Celiac Disease Nutritionists and Dietitians in Temecula, CA

Photo of Brittany Bettingen, Nutritionist/Dietitian, RDN
Brittany Bettingen
Nutritionist/Dietitian, RDN
Serves Area
I am a Registered Dietitian with experience treating hormone imbalances, inflammation and gut/digestive issues that manifest in conditions such as PCOS, pre diabetes, insulin resistance, weight gain, bloating and IBS. Clients often come to me seeking not only the treatment for their symptoms, but to identify the root causes as to why they have those symptoms in the first place. I help my patients regain a sense of confidence in their body and eating patterns. I work with patients with goals to lose weight, improve their fertility/hormone balance, restore digestive health & regain a sense of energy as well as brain function & memory.
I am a Registered Dietitian with experience treating hormone imbalances, inflammation and gut/digestive issues that manifest in conditions such as PCOS, pre diabetes, insulin resistance, weight gain, bloating and IBS. Clients often come to me seeking not only the treatment for their symptoms, but to identify the root causes as to why they have those symptoms in the first place. I help my patients regain a sense of confidence in their body and eating patterns. I work with patients with goals to lose weight, improve their fertility/hormone balance, restore digestive health & regain a sense of energy as well as brain function & memory.
(949) 541-4468 View (949) 541-4468
Photo of Tianna Nilsen - Temecula Dietitians , Nutritionist/Dietitian, MS, RD
Temecula Dietitians
Nutritionist/Dietitian, MS, RD
Serves Area
We are highly experienced dietitians that focus on our clients individual needs in a way that feels realistic and attainable. We treat all conditions including eating disorders, diabetes, heart disease, women's health issues, gastrointestinal disorders, sports nutrition, allergies, family nutrition, intuitive eating and more. We are currently accepting new 1:1 clients via in office and telehealth. We are in-network with IEHP, TriWest, Anthem Blue Cross, Blue Shield of CA, United Healthcare, Medicare, and Health Net. With our clients we focus on attainable health behaviors for sustainable health and wellness.
We are highly experienced dietitians that focus on our clients individual needs in a way that feels realistic and attainable. We treat all conditions including eating disorders, diabetes, heart disease, women's health issues, gastrointestinal disorders, sports nutrition, allergies, family nutrition, intuitive eating and more. We are currently accepting new 1:1 clients via in office and telehealth. We are in-network with IEHP, TriWest, Anthem Blue Cross, Blue Shield of CA, United Healthcare, Medicare, and Health Net. With our clients we focus on attainable health behaviors for sustainable health and wellness.
(442) 444-2023 View (442) 444-2023

