Navigating the world of nutrition and eating disorder support can be challenging, especially for queer people. Finding a provider who is not only knowledgeable but also culturally competent and affirming is crucial for creating a safe and supportive environment for healing. We sat down with Lindsay Krasna of LK Nutrition to understand how clients can access the professionals they’re considering working with.
While there are many qualified professionals out there, it’s essential to ask yourself and them the right questions to ensure they truly understand the unique needs and experiences of the queer community. Here are some key questions to consider asking a potential nutritionist or eating disorder therapist.
How do they approach weight concerns?
Weight stigma is pervasive and harmful, including in healthcare settings, so it’s important to find a provider who takes a weight-inclusive approach. This means they don’t focus solely on weight or frame treatment around weight loss.
Ask potential providers how they address weight concerns and define successful outcomes. Do they prioritize overall well-being, or do they view weight as a key health indicator? A weight-inclusive provider will respect your individual needs rather than impose societal expectations.
If weight comes up in sessions, consider their approach. Do they discuss it only when medically necessary? Do they seek your consent before bringing it up? A thoughtful provider will handle these conversations with care, ensuring you feel comfortable and respected.
Do they use gender-neutral language and ask about pronouns?
Words matter. Using gender-neutral language isn’t just a nice gesture—it’s a key part of creating a truly inclusive space. Respecting pronouns is non-negotiable in LGBTQ+-affirming care. A provider who asks for your pronouns and uses them correctly isn’t just being polite—they’re showing that they value your identity and are actively working to create a safe and welcoming environment.
When checking out a provider’s website or intake forms, take note of their language. Do they use inclusive terms like “partner” or “partner(s)” instead of assuming relationship status or sexual orientation? Do they avoid gendered language when talking about bodies and health?
A provider who pays attention to language isn’t just ticking a box—they’re signaling a real commitment to inclusivity and respect for all gender identities.
Do they acknowledge and respect the importance of chosen family?
Chosen family is everything for so many queer people—sometimes even more than the families we were born into. A provider who really gets LGBTQ+ experiences will understand just how important these relationships are and respect them as a key part of your support system.
When talking to a potential provider, ask how they view chosen family. Do they recognize its significance in the queer community? Do they ask about the people who support you and factor them into your care? A provider who acknowledges and values chosen family isn’t just checking a box—they’re showing a real understanding of what it means to be LGBTQ+ and the unique ways we build community.
What training have they received in LGBTQ+-affirming care?
Lived experience is valuable, but it’s not the same as professional training. Just because someone is part of the LGBTQ+ community doesn’t automatically mean they have the expertise to provide affirming care. That’s why it’s important to make sure your provider has real, specific training in LGBTQ+ health—because our community deserves care that goes beyond good intentions.
Ask potential providers about their training and experience with LGBTQ+ clients, especially transgender and nonbinary folks. Do they stay up-to-date on the latest research and guidelines? Do they invest in continuing education to deepen their understanding? A provider who truly prioritizes LGBTQ+ care will always be learning, evolving, and committed to meeting the unique needs of our community.
How do they address the intersectionality of identities?
Queer people aren’t a monolith. Our identities intersect in countless ways—race, gender, sexuality, body size, class—all shaping our experiences in the world and in healthcare. A truly affirming provider understands that queer and trans people don’t exist in a vacuum and considers these overlapping identities in their approach to care.
When talking to a potential provider, ask how they approach intersectionality. Do they have experience working with clients from diverse backgrounds? How do they acknowledge and address the unique challenges faced by people with multiple marginalized identities? And most importantly—what does that actually look like in their everyday interactions with clients? A provider who understands intersectionality won’t just say the right things—they’ll show it in the way they show up for you.
Do they have experience working with clients with eating disorders or disordered eating who are also transgender or non-binary?
Trans and nonbinary folks often face unique challenges when it comes to eating disorders and disordered eating. From navigating hormone therapy to dealing with body image changes after gender-affirming surgery, or even the pressure to fit certain body ideals within queer subcultures, these experiences add layers that a provider needs to understand.
When vetting a provider, ask about their experience working with trans and nonbinary clients. Do they actually get the specific challenges our community faces? Are they informed about how hormone therapy and gender-affirming surgery can impact nutrition and eating behaviors? A truly affirming provider won’t just treat you like any other client—they’ll acknowledge and respect the nuances of your experience.
What is their approach to working with clients who have experienced trauma?
Trauma is a reality for so many in the LGBTQ+ community, and it can have a huge impact on both mental and physical health—including eating disorders and disordered eating. That’s why it’s crucial to find a provider who gets it—someone who is trauma-informed and creates a space where you feel safe, supported, and actually heard.
When talking to a potential provider, ask about their approach to trauma. Do they have specific training in trauma-informed care? Do they understand how trauma and eating disorders intersect? Do they approach care collaboratively and respect your autonomy? A provider who truly knows their stuff won’t just treat symptoms—they’ll recognize the bigger picture and support your healing with care and compassion.
What are their views on body positivity and fat acceptance?
Many LGBTQ+ individuals experience pressure to conform to traditional gender roles or stereotypes, which can impact how their bodies are perceived in society. Body positivity and fat acceptance are movements that challenge societal norms, promote body liberation, and celebrate body diversity. These movements overlap with the LGBTQ+’s fight for both equal rights and the freedom of individuals to exist in their bodies authentically, without fear of judgment or discrimination. A provider who embraces these principles will create a space where people of all shapes and sizes feel welcomed and respected.
Ask your potential provider about their views on body positivity and fat acceptance. Do they provide care for people of all sizes in mind? Do they offer size-friendly seating options? Have they done any work around dismantling anti-fat bias personally and systematically? Do they challenge diet culture and weight stigma?
What are your fees and do you offer sliding scale options?
Eating disorder treatment can be expensive, and it’s important to discuss fees and payment options upfront. Ask your potential provider about their fees and whether they offer sliding scale options, accept insurance, or provide superbills for out of network reimbursement.
Trust Your Gut
At the end of the day, the most important thing is that you feel safe, respected, and truly seen by your provider. Trust your gut—if someone doesn’t feel like the right fit, keep looking. You deserve care that actually supports your unique needs and experiences.
The right provider can make all the difference in your journey toward healing and self-acceptance. By asking these questions and doing your research, you’re making sure you’re working with someone who isn’t just qualified, but fully committed to providing LGBTQ+-affirming care. You deserve nothing less.
If you’re seeking a provider who understands the unique needs of the LGBTQ+ community, LK Nutrition offers a safe and supportive environment for healing and growth. Contact them today to learn more about their services and how they can help you on your journey.
