Navigating Dietitian Care

Navigating nutrition care can feel overwhelming, but working with a registered dietitian offers clear, evidence-based guidance tailored to your unique recovery goals.​

Dietitian with cart of food

Developed in collaboration with Healthier Tomorrows, this page provides practical answers whether you are seeking outpatient support for an eating disorder, exploring care for your child, or looking for tools to build confidence with food. Below, you will find key insights on what to expect during sessions, how care teams collaborate, and actionable pre- and post-session questions to help you get the most out of your appointments.

Getting Started

The first questions most people have before they ever pick up the phone.

Nutrition impacts our holistic wellbeing, including physical health, mental wellbeing, energy levels and quality of life. There is an overwhelming amount of information available online as it relates to nutrition and health. A dietitian is a licensed nutrition professional trained to provide individualized, evidence-based care. A dietitian can help you make sense of all the noise and translate the science of nutrition into practical recommendations that fit your individual lifestyle needs, goals and food preferences.

Whether you wish to address an existing health concern, or desire to learn how nutrition is part of a holistic wellness plan, a dietitian can individualize care to meet you where you are.

Not at all! You deserve support regardless of a diagnosis, weight status or severity of symptoms! If food and eating are causing any amount of stress, discomfort or confusion in your life, you most definitely should feel welcome to seek support.

Get started by asking trusted healthcare professionals, like your therapist, psychiatrist or primary care provider, for dietitian or nutrition practice recommendations. If recommendations aren’t available to you, search online for a dietitian who practices in your area. Many dietitians offer free discovery calls for prospective clients to learn more about their approach.

Insurance often covers dietitian services, but this will vary, and not all nutrition practices accept insurance. Be sure to check if the dietitian or practice is in network with your insurance plan before your first appointment.

Need help finding a dietitian that meets your needs? Check out the ANAD Treatment Directory now.

Depending on the dietitian or practice, you might have the opportunity to reach out via phone call, email or by submitting an online form. When you reach out, you will likely discuss your reason for seeking care, insurance and paperwork, and scheduling.

Reaching out can feel like a big step. You don’t have to have the “right” answers or know exactly what you need before reaching out. The dietitian or practice staff can help guide you through the process.

You deserve a dietitian who is a great fit for you! You might consider:

  • Does the dietitian specialize in areas that are important to me?
  • Does the dietitian’s nutrition philosophy align with my values and needs?
  • Do I feel safe, heard and understood in sessions?
  • Do I feel comfortable asking questions in sessions?
  • Does the dietitian listen and save space for me in sessions?
  • Does the dietitian explain recommendations and collaborate on next steps?

It’s normal if it takes a couple of sessions to determine if a dietitian is a good fit for you. You have the right to give feedback or request adjustments that would help you feel more comfortable during sessions.

Here are a few questions you might ask before you schedule your first appointment:

  • Does the dietitian have experience working with __________ (health conditions, lived experiences, populations, etc.)?
  • If you are seeking specific support, does the dietitian have experience and/or an advanced credential in this area?
  • What is the dietitian’s approach or philosophy?
  • Does the dietitian collaborate with other healthcare providers, like therapists and primary care providers?
  • What should I expect during my first visit?

The first visit, or initial assessment, can vary depending on the dietitian. Nutrition counseling sessions are intended to be conversations, not tests or performances. The goal is for your dietitian to get to know you and understand what matters most to you. A dietitian will likely want to know about your health history, lifestyle, daily routines, typical eating patterns, relationship with food, and long-term goals. Not every question will be asked or needs to be answered during your first appointment. Many dietitians gather information over the course of the first several sessions as your therapeutic relationship develops.

You have the right to let your dietitian know if certain topics feel difficult to discuss, if you’d prefer to revisit a topic later, or if there is important information you would like your dietitian to know.

Printable worksheets (PDF)

Includes all three handouts: Pre-Session Questions (page 1), Post-Session Questions (page 2), and Navigating Weigh-Ins at the Doctor’s Office (page 3).

Fillable version — complete the handout below:

Eating Disorder Support

What outpatient nutrition care looks like week to week when an eating disorder is part of the picture.

Oftentimes, outpatient nutrition counseling occurs on a weekly basis, though this is individualized, and the frequency of sessions might vary. Over time, session structure may shift depending on what is most important. Some visits might focus on learning and education, while others focus on problem-solving challenges or reflecting on progress.

Nutrition counseling is a collaborative process. Your dietitian will work alongside you to develop realistic strategies that fit your goals, preferences and daily life.