More Dietitians and Nutritionists Nearby

Photo of Rebecca Colvin, Nutritionist/Dietitian, MPH, RDN, CSO
Rebecca Colvin
Nutritionist/Dietitian, MPH, RDN, CSO
Serves Area
I support adults (18+) with disordered eating habits in healing their relationship with food and their bodies through intuitive eating and body positivity. I guide my clients away from the rigid constraints of diet culture toward a trusting, intuitive approach. Many feel stuck in the never-ending pursuit of weight loss, uncertain about what truly works and overwhelmed by conflicting advice. If you’re ready to explore a compassionate, sustainable way to reconnect with your body’s innate wisdom and achieve a balanced, joyful life, I’m here to help.
I support adults (18+) with disordered eating habits in healing their relationship with food and their bodies through intuitive eating and body positivity. I guide my clients away from the rigid constraints of diet culture toward a trusting, intuitive approach. Many feel stuck in the never-ending pursuit of weight loss, uncertain about what truly works and overwhelmed by conflicting advice. If you’re ready to explore a compassionate, sustainable way to reconnect with your body’s innate wisdom and achieve a balanced, joyful life, I’m here to help.
(442) 217-3043 View (442) 217-3043
Photo of Alysia Vega, Nutritionist/Dietitian, LDN, RD
Alysia Vega
Nutritionist/Dietitian, LDN, RD
1 Endorsed
Online Only
Hello! I am a California-based Registered Dietitian with the group practice, Karuna Wellness Studio, who sees clients both virtually across the U.S. Karuna is a group practice specializing in nutrition and movement services through a anti-diet, HAES-aligned, weight-neutral approach. We integrate the pillars of lifestyle medicine and nutritional psychiatry to serve as health advocates for our clients, promoting both physical and mental health. I truly enjoy helping clients explore their relationship with food, movement and their bodies.
Hello! I am a California-based Registered Dietitian with the group practice, Karuna Wellness Studio, who sees clients both virtually across the U.S. Karuna is a group practice specializing in nutrition and movement services through a anti-diet, HAES-aligned, weight-neutral approach. We integrate the pillars of lifestyle medicine and nutritional psychiatry to serve as health advocates for our clients, promoting both physical and mental health. I truly enjoy helping clients explore their relationship with food, movement and their bodies.
(858) 683-1993 View (858) 683-1993
Photo of Cassie Wolfe, Nutritionist/Dietitian, RD
Cassie Wolfe
Nutritionist/Dietitian, RD
1 Endorsed
Online Only
Hello! I am a California-based Registered Dietitian with the group practice, Karuna Wellness Studio, who sees clients both virtually across the U.S. Karuna is a group practice specializing in nutrition and movement services through a anti-diet, HAES-aligned, weight-neutral approach. We integrate the pillars of lifestyle medicine and nutritional psychiatry to serve as health advocates for our clients, promoting both physical and mental health. I truly enjoy helping clients explore their relationship with food, movement and their bodies.
Hello! I am a California-based Registered Dietitian with the group practice, Karuna Wellness Studio, who sees clients both virtually across the U.S. Karuna is a group practice specializing in nutrition and movement services through a anti-diet, HAES-aligned, weight-neutral approach. We integrate the pillars of lifestyle medicine and nutritional psychiatry to serve as health advocates for our clients, promoting both physical and mental health. I truly enjoy helping clients explore their relationship with food, movement and their bodies.
(760) 418-6146 View (760) 418-6146
Photo of Dawn Narvaez, Nutritionist/Dietitian, RDN
Dawn Narvaez
Nutritionist/Dietitian, RDN
Serves Area
I specialize in a whole system approach for the mind and body wellness to meet individual goals, including; overcoming negative body image, conquer disordered eating, eliminating binge eating, overcoming food choice obsessions, stemming late-night cravings, approaching picky eaters, enhancing performance for athletes, managing autoimmune disorders, preventing and managing diabetes and pre-diabetes, weight loss or weight gain, treat and prevent constipation and other GI complaints. Learn how to find a balance between enthusiasm and success. Learn the tools to turn from emotional to intentional eating.
I specialize in a whole system approach for the mind and body wellness to meet individual goals, including; overcoming negative body image, conquer disordered eating, eliminating binge eating, overcoming food choice obsessions, stemming late-night cravings, approaching picky eaters, enhancing performance for athletes, managing autoimmune disorders, preventing and managing diabetes and pre-diabetes, weight loss or weight gain, treat and prevent constipation and other GI complaints. Learn how to find a balance between enthusiasm and success. Learn the tools to turn from emotional to intentional eating.
(949) 303-7925 View (949) 303-7925
Photo of Kelly Jean Dammeyer-Mills, Nutritionist/Dietitian
Kelly Jean Dammeyer-Mills
