**7. Engagement**

Most people with anorexia nervosa find it difficult to admit that they have a problem and are undecided about change. This is a contributing factor to their reluctance to engage with treatment and services. Effective engagement of the patient in the treatment is a prerequisite for any successful treatment plan, health care workers who are involved in the treatment of anorexia nervosa should ensure to build an empathic, collaborative and supportive relationship with patients and, if possible, their careers. This should be paramount to the care given, motivation to change may go up and down over the course of treatment and the therapist must remain sensitive to this.
