FAT LOSS – EATING DISORDERS: DEALING WITH AN EATING DISORDER
If an eating disorder is suspected in a client a counsellor should:
1. CHECK your perception with a colleague. Describe the behaviour that makes you concerned, without identifying the person, as a hypothetical case. Find out if they would have the same concern
2. MAINTAIN rapport and relationship with the client.
3. IDENTIFY likely resources in the community to whom you could refer your client. Talk to the professional concerned, again to check your perception of the problem. Notify him or her that you may be referring someone.
4. CHOOSE a time to talk to the client in which you will not be pressured or disturbed and a place which is free from interruptions and is confidential. Notify the switchboard/receptionist that you won’t be available for a little while.
5. LET your client know of your concern and ask if it is OK to discuss the problem. If your client accepts that it is a legitimate concern and is prepared to talk with you, continue to facilitate his or her exploration. Ask if they would be prepared to see another health professional to ascertain what, if any, is appropriate treatment. Keep the focus on developing a healthy sense of self and body, rather than on morbidity or illness. Give your client the professional’s phone number and leave them with the task of making an appointment.
If the client denies there is a problem, especially if the suspected eating disorder is anorexia, ask if there is anyone else who they can talk to about it. Clearly outline the reasons for your concern (for instance, demonstrate where the client is placed on the healthy weight range) and your own disquiet about the situation. Suggest that maybe you could talk about it after they have had time to consider what you have said. Keep a rapport. Be prepared to be firm as well as gentle. This process may need to be repeated several times.
Gyms, fitness centres and lifestyle programs all need a policy of handling of suspected eating disorders so as to promote healthy, rather than inappropriate eating and exercise routines. This policy needs to include guidelines for referral, limitations on the use of exercise machines, weights etc. and the use of broadly based food choices as opposed to diets.
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