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Before You Choose a Doctor

By Matthew Tiemeyer, About.com

Updated: September 01, 2007

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Selecting an appropriate primary care physician for eating disorder treatment presents unique challenges. Eating disorders are not as common as many of the conditions doctors see every day, and many primary care physicians feel uncomfortable addressing eating disorder issues. It is important to find someone who is. Equally important is that you feel comfortable with the doctor. Here are some questions you can ask that will help.

Determine the Eating Disorder Doctor's Experience

"How long have you worked with eating disorder clients? How many clients do you see in a typical year?"

Your confidence in the physician will improve if you know she is a veteran of working with your eating disorder. Be specific. If the doctor is evasive, it could be a red flag.

Know the Doctor's Philosophy

"What criteria do you use to decide that someone has recovered?"

This question can reveal something of a doctor's perspective on what he or she believes the real issue is. Look for an openness to recognize problems that are not physical in addition to the problems that are.

Learn the Physician's Stance on Medication

"What medication protocol, if any, do you normally recommend in my situation? Why? What are the possible side effects?"

Knowing what may be ahead can ease the transition into treatment. There are situations in which medication is generally ineffective, so make sure you understand what results the doctor hopes to see from medication.

Consider the Doctor's Willingness to Be a Team Player

"Do you work with nutritionists, counselors, and other professionals? If so, how?"

Many doctors will "share a patient" with professionals from other disciplines. But how do they communicate? For example, has he worked closely with a nutritionist in the past, coordinating treatment as needed? If the doctor does team with others, ask for referrals to clinicians in other disciplines who can help. Physicians often know who is well-qualified to be a part of an eating disorder treatment team.

For the Doctor's Office

"How long does it take to get an appointment with this doctor?"

"If the doctor is not here, who would cover my appointment?"

It doesn't matter how well-qualified your clinician is if you can't see him when the need arises. Physical problems can occur quickly with eating disorders. For example, if a person's weight is hovering at a dangerously low level, a doctor's availability can be critical.

Respect for You

After the visit, ask yourself: "Did the doctor respect my questions? Did she respond to them in terms I understood?" You should have the sense that the physician respects you. If there is any indication that she looks down on you because of your eating disorder, credentials and experience become meaningless. Most who struggle with eating feel enough shame without getting it from those who profess to help.

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