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Eating Disorder
Eating Disorder

Eating Disorder Nutritionist: How to Find an Expert

Sarah Hormachea, MS, RD, CDCES, BC-ADM
Author: 
Medical Reviewer: 
Sarah Hormachea, MS, RD, CDCES, BC-ADM
|
Author: 
Jennifer Huddy, MS, RD, LD
Published:
July 11, 2023
Updated on
#
min read
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Table of Contents

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Eating Disorder

Key Takeaways

  • Eating disorder dietitians are qualified nutrition professionals who can treat eating disorders and disordered eating behaviors. 
  • They can help you during all stages of treatment by creating meal plans, monitoring your nutrition status, and helping you heal your relationship with food. 
  • Insurance coverage and fees for eating disorder dietitian services can vary based on their certifications, location, and experience. 

If you have an eating disorder diagnosis or are concerned about disordered eating habits, you may choose to work with a registered dietitian who specializes in treating eating disorders.

These providers have special training and certifications to help you in your eating disorder recovery. They will work with you before, during, and after treatment to improve your relationship with food and teach you normal eating habits. 

Though including a registered dietitian on your treatment team can improve outcomes, many people lack insurance coverage for this service or need help finding a qualified provider. 

To simplify this process, Nourish will match you with an online dietitian specializing in eating disorders. We’ll work with you to maximize your insurance coverage and avoid large out-of-pocket fees. 

Continue reading for more information on eating disorder dietitians and how to find a qualified provider. 

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What is an Eating Disorder Nutritionist?

An eating disorder nutritionist is a nutrition expert, typically a registered dietitian, who helps treat eating disorders. They can work as part of an interdisciplinary team at an eating disorder treatment center, in a hospital, or as an outpatient provider. 

Eating disorder dietitians must undergo extra training and education to specialize in this field.

They typically use a non-diet approach, meaning they won’t recommend restrictive eating plans or label foods as “good or bad.” 

They often teach principles of intuitive eating, which involve listening to your body’s hunger and fullness cues to guide your eating rather than external cues like calories or portion sizes. Many of these providers also align with the Health at Every Size, a philosophy focused on helping people of all sizes build healthy habits without focusing on weight. 

What Can an Eating Disorder Nutritionist Do?

Eating disorder dietitians are typically involved in every step of eating disorder treatment—from inpatient to outpatient, and are essential members of the care team. 

In higher levels of care, dietitians coordinate with other healthcare providers to help you reach a healthy weight and screen for nutrient deficiencies, malnutrition, and refeeding syndrome. 

In the outpatient setting, an eating disorder dietitian will create a personalized meal plan for you based on your food preferences and medical needs. They will help you understand disordered eating habits and teach you strategies to minimize these. 

Eating disorder dietitians can also help people who don’t have an eating disorder diagnosis but who struggle with disordered eating concerns, like orthorexia, emotional eating, and preoccupation with food. 

Your dietitian will focus on teaching you how to change your eating behaviors and can also help you improve your relationship with food and your body image. 

Benefits of Working with an Eating Disorder Nutritionist

It’s essential to seek treatment if you have an eating disorder, and a registered dietitian can be an invaluable part of your care team. An untreated eating disorder can result in serious health complications, which can be prevented with early intervention. 

Most eating disorder treatment programs offer dietitian services as part of the care protocol. Studies show that when a dietitian is included in the treatment team, patients experience better eating disorder treatment outcomes, like improved weight and food intake. 

It can also be beneficial to work with a dietitian after completing treatment. Eating disorders have a high relapse rate, and ongoing support has been shown to help patients maintain the progress they made during treatment. 

If you don’t have an eating disorder but feel concerned you may be at risk for one, a registered dietitian can screen for disordered eating habits and help improve your relationship with food. 

Qualifications of an Eating Disorder Nutritionist

A significant amount of education and training is required to be an eating disorder dietitian. It’s important to always check the credentials of your nutrition professional before starting treatment.

First, eating disorder dietitians must obtain the registered dietitian credential, which involves earning a degree in nutrition, completing over 1000 practice hours, and passing a national exam. To maintain this credential, dietitians must participate in ongoing continuing education. 

A dietitian can then seek employment at eating disorder treatment facilities where they receive the essential training and experience to help people with these conditions. 

There is an advanced practice certification dietitians can pursue to become a Certified Eating Disorder Registered Dietitian (CEDRD), which involves 2500 supervised patient care hours in eating disorder treatment, 18 hours of continuing education, a course, and a certification exam.

Some eating disorder dietitians are also Certified Intuitive Eating Counselors, meaning they’ve taken an in-depth course, passed an exam, and completed supervised practice hours on teaching intuitive eating principles. 

Finding a Qualified Eating Disorder Nutritionist

It’s important to understand the difference between a dietitian and a nutritionist when searching for a qualified nutrition professional to help treat your eating disorder. The “nutritionist” title is not regulated and does not require any specific education or certifications. Unfortunately, this means anyone can call themselves a nutritionist. 

