapist registered (OTR®) or certified occupational therapy assistant (COTA®) ensures that the activities chosen align with the client's abilities, needs, and recovery goals, fostering a safe initiation into new experiences.

While other options may seem beneficial on their own, they lack the combination of social engagement and professional support that is crucial at this stage of recovery. For instance, enrolling in a master swimming program or joining a support group may not provide the same level of meaningful daily engagement without the client first feeling comfortable with their surroundings. Eating alone at restaurants may isolate the client further rather than encourage