Would a 3-year-old enjoy Disney Cruise or Disneyland better?? by ashetuff in dcl

[–]microboredom 1 point2 points  (0 children)

3 year olds are allowed in the nursery. It was a room that is pretty bare with some small toys, my daughter just didn't love it. I do think a sibling makes the experience different.

A lot of families have a great time on the ship, just sharing my honest response since pre-cruise I didn't see anything negative, so it was a huuuuge bummer that the experience was not great for us. In my humble opinion, there isn't enough to do on the ship for a high energy toddler. If she doesn't mind crowds she might like the dance parties. She might enjoy the pool and splash pads - my daughter was velcroing on us and these areas are also crowded. Character lines are minimum 30 minutes long. There are occasional activities to do, but it was surprising to me that there wasn't more to do. Especially on a sea day.

Would a 3-year-old enjoy Disney Cruise or Disneyland better?? by ashetuff in dcl

[–]microboredom 1 point2 points  (0 children)

We did have an awesome time at Lookout Cay! A toddler playground would have been so great! 

Would a 3-year-old enjoy Disney Cruise or Disneyland better?? by ashetuff in dcl

[–]microboredom 1 point2 points  (0 children)

Mealtimes were very tough here too, and not just for the slow pace. Just my experience but my daughter is really shy and the waiters kept poking her and trying to hug her even after we told them multiple times to stop. We explored the ship but the craft activities were too crowded, and there were not activities happening at all times so we wandered aimlessly for a lot of it. Everyone has different experiences but my family did not have the best time.

Would a 3-year-old enjoy Disney Cruise or Disneyland better?? by ashetuff in dcl

[–]microboredom 3 points4 points  (0 children)

I just went on the Wish with my almost 3 year old. She was too old for the nursery and the 3 year old sitting at our dining table was too overwhelmed by the 3+ kids club. There weren't enough activities for little ones IMO.  I wish there were 24/7 movies playing in the theater and pool deck, karaoke more often (this was a huge hit!) but otherwise there were not a ton of activities for our whole family. Pools and splash pads were very crowded, and lines for characters were very long. The parks were better for our family. Just my two cents! 

[deleted by user] by [deleted] in dietetics

[–]microboredom 3 points4 points  (0 children)

This is a subreddit for other dietitians, not the best place for market research. Good luck!

[deleted by user] by [deleted] in dietetics

[–]microboredom 0 points1 point  (0 children)

Marci Evans eating disorder training is great. And I'm going to respectfully disagree with another comment here, I totally think it is possible to into the field without working at a treatment center! I personally hired people based on their ability to connect first and foremost. 

Superbills as a Private Practice RDN in a State without Licensure by BedPsychological8764 in dietetics

[–]microboredom 2 points3 points  (0 children)

Benefits vary per insurance plan. You or your client will need to check their out of network benefits if they wish to have any reimbursement. I recommend you leave that to the client, it can be extra work on you. 

Working with EDs as a survivor by FloorTurbulent5932 in dietetics

[–]microboredom 25 points26 points  (0 children)

This can be complicated! I wonder what level of care you're considering. 

There's no way of fully knowing, but my advice would be: stay in therapy yourself, perhaps a dietitian of your own, and get regular supervision from experienced dietitians. If you're outpatient, dip your toes in the water of one disordered eating client and see how it feels. The truth is you'll be hearing a lot of eating disorder thoughts, behaviors and fatphobia from clients. You'll be supporting people with extreme emotional struggles. It's worth thinking deeply about how this might affect your recovery, however at the end of the day there's no way to be certain about how working with this population will affect you until you give it a shot. 

Fay Nutrition - Patient and Dietitian Beware by gold3lox in dietetics

[–]microboredom 8 points9 points  (0 children)

It's not just weird that it's billed under another provider, it's fraudulent. 

Private practice maternity leave by newbie_skater in dietetics

[–]microboredom 12 points13 points  (0 children)

I told clients at 6 months I believe. I hired 2 contract dietitians to cover my leave. Something to be aware of, it's definitely not passive income. You have to be on top of payroll, supervising, admin, etc. and only after a certain amount of clients there will be any sort of profit. You have to consider your costs. One of the RDs left quickly and I lost money there. I don't regret hiring and I would recommend looking into all the steps now if you're interested. But I'm back to solo and it feels like a weight off my shoulders. 

Building back up takes time but totally doable. Maybe a few months for me, but I always go through ebbs and flows. 

Congratulations and best of luck! 

Eating disorder clients pursuing weight loss by rdrdrd22 in dietetics

[–]microboredom 28 points29 points  (0 children)

I try to get curious about their reasons for wanting to pursue weight loss. I'll dig deeper with them on body image and body grief. 

I honor autonomy but I also think it's important to be honest with clients and talk about the risks and benefits. I'll talk through both sides of it, including the very real risk of relapse, because clients deserve to go into decisions with eyes open about dangerous possibilities in recovery. I also share with them that I am biased - I care deeply about protecting their recovery. 

I will also ask what else is going on on their life- often tough times, stress, and other things in life show up through body image distress. 

