Klient z Londynu pyta o Twój plan żywieniowy — a Ty nie wiesz jak przeprowadzić wywiad po angielsku

Profil na platformie wellness właśnie wyświetlił się klientowi z Londynu. Prosi o sesję online. Chce pracować z Tobą nad żywieniem i zarządzaniem stresem — bo ktoś mu polecił i jest gotowy zacząć. Masz 50 minut. Musisz przeprowadzić intake, zebrać historię żywieniową, wyjaśnić zasady poufności i zbudować plan — wszystko po angielsku, z klientem, który być może nigdy wcześniej nie rozmawiał z dietetykiem.

Albo inny scenariusz: pracujesz w klinice zdrowia psychicznego w Dubaju i na Twoim fotelu siada pacjent z Australii. Pierwsze zdanie, które powinieneś powiedzieć — "What brings you in today?" — brzmi prosto. Ale to tylko początek. Dalej jest wywiad, skala oceny nastroju, informed consent, notatki kliniczne i potencjalnie skierowanie do psychiatry.

Z tego artykułu skorzystają: Dietetyk kliniczny, Dietetyk sportowy, Psycholog, Psychoterapeuta, Coach zdrowia, Health & Wellness Consultant i każdy pracownik kliniki za granicą — wszyscy, którzy prowadzą sesje z anglojęzycznymi klientami lub pracują w środowisku, gdzie dokumentacja i komunikacja odbywa się po angielsku.

Żywienie i dietetyka — 8 terminów

EN Term	PL	Przykład w pracy
dietary assessment	ocena sposobu żywienia	"The dietary assessment revealed a significant protein deficit — averaging 42g per day against a target of 90g."
macronutrients	makroskładniki (białko, tłuszcze, węglowodany)	"Let's start by looking at your macronutrient split — protein, carbohydrates and fats."
micronutrients	mikroskładniki (witaminy, minerały)	"Your micronutrient profile shows low iron and vitamin D — both common in plant-based diets."
caloric deficit / surplus	deficyt / nadwyżka kaloryczna	"To reach your goal, we need a moderate caloric deficit of around 300–400 kcal per day."
BMI (Body Mass Index)	wskaźnik masy ciała	"Your BMI is 27.4 — technically overweight, but I want to look at body composition before drawing conclusions."
food intolerance	nietolerancja pokarmowa	"Do you have any known food intolerances — lactose, gluten or anything else you've noticed?"
eating disorder	zaburzenia odżywiania	"I want to ask you directly — have you ever been diagnosed with or experienced symptoms of an eating disorder?"
nutritional deficiency	niedobór żywieniowy	"Fatigue and brittle nails are classic signs of nutritional deficiency — let's check your ferritin levels."

Psychologia i zdrowie psychiczne — 8 terminów

EN Term	PL	Przykład w pracy
mental health	zdrowie psychiczne	"Mental health is as important as physical health — we'll address both in our work together."
anxiety	lęk / niepokój	"You've described difficulty sleeping and constant worry — these are common symptoms of anxiety."
depression	depresja	"The PHQ-9 score of 14 suggests moderate depression — I'd like to refer you to a psychiatrist."
burnout	wypalenie zawodowe	"What you're describing — emotional exhaustion, detachment, reduced performance — fits the classic profile of burnout."
CBT (cognitive behavioural therapy)	terapia poznawczo-behawioralna	"CBT is one of the most evidence-based approaches for anxiety and depression — it focuses on changing thought patterns."
coping mechanism	mechanizm radzenia sobie	"You mentioned you eat when you're stressed — that's a coping mechanism. Let's find healthier alternatives."
trauma	trauma	"Trauma doesn't always look like a single dramatic event — it can be repeated, relational or cumulative."
resilience	odporność psychiczna / rezyliencja	"Our goal isn't just to manage symptoms — it's to build resilience so you can handle future stressors more effectively."

Ocena kliniczna — 6 terminów

EN Term	PL	Przykład w pracy
intake form	formularz wstępny / kwestionariusz	"You've completed the intake form — thank you. I'd like to go through a few answers with you in more detail."
presenting complaint	główna dolegliwość / problem zgłaszany	"The presenting complaint is fatigue and difficulty concentrating — present for the past 3 months."
medical history	wywiad medyczny / historia zdrowia	"Can you tell me about your medical history — any chronic conditions, previous surgeries or hospitalisations?"
referral	skierowanie	"I'd like to write you a referral to a gastroenterologist — the symptoms suggest something worth investigating."
follow-up appointment	wizyta kontrolna	"Let's schedule a follow-up appointment in 4 weeks to review progress and adjust the plan."
informed consent	świadoma zgoda	"Before we begin, I need you to sign the informed consent form — it explains the scope and limits of our work."

