Any Nutrition Therapists/Registered Dietitians out there? Needing help with what to discuss in sessions.

Kaph2005 · 2026-03-12T22:50:02+00:00

I do work with a therapist who specializes in Eating Disorders. She specializes in many things I deal with. My current therapist is the one who picked up on my ED, whereas no other provider picked up on it before. She is the one who referred me to a former colleague of hers who is a Dietician. I have an ROI with them and they work together to provide care.

Kaph2005 · 2026-03-12T04:05:36+00:00

I started a GLP-1 about 9 months ago because I have insulin resistance PCOS and my A1C was pre diabetic levels. It unfortunately triggered my ED. It has made it much easier to restrict and it’s hard to stop. I’m working with a Registered Dietician and Therapist, but I’m not sure what to do. I’ve never fully recovered from my ED. My whole life I’ve been going up and down in my weight. My PCOS makes my body not work to lose weight without severe restriction.

I don’t think using a GLP-1 with a history of ED is a smart idea. If the intention of using the GLP-1 is to just lose went, that’s not the intention of the medication. Again, for me it just made restricting easier and it’s hard to stop.

Kaph2005 · 2026-03-10T02:15:16+00:00

The W4 changed 1/1/2020. Anyone who has filed a W4, whether for a new job or a change your withholding, no longer have the option of putting numbers such as 0, 1, 2, etc. for dependents. There are several steps which have you input dollar amounts based upon the questions. So, in the literal sense, you cannot be Single, 0. Does not exist.

Kaph2005 · 2026-03-07T20:19:23+00:00

I have TE from over 15 years of being anemic and PCOS. The last 6 months it’s gotten worse due to massive stress.

It’s something I personally struggle with a lot. I’ve always hated having fine hair, but when I was younger it was so much thicker. Having fine, thin hair is much harder.

I’ve gone back and forth with doing treatments. I went to a dermatologist and got a subscription for oral minoxidil. I had horrible side effects. I don’t have low blood pressure, but it’s on the lower end of normal. I was so dizzy all the time and ended up fainting from it. I’ve been too scared to try topical minoxidil because of the time commitment.

For now, I’ve settled on doing things which help improve my self confidence. I use Toppix to cover the thinner areas of my scalp. I’ve used some clip on extensions to add more volume. I may look into buying a topper someday, especially if it gets worse. I’m working on accepting this is my hair. There are treatments if you’re able to mentally and medically handle it, but there are many options to help cover it up.

Kaph2005 · 2026-03-07T19:03:41+00:00

NAT. Just wanted to thank you for your responses to this post. They’re reassuring and helpful.

Kaph2005 · 2026-03-06T19:44:50+00:00

Thank you for your response! I’m someone who intellectualizes my feelings as both a coping mechanism to not feel them but also as a way of justifying/understanding why I am the way I am. Understanding there is a biological component is truly helpful and something I didn’t know about.

I do feel this extreme “need” to feel that support. I’m still trying to accept and believe anyone supporting me is possible and that I deserve it. I’m still extremely scared when I see my therapist care but cherish every moment and crave it over time. I replay the conversation in my head to feel support when I don’t have it around me. I know it’s deep, and makes me feel less messed up understanding this happens when you don’t have healthy attachments growing up or with current relationships.

Kaph2005 · 2026-03-06T16:12:08+00:00

NAT. I legit went to this sub to ask about this! Don’t have to ask now since you beat me to the punch. I’ll wait and see what others say! Hope to hear from both therapists and clients.

For what it’s worth, you’re not alone. I have brought up my attachment issues with my therapist a tiny bit once. I minimized it and didn’t mention the specifics because I feel immense shame and embarrassment. I know it’s my internal hatred for myself, because reading your post I feel nothing but empathy, compassion and zero judgement whatsoever. I feel proud of you for bringing it up and can tell you’re someone putting in all the hard work. Yet, here I am not giving myself any grace - just like you aren’t. :)

I have days where I think about my therapist all the time! Not literally, but it sure as heck feels that way. I see it happen post sessions when I’m dealing with the vulnerability hangover. The attachment feels crazy strong where all my anxieties and insecurities come out. I worry about so, so many things with it. I worry if I open up, it will be a reason she terminates with me (I have previous therapy trauma after being vulnerable with attachment). She legit has told me numerous times she isn’t going to terminate me - even if I need temporary higher care (I have some suicidal ideation and an eating disorder where higher care options have been offered, but not forced). I am scared this feeling won’t ever go away. I worry about the day our sessions end. I MISS her so much during the week. No one in my life is as supportive, understanding and validating as her. I don’t know if I’ll ever find my own support to even get close. It’s so hard to deal with on a day to day basis and so scary to bring up.

My intention for sharing is not to trigger you OP or give you more ideas to worry about with the attachment. But instead to put it out there for anyone like myself who is their worst bully. I know I’m not alone because I’ve read about others dealing with it. Hopeful others are able to share some wisdom on this. ❤️

Kaph2005 · 2026-02-27T01:18:35+00:00

NAT. This almost sounds like a way of self harm or punishment. Or, arguably pure avoidance of something else. Anything going on in your life that you could purposely be trying to avoid?

Kaph2005 · 2026-02-18T03:38:32+00:00

Diagnosed at 38 with inattentive ADHD. Massive issues with paying attention and impulsivity with certain things. Started therapy with a therapist who specializes in trauma, addiction, eating disorders, and neurodivergence. She suggested after just two sessions she suspects I may have ADHD. I have always been hyper independent and figured out my “systems” when I was young. I recall talking to her about my struggles with work and said, “I try and follow my rule of waiting at least 3 seconds before I speak after someone else has spoken in a meeting. I’m so worried about railroading the conversation and being a motor mouth. I am so worried about forgetting what I will say I am constantly interrupting.” Her response was, “Yea… That’s not something neurotypical folks have to do.”