Nutritionist/Dietitian
Carlsbad, CA 92010
I specialize in correcting the root cause behind health conditions, as well as, weight loss, digestive disorders, hormone imbalances, blood sugar stabilization and inflammatory issues. I will teach you how to lose weight the healthy way, balance your body and make healthy eating and living a way of life so it is delicious, as well as, simple and easy to implement within a busy schedule. I am also a fitness professional and certified life coach both of which I incorporate when working with you. Knowing how to approach your fitness is crucial and being in a positive mind set is another important key to your success.
I specialize in correcting the root cause behind health conditions, as well as, weight loss, digestive disorders, hormone imbalances, blood sugar stabilization and inflammatory issues. I will teach you how to lose weight the healthy way, balance your body and make healthy eating and living a way of life so it is delicious, as well as, simple and easy to implement within a busy schedule. I am also a fitness professional and certified life coach both of which I incorporate when working with you. Knowing how to approach your fitness is crucial and being in a positive mind set is another important key to your success.
(760) 389-4325 View (760) 389-4325
Photo of Dana Curley, Nutritionist/Dietitian, MS, RDN, LDN
Dana Curley
Nutritionist/Dietitian, MS, RDN, LDN
Online Only
Start where you are. I believe that good nutrition is attainable through personally tailored, evidence-based, doable, accessible, dietary changes. Building a sense of partnership with clients is the key to our success. I specialize in weight management, diabetes, prediabetes, cardiovascular concerns such as cholesterol and high blood pressure, autoimmune disorders, and GI issues including IBS, Crohn’s, lactose and gluten sensitivities.
Start where you are. I believe that good nutrition is attainable through personally tailored, evidence-based, doable, accessible, dietary changes. Building a sense of partnership with clients is the key to our success. I specialize in weight management, diabetes, prediabetes, cardiovascular concerns such as cholesterol and high blood pressure, autoimmune disorders, and GI issues including IBS, Crohn’s, lactose and gluten sensitivities.
(760) 973-2237 View (760) 973-2237
Photo of Donna M Wolf, Nutritionist/Dietitian, RDN, CLT, IFMNT
Donna M Wolf
Nutritionist/Dietitian, RDN, CLT, IFMNT
2 Endorsed
Oceanside, CA 92054
Are you sick & tired of not feeling well, or energized? Have you tried everything, yet still suffer or are worse. Have you not tried a dietitian because you thought: 1) I already eat a healthy diet 2) my problems don't have anything to do with what I eat 3) embarrassed to disclose what I eat, 4) don't know how a dietitian could help me. Surprise! I assess your individual case and formulate a realistic, affordable action plan. I specialize in digestive issues, food sensitivities & allergies, and weight management. I can help you achieve health, vigor, energy, reduce medications and pain-freedom.
Are you sick & tired of not feeling well, or energized? Have you tried everything, yet still suffer or are worse. Have you not tried a dietitian because you thought: 1) I already eat a healthy diet 2) my problems don't have anything to do with what I eat 3) embarrassed to disclose what I eat, 4) don't know how a dietitian could help me. Surprise! I assess your individual case and formulate a realistic, affordable action plan. I specialize in digestive issues, food sensitivities & allergies, and weight management. I can help you achieve health, vigor, energy, reduce medications and pain-freedom.
(858) 224-0731 View (858) 224-0731
Photo of Annette Monique Washington - Annette Monique Nutrition, Nutritionist/Dietitian, MS, RDN
Annette Monique Nutrition
Nutritionist/Dietitian, MS, RDN
Online Only
Not accepting new clients
Forget quick fixes and one-size-fits-all diets. Traditional approaches like fad diets often fall short, leaving you with a slower metabolism and imbalanced gut health. Research shows that lasting wellness comes from sustainable, personalized nutrition—and that’s exactly what I offer. Whether you’re here for targeted Medical Nutrition Therapy through insurance or looking to level up your fitness and nutrition through a subscription-based plan, I tailor my approach to your unique needs and goals. We’ll focus on creating lifestyle changes that reflect your values, support gut health, and help you feel your best—without judgment, re
Forget quick fixes and one-size-fits-all diets. Traditional approaches like fad diets often fall short, leaving you with a slower metabolism and imbalanced gut health. Research shows that lasting wellness comes from sustainable, personalized nutrition—and that’s exactly what I offer. Whether you’re here for targeted Medical Nutrition Therapy through insurance or looking to level up your fitness and nutrition through a subscription-based plan, I tailor my approach to your unique needs and goals. We’ll focus on creating lifestyle changes that reflect your values, support gut health, and help you feel your best—without judgment, re
(661) 438-0459 View (661) 438-0459