Eating disorders are psychiatric conditions with physical implications, which means that nutrition counseling for eating disorders involves both focus on nutrition and fueling the body, as well as thoughts and beliefs related to food and body. Dietitian sessions might address behaviors, thoughts and emotions as they relate to nutrition.

Though provider collaboration is normal across all areas of nutrition care, dietitians supporting clients with eating disorders or disordered eating, need to work even more closely with therapists and medical providers.

Many aspects of nutrition care remain the same. Regardless of focus area, you can expect to receive respect and compassion. You can expect to build confidence in ways that matter to you. You can expect a space where you feel safe, heard and understood.

Yes, a dietitian can still help you if you have food allergies, intolerances or strong aversions to certain foods. Nutrition care is individualized, and your dietitian will work with you to ensure your nutrition needs are met, while honoring your dietary restrictions, preferences and personal goals.

Yes, a dietitian can support sports nutrition goals. Nutrition and athletic performance go hand-in-hand, and your dietitian can help you understand how to fuel your body, based on the best available evidence, your sport or activity, and your own personal experience.

If you are in eating disorder recovery, or have a history of an eating disorder, healing your relationship with movement might be an important part of your journey. A well-nourished body is foundational when it comes to both recovery and sports performance. Your dietitian will understand your unique history, your current experience and your long-term goals, as they relate to both eating disorder recovery and sports performance.

Meal support is an opportunity to eat alongside a trusted professional or support person. A dietitian can facilitate meal support and help you practice coping skills, apply mindset shifts and/or redirect disordered eating behaviors in real time during supported meals or snacks. Meal support is intended to help build individual confidence and apply recovery skills in real-life situations.

Dietitians, therapists and primary care providers each bring unique expertise to a healthcare team. While there is often overlap, in brief, dietitians focus on nourishing the body and brain, therapists support mental and emotional wellbeing, and primary care providers monitor physical health and medical status.

During nutrition sessions, share what feels safe and most important for you. Your dietitian can help you understand how nutrition relates to your priorities and values; when appropriate and with your permission, they will work collaboratively with the rest of your healthcare team to support your goals.

If your dietitian leaves the organization or practice, you can expect the practice to support transitioning to another provider. If your provider changes, remember that your progress and growth remain. If you establish care with a new provider, you have the opportunity to share what has worked well and what you’d like to be different moving forward.

It’s normal and expected to have questions about the process of transitioning providers. Be empowered to ask them! It’s also normal for a new therapeutic relationship with a dietitian to take time to build.

Printable worksheets (PDF)

Includes all three handouts: Pre-Session Questions (page 1), Post-Session Questions (page 2), and Navigating Weigh-Ins at the Doctor’s Office (page 3).

Fillable version — complete the handout below:

Printable worksheets (PDF)

Includes all three handouts: Pre-Session Questions (page 1), Post-Session Questions (page 2), and Navigating Weigh-Ins at the Doctor’s Office (page 3).

Fillable version — complete the handout below:

For Parents & Caregivers

Be empowered to seek support as soon as you have a concern about your child’s eating patterns or growth. Being proactive can help your child or teen receive support early and cultivate a strong foundation for growth, development and wellbeing.

Be empowered to seek support as soon as you have a concern about your child’s eating patterns or growth. Being proactive can help your child or teen receive support early and cultivate a strong foundation for growth, development and wellbeing.

Your child or teen might benefit from dietitian support if:

  • They are experiencing changes in appetite or eating habits.
  • Meals and snacks are becoming more stressful.
  • They have a medical condition that impacts their nutrition or growth.
  • They participate in sports and would benefit from guidance on how to eat to improve their performance.
  • They are experiencing unexpected changes in body weight or deviations from typical growth chart trends.
  • They are voicing questions or confusion around food, or a desire to learn more about food and their body.

 

What should I look for when seeking a dietitian for my child?

  • Does the dietitian have experience working with my child’s condition and age group?
  • Does the dietitian have experience and/or advanced credentials?
  • If the dietitian is newer to the field, are they receiving professional clinical supervision?
  • What is the dietitian’s approach or philosophy?
  • Does the dietitian collaborate with other healthcare providers, like therapists, psychiatrists and primary care providers? 
  • Do they offer family sessions where you can join for all or part of the session?
  • Will they provide support to you as an individual, to support your child generally, or at mealtimes?

