During the first counseling session with a new patient, what is the best initial approach?

Establishing an effective counseling relationship begins with understanding the patient's current dietary habits and preferences. By finding out what the patient eats, the dietitian can better assess their nutritional status, identify areas for improvement, and understand their motivations, challenges, and personal context related to food. This initial approach allows for a more patient-centered conversation, fostering trust and collaboration.

Moreover, gathering this information enables the dietitian to tailor dietary recommendations that align with the patient's existing behaviors and preferences, making it easier for them to adopt changes. When the dietitian actively listens to the patient’s dietary background, it forms the foundation for creating a personalized and realistic nutrition plan.

In contrast, telling a patient they need to change their diet or providing them with diet materials without first understanding their habits can come off as directive and may not address the individual's specific situation. Teaching meal exchanges early on may also be premature if there isn't a clear comprehension of the patient's existing eating patterns and knowledge. Starting with an explorative approach is critical in building rapport and ensuring the patient's needs and concerns are accurately addressed.