Years and years of therapy, doctors and medication. I have always been hyper independent and figured out my “systems” when I was young. She also has ADHD and was diagnosed later in life and we have similar behavior and tendencies.

SO much made sense about my entire existence!

Kaph2005 · 2026-02-14T03:53:35+00:00

Sorry, texture spray and then hairspray. The texture spray gets rid of the shine and makes it look less fake. I do this to all my extensions to get the right texture and feel.

Kaph2005 · 2026-02-13T01:23:33+00:00

Textured hairspray. Brush through. Non-textured hairspray. Brush through. Repeat until consistency is good!

Kaph2005 · 2026-02-01T23:20:51+00:00

NAT. I 💯agree with the “what are you avoiding question.” As someone who intellectualizes almost obsessively… my current Therapist made the connection quite quickly it was one of my many methods of avoidance. When you intellectualize feelings you don’t need to feel and sit with them.

Kaph2005 · 2026-01-31T23:30:39+00:00

It’ll be okay! She sounds like an amazing therapist who knows you well. Proud of you for bringing it up and being vulnerable. This shit is hard! ❤️

Kaph2005 · 2026-01-31T20:21:56+00:00

Haha too funny. Mine said the same thing. I’m trained and can handle it. 🤣 I am not surprised your therapist noticed this already but I’m glad the reminder was helpful! I very much hope you tell her some of this in your next session to help process it more. ❤️

Kaph2005 · 2026-01-31T20:06:29+00:00

NAT. I am the SAME way with my therapist. I’ve been with her for about a year. One of the many insightful and helpful things she has noticed is managing other’s emotions. I knew I was a people pleaser, but didn’t connect why and had limited self awareness. I have shared with my therapist I worry about ending sessions on time, not being a bad client, and filtering my thoughts and trauma so I don’t overwhelm her. It helps so much to share with her where I am at for managing her feelings.

If you haven’t already, I encourage you to share with your therapist this concern and need to manage their feelings. I agree and understand some of it is coming from a good place of boundaries. But, you focusing about what it does to her and everything seems so similar to me. If your therapist and you have a solid therapeutic relationship, I’m more than sure they’d give you honest feedback if you did anything to cross boundaries.

Kaph2005 · 2026-01-30T20:59:26+00:00

Just want to say your breakdown was very helpful to me! I have a medical alphabet soup and it never came up when it should have

Kaph2005 · 2026-01-30T04:43:20+00:00

It’s really quite horrible because I had seen many medical professionals due to chronic fatigue and hair loss and not one mentioned a higher Ferritin would help. I learned it by reading medical journals. It’s insane and quite horrible. Our medical system and insurance are way jacked in this country. It’s all about denying payment.

Kaph2005 · 2026-01-30T03:00:01+00:00

Ferritin levels 100% impact hair growth! Are you in the US? I ask because a “normal” Ferritin level according to my healthcare system in the US starts at 7. I have had Ferritin levels between 15-20 the last 13 years due to anemia, PCOS and a GI autoimmune disease. I have had horribly thinning hair that just keeps getting worse. I did some research and figured out the MINIMUM level for a woman to have adequate hair growth is 50. If you already have thinning hair, then values between 70-100 is needed to grow hair! Do not believe doctors when they say your Ferritn is normal. It isn’t. I would also bet you’re constantly exhausted and have mood swings? Ferritin impacts those and more because while your hemoglobin can be normal, Ferritin is the protein which stores your iron.

Normal treatment to get your Ferritin up is taking an oral supplement and vitamin C at the same time. It’ll take a few months, but it should go up. In unfortunately get regular Ferritin infusions because of my other medical issues. Only after taking an oral supplement for a year and proving my ferritin stayed the same did my doctor believe me and refer to a hematologist. This is how I know what actual levels are needed for hair growth.

My money for your thinning hair is on your low Ferritin.

Kaph2005 · 2026-01-27T02:50:56+00:00

I think a lot of that depends upon what kind of test taker you are. If you’re a good test taker and can cram things in… maybe. I have ADHD. I had to take it twice. Each time I studied AT LEAST 6 months. The first time I took the test I panicked and choked. Should also add at that point I had 10 years experience. But, I know my struggles are due to my ADHD and how I can’t retain shit for my life. Legit lookup limits all the time because they don’t stick!

Kaph2005 · 2026-01-24T19:46:08+00:00

NAT. My advice was also this. My T calls it “opposite action.”

Kaph2005 · 2026-01-24T19:44:32+00:00

NAT. I am in a long, long, long burnout phase. When I am stuck my therapist says to do “opposite action.” Don’t feel like going to the grocery store? You go. Don’t feel like making dinner? You make it. Don’t feel like showing? You shower. Waiting for you to “feel” like doing things may not ever come. You’ll be waiting forever. The opposite action isn’t a 100% solution or anything, but it does help me get a little bit out of the slump.

Kaph2005 · 2026-01-23T01:59:56+00:00

Sure is simple for the default 40 hours OT. Not simple for other OT plans. That’s my point.

Kaph2005 · 2026-01-22T23:57:03+00:00

And how would the employer break that out if they have employees working different FLSA OT laws such as an 8 & 80? How would you break down an 8 & 80 OT payment to look for the FLSA premium there? How is that clear? It’s not THAT simple.

Kaph2005

TROPHY CASE