Janie
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Good answer. Before you begin working again with someone you have referred for disordered eating and eating disorders, you want to check with the professional to learn whether it is appropriate for you to begin working with that person again. To meet client privacy regulations, you may need to have your client sign a release allowing you to share information with other professionals about them, and likewise, they will likely need to do the same in order to share information with you.
Your club manager has been in close contact with you and is learning a lot about how you are making decisions regarding clients who have eating issues that are beyond your scope of practice. He's impressed, but he's also is thinking beyond to how he can grow the business with a focus on helping people with eating disorders.
This answer isn't correct. You're assuming Janie is finished with her treatment just because she told you she is. Denial of the problem is not uncommon among people who have eating disorders. Additionally, you're responding from a weight-centered paradigm because you agree to help Janie lose 5 pounds to get "healthier." And last, if Janie just got out of being treated for an eating disorder, to embark on losing 5 pounds indicates a serious problem still exists.
You may want to look at the second half of chapter 5 in the student text. Start on page 67 with the section titled What To Do and review to the end of the chapter.
This answer isn't correct. You can create more problems for Janie, or anyone who has an eating disorder, with such remarks. While they may seem supportive, innocent, or appropriate to you, they can be easily misinterpreted by someone with an eating disorder. For example, what does "looking healthier" mean? Many people interpret it as a comment about weight. It is best not to talk about the way a person looks. Rather make a comment such as, "You seem happy about the progress you made with the dietitian, let me talk to her before we start on any kind of new program."
You may want to look at the second half of chapter 5 in the student text. Start on page 67 with the section titled What To Do and review to the end of the chapter.

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