Setting Effective Goals: Challenging Yourself in Eating Disorder Recovery

By Cheryl Lundberg, PsyD, CEDS

Goal Setting with an Eating Disorder

Learning how to set effective goals can boost your motivation to grow and create positive changes in your life. Even if your goals are not directly related to your recovery from an eating disorder, setting goals is a helpful tool across all areas of life, offering clear focus, insight into what you value and motivation to change your behavior.

Recovery is a long, intentional journey, and as you go through it, you'll experience many different emotions, motivations, and intentions—all of which are temporary. These moments provide opportunities to set goals and actively participate in your life by turning these fleeting feelings into a specific plan of action that helps you live authentically.

Setting realistic achievable goals can support your eating disorder recovery by guiding your decisions, helping you track your progress and putting your choices into perspective. 

Creating Effective Goals 

Before setting goals, it’s important to understand what makes a goal effective versus ineffective. SMART is a popular framework for goal-setting, describing structuring goals that are:

  • Specific
  • Measurable
  • Achievable
  • Relevant
  • Time-bound.

Specific

For goals to be effective, they must be specific. Specific goals are clearly defined, making them easy to understand and implement. It’s important for goals to be specific because it eliminates ambiguity, allowing you to turn your intentions into actionable plans. If there’s too much ambiguity, you might become confused, disillusioned, or start to procrastinate.

Specific goals should include an answer to the ‘w’ questions:

  • Who needs to be involved to achieve this goal?
  • What are you trying to accomplish?
  • Why is it important to reach your goal?
  • Which obstacles are standing in your way?

Measurable

A good goal is measurable. Measurability turns abstract goals into concrete achievements that you can track over time. You can monitor your goals through milestones, tasks, or steps along the way, which, when combined, lead to the completion of your goal.

Measurements are often quantitative, like:

  • Journaling five days a week
  • Eating three meals and three snacks a day
  • Seeing a therapist at least once a week
  • Spend at least 30 minutes a day enjoying a hobby

However, goal setting doesn’t always have to be quantitative. In recovery, many people use qualitative measures instead, such as noticing shifts in mindset, confidence, flexibility around food or ability to handle triggers. These indicate progress without relying on numbers or strict tracking. You can do this by journaling:

  • Check-ins – Daily or weekly, describe how you felt or experienced something that was triggering
  • Mindset notes – Describe and date moments where you felt you were achieving your goal
  • Mood reflection – Describe your day in a single word
  • Color journaling – Use colors to denote how challenging a day was

Goals are supposed to support your recovery, not remind you of disordered eating. Instead of focusing on a number, you can choose to describe experiences instead.

Achievable

Goals are meant to inspire and motivate, not discourage you. Ensuring that a goal is achievable helps you develop the new skills and attitudes needed to reach it. Without the time or skillset required, you're self-sabotaging from the start.

Relevant

Your goals should be relevant to you and align with your values, needs, and stage of recovery rather than goals driven by pressure or comparison. When your goals are relevant, they’re more sustainable and effective because they support your progress instead of diverting you off course.

Time-bound

Goals should include a timeline, but that timeline needs to be realistic. Knowing where you are in recovery and recognizing your limitations helps you determine when to act and when to assess your progress.

A timeframe can give structure and accountability when you need a goal to feel more concrete, but recovery is also a lifetime journey, and many recovery goals are open-ended.

Benefits of Setting Goals

Greater wellbeing

Goal-setting fosters a sense of purpose and direction, helping you feel more grounded in what matters to you. Research has shown that goal-setting can also boost wellbeing and reduce depressive symptoms, making it a practical tool for supporting mental health.1,2

When individuals select goals that feel meaningful and achievable, they generate momentum that enhances motivation, confidence and overall recovery.

Increased resilience & persistence

Research using Self-Determination Theory shows that people stick with their goals longer when those goals feel truly their own. When motivation comes from personal meaning rather than pressure, persistence naturally increases. This is supported by research findings in both long-term behavior change and sustained action over time.3,4

Choosing goals you genuinely care about builds confidence, strengthens internal motivation, and helps you stay committed when things feel difficult.

Better health outcomes

Although research is limited, studies show that autonomous motivation — such as self-directed goal-setting — is linked to better physical and mental health outcomes and encourages more sustained changes over time.2,4

When recovery goals are set as a form of self-care and commitment to your own healing, rather than to meet external expectations or compare yourself to others, improvements in mental health are more likely to follow.

Goal-setting in Psychotherapy

Motivational interviewing

Motivational Interviewing (MI) is a collaborative, evidence-based approach that aims to strengthen motivation and commitment to change by resolving ambivalence rather than using persuasion or pressure.

In MI, goal-setting involves exploring and identifying personally meaningful changes and actionable steps, helping individuals move toward their desired outcomes in a way that aligns with their values.

Acceptance and commitment therapy

Acceptance and commitment therapy (ACT) is an evidence-based form of psychotherapy that aims to develop psychological flexibility instead of avoiding, eliminating or suppressing undesirable experiences like pain, grief, disappointment, illness and anxiety.

In ACT, goal-setting involves defining committed actions that reflect one’s values, guiding meaningful behavior even in the presence of difficult thoughts or emotions.

Dialectical behavioral therapy

Dialectical behavioral therapy (DBT) can be used to address eating disorders and other conditions. DBT is a form of psychotherapy that focuses on mindfulness, interpersonal relationships, distress tolerance and emotional regulation. DBT can use goal-setting to help patients identify specific behavioral targets.

Learn more about psychotherapy for eating disorders.

References

  1. Sin, N. L., & Lyubomirsky, S. (2009). Enhancing wellbeing and alleviating depressive symptoms with positive psychology interventions: a practicefriendly metaanalysis. Journal of Clinical Psychology, 65(5), 467–487. https://doi.org/10.1002/jclp.20593
  2. Ng, J. Y. Y., Ntoumanis, N., Thøgersen-Ntoumani, C., Deci, E. L., Ryan, R. M., Duda, J. L., & Williams, G. C. (2012). Self-Determination Theory applied to health contexts. Perspectives on Psychological Science, 7(4), 325–340. https://doi.org/10.1177/1745691612447309
  3. Yip, L., Thomas, E. F., Amiot, C., Louis, W. R., & McGarty, C. (2023). Autonomous motives foster sustained commitment to action: integrating Self-Determination Theory and the Social Identity approach. Personality and Social Psychology Bulletin, 50(5), 750–765. https://doi.org/10.1177/01461672221148396
  4. Teixeira, P. J., Carraça, E. V., Markland, D., Silva, M. N., & Ryan, R. M. (2012). Exercise, physical activity, and self-determination theory: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 9(1), 78. https://doi.org/10.1186/1479-5868-9-78
Written by

Cheryl Lundberg, PsyD, CEDS

Cheryl Lundberg, PsyD, CEDS, serves as the Psychology Team Lead at the ACUTE Center for Eating Disorders and Severe Malnutrition. She joined ACUTE in 2020 as a Psychologist and was promoted to…

ACUTE Earns Prestigious Center of Excellence Designation from Anthem
In 2018, the ACUTE Center for Eating Disorders & Severe Malnutrition at Denver Health was honored by Anthem Health as a Center of Excellence for Medical Treatment of Severe and Extreme Eating Disorders. ACUTE is the first medical unit ever to achieve this designation in the field of eating disorders. It comes after a rigorous review process.

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