24/04/2026
Had a supervision session recently with Fiona Sutherland .mindfuldietitian that’s been sitting with me.
I asked what the most common way harm happens in disordered eating care is.
Fully expected something about saying the wrong thing.
She said it’s usually when we say nothing at all.
And yeah… 🤔 that felt a bit uncomfortably accurate.
Because the signs are often there in clinic. Not always a full blown eating disorder, but patterns: restriction, food fear, rigidity, chronic dieting dressed up as “being healthy.”
The client comes in for gut stuff, hormones, fatigue… but their relationship with food is doing a lot behind the scenes.
And there’s that moment where you clock it.
That little hmm… something’s not quite adding up here.
Then the hesitation.
Not wanting to get it wrong.
Definitely not wanting to overstep.
Not wanting to open something you’re not sure you can hold.
So you stay with the safe stuff.
But saying nothing isn’t neutral. It just means the disordered eating stays tucked away in the background.
And I really get that naming it can feel a bit (a lot) awkward. But awkward doesn’t automatically mean harm’s been done.
If you’ve had that moment in clinic, I’ve got a free guide in my bio: 7 red flags 🚩 of disordered eating practitioners often miss.
It’s not a script for these conversations, just a starting point so you’re not second guessing yourself as much.
**kwellness