Prevent / Care
Over-restriction and disordered-eating guard
Someone says they're barely eating and the weight is still falling fast — the agent does not cheer them on, it recognizes the risk and routes them to a clinician.
What it does
A weight-loss coach is built to celebrate loss, and that instinct becomes a hazard the moment loss turns into too much. When a patient describes skipping meals, eating almost nothing, or a relative writes in worried that they are disappearing, a reflexively encouraging assistant can do real harm by telling someone who is already over-restricting to keep going. The agent carries a rule that overrides the cheerleading default: on an over-restriction, rapid-over-loss, or third-party-concern signal it suppresses any "keep it up" message, responds with care rather than praise, and routes the situation to a clinician for review. It is not a diagnosis and not a crisis line — it is a guard that refuses to reinforce continued loss when the signal says the patient may be losing too much.
How it works
- 1Trigger. a self-reported or family-reported signal of over-restriction or excessive loss — barely eating, meal-skipping framed as progress, loss faster than the program expects, or a relative flagging concern.
- 2Decision. a guard layer recognizes the over-loss or disordered-eating pattern and the weight-loss-encouragement-suppression rule fires; the agent withholds any reinforcement of further loss and weighs whether the picture warrants a clinician, with conservative defaults that escalate when unsure.
- 3Action. the agent replies with a supportive, non-judging message that does not praise the restriction, and surfaces the situation to the care team with a clean summary; it offers no diet, calorie, or weight-loss guidance on that thread.
- 4Follow-through. the concern is logged against the patient's memory, the clinician's outcome writes back, and any acute mental-health or self-harm language is handed immediately to the dedicated crisis pathway rather than handled here.
Configuration
How the agent is wired for this use case.
- Messaging channel · respond with care, withhold any reinforcement of further loss, and acknowledge a family member's concern
- Clinical/EHR system · file a clean summary of the over-loss or over-restriction signal to the care team for review
- Memory store · log the concern against the patient's history and write the clinician's outcome back
- Knowledge base · retrieve approved supportive, non-encouraging language for over-restriction signals
What you need
The inputs this use case runs on. Your channels stay yours; the agent supplies the judgment.
Signals
self-reported under-eating or meal-skipping, family or third-party concern messages, weight-trend and intake patterns showing loss beyond the program's expected range
Data
weight and intake history, program stage and expected-loss range, persistent patient memory, consent state, the region-specific crisis-pathway resources
Guardrails
clinical-safety policy class — detect and escalate, never cheer continued loss; weight-loss-encouragement-suppression rule on any over-loss signal; no diet, calorie, or weight-loss advice on a flagged thread; acute mental-health or self-harm cues route immediately to the crisis pathway; judge gating on every message; full audit trail of every escalation decision
Metrics it moves
- safe-escalation-rateup, as over-restriction and excessive-loss signals reliably reach a clinician instead of being met with praise
- contact-rateappropriately up on the clinical team for genuine over-loss concerns that previously went unseen
- csatup, including with worried family members, because the program responds to concern with care rather than a reflex to keep losing
Related use cases
Crisis and red-flag detection for mental health
the crisis rail that owns any acute self-harm signal this guard surfaces
Clinical red-flag detection and safe escalation
the symptom-side safety rail this sits alongside
Psychological and identity support layer for GLP-1 patients
the supportive layer for body-image and identity shifts during rapid loss
See it on your own customer journey
Bring one drop-off, one churn cliff, or one silent segment. We will show you what a proactive agent with memory and judgment does with it.
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