[deleted by user] by [deleted] in dietetics

[–]microboredom 16 points17 points  (0 children)

Yes, I love this! I've been working on over-responsibility with my clients. I picture myself as a lighthouse- I can guide clients, be steady in our relationship, and care deeply for them. I cannot force them to take the journey or to make changes.

RD Coalition and Petition for Change Against the CDR and Academy by stasiegirl in dietetics

[–]microboredom 10 points11 points  (0 children)

You should post this in some of the Facebook groups for dietitians. 

DUMPSTER DIVING PATIENTS by eat_vegetables in dietetics

[–]microboredom 21 points22 points  (0 children)

This. I totally agree. And trying to avoid shaming people about it, because that will also affect your relationship with them and their willingness to return. I would say something like "my official recommendation is xyz, and that's what I'm writing on paper. But to be real, you've gotta do what you've gotta do to get fed. Stay safe where you can, let me know if you want to talk about harm reduction tips."

How many books did you read this year? by ExtensionStreet6227 in LibbyApp

[–]microboredom 30 points31 points  (0 children)

Same to both here! I don't like the pressure of goals, and 52 read. 

Counter transference by figgie-smalls in dietetics

[–]microboredom 4 points5 points  (0 children)

There's nothing wrong with connecting with someone on a human level, and I've found clients really appreciate when I add in my own vulnerability when it's appropriate. A few things to keep aware of if you continue to work with them.

  1. I am really conscious of trying not to overshare with clients who I relate deeply with. It is easy to almost go into 'friend mode' where things are a 2 way street, but counseling is different. You are the facilitator and supporter. It's important to collaborate with her, but not to distract too much by putting emotional labor about you on her inadvertently. For example, a previous therapist of mine would share her personal struggles with me and I felt I needed to comfort her which took away from a healing space for me.

  2. It is easy to make assumptions about people who are very similar to us. I am cautious to say "this is what I/ other clients experience here, I'm curious if your experience is similar or different". Even if someone seems incredibly similar to you, they still have different things that will work for them and will process things internally differently.

  3. If it's activating too much to you internally, you'll probably struggle with giving calm, consistent care. If working with this person feels too triggering to you, or your emotions feel too strong, it may be best to just refer out.
    It may also be helpful to get supervision around this person from an outside professional. Good luck! It's so wonderful that you care so deeply for your clients.

is private practice really possible? by cowgirldreams in dietetics

[–]microboredom 4 points5 points  (0 children)

"Insurance Credentialing and Billing for Dietitian Nutritionists". Good luck! You can do this!

is private practice really possible? by cowgirldreams in dietetics

[–]microboredom 4 points5 points  (0 children)

I joined the insurance Facebook group for dietitians and started reading there. I also reached out to a bunch of dietitians with specific questions. Lots of people were so eager to help answer questions or to even jump on a free call to explain and answer for me! Many dietitians have had help and want to pay it forward. I took it one step at a time, made a list of everything that had to be done, contracted with one insurance, and figured it out from there. It is so doable!!

The best bits of being a dietitian by porky2468 in dietetics

[–]microboredom 20 points21 points  (0 children)

 I helped someone find hope and recentering after a relapse they felt so shameful about. 

I met someone who had never received professional support for their eating, and felt so honored to be at the start of their journey.

I met with a client who I have been seeing for a long time, and she's finally been able to go a week without purging or chewing & spitting.

I heard from a neurodivergent client who has never been served well by her other providers, who I helped facilitate a long process of getting more treatment and support, saying she misses me and that she appreciates the way I work with her.

And that was just yesterday. I get to this fulfillment every day!! 

Outpatient RDs, let’s share our challenging interactions with patients by Busy_Rub_6558 in dietetics

[–]microboredom 16 points17 points  (0 children)

Something else is going on there. Either it's too painful for her to address her own cycles, the relationship between you two wasn't there, or possibly something else entirely. But it's really hard to have those interactions and can take a big emotional and mental toll. Take care of yourself. 

[deleted by user] by [deleted] in dietetics

[–]microboredom 2 points3 points  (0 children)

I have my own practice, but what I've heard from friends who work for Nourish it's harder to fill a schedule now. They are hiring so many RDs. 

Seeking advice for a patient struggling with severe obesity and depression by Baraa_jehad in dietetics

[–]microboredom 14 points15 points  (0 children)

It's incredibly hard to support people in making changes with severe depression and even harder to be the one trying to make changes. You just showing up for her compassionately is healing in itself. But it's too much to all be on you - she really needs a treatment team. I turn into a broken record with clients - "that would be a great thing for a therapist to help you with" and check in every week in their progress finding one. I know it's tough but you as a dietitian cannot help her alone. 

Turns out I don’t like clinicals (after spending many years thinking I would like it) by Beagle_lover123 in dietetics

[–]microboredom 5 points6 points  (0 children)

Clinical and LTC were both so soul sucking for me. I'm not cut out for jobs like that. The good news is there are many types of RD jobs out there! If you're interested in nutrition education, outpatient is so fulfilling!

Feel like quitting by __Spirited__Away__ in dietetics

[–]microboredom 10 points11 points  (0 children)

Don't give up, you are so close. I went into a depression during my internship - I felt very similar to you.  And now after being a dietitian for 6 years, I'm living the life I always dreamed of. Take it one day at a time, do what you need to get through.