Atlas›Toolkit›Client card
When a client mentions it · XIII-292

Fasting

Domain XIII · Contemplative & religious disciplines

Full guide

What it is

Fasting is not a therapy and not a single practice: it is a family of religious observances found across many traditions, each with its own meaning, calendar, rules and authorities. This guide does not teach or prescribe any fast and gives no fasting lengths or food rules. It describes, as the…

Format

  • There is no manualised protocol. The sources describe a timeline around each observance; the phases below organise it. No source gives a session count or format; work is integrated into ongoing therapy.
  • Core idea of change (therapist's side): the therapist does not decide whether a client fasts. The work is to help the client hold faith and health together — to understand the fast in their own religious terms, to get accurate medical and religious information (including the exemptions their own…

Questions to explore with your client

  • What drew you to it, and what are you hoping it will change?
  • Is there physical contact? Was it explained beforehand, and do you feel free to say no or stop at any point?
  • 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?
  • 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

  • rebound bingeing or continued restriction after the season.
  • family pressure or criticism; isolation. Working when the client feels included.
  • weight loss, dizziness, secrecy, coercion; working when the young person's voice is in the plan.
  • the client hiding the fast to avoid being 'a problem'; working when attendance and engagement hold.
  • the client seeking the therapist's religious approval; working when the client uses each source for its own purpose.

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.