Re: Dietician -- Dreams

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Subject: Re: Dietician

Author:
chocolate

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Date Posted: 00:40:13 01/12/05 Wed
In reply to: Becky 's message, "Dietician" on 22:00:28 01/11/05 Tue

Hi,

Not all dieticians are like that really. As you know I am a nutricianist and now I am studying to become a dietician (when you are a nutricianist already it is only a 2 year part time study which I can do while working)

In the hospital I work I do not work with people with EDs because of my history but a colleage of mine does. I do discuss these people with her. What a dietician or nutricianist SHOULD do in a situation like this is the following:

Look at what the person is eating now. Check out bloodwork and see if there are any shortages. Inform the patient about this and possible consequences. Then check out what the patient is willing to eat, how the patient is willing to make up for these vitamine and mineral deficits. And most people are willing (If they werent willing they wouldnt have come to begin with)
Then make a diet based on the bloodwork and the wishes of the patient so you end up with a diet that is acceptable for the patient but one that also will help to give the patient all the stuff he or she needs. On top of that the patient is given information on more or less anything he or she wants to know.
In next meetings the diet must be adapted to new results of blood test and patients wishes. It can be that the patient had trouble with following the diet and it didnt work, so then the diet can be adapted. It can also be that the diet is working very well and you can go a step further.

Nutricianist or dieticians are not therapists but mostly you see that they get to bond with the patients. It seems like your dietician only read you stuff from a textbook. And you are right: you could have bought the book yourself.

On the comment you make in the end that when you start eating emotions can come up: that is true, an underweight numbs people. (so does an overweight) if you go back to a healthy weight emotions can come up. But this is a very slow process. It is so that therapy works better when you are not underweight because you actually feel less when underweight.

I feel really bad that you couldnt get a good dietician or nutricianist. Maybe you can find another? I am very glad that you like your therapist. If you ever decide to go to another dietician what you can do is demand that he or she helps you with a diet that is acceptable to you. Be honest about what you will and wont eat. (that is the problem for most dieticians and nutricianist, we know what someone should eat but you have to make the diet so that he or she will eat it)

Any way, good you are getting to the causes of your ED!!!!

Good luck

Chocolate

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Replies:

Subject	Author	Date
Re: Dietician	Deb	06:28:12 01/12/05 Wed
Re: Dietician -- kim, 11:24:24 01/12/05 Wed