How to Tell If You Have a Good Dietitian (Especially in Eating Disorder Recovery)

1. They build safety and trust before talking about food

A good dietitian meets you where you are. They ask about your history, preferences, fears, and goals before offering advice. You should never feel rushed, judged, or forced to talk about food or weight before you're ready.

You feel emotionally safe in sessions—even when talking about hard things.

2. They are eating disorder-informed and aligned with your care team

A qualified dietitian will:

  • Have experience or specialty training in eating disorders

  • Collaborate with your doctor, therapist, and family if appropriate

  • Understand the difference between disordered eating and intentional dieting

  • Know how to support nutritional rehabilitation safely (e.g., refeeding, GI distress)

They treat the whole person—not just the meal plan.

3. They don’t focus on weight as a measure of health

A good dietitian uses a weight-inclusive or Health at Every Size® (HAES®) approach. They won’t judge your body or try to make you shrink it. Instead, they focus on:

  • Energy levels

  • Labs and vitals

  • Growth (for kids and teens)

  • Your relationship with food

They support health, not dieting.

4. They individualize your care

No two people have the same recovery journey. A good dietitian will tailor their approach based on:

  • Your age and developmental needs

  • Cultural and family context

  • Medical conditions or sensory needs

  • Where you are in your recovery

They don’t believe in one-size-fits-all nutrition.

5. They help you expand—not restrict—your relationship with food

Rather than focusing on "good" and "bad" foods, a skilled dietitian helps:

  • Normalize all foods

  • Reduce fear around eating

  • Rebuild hunger and fullness cues

  • Address binge-restrict cycles without shame

You leave sessions feeling more supported and less afraid of food.

6. They welcome questions and invite collaboration

A good dietitian:

  • Explains why they're recommending something

  • Encourages you to speak up if something doesn’t feel right

  • Respects your boundaries and autonomy

It’s a partnership, not a power struggle.

Red Flags to Watch Out For

If your dietitian:

  • Encourages weight loss during eating disorder recovery

  • Prescribes restrictive diets without medical necessity

  • Shames you for your food choices or body

  • Doesn’t collaborate with your care team

  • Pushes “clean eating” or detox programs

…it may be time to seek a second opinion.

Final Thought

A good dietitian helps you nourish your body without punishing it. They hold space for the emotional side of eating while guiding you toward food freedom—at a pace that feels manageable. Whether you're early in recovery or further along, the right dietitian is someone who sees you as more than what you eat.

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How to Increase Calories in Your Underweight Child’s Diet: A Gentle, Nutrient-Dense Approach

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Understanding Superior Mesenteric Artery (SMA) Syndrome in the Context of Eating Disorders: What Parents Need to Know