Just today I found this response/question from 2013 on my Freedom: Good Foods vs. Bad Foods post, which was ironically posted two years ago today. I know that thanks to TimeHop... Slightly embarrassed for not answering sooner, but here's the question...
"I was looking back on your old posts, because it usually helps when i'm having a rough day in recovery, and this post stood out. I recently met with a dietitian for the first time yesterday and ever since have felt really down. I feel like she overlooked the eating disorder part because when me and my parents left all i had was a list of things to not eat and a "clean" meal plan. Ever since I've felt pressured to live up to that meal plan but it took enough effort to get to a place where food was starting to not seem so black and white (good and bad) and now I feel like i'm back a square one. It sucks because I've been trying so hard to not restrict amounts and types of food like i did before, and i feel like the dietitian is telling me to go back to doing that. I'm so confused, and angry, and unsure of what to do because at this point i feel worse emotionally and somewhat physically, but I'm doing what she suggested. Any advice?"
And here's my rant three years out of treatment...
First of all, this is a really difficult question and I am not a doctor or dietitian, so please take everything I say in this post with a grain of salt. It's all personal experience; which can be a great thing or a horrible thing, based on the individual.
However, when I first started college and while in culinary school, I took two different nutrition classes. I took this course twice. I took this class probably five years apart and at completely different universities. HOWEVER, both classes indicated most dietitians do not have the proper eating disorder education. They are only taught a short excerpt from their text books and then move on to different macro and micro nutrients. Very few dietitians specialize in eating disorders and it's insulting.
I realize this might be controversial, as many dietitians probably feel like they can treat EDs after receiving a simple bachelors degree, but from my experience they tend to teach ED patients more harm than good.
What I'm trying to say is, if dietitians aren't given a proper education in eating disorders, they tend to teach their ED patients BAD vs. GOOD FOODS. They only reinforce the fact that, even though the patient is recovering from an eating disorder, they still need to steer clear of anything fattening, containing too many carbs, or has too much sugar. Whether dietitians want to believe it or not, this only reinforces the eating disorder by continuing those extreme habits.
If an ED patient is told to eat healthy and constantly avoid "bad food," they will continue to do so; along with restrict calories and fight off cake, ice cream, and cheeseburgers, because they were told to do so. RATHER THAN EMBRACING LIFE and the different foods it might bring.
Sure, the treatment center I went to had an extreme approach. We were taught a calorie is a calories is a calorie, and it's proven true ever since. Sure, we ate nothing but frozen meals and junk food, but only did so for a short period of time while gaining weight. However, and most importantly, post-treatment I was able to attend a birthday party and eat cake without feeling guilty. I was able to attend a summer barbecue and enjoy a burger or a hot dog (even though I entered treatment as a vegetarian) without self-destruction. I can have bacon and eggs with my boyfriend for breakfast without throwing it up two minutes later. I don't need to punish myself for eating a cookie each night after dinner.
I CAN LIVE.
There were never any constraints on my diet during treatment, and as a result, I am happier and healthier because of it. Food doesn't scare me, as it would a person who is still taught good vs. bad foods from their dietitian.
I'm so grateful for the Little Debbies and Poptarts I was forced to eat in early recovery.
Even three years later.