What to Expect from Nutrition Therapy
Karin Kratina, PhD, RD, LDN meets with clients privately in a comfortable office in northwest Gainesville, or can meet via Skype or phone. Karin Evans, MA, RD will meet with you via Skype or phone. We work by appointment only.
Both of us are available to discuss your concerns and goals with you, and to answer any questions, even those answered below. Please feel free to call at 352-371-8181 or email at the Get Started page.
+ What is nutrition therapy?
Nutrition therapy is much more than simply educating you about good nutrition and exercise. Nutrition therapy is a collaboration between you and your dietitian to help you to:
- Change relationship with food, so that a supportive eating style becomes second nature to you.
- Re-learn how to use internal signals of hunger, fullness and satisfaction to successfully manage food and weight.
- Challenge beliefs that keep you stuck in old patterns and develop new beliefs that will support healthful eating patterns and weight.
- Develop a lifestyle that includes pleasureable eating and joyful movement that supports health and well being.
- Establish an attitude of acceptance and gratitude regarding your natural body.
Trust in your ability to maintain a healthy weight range and have a peaceful relationship with food, eating and your body.
How is nutrition therapy different from psychotherapy?
Nutrition therapy focuses on food, weight, body image, physical activity and thought patterns that are keeping you from living a healthful, balanced life. It’s about finding alternatives to the diet mindset and behaviors that are non-supportive while developing an awareness of personal needs and learning how to use internal cues to manage your food and weight.
Psychotherapy focuses on the underlying issues fueling the eating problems, dealing with past and present relationships, feelings, trauma history, etc.
+ How do I know if nutrition therapy is right for me?
When eating issues and weight concerns are interfering with a full and functional life, the time is right for nutrition therapy. Changing disordered eating patterns requires a commitment and a willingness to take risks to restore health. A dietitian specializing in eating disorder recovery can assist you in making incremental changes in your eating patterns and be a supportive member of your recovery team.
+ How long will nutrition therapy take?
How much nutrition therapy you need depends on your goals. We have seen clients just one time, only to have them contact us later saying they had met their goals. However, with disordered eating and eating disorders, it can take anywhere from three months to five years, depending on many factors. We can give you an idea of how long it may take after your initial nutrition assessment. The Nutrition Therapist on your team will collaborate with your therapist and other members of your eating disorder treatment team to walk you through unraveling patterns that have taken years to establish.
+ Is it possible to fully recover from an eating disorder?
Yes! We have worked with many clients who months, and years later, write to tell us of their continued success. Karin has decades of recovery(!).
What can I expect at the first appointment? Your first session, which is private, will be scheduled as an initial nutrition assessment and lasts approximately 50 to 60 minutes. In a supportive and nurturing environment, we will explore, as you feel comfortable, your eating habits, weight history, symptoms and concerns, and activity level, as well as your goals. We will then discuss what needs to happen to help you meet your goals and develop a plan to get you started.
Do I need to complete any paperwork before my first appointment?
Yes, the paperwork will take you ~ 20 minutes to complete. You can arrive to your appointment 20 minutes early, or download the forms and bring them completed.
+ How often would I need to meet with you?
Nutrition therapy is highly individualized. After meeting, your dietitian will be able to suggest how much follow-up is needed to make sure you reach your goals. Follow-up sessions are 50 or 25 minutes, again depending on your needs.
+ Do you do phone appointments?
Nutrition therapy by phone is available as needed once we have met in person and established a plan together. Nutrition coaching is also available by phone.
+ What is your cancellation policy?
Our relationship is professional and I request that you value and respect my time just as I will value and respect yours. A cancelled appointment delays our work, and may prevent another client from being seen, so I keep a strict cancellation policy.
Barring weather and emergencies, you are entitled to expect the same from me that I expect from you. If I forget about an appointment or double book an appointment, you can expect to receive financial “credit” for that mistake or last minute inconvenience.
At least one weeks’ notice is requested if you must cancel an appointment.
If you are unable to provide at least 48 hours notice (not including Saturday or Sunday), you will be charged for the time that was reserved for that appointment unless we can reschedule you that same week or I am able to fill it with another client. (I typically need at least 3 to 4 days notice to fill a cancelled session, so the sooner you let me know, the better.)
The only time I waive this fee is in the event of an unexpected serious or contagious illness or serious personal emergency. I am able to provide phone or online sessions if you can’t get to the office or if you have a contagious illness but still want to be seen.
I know it is not always easy to keep track of life and very much appreciate your consideration and willingness to give me early notice if you must cancel.
I also affirm your need to take care of yourself. If you prefer to finish a work project, study or get a massage rather than see me, I encourage you to do so. I do not consider these emergencies and am not able to waive fees for these types of things; however, I will always support you prioritizing self care and choosing what is in your best interest.
+ What is your payment policy?
Payment is due at the time of consult by cash, check or credit card (Visa, MasterCard, Discover, American Express). (We will ask you to complete an electronic payment authorization on the Client Information Form for credit card payment.) If arrangements are made in advance for billing, all amounts not paid within 30 days of the billing date will be assessed monthly late fees. The fee for any returned checks is $20.
+ Do you take insurance?
We do not contract with insurance providers, however many of our clients do get reimbursed. Check with your insurance company to determine if your health insurance covers nutrition counseling or Medical Nutrition Therapy.
We can provide you with a receipt to submit with an insurance claim.
- Will you talk with my other health care providers?
We will talk with other health care providers only if you give us written permission to do so by completing the Informed Consent. We find that treatment is more effective when we are in regular contact with your treatment team.
+ Is this confidential?
All information is kept confidential.
+ Can my partner, parents, friend attend?
Your partner, parents, or friend can attend your nutrition therapy sessions whenever that will benefit your work. Make sure to discuss this with your dietitian before inviting them.
+ Do you sell supplements?
We do not sell nutritional supplements.
+ Do you do lab tests?
As dietitians, we are not able to do lab tests or other medical procedures. If needed, we recommend you receive a thorough physical exam from your primary physician including lab tests, blood pressure, etc. Please bring pertinent results to your session to be reviewed by your dietitian.
(Many of our clients choose not to know their weight for therapeutic reasons. If needed, we do "blind" weights in our office. If you choose not to weigh at your doctor's appointment, your physician can call our office to get your most current weight.)
+ What are my rights/responsibilities?
Nutrition Therapy Associates staff, agents, employees and consultants must protect the client’s individually identifiable health information consistent with the requirements in the Health Insurance Portability and Accountability Act or the federal regulations implementing the Act (collectively referred to as HIPAA).