12


Chapter 1


emotional distress. In these cases, the desire for weight loss may be a misplaced attempt to modulate stressful feelings and has been described as an effort to regain a sense of control.11


Because of their effects on neurochemistry, eating


disordered behaviors do, in fact, cause a temporary feel- ing of well-being. They create a positive feedback loop to perpetuate the behavior, even beyond the point where they become harmful or life-threatening.


The Dietitian’s Role


RDNs contribute to many aspects of eating disorder treat- ment at every level of care.29-35


functions an RDN may play in the treatment of eating disorders.


Am I Ready?


Every RDN has something to offer to an individual strug- gling with an eating disorder. The primary requirement is an interest in the field and willingness to learn. However, care of individuals with eating disorders is a specialty area of practice, and to be most effective, requires additional training beyond what is provided in school and internship programs.15, 32-34, 36 Therefore, if you are just starting to practice in this field,


it is essential that you reach out to your supervisor, your treatment team, or a more experienced RDN for guidance. Also, you will want to focus your continuing education efforts on eating disorders and mental health. If you find yourself either doubting your abilities or “taking your work home with you,” know these are common reactions, not signs that you are inadequate. Remember that the eating disorders field is filled with controversies and unanswered questions and that the diseases themselves have no known cure. Reach out for support from other dietitians, mental


Box 1.7 lists some of the


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