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When a client mentions it · XIII-180

Ethiopian Tewahedo fasting cycle

Domain XIII · Contemplative & religious disciplines · Ethiopia

Full guide

What it is

What it is. The EOTC keeps one of the most extensive fasting calendars in Christianity. Its institutions describe fasting as a spiritual discipline in which the spirit masters the body, joined to daily church services, prayer, prostration and confession, especially in Holy Week (Himamat). The…

Format

  • There are no therapy phases, session counts or formats in church or clinical sources for working alongside EOTC fasting; the structure below is, organised around the church year.
  • Phase C: During the season. Goal: keep therapy going and watch for distress, eating-disorder signs, scrupulosity and health warning signs. Adjust session times and content. Move back to Phase B planning if health or mental state changes.

Questions to explore with your client

  • What drew you to it, and what are you hoping it will change?
  • Does it involve any substance, plant preparation, remedy or supplement? Has your doctor or prescriber been told, especially about any medication you take?
  • Does it involve fasting, a special diet or 'detox'? Have you discussed this with your doctor?
  • Is it a group, retreat or community? How do they respond if someone wants to leave or raises a concern?
  • How do you and the practitioner understand what is happening, in spiritual or cultural terms? Is that a source of comfort, worry, or both?
  • Who runs it, and what training or registration do they hold?
  • What actually happens in a session or meeting, and how often?
  • What does it cost, and is there pressure to commit to more?
  • How do you feel afterwards, in the hours and days that follow?
  • Does it fit with, or clash with, the work we do here?

What practitioners of it watch for

  • complicated grief, isolation, community conflict. Working when the client reports feeling held by their community or family.
  • depression and hopelessness, withdrawal from church; check suicide risk following standard practice where hopelessness is present.
  • confidentiality in close communities; a client who feels pushed toward or away from clergy. Working when therapy and church guidance point in the same direction.
  • missed sessions during fasting seasons (ask, do not label as avoidance); the client's reluctance to ask for changes. Working when attendance holds through the season.
  • the client treating you as a spiritual authority; your own views on fasting colouring advice. Working when religious questions go to clergy and clinical ones stay with you.

When to involve someone else

  • New or worsening physical symptoms, or advice to stop or change prescribed medication: involve the client's doctor or prescriber.
  • Signs of coercion, isolation from family and friends, escalating costs or secrecy: discuss openly and consider safeguarding.
  • A crisis or thoughts of suicide: follow your crisis protocol. In the US, call or text 988; in the UK and Ireland, Samaritans on 116 123.

Drawn automatically from the guide's own sections. Stay curious: neither endorse nor dismiss what the client values, and check anything that matters against the full guide and its sources. Not medical advice.