Wellbeing i styl życia — 6 terminów

EN Term	PL	Przykład w pracy
work-life balance	równowaga między pracą a życiem prywatnym	"You're working 60-hour weeks — that's not sustainable. Work-life balance is part of the prescription here."
sleep hygiene	higiena snu	"Let's talk about sleep hygiene — consistent bedtime, no screens after 22:00 and keeping the bedroom cool."
stress management	zarządzanie stresem	"We'll build a stress management toolkit — breathing techniques, movement and time boundaries at work."
mindfulness	uważność / mindfulness	"Mindfulness doesn't require meditation — even a 5-minute body scan before meals can shift your relationship with food."
physical activity	aktywność fizyczna	"Current physical activity level: sedentary. We'll add 20 minutes of walking daily — non-negotiable but achievable."
wellbeing	dobrostan / wellbeing	"Wellbeing is the outcome we're working towards — not just absence of symptoms, but genuine quality of life."

Scenariusze komunikacji

a) Dietary consultation — 8 zwrotów

"Can you walk me through a typical day of eating — from the moment you wake up to when you go to bed?"
"Are there any foods you avoid, can't tolerate, or have been told to eliminate by a doctor?"
"Have you had any recent blood tests? I'd like to look at your iron, vitamin D and B12 levels."
"Based on your food diary, I can see you're consuming significantly below your protein target — averaging about 42 grams."
"Your caloric intake is around 1,300 kcal — for your goals and activity level, we need to be closer to 1,800."
"Do you have any history of eating disorders — either formally diagnosed or anything you've noticed in yourself?"
"BMI gives us a starting point, but it doesn't tell the whole story — let's also look at body composition."
"I'd like to review your food diary together — not to judge, but to understand your habits and identify patterns."

b) Psychological intake session — 6 zwrotów

"What brings you in today? How long have you been experiencing these feelings or difficulties?"
"Can you tell me a little about what's been going on — in your own words, at your own pace."
"Everything you share with me is confidential, unless there's a risk of harm to yourself or to others."
"Have you ever worked with a therapist or psychologist before? What was that experience like for you?"
"On a scale from 1 to 10, how would you rate your overall mood over the past two weeks?"
"I'd like to ask you a few structured questions — it's part of our standard intake process and helps me understand your situation fully."

c) Follow-up & progress review — 6 zwrotów

"Since our last session, how have you been managing the coping strategies we discussed?"
"Looking at your food diary from the past two weeks — what patterns do you notice yourself?"
"Have you noticed any changes in your energy levels, sleep quality or mood since we adjusted the nutrition plan?"
"Last time we set one small, achievable goal. How did that go — and what got in the way, if anything?"
"It sounds like the mindfulness practice has been helpful — can you describe what difference you've noticed day to day?"
"I'd like to introduce one new element to your plan today — are you open to trying something a little different?"

Krótki dialog — Dietetyk na pierwszej konsultacji z klientem z Londynu

Dietitian: "Thank you for completing the intake form — it's really helpful. Can you walk me through a typical day of eating? Start from when you wake up."

Client: "Sure. I usually skip breakfast — I'm never hungry in the morning. Then I have a big lunch at my desk and grab something quick in the evening. Sometimes I don't eat at all until 2pm."

Dietitian: "I see. On the food diary you sent, you're averaging around 1,300 calories — that's quite low given your activity level and goals. How are your energy levels during the day?"

Client: "Honestly, terrible by 3pm. I crash every single afternoon and just can't focus."

Dietitian: "That afternoon crash is very likely connected to skipping breakfast and eating one large meal at once — your blood sugar is dropping sharply. Rather than putting you on a 'diet', I'd like us to build an eating plan that works with your schedule. We'll start with small, sustainable changes — nothing dramatic."

Client: "That sounds much more manageable than what I've tried before. I'm definitely on board."

Poufność i zgoda — 6 kluczowych zwrotów

Obowiązek wyjaśnienia poufności i uzyskania świadomej zgody dotyczy zarówno dietetyka, jak i psychologa. Oto gotowe frazy do wykorzystania przed każdą pierwszą sesją:

"Everything you share with me during our sessions is strictly confidential."
"The only exceptions to confidentiality are if I believe there's a serious and immediate risk of harm to yourself or to another person — in that case, I'm professionally obligated to act."
"Before we begin, I'd like you to read and sign this informed consent form — it outlines what to expect from our sessions, my approach and your rights as a client."
"I'll be keeping brief session notes for clinical purposes, but these are stored securely and will not be shared with anyone without your written consent."
"I'd like to refer you to your GP for blood tests before we finalise the nutrition plan — I can write a referral letter explaining what I'd like checked."
"If at any point you feel this approach isn't working for you, you have every right to end our sessions or request a referral to another specialist — no questions asked."

