Motivational interviewing is mentioned as a tool to help guide conversations with clients. The book, Motivational Interviewing in Nutrition and Fitness by Dawn Clifford & Laura Curtis is a helpful tool. You can learn more about it here: https://www.amazon.ca/Motivational-Interviewing-Nutrition-Fitness-Clifford/dp/1462524184
When a client does not consult you specifically for issues with an eating disorder and you suspect one may be present, consider asking these questions;
-what percentage of their time they spend thinking about food, weight and body. (10-15% is reasonable).
-Do they feel guilt or shame when eating? If yes, how severe?
-Do they have a list of safe foods & geared foods? view foods as safe vs triggering
-Do they label goods as safe/forbidden?
-Do they ever experience moments of feeling out of control with food?
Here is an example of how to start a conversation with a client when you suspect an ED:
“You shared a number of things with me such as feeling out of control sometimes with food and feeling shame when eating certain foods. These are common characteristics in people who have an eating disorder. Have you ever thought about whether or not you may have an eating disorder?”
References: Marci Evans, RD
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