Oh man was I fun for L to deal with on Thursday. I am stubborn, resistant to change, doubtful, and and in denial when it comes to nutrition and my meal plan. I would say that my largest pitfall is believing every word she says is a lie.
I was pretty grumpy going into our session which didn’t help the situation. Most of it was the same things I’ve heard again on repeat for months: you need to eat more of fats/carbs/protein, eat enough if you want to exercise, keep completing your food log, follow your meal plan.
I look in the mirror and judge the excess food I’m consuming. All I can think about is the fat and weight I must be gaining. I voiced my concerns and how I’m convinced my treatment team is trying to make me fat. She attempted to reassure me by sharing I haven’t gained anything since starting out there. I so don’t buy that. It just doesn’t make sense with the amount of food I have been eating, etc.
L fought Ed with logic, which is the only way to actually convince me of anything. When I claimed she was trying to make me fat, her response was pretty shocking: “if my goal was to make all of my clients continue to gain weight forever I would be out of a job.” I haven’t heard that before. Usually it’s questioning why they would want to make me fat, which can be answered and explained in a disordered way. This has proof. She’s right, there is no way anyone would stick with her if they ballooned out forever on their meal plan. This was the one point in our conversation where I was able to combat the ED.
How do you feel about my meal plan? 8 words that I could have refrained from saying. I hate her answer. L doesn’t believe that my meal plan is enough. It’s currently ~2/3 of what I came out of CFD with, exchange wise. Her exact words were “You are on the lowest amount that I am ever okay with.” Obviously, she needs to increase it, probably to what it was before restriction happened. The problem is that I’m not meeting my meal plan as it is. I’m coming off pretty serious restriction for the last few months, but apparently not fast enough. She is not allowing me to do next semester unless I am able to increase my meal plan back to an acceptable amount. To be honest, that really pissed me off. I don’t think she has a right to keep me from my future when my physical health is fine and I’m going in a better direction in general. Deep down I know that this isn’t a normal or healthy amount I’ve been eating. More than anything, I’m terrified I won’t be able to do this.
L has her work cut out for her. I can talk back and give some nasty “Ed” looks while fighting every word she says, which she has already seen many times. The healthy part of me hates that I’m ignoring and defying the help that she is offering. I really do need to work towards building trust with her and my entire treatment team. Until then, we’ll be stuck with the wrath of my ED shining through. Sorry, L.
2 thoughts on “A “fun” dietitian appt”
Oh my word, that freaking defiance! I love my nutritionist and yet, I sit there like a petulant child telling her that I “have to” lose weight in order to be safe and safety is “of prime importance!” Ugh…. I can’t tell you how many times she’s explained why I need carbs, why I need to increase my body fat %, why I need to ____ , and ____, and so forth… just fill in the blanks with a dozen other things and it always falls on deaf ears. But deep inside I secretly want her to take charge. It’s weird, but she can only advise me. I have to do the rest. I totally understand your post!
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That’s so true! The ED makes us so stuck. I really wish I could trust her more, but I just have to try to follow her advice without having that yet
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