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Subject: Re: Dietician


Author:
Deb
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Date Posted: 06:28:12 01/12/05 Wed
In reply to: chocolate 's message, "Re: Dietician" on 00:40:13 01/12/05 Wed

>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

Gosh Becky I'm sorry you had such a bad experience with that Dietician but please know not ALL Dieticians are like that! It's just like finding a therapist to talk to ~ you may need to see a few different ones until you find one you like and can help you (especially working out a meal plan).

Like Chocolate said, she should do more than just talk to you. When I was in the hospital, my dietician used to give me handouts to read and guidelines to follow. We would map out everything I ate in a day and go over what I was eating. We would then discuss what was good, how much of it I needed minimally so I could start refeeding without getting too depressed about it. Alleviating your fears about food in general should be a focus as well.

Don't give up - give her another try...maybe that was just her introduction to you. If after a few more visits you still don't like her, find another one and don't give up until you find a good fit. It's really worth it to find a good dietician to help you fully understand how your body functions with what foods.

BTW, congratulations on your efforts for going in the first place ~ that IS a start! And I'm glad you like your therapist. Talk things over with her, too and see if she can assist you in ways to perhaps communicate to the Dietician what your needs are. She should be willing to work with you! Good luck!

Deb

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Re: Dieticiankim11:24:24 01/12/05 Wed


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