Online Dietitians and Nutritionists

Photo of Dustin Paul Mesick, Nutritionist/Dietitian, RDN, LD
Dustin Paul Mesick
Nutritionist/Dietitian, RDN, LD
Online Only
Are you feeling stuck in your relationship with food? Struggling with emotional eating, feeling guilty, or disconnected from your body’s cues? If diets have left you frustrated, you’re not alone—and you’re in the right place. I offer a non-diet, trauma-informed approach to help you build a balanced, lasting relationship with food. Together, we’ll work to break free from guilt, create confidence in your food choices, and establish sustainable habits that fit your life and goals.
Are you feeling stuck in your relationship with food? Struggling with emotional eating, feeling guilty, or disconnected from your body’s cues? If diets have left you frustrated, you’re not alone—and you’re in the right place. I offer a non-diet, trauma-informed approach to help you build a balanced, lasting relationship with food. Together, we’ll work to break free from guilt, create confidence in your food choices, and establish sustainable habits that fit your life and goals.
(805) 721-3068 View (805) 721-3068
Photo of Deirdre Paulson, Nutritionist/Dietitian, MS, RDN, CDCES
Deirdre Paulson
Nutritionist/Dietitian, MS, RDN, CDCES
1 Endorsed
Torrance, CA 90501
My approach to care is to address the whole person not just the diagnosis. As an experienced nutrition expert, I have worked for the past 15 years helping individuals improve their lives and maintain their health with nutrition therapy, positive mindsets and fitness. I believe strongly that food plays one of the biggest roles in our life with regard to maintaining our health and healing our bodies. Therefore, I believe that the food we consume should be a top priority in our lives.
My approach to care is to address the whole person not just the diagnosis. As an experienced nutrition expert, I have worked for the past 15 years helping individuals improve their lives and maintain their health with nutrition therapy, positive mindsets and fitness. I believe strongly that food plays one of the biggest roles in our life with regard to maintaining our health and healing our bodies. Therefore, I believe that the food we consume should be a top priority in our lives.
(424) 296-4149 View (424) 296-4149
Photo of Kristie Tovar - Kristie Tovar Nutrition & Associates, Nutritionist/Dietitian, MS, RDN, CEDS
Kristie Tovar Nutrition & Associates
Nutritionist/Dietitian, MS, RDN, CEDS
Glendale, CA 91203
We really get it—it's exhausting to constantly worry about food, your health, or your body. Maybe you're in eating disorder recovery, navigating menopause or PCOS, or managing a chronic illness. You might feel confused by conflicting nutrition advice or overwhelmed by restrictive diets that just don’t work. At Kristie Tovar Nutrition, our team of dietitians provide compassionate, weight-neutral care for eating disorders, women's health, diabetes, GI disorders and heart conditions. We help you cut through the confusion with clear guidance tailored to your specific needs.
We really get it—it's exhausting to constantly worry about food, your health, or your body. Maybe you're in eating disorder recovery, navigating menopause or PCOS, or managing a chronic illness. You might feel confused by conflicting nutrition advice or overwhelmed by restrictive diets that just don’t work. At Kristie Tovar Nutrition, our team of dietitians provide compassionate, weight-neutral care for eating disorders, women's health, diabetes, GI disorders and heart conditions. We help you cut through the confusion with clear guidance tailored to your specific needs.
(747) 999-4012 View (747) 999-4012
Photo of Allison Garcia - Allison Garcia Nutrition & Wellness, Nutritionist/Dietitian, RD, RDN
Allison Garcia Nutrition & Wellness
Nutritionist/Dietitian, RD, RDN
Online Only
If you’ve spent years trying to “get it right” with food and often feel stuck in cycles of dieting, guilt, or confusion, you’re not alone. You may not have a clinical eating disorder, but you might find yourself dealing with disordered patterns like chronic restriction, emotional eating, or feeling out of control around certain foods. You may also be managing chronic conditions like diabetes, hypertension, or IBS and feel frustrated by being told only what to cut out without real support. You're likely looking for something that goes deeper than another plan to follow. You want to feel better in your body and understand what it mea
