Our client was recently diagnosed with type 2 diabetes. What strategy should be employed first when she states she came to the appointment because her doctor forced her?

When working with a client who may not be fully engaged in their care, particularly one expressing reluctance to be there due to external pressure, it is essential to first raise awareness of their health problem and the associated dietary options. This approach helps to build a foundation of understanding about the implications of type 2 diabetes and the crucial role that nutrition plays in managing the condition.

By focusing on education and awareness, you can help the client understand what type 2 diabetes means for their health and how appropriate dietary changes can lead to improved wellbeing. This step is pivotal in fostering a sense of ownership and motivation, especially since the client might feel apprehensive or resistant at this stage. Engaging her in discussions about her condition and its management options can gradually shift her perspective from feeling forced into the appointment to recognizing her own role in achieving better health.

Once the client has a clearer understanding of her health status and the benefits of dietary modifications, she may be more open to discussions about implementing a diet plan or meal planning initiatives. Thus, initiating the process by building awareness directly addresses her current mindset and sets the stage for a cooperative and productive counseling relationship.