Appendix B Guide to Restrictive Eating Styles


As with any patient population, patients with eating dis- orders may adhere to a restricted eating style, such as vegetarian, halal, or gluten free. Rationale for these eating restrictions varies and may include desired weight loss, reli- gious tradition, medical necessity, family practices, disease prevention, personal moral and ethical beliefs, environ- mental concerns, and personal choice. There may also be more socially acceptable terminology for the eating disor- der. It may take time to pick apart the distinction. Depending on how and why each patient applies restric- tions, you may determine that


the restrictions are not


nutritionally adequate or appropriate to promote recov- ery. Each facility should have a standard policy in place for handling patient food preferences at admission. If a facility does not allow vegetarian eating, for example, or does not have a kosher kitchen, this should be clearly stated so that patient and family can make an informed choice of whether their needs can be met. Table B.1 provides the standard guidelines for a variety


of restrictive eating styles. In some cases, a patient may not actually or strictly follow the restrictive eating style he or she subscribes to. It is, therefore, important to investigate each patient’s actual food preferences so that the meal plan is not unnecessarily restricted. In addition, a patient may be willing to relax his or her eating standards temporarily if this will improve the patient’s chances or rate of recovery. Personal preferences should always be treated with


respect; however, if it is in the patient’s best interest to include some formerly excluded foods, this topic can be


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