If you’ve spent years trying to “get it right” with food and often feel stuck in cycles of dieting, guilt, or confusion, you’re not alone. You may not have a clinical eating disorder, but you might find yourself dealing with disordered patterns like chronic restriction, emotional eating, or feeling out of control around certain foods. You may also be managing chronic conditions like diabetes, hypertension, or IBS and feel frustrated by being told only what to cut out without real support. You're likely looking for something that goes deeper than another plan to follow. You want to feel better in your body and understand what it mea
(657) 366-4318 View (657) 366-4318
Photo of Jessica Patricia Martinez, Nutritionist/Dietitian, RDN
Jessica Patricia Martinez
Nutritionist/Dietitian, RDN
Online Only
My journey to becoming a dietitian began with my own battle with Celiac Disease.
Are you struggling with persistent digestive issues, feeling overwhelmed by endless doctor appointments, or frustrated by the lack of clear solutions? You're not alone, and I'm here to help. I'm Jessica Martinez, a Registered Dietitian specializing in gastrointestinal (GI) health and weight management, dedicated to uncovering the root causes of your symptoms and helping you achieve lasting wellness.
My journey to becoming a dietitian began with my own battle with Celiac Disease.
Are you struggling with persistent digestive issues, feeling overwhelmed by endless doctor appointments, or frustrated by the lack of clear solutions? You're not alone, and I'm here to help. I'm Jessica Martinez, a Registered Dietitian specializing in gastrointestinal (GI) health and weight management, dedicated to uncovering the root causes of your symptoms and helping you achieve lasting wellness.
(626) 507-5118 View (626) 507-5118
Photo of Juan M Ramirez, Nutritionist/Dietitian, RDN, CPT, LDN
Juan M Ramirez
Nutritionist/Dietitian, RDN, CPT, LDN
2 Endorsed
Corona, CA 92880
Are you frustrated that the weight isn’t coming off even though you’ve been hitting the gym for months? I’ve got the solution for you! ¡Hola! I’m Juan M Ramirez, a Spanish-speaking Registered Dietitian and owner of Highview Nutrition. As a nutritionist and certified personal trainer, I specialize in helping individuals get toned and manage type 2 diabetes through personalized strength training and cutting-edge nutrition plans.
Are you frustrated that the weight isn’t coming off even though you’ve been hitting the gym for months? I’ve got the solution for you! ¡Hola! I’m Juan M Ramirez, a Spanish-speaking Registered Dietitian and owner of Highview Nutrition. As a nutritionist and certified personal trainer, I specialize in helping individuals get toned and manage type 2 diabetes through personalized strength training and cutting-edge nutrition plans.
(951) 724-3314 View (951) 724-3314
Photo of Shilpa Dashpute - Nutrition with Shilpa, Nutritionist/Dietitian, MS, CNS, CN
Nutrition with Shilpa
Nutritionist/Dietitian, MS, CNS, CN
Online Only
For more than seven years, my integrated approach has been helping hundreds of clients make permanent lifestyle changes. My unique program typically focuses on teaching individuals about therapeutic foods and incorporating them into their diet so they don’t feel like dieting. I offer nutrition counseling, also called medical nutrition therapy, to individuals of all ages. I offer cutting-edge advanced testing for nutrients, environmental toxins, hormones, and more that help to identify root causes and personalized nutrition therapy just for you.
For more than seven years, my integrated approach has been helping hundreds of clients make permanent lifestyle changes. My unique program typically focuses on teaching individuals about therapeutic foods and incorporating them into their diet so they don’t feel like dieting. I offer nutrition counseling, also called medical nutrition therapy, to individuals of all ages. I offer cutting-edge advanced testing for nutrients, environmental toxins, hormones, and more that help to identify root causes and personalized nutrition therapy just for you.
(626) 325-8259 View (626) 325-8259
Photo of Anoud Mohammad, Nutritionist/Dietitian, MS, RDN
Anoud Mohammad
Nutritionist/Dietitian, MS, RDN
Online Only
As a registered dietitian, I specialize in providing whole person care that emphasizes individualized nutrition plans based on my clients' unique needs, preferences, and lifestyles. I offer evidence-based guidance on nutrition that is practical and achievable, ensuring my clients feel capable and motivated on their journey. Through personalized assessments, I help identify specific dietary changes and create tailored meal plans that fit seamlessly into their lives.