 

When a child or adolescent begins working with a dietitian, the initial focus will likely be on building rapport and establishing trust. This might involve age-appropriate ice-breakers, games and activities. While these activities may seem simple, they play an important role in helping the child or adolescent become increasingly comfortable and ready to engage with their dietitian. This relationship is very important as a foundation.

As rapport and trust are built, the dietitian will meet the child or adolescent where they are, providing age-appropriate education and working together to identify behavioral goals that feel meaningful. Similar to nutrition care for adults, the dietitian will want to understand the child or adolescent’s lived experience, habits, lifestyle and goals.

Parents and caregivers are an important part of a child’s care team. Parental involvement will vary, depending on your child’s age, goals and the reason they are seeking nutrition care. You may be invited to join sessions for the entire duration, or for a portion. Alternatively, you may be invited to have individual time with your child or adolescent’s dietitian.  Please always ask questions and ask for what feels most supportive for your family.

Your child’s care team will provide individualized recommendations on the best ways to support your child. In general, be compassionate, be a listener, be an ally and an advocate.

The first step is to share what you are noticing and why you think meeting with a dietitian would be helpful. Keep the conversation focused on support, rather than blame. Explain that the dietitian’s role is to help support your child’s health and eating habits, answer questions, and navigate challenges as they relate to food. Ask your child how they are feeling about the appointment and what might make their visit with a dietitian feel more comfortable. Help your child think ahead about any questions they have or anything they’d like the dietitian to know.

Looking for additional resources? ANAD & Healthier Tomorrows are here to help!

For additional information and support, make sure to check out ANAD's Loved Ones Resource Hub or consider attending one of our free virtual caregiver support groups in collaboration with FEAST.

Learn More About Healthier Tomorrows

Yoga

  • Reconnect with one’s body
    • Promotes mind-body connection, awareness of self, and acceptance.
  • Stress and anxiety reduction
    • Yoga activates the parasympathetic nervous system, counteracting our body’s stress responses.
    • Deep, slow breathing can reduce cortisol  levels (stress hormone) and help calm our minds.
  • Intentional movement
    • Yoga provides a space to mindfully enjoy movement and explore a healthy form of exercise.
  • Long term healing
    • Provides a practice to safely and sustainably lean into.
  • A space for community and support
    • Oftentimes, yoga is done in a group setting, which can increase feelings of connection and lower feelings of loneliness.

After the completion of 7–12 yoga classes, a statistically significant decrease in anxiety, depression, and body image disturbance was seen (Hall et al., 2016).

Explore trusted resources and products to support your healing journey.

Some classes are targeted for rigorous exercise, such as “heated flow” or “power flow.” Please be mindful with what you practice, and look for “slow flow,” “yin,” “vinyasa,” and “restorative” yoga in non-heated rooms.

Music

  • Music can have a powerful effect on people’s mood

    • listening to uplifting or calming songs can help reduce stress and anxious feelings.
  • Music stimulates the limbic system, the part of our brain responsible for processing emotions
    • music triggers the release of serotonin and dopamine, which are associated with reducing feelings of anxiety, depression, and stress (which are often associated with eating disorders)
  • Slow tempo music has been shown to decrease cortisol, our stress hormone, as well as lower blood pressure and reduce heart rate.
  • Music increases the brains neuroplasticity, enhancing brain functions like mood regulation, decision making, and memory.

A study done by Mindlab International revealed that the song “Weightless” by Marconi Union resulted in a 65% reduction in participants’ overall anxiety (Dr. David Lewis-Hodgson).

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  • Ludovico Einaudi
  • Claude Debussy
  • Johann Sebastian Bach
  • José González
  • Laraaji
  • Bill Evans
  • Vance Joy
  • The Paper Kites
  • Moby
  • Tycho

Aromatherapy

  • Aromatherapy can be a helpful, low- cost (or free) tool for people managing eating disorders.
  • Aromatherapy involves using essential oils to help manage emotions and restore balance.
  • Scents can help ground people, encouraging mindfulness about physical and emotional sensations.
  • Can promote a tranquil environment and give a sense (& scent) of peace.
    • creates an atmosphere for individuals to feel safe in processing emotions

Lavender has been shown to reduce anxiety levels. It is seen as a “anxiolytic” solution to providing a coping method for those with anxiety disorders (Yoo & Park, 2023).

Explore trusted resources and products to support your healing journey.

