27/08/2021
I adore my colleagues & friends in mental health. I know it often comes as a surprise when I tell you that for years now in the eating disorders space, Dietitians have been sidelined, notably in "evidence-based treatment (EBT) models" in favour of single-therapist models that has led us to feel obsolete, unwelcome & an "optional add-on." Those of you who value our input and work in true multi-disciplinary care team (MDT) style are shocked at how this has come to be. And that is a long story to investigate another time.....
So my question is - if you are not including a Dietitian, particularly an ED-specific specialist Dietitian - in your care team where a bulk of the behaviours show up in the form of food and eating, then why is this? What is it that you understand that we do, and don't do? I want to be clear that I'm less interested in discussing EBT model outcomes (which are not awesome) than I am about discussing the impact on Dietitians, GP's and other very valuable members of the MDT when we are sidelined from care, or when Dietitians are brought on board only in *particular* circumstances. We have a huge set of valuable skills to offer the team, including a core skill set in food and eating-related behaviour change, & for more seasoned practitioners, a TON more.
What I'm asking:
💥Please advocate for us with your colleagues, especially in EBT models. Why we are sidelined leaves me totally confused, & honestly, as a collective, it's really hurtful. We deserve better.
💥 Please include us in your communications
💥 Get to know the Dietitians you are working with, ask lots of questions!
💥 ED Dietitians are - usually - very psychologically oriented and VERY keen to learn. Including us in conversations and treatment planning is a valuable way we can divide up the tasks. You don't have to do it all!
Yes, we have been feeling like this for a while but here's the funny thing about being excluded, it's harder to use your voice.