You can start your search by using your insurance plan’s search tool to find local dietitians covered by your insurance. From there, you may be able to filter by eating disorder specialty or look through the individual profiles to find the right fit. 

Qualified nutrition specialists will have a registered dietitian (RD) or registered dietitian nutritionist (RDN) credential and may also have a CEDRD (Certified Eating Disorder Registered Dietitian) credential. 

Due to confusion over the job titles of nutrition professionals, it can be challenging to find a qualified provider, especially online

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Questions to Ask When Choosing a Provider

After you verify your provider has the appropriate credentials to offer nutrition counseling for eating disorders, ask about the nature of their experience. This can help you determine whether they will be a good fit for you.

  • Do they primarily work with adolescents or adults? 
  • How long have they been working in the eating disorder field? 
  • Do they specialize in a specific eating disorder?
  • Are they comfortable working with medically complex patients?
  • What is their food philosophy?

Before your first appointment, ask the dietitian about their scheduling availability and how often they’d like to see you. Depending on the level of care you need, you may need to be seen more frequently than they can accommodate. 

In addition, it’s important to ask about the cost of treatment and insurance coverage. Some providers may not be in-network or covered by your insurance.  

Costs and Insurance Coverage

Unfortunately, many people in the United States cannot access eating disorder treatment due to high out-of-pocket costs without insurance. Those with insurance may also find difficulty getting treatment depending on the nature of their diagnosis. 

The cost of working with an eating disorder dietitian can vary greatly depending on the level of care, location, and the provider’s certifications. Dietitian services can be billed differently between hospitals, eating disorder treatment centers, and outpatient clinics. 

The average cost for an appointment with an outpatient eating disorder dietitian is $150 without insurance. If you live in a high-cost-of-living area or choose to work with a private practice dietitian, you can expect a greater fee. 

Takeaway

Eating disorder dietitians are essential to the eating disorder treatment team and work with you to reach a healthy weight, normalize your eating habits, and improve your relationship with food and body image. 

When searching for a qualified provider, look for the registered dietitian (RD) or registered dietitian nutritionist (RDN) credential and additional certifications like CEDRD (Certified Eating Disorder Registered Dietitian) or Certified Intuitive Eating Counselor. 

Find a Dietitian Covered by Insurance

You may benefit from working with an outpatient eating disorder dietitian if you have a medically stable eating disorder or if you’re dealing with disordered eating.

They can support your recovery by providing a nutritious eating plan and improving your relationship with food.

Find a dietitian who accepts insurance through Nourish.

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Frequently Asked Questions

What profession helps people with eating disorders?

Eating disorder treatment is typically a multidisciplinary approach that may include a combination of doctors, psychiatrists, therapists, registered dietitians, and social workers. These providers work together as a team to provide well-rounded care, often in a hospital setting or an eating disorder treatment center.

Can a nutritionist help with overeating?

A registered dietitian can help you manage overeating by talking with you about the root cause of the behavior and teaching you how to honor your hunger and fullness signals. Working with a dietitian will be an important part of your treatment if you experience overeating or binge eating related to an eating disorder.

References

View all references
  1. CEDRD Checklist for Traditional Certification. (2015, January). IAEDP Foundation.

‍

  1. Yang, Y., Conti, J., McMaster, C. M., & Hay, P. (2021). Beyond Refeeding: The Effect of Including a Dietitian in Eating Disorder Treatment. A Systematic Review. Nutrients, 13(12). 

‍

  1. Ozier, A. D., Henry, B. W., & American Dietetic Association. (2011). Position of the American Dietetic Association: nutrition intervention in the treatment of eating disorders. Journal of the American Dietetic Association, 111(8), 1236–1241.

‍

  1. 10 Principles of. (2017, March 7). Intuitive Eating; The Original Intuitive Eating Pros. 

‍

  1. The Health at Every Size® (HAES®) Principles. (2020, August 29). ASDAH. 

‍

  1. Heafala, A., Ball, L., Rayner, J., & Mitchell, L. J. (2021). What role do dietitians have in providing nutrition care for eating disorder treatment? An integrative review. Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 34(4), 724–735. 

‍

  1. Steinglass, J. E., Attia, E., Glasofer, D. R., Wang, Y., Ruggiero, J., Walsh, B. T., & Thomas, J. G. (2022). Optimizing relapse prevention and changing habits (REACH+) in anorexia nervosa. The International journal of eating disorders, 55(6), 851. 

‍

  1. Become a Registered Dietitian Nutritionist. (n.d.). Academy of Nutrition and Dietetics.

‍

  1. How to Become a Certified Intuitive Eating Counselor or Lay Facilitator. (2017, March 7). The Original Intuitive Eating Pros. 

‍

  1. Distinguishing the Difference Between a Dietitian vs Nutritionist. (n.d.). Nutrition Ed.

‍

  1. Kazdin, A. E., Fitzsimmons-Craft, E. E., & Wilfley, D. E. (2017). Addressing critical gaps in the treatment of eating disorders. The International Journal of Eating Disorders, 50(3), 170–189.

