Anorexia & Bulimia Counseling

Treatment Guidelines:

  • Review history of eating disorder, patterns and behaviors
  • Analyze labs to assess for food allergies/intolerances, re-feeding syndrome, organ function, and potential imbalances or deficiencies
  • Set weight individualized weight goals
  • Determine individualized nutrient, fiber and fluid recommendations to minimize potential gastro-intestinal discomfort associated with re-feeding process
  • Dietitians may accommodate vegetarianism/veganism if appropriate depending on nutritional deficiencies and history of behaviors
  • Introduce risk or challenge foods at a rate which feels reasonable and realistic for the patient
    • Dietitians may encourage patients to bring in their risk food to try during a meeting or in PHP/IOP if increased support is needed
    • Dietitians may eat the challenge food with their patients during a meeting to provide maximal support
  • Integrate supplements and nutritional support if needed, SECONDARY to food and fluids
    • Recommendations are provided to maximize bioavailability (percentage which can be absorbed by the body)
  • Determine and adjust exercise restrictions or recommendations on an individual basis
  • Monitor weight depending on personal goals and progress

Blind weights determined on a case-by-case basis