Eating Disorder & Nutritional Counselor
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Eating disorders affect a large share of the population—an estimated 20 million women and 10 million men in America, according to surveys from the National Eating Disorders Association. Eating disorders are caused by a range of biological, psychological, social, and cultural factors, so it sometimes takes someone specifically skilled in the treatment of eating disorders, or possibly even a team of people, to treat them. Eating disorders can have significant long-term health consequences, so adequate nutrition is one of the keys to recovery for most people.
Nutritional therapy is often offered by registered dietitians or nutritionists. Registered dieticians gain their accreditation through bachelor’s and master’s degrees and national medical accreditation. Nutrition counseling is an ongoing process in which a registered dietitian works with an individual to help them develop or regain a healthy and symptom-free relationship with food. Much as a mental health counselor addresses the specific needs that a client presents, an eating disorder, and nutritional counselor does the same, except usually within the individual’s relationship to food, body image, eating and exercise habits, and whatever else is out of balance.
Read on for more information about career outlook, salary potential, and how to become an eating disorder and nutritional counselor.
How to Become an Eating Disorder and Nutritional Counselor
Many people interested in becoming an eating disorder and nutritional counselor have some lived experience with disordered eating, or they have been exposed to someone who did. Or, they may simply have a keen interest in helping people develop healthy eating habits. While some education in nutrition and dietetics is important, of equal importance is the general foundation of counseling or psychology education.
Education of an Eating Disorder and Nutritional Counselor
Being admitted to any college typically requires a high school education or the equivalent. Acting on any interests in nutrition or eating disorders while in high school or pursuing an undergraduate degree could provide a student with an advantage. For instance, joining or forming an eating disorder healthy diet support group could show interest in the form of volunteer experience.
At the associate degree level, students could opt for any courses in the realm of nutrition or fitness. At the bachelor’s level, students may be able to specialize even more by earning a bachelor’s in dietetics, fitness, or nutrition. Many schools offer bachelor of science degrees in nutrition and wellness; general dietetics; human nutrition; or similar compatible areas. For instance, the University of Colorado offers a bachelor of science in nutrition and food science, and a master of science in food science and nutrition.
At the master’s level, students can select a degree program that offers a foundational general mental health counseling program with the opportunity to specialize in eating disorders and nutrition counseling. Many schools offer graduate degrees in health education. Arizona State University, for instance, offers several health-related bachelor’s degrees along with three master’s of science degrees in either medical nutrition, dietetics, or nutritional science.
Some schools also offer post-graduate certifications in the treatment of eating disorders. For instance, Northern Illinois University offers an online certificate of graduate study in eating disorders and obesity. To achieve this certificate, students should already have experience in nutrition and dietetics and complete 12 specialized credits.
Some substance abuse counselors can also be trained in treating food disorders in the sense that eating can be an addictive behavior such as drug or alcohol abuse. Becoming educated as a substance abuse counselor requires a master’s degree in general counseling, typically a specialization in substance abuse, passing the state examination, and meeting the requirements of the state licensing board.
The International Association of Eating Disorder Professionals (IAEDP) also offers certification as a Certified Eating Disorders Specialist (CEDS), Registered Dietitian (CEDRD), Registered Nurse (CEDRN), and Creative Arts Therapist (CAT).
Supervised Hour Requirements for Eating Disorder and Nutritional Counselors
Pursuing the CEDS through the IAEDP requires 2,500 supervised direct patient care hours, completion of four core courses, and passage of the IAEDP certification exam, among other requirements. Licensed professionals or registered clinicians who have been practicing in the field of eating disorders for five or more years in good standing are eligible to pursue the Equivalency Certification.
Each state has its own requirements for what is approved for licensing as a counselor. Accreditation of nutrition-related programs is done through the Accreditation Council for Education in Nutrition and Dietetics (ACEND), the Academy of Nutrition and Dietetics.
Most states require the licensure of a student who has completed a program at an accredited school. This means completing the supervised hour requirements that are the minimum of what the school expects for graduation. ACEND accredits programs that meet, at a minimum, 1,200 supervised practice hours to become a Registered Dietitian Nutritionist, or 450 supervised practice hours to become a Registered Nutrition and Dietetic Technician.
Licensure and Certification of Eating Disorder and Nutritional Counselors
Different states have different requirements for licensure in order to practice as a licensed mental health counselor. Education and registration/licensure requirements include at a minimum a master’s degree plus state and/or national licenses, registrations, and certifications. The educational program must meet core course requirements along with 2,500 hours of supervised patient care in the direct field of eating disorders. Once these educational requirements are met, the student must pass a certification exam.
Eating Disorder and Nutritional Counselor Licensure Renewal Requirements
Just as each state has its own licensure and certification requirements, each state has its own renewal requirements. The state of Arizona Board of Behavioral Health Examiners, for instance, requires 30 hours of continuing education every two years. A minimum of three of the 30 hours must be in behavioral health ethics and law and three must be in cultural competency every two years. Each licensee should check their state’s requirements.
What Do Eating Disorder and Nutritional Counselors Do?
Eating disorder and nutritional counselors may work one-on-one with affected individuals and they may work individually or as part of a treatment team. If an individual is struggling with an eating disorder such as anorexia, bulimia, or binge eating, they need help sorting out their irrational thoughts about their body image, what healthy food is, and what a healthy weight is. They may have different symptoms depending on what is affecting them, such as an overabundance of hours spent at the gym, depriving themselves of calories, or overeating in a self-destructive cycle.
As part of the treatment process, the eating disorder and nutritional counselor will work with a client to identify and come to terms with their abnormal behavior. This may mean a variety of treatment options depending on the challenge, but in essence, the goal is to create a healthy and non-symptomatic relationship with food, their body, and their overall health. The eating disorder and nutritional counselor may be responsible for designing a health-promoting meal plan for the individuals they are treating.
Many of their responsibilities will vary based on whether the treatment is part of an inpatient or outpatient setting. Responsibilities vary depending on the work setting. An eating disorder and nutritional counselor may be required to develop an individual meal plan, respond to callers to a hotline, provide immediate crisis intervention counseling, or provide outreach to the community, facilitate support groups and/or house meetings. Beyond that, they may observe family habits, speak with family members one-on-one, work with the resources of community programs, or visit family members at home. Eating disorder and nutritional counselors can work in the following environments:
- Inpatient treatment centers
- Outpatient treatment centers
- Private therapy practice
- Group therapy practice
- Public schools
- Community organizations
- Public health organizations
- Veteran’s or military organizations
- Addiction clinics
- Religious organizations
How Much Do Eating Disorder and Nutritional Counselors Make?
These numbers represent data from the U.S. Bureau of Labor Statistics from May 2019.
Substance Abuse, Behavioral Disorder, and Mental Health Counselors
- Number employed in the U.S.: 283,540
- Average annual salary (mean): $49,950
- 10th percentile: $29,520
- 25th percentile: $35,960
- 50th percentile (median): $46,240
- 75th percentile: $59,650
- 90th percentile: $76,080
Eating Disorder and Nutritional Counselor Professional Associations & Resources
- National Eating Disorders Association
- National Association of Anorexia Nervosa and Associated Disorders
- Academy for Eating Disorders
- Binge Eating Disorder Association
- Eating Disorders Coalition
- International Association of Eating Disorder Professionals
- Multi-Service Eating Disorder Association
- Eating Disorder Network of Maryland
- Reaching Out Against Eating Disorders
- Eating Disorder Foundation of Orange County
- The Austrian Society on Eating Disorders
- British Association for Counselling and Psychotherapy
- Eating Disorder Jobs