If a bulimic client wants to recover so much that she is willing to experience temporary weight gain, she probably won't gain weight. If she is in a panic over that possibility, she probably has no control over weight and already fluctuates widely. Bulimia is an extremely ineffective method of weight control. Most bulimics gain weight over time. When purging stops, many bulimics are surprised to find themselves losing some weight.
Therapy involves continual assessment and reassessment.
The checklist helps the client and therapist stay on track and stay productive.