When a Client Needs More Support: Referral Guidelines

For members who need possible psychological guidance, certain professional tactics should be followed.

"She keeps calling herself fat, but she's really just pregnant. She is seven months along, and continues to restrict her calories and exercise a lot. We've had several discussions, but she does not appear to be following my advice. I am worried about the baby's health, not to mention hers. How can I get through to her? Maybe I should refer her back to her doctor. Or, maybe she has body image problems and needs a therapist. What do you think I should do?"

Fitness professionals refer clients to other professionals for many reasons: to follow up on symptoms of illness or injury, to send clients to nutrition professionals, or to encourage clients to get professional help for psychological concerns such as substance abuse, depression or eating disorders. We refer clients to other professionals when an issue exceeds our scope of practice. We also refer when we feel our clients need to confront a serious issue they may be denying.

Most fitness professionals are comfortable recommending that clients seek medical help for illness or injury, but are less confident in their ability to confront a client about a possible psychological concern. Every client is different, so every referral situation is different. The following are some general suggestions on referring a client for professional help.

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