Najczęstsze błędy Polaków

1. "I am dietitian" → "I'm a dietitian" — zawsze z rodzajnikiem
Brak "a" przed zawodem to błąd, który natychmiast zdradza nienatywnego użytkownika angielskiego. ❌ "I am dietitian." / "I'm psychologist." → ✅ "I'm a dietitian." / "I'm a clinical psychologist specialising in CBT."

2. "diet" vs "eating plan" — konotacje mają znaczenie kliniczne
Słowo "diet" kojarzy się z restrykcją i niepowodzeniem. ❌ "I'll put you on a diet." → ✅ "We'll create an eating plan that suits your lifestyle." / "I'll design a personalised nutrition plan based on your goals."

3. "mental illness" vs "mental health condition" — język a stygmatyzacja
"Mental illness" ma negatywny wydźwięk — w pracy z klientem może wzmacniać wstyd. ❌ "He has a mental illness." → ✅ "He has a mental health condition." / "She was diagnosed with generalised anxiety disorder."

4. "the patient is depressed" → precyzja kliniczna
To potoczna obserwacja, nie kliniczne sformułowanie. ✅ "The client presents with depressive symptoms — persistent low mood, fatigue and anhedonia over the past 6 weeks." / "Based on the PHQ-9, she scores 14 — consistent with moderate major depressive disorder."

5. "burnout" — jak opisać klinicznie po angielsku
"Burnout" to słowo zrozumiałe dla klienta, ale niewystarczające w skierowaniu do lekarza. ✅ Klinicznie: "The client presents with occupational burnout — characterised by emotional exhaustion, depersonalisation and a markedly reduced sense of professional efficacy."

Quick Reference Table — 28 terminów

EN Term	PL Tłumaczenie	Kategoria
dietary assessment	ocena sposobu żywienia	Żywienie
macronutrients	makroskładniki	Żywienie
micronutrients	mikroskładniki	Żywienie
caloric deficit / surplus	deficyt / nadwyżka kaloryczna	Żywienie
BMI (Body Mass Index)	wskaźnik masy ciała	Żywienie
food intolerance	nietolerancja pokarmowa	Żywienie
eating disorder	zaburzenia odżywiania	Żywienie
nutritional deficiency	niedobór żywieniowy	Żywienie
mental health	zdrowie psychiczne	Psychologia
anxiety	lęk / niepokój	Psychologia
depression	depresja	Psychologia
burnout	wypalenie zawodowe	Psychologia
CBT	terapia poznawczo-behawioralna	Psychologia
coping mechanism	mechanizm radzenia sobie	Psychologia
trauma	trauma	Psychologia
resilience	odporność psychiczna	Psychologia
intake form	formularz wstępny	Ocena kliniczna
presenting complaint	główna dolegliwość	Ocena kliniczna
medical history	wywiad medyczny	Ocena kliniczna
referral	skierowanie	Ocena kliniczna
follow-up appointment	wizyta kontrolna	Ocena kliniczna
informed consent	świadoma zgoda	Ocena kliniczna
work-life balance	równowaga praca-życie	Wellbeing
sleep hygiene	higiena snu	Wellbeing
stress management	zarządzanie stresem	Wellbeing
mindfulness	uważność	Wellbeing
physical activity	aktywność fizyczna	Wellbeing
wellbeing	dobrostan	Wellbeing

Podsumowanie

Sesja z klientem z Londynu, intake w klinice wellness w Dubaju, skierowanie do psychiatry po angielsku — te 28 terminów i gotowe frazy do każdego etapu konsultacji dają Ci język do pracy z anglojęzycznym klientem od pierwszego zdania do ostatniego. Precyzja językowa w kontekście klinicznym to nie tylko profesjonalizm — to realne bezpieczeństwo klienta: różnica między "burnout" a "occupational exhaustion with suicidal ideation" może oznaczać zupełnie inną decyzję terapeutyczną.

Rozszerz słownictwo medyczne o artykuł o angielskim medycznym — zawiera terminy kliniczne z SOR, oddziałów szpitalnych i dokumentacji medycznej. Sprawdź też angielski farmaceutyczny do rozmów z klientami o suplementach, lekach i interakcjach.

Gotowe fiszki z terminologią zdrowia i wellbeing znajdziesz w sekcji Medycyna & Farmacja w CareerFlashcards.

Angielski dla Dietetyka i Psychologa — słownictwo zdrowia i wellbeing po angielsku