 

  • Lavender: calm, sleep, relax
  • Chamomile: calm
  • Rose: anxiety reduction
  • Lemon: energy, nausea reduction, concentration
  • Orange: brighten, uplift
  • Jasmine: anxiety reduce, sleep
  • Peppermint: alertness
  • Ylang ylang: calming, stress and anxiety reduction
  • Rosemary: focus

Art

  • Art can help provide a safe space for communication.
  • It can promote a sense of relaxation, and become a calming, meditative like experience (especially in “flow state”).
  • Gives an outlet and coping mechanism for managing difficult emotions.
  • Helps develop healthy habits and routines for self-management.
  • Increases an individuals sense of awareness and understanding of their emotions and thoughts.

Art can boost cognitive function, emotional resilience and self-confidence. It has also been shown to reduce stress and aid in conflict resolution (Hudson University, 2024).

Explore trusted resources and products to support your healing journey.

  • Coloring books
  • Digital coloring or drawing
  • Collaging
  • Sketchbook/journaling/ diary
  • Painting
  • Water coloring
  • Air dry clay (model magic) or traditional clay (ceramics)
  • Photography (use your phone!)
  • So much more!

Creative Journaling & Writing

  • Journaling allows space for self reflection, and emotional release.
  • Free writing can help you connect to your inner voice without judgment.
    • This can look like a steam on consciousness, a short story, or even poetry.
  • Both of these can give you space to problem solve, and look at a situation from a new angle.
  • Try out a prompt, or guided writing exercise if free writing isn’t your thing.
    • Examples & resources below!

Positive writing has been shown to promote positive emotions, as well as positive cognitive mechanisms in the general population (Lai et al., 2023).

Explore trusted resources and products to support your healing journey.

  • What are three things I’m grateful for today?
  • Write a letter to your future self. What do you want to tell them?
  • Write about a positive affirmation you want to start telling yourself.
  • How do you like to relax? Write about your favorite way to unwind.
  • What does “peace” look like to you? How can you bring more of it into your life?
  • What is something that always makes you laugh or brings you joy?

Self-Care / Self-Talk

Positive Self Talk

  • Positive affirmations are short, encouraging statements that can help build our self-esteem and challenge negative thoughts.
  • Repeating these statements daily can help foster a more loving relationship with yourself over time.
    • “Mirror-work” is when you look into the mirror and say kind, positive affirmations to yourself. It might feel awkward at first.
    • Try statements such as “I am enough,” “I am deserving of all the good things life has to offer,” or “I am strong, capable, and confident in everything I do.”
  • This can help build mental resilience, making it easier to cope with challenges and setbacks.
  • They can elevate your mood and promote a more optimistic view of life.
  • They help build confidence and self-worth by focusing on your strengths and capabilities.

Self Care

  • Self-care directly impacts emotional, psychological, and physical well-being.
  • Engaging in regular self care practices helps maintain balance and resilience, ensuring we can cope with life’s challenges.
  • Regular self-care allows the body and mind to recover, recharge, and maintain a sense of calm.
  • Taking care of yourself helps prevent burnout by ensuring you have the energy and mental capacity to meet the demands of life.
    • Without regular self care, you may become overwhelmed, leading to fatigue, frustration, and decreased productivity.
  • Giving yourself mental space helps clear your mind, improving focus, decision-making, and problem-solving.
  • Allows you to engage in activities that bring you joy, pleasure, and fulfillment. These experiences elevate mood and provide moments of peace and happiness.

Positive Self Talk

Affirming personal values has been linked to boosting ones happiness and meaning in life (Nelson et al., 2014). MRI’s show that self- affirmations affect brain activity! (Cascio et al., 2015).

Self Care

“Engaging in a self- care routine has been clinically proven to reduce or eliminate anxiety and depression, reduce stress, improve concentration, minimize frustration and anger, increase happiness, improve energy and more. From a physical health perspective, it has also been clinically proven to reduce heart disease, stroke and cancer” (Glowiak, 2024).

Explore trusted resources and products to support your healing journey.

POSITIVE SELF TALK

 

SELF CARE

  • Up to personal preference, ideas listed in the guide
  • Sleep: Make sure you get enough hours in
  • Making time for hobbies: painting, gardening, etc.
  • Doing chores: cleaning dishes, doing laundry, cleaning space, decluttering
  • Spending time outdoors: taking nature walks, sitting in a park
  • Being with people you love: friends, family, partners
  • Reading or learning: something of interest, and limiting technology/screen time
  • Personal care: shower, bath, deep breathing, meditation, massaging
  • Treating yourself: occasionally indulging yourself with something you love (ex: buying a new book, or a coffee from your favorite shop)
  • Mental care: attending peer support groups (for free with ANAD!), going to therapy (we can help connect you with someone)