Enabling the purge follow-up
When and how to turn on the per-patient purge follow-up question, the exact gentle wording the patient sees, and how their answers appear in the food log.
The purge follow-up is an optional, per-patient question that Pippa adds to the post-meal check-in. It is off by default and only you can turn it on. It is designed for patients where purging behavior is a clinical focus, and it is worded to invite honesty, never to shame.
Only enable this when it fits the clinical picture and you have a plan for how you will use the answers. Asking about purging without a supportive follow-up can feel like surveillance. The wording is gentle for a reason; keep your response gentle too.
When to turn it on
Consider enabling it when purging is part of the presentation and you want a light, daily self-report signal between sessions, for example after a meal-based intervention where you and the patient have already talked openly about the urge. It pairs naturally with the post-meal check-in's existing urge and coping questions.
Leave it off for patients where the question would introduce a behavior into their frame that is not otherwise present, or where daily self-report would raise anxiety more than it helps.
How to turn it on
Expand the Post-meal check-in questions card, below the stat tiles. It previews the patient's check-in sheet, and the purge follow-up sits in it exactly where the patient would see it, between the urges and the coping skills, greyed out while off. See the check-in question editor.
Turn on the switch beside did you act on the urge to get rid of it?. This toggle saves on its own, instantly, with no separate Save click, and reaches the patient's app within seconds.
The follow-up only appears inside the post-meal reflection. If the whole post-meal check-in is turned off for this patient, or if the patient only flags an urge, the timing and appearance follow the post-meal flow. See the post-meal check-in for how that reflection is delayed after a meal is logged.
What the patient sees
Once enabled, the patient's post-meal check-in shows a new section between the urges and the coping skills. The exact wording is:
- Title: did you act on the urge to get rid of it?
- The subtitle frames honesty as an act of self-care.
- A single-select answer: yes, no, or rather not say.
The question deliberately reuses the urge chip's own phrase and never names a method. If the patient answers yes, the app offers the same coping-tools support it offers when an urge is flagged, so a hard disclosure is met with help, not a dead end.
Rather not say is offered on purpose and is never treated as a failure. A patient choosing it still deserves the same warmth. Do not press on it in your comments.
How answers appear in the food log
On the food log, the answer shows as a small chip on the meal card, collapsed alongside the other check-in signals (fullness, urges, coping):
- purged: yes, shown in an attention (danger) tone.
- purged: no, shown calmly.
- purged: rather not say, shown calmly.
Only a yes is styled to draw the eye; the other answers stay calm on purpose, so the food log reads as care rather than a scoreboard. The answer stays editable in the meal detail even after you later turn the toggle off, so nothing the patient disclosed is lost.