Having to bite my tongue at my psychiatrist

I have ADHD and B.E.D that I'm getting treated for. I also eat Keto and do IF and these help me lose weight, feel great, and better manage my B.E.D. I did not tell my doc that I fast, but I did say I do low carb when she mentioned me increasing my protein intake. She then starts talking about how people can't maintain that long term, and suggested to me the Fast Metabolism diet, and eating every three hours and how not eating damages the metabolism, and how the body stores fat when you don't eat enough. I was smiling and nodding on the outside, but inside I was SCREAMING! I have no intention of following that diet, also have no intention of telling her my eating habits, but I was proud of myself for just keeping my mouth shut.

Answer

I’m not overly shy about fasting, but yeah it’s tricky when people spout such blantant outdated information. I would probably say something like “I find it better to just only eat when I’m hungry. That’s a pretty outdated myth about metabolism.”

As a side note, also have ADHD and finding the right med and dose this past month has been a lifesaver for me for helping curb my impulsive eating tendencies.

Answer

I have ADHD and I’m a little worried about what the conversation with my doctor will be like. One thing I have learned about myself (thanks, Gretchen Rubin!) is that I’m an abstainer, not a moderator. My ADHD means I don’t always have a lot of time between impulse and action, so plans like keto and IF work for me because there are rigid guidelines for when+what I eat. Anything with lots of decision points and lots of wiggle room isn’t going to work. I can always choose to be flexible when I need to, but those hard limits are the only things that keep me on track!

Answer

Is it normal for a psychiatrist treating you for anything, umm ESPECIALLY an eating disorder, to be giving out dietary advice? I am willing to be convinced away from my instinctive response, which is abject horror. Seems insanely unethical and unprofessional.