‍

  1. How Much Does a Nutritionist Cost in 2023 without Insurance?? (2022, December 19). Mira. 

‍

  1. Tremelling, K., Sandon, L., Vega, G. L., & McAdams, C. J. (2017). Orthorexia Nervosa and Eating Disorder Symptoms in Registered Dietitian Nutritionists in the United States. Journal of the Academy of Nutrition and Dietetics, 117(10), 1612–1617.
Nourish has strict sourcing policies and prioritizes primary sources, including medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about our medical review process and editorial guidelines.

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33.448376, -112.074036
Bakersfield
, 
CA
California
35.3738712, -119.0194639
Garden Grove
, 
CA
California
33.774269, -117.937996
Anchorage
, 
AK
Alaska
61.2163129, -149.894852
Indianapolis
, 
IN
Indiana
39.768402, -86.158066
Nashville
, 
TN
Tennessee
36.162663, -86.781601
Tempe
, 
AZ
Arizona
33.425522, -111.941254
Mobile
, 
AL
Alabama
30.695366, -88.039894
New Orleans
, 
LA
Louisiana
29.951065, -90.071533
Knoxville
, 
TN
Tennessee
35.960636, -83.920738
Grand Rapids
, 
MI
Michigan
42.963360, -85.668083
Fontana
, 
CA
California
34.102890, -117.435760
Elk Grove
, 
CA
California
38.418129, -121.393257
Miami
, 
FL
Florida
25.7825389, -80.3118603
Grand Prairie
, 
TX
Texas
32.745499, -97.003532
Fort Collins
, 
CO
Colorado
40.588970, -105.082458
Killeen
, 
TX
Texas
31.117119, -97.727798
Modesto
, 
CA
California
37.639095, -120.996880
Oklahoma City
, 
OK
Oklahoma
35.468491, -97.521263
Santa Ana
, 
CA
California
33.745571, -117.867836
Ontario
, 
CA
California
34.063343, -117.650887
Brownsville
, 
TX
Texas
25.9015688, -97.4984005
Montgomery
, 
AL
Alabama
32.379223, -86.307739
Hialeah
, 
FL
Florida
25.857595, -80.278107
Springfield
, 
MA
Massachusetts
42.102051, -72.585762
Toledo
, 
OH
Ohio
41.652805, -83.537865
Pembroke Pines
, 
FL
Florida
26.007765, -80.296257
Overland Park
, 
KS
Kansas
38.974819, -94.683601
Little Rock
, 
AR
Arkansas
34.746483, -92.289597
Glendale
, 
CA
California
34.142509, -118.255074
Roseville
, 
CA
California
38.752125, -121.288010
Rancho Cucamonga
, 
CA
California
,
Wichita
, 
KS
Kansas
37.687176, -97.330055
Huntington Beach
, 
CA
California
33.659485, -117.998802
Augusta
, 
GA
Georgia
33.4709714, -81.9748429
Worcester
, 
MA
Massachusetts
42.271389, -71.798889
Virginia Beach
, 
VA
Virginia
36.852924, -75.977982
Oceanside
, 
CA
California
33.1958696, -117.3794834
Santa Clarita
, 
CA
California
34.456043, -118.571335
Philadelphia
, 
PA
Pennsylvania
39.952583, -75.165222
Corpus Christi
, 
TX
Texas
27.800583, -97.396378
Portland
, 
OR
Oregon
45.512230, -122.658722
Denver
, 
CO
Colorado
39.739235, -104.990250
Boston
, 
MA
Massachusetts
42.3554334, -71.060511
Atlanta
, 
GA
Georgia
33.7489924, -84.3902644
Chicago
, 
IL
Illinois
41.8755616, -87.6244212
Orlando
, 
FL
Florida
28.538336, -81.379234
Jacksonville
, 
FL
Florida
30.332184, -81.655647
Tampa
, 
FL
Florida
27.950575, -82.457176
Long Island
, 
NY
New York
40.757801, -73.940033
Queens
, 
NY
New York
40.728226, -73.794853
Bronx
, 
NY
New York
40.8466508, -73.8785937
Staten Island
, 
NY
New York
40.643501, -74.076202
Brooklyn
, 
NY
New York
40.6526006, -73.9497211
New York
, 
NY
New York
40.712776, -74.005974
San Jose
, 
CA
California
37.342205, -121.851990
San Francisco
, 
CA
California
37.774929, -122.419418
San Diego
, 
CA
California
32.834686, -117.130775
Los Angeles
, 
CA
California
34.052235, -118.243683
El Paso
, 
TX
Texas
31.761877, -106.485023
San Antonio
, 
TX
Texas
29.387428, -98.496574
Dallas
, 
TX
Texas
32.776665, -96.796989
Fort Worth
, 
TX
Texas
32.755489, -97.330765
Houston
, 
TX
Texas
29.760427, -95.369804
Austin
, 
TX
Texas
30.2711286, -97.7436995
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