A restrictive online diet

Setting: Outpatient dietetics clinic

Daniel Reed, 31, has avoided dairy products, grains and pulses for three weeks after reading an online recovery diet. He reports fatigue and smaller meals; the treating team has not prescribed these exclusions.

Task

Identify excluded food groups and the online belief about fatigue.
Explore fear that normal eating will undo recovery.
Explain the need for a food and symptom assessment.
Refer persistent or worsening fatigue to the treating clinician without attributing its cause.

A restrictive online diet consultation plan

The referral is to assess the recent restriction and reduced intake, not endorse the online diet.
No treatment team has prescribed these exclusions.
A food and symptom history is needed before agreeing an individual plan.
Persistent or worsening fatigue should be discussed with the treating clinician; this consultation cannot identify its cause.
Daniel Reed, 31, has avoided dairy products, grains and pulses for three weeks after reading an online recovery diet. He reports fatigue and smaller meals; the treating team has not prescribed these exclusions.

Fictional scenario information supplied for this examination exercise; not medical guidance for real patients.