As a registered dietitian, I specialize in providing whole person care that emphasizes individualized nutrition plans based on my clients' unique needs, preferences, and lifestyles. I offer evidence-based guidance on nutrition that is practical and achievable, ensuring my clients feel capable and motivated on their journey. Through personalized assessments, I help identify specific dietary changes and create tailored meal plans that fit seamlessly into their lives.
(951) 292-7182 View (951) 292-7182
Photo of Linda Campbell, Nutritionist/Dietitian, RD
Linda Campbell
Nutritionist/Dietitian, RD
Online Only
I’m a plant-based dietitian and nutritionist specializing in vegan and vegetarian diets. Having lived plant-based and gluten-free for over ten years, I understand both the benefits and the challenges of this lifestyle. Through personalized Zoom consultations, I provide support ranging from nutrition counseling to custom meal plans. My services cover weight management, balanced eating, meal prep strategies, and more specific areas such as sports nutrition, digestive health, pregnancy, and menopause. Every consultation is tailored to your goals, lifestyle, and needs so that you can save time and feel confident in your choices.
I’m a plant-based dietitian and nutritionist specializing in vegan and vegetarian diets. Having lived plant-based and gluten-free for over ten years, I understand both the benefits and the challenges of this lifestyle. Through personalized Zoom consultations, I provide support ranging from nutrition counseling to custom meal plans. My services cover weight management, balanced eating, meal prep strategies, and more specific areas such as sports nutrition, digestive health, pregnancy, and menopause. Every consultation is tailored to your goals, lifestyle, and needs so that you can save time and feel confident in your choices.
(310) 356-9039 View (310) 356-9039
Photo of Yi Min Teo, Nutritionist/Dietitian, MS, RD, CNSC
Yi Min Teo
Nutritionist/Dietitian, MS, RD, CNSC
Online Only
Are you feeling overwhelmed, confused, scared of eating foods due to your digestive disorder diagnosis (Crohn's and Ulcerative Colitis, IBS, gastroparesis, new ileostomy/colostomy, etc)? Has this led to a restrictive diet, fatigue, stress and weight loss? I am here to help clients like you to troubleshoot and navigate your digestive issues, empower you through personalized step-by-step strategies to help reduce fear and anxiety around eating, decrease inflammation, and get your peace, energy and confidence back.
Are you feeling overwhelmed, confused, scared of eating foods due to your digestive disorder diagnosis (Crohn's and Ulcerative Colitis, IBS, gastroparesis, new ileostomy/colostomy, etc)? Has this led to a restrictive diet, fatigue, stress and weight loss? I am here to help clients like you to troubleshoot and navigate your digestive issues, empower you through personalized step-by-step strategies to help reduce fear and anxiety around eating, decrease inflammation, and get your peace, energy and confidence back.
(323) 207-0403 View (323) 207-0403
Celiac Disease Nutritionists and Dietitians

What is celiac disease?

Celiac disease is an autoimmune disorder in which the consumption of gluten, a protein found in wheat, barley, and rye, triggers a significant immune response within the body. This response damages the small intestine, specifically targeting the villi—small projections within the gut that are crucial for nutrient absorption. The destruction of these villi leads to malabsorption of essential nutrients, resulting in symptoms such as malnutrition, osteopenia, gastrointestinal distress, and deficiencies in vitamins and minerals. Fortunately, most individuals with celiac disease can manage their symptoms effectively by following a gluten-free diet, which often includes alternatives like rice-based products.

What foods are not allowed if you have celiac disease?

Since gluten is present in foods containing wheat, barley, or rye, consuming products with these ingredients can trigger celiac disease symptoms. Common sources of gluten include bread, pasta, baked goods, crackers, and cereal products. However, gluten can also be found in unexpected places, such as certain milk-based products, salad dressings, processed meats, and energy/nutrition bars. To avoid accidental gluten consumption, individuals with celiac disease should check ingredient labels and be aware of ingredients derived from gluten-containing grains, such as malt from barley.

What diet is best for people with celiac disease?

A gluten-free diet is the most effective way to manage the symptoms of celiac disease. The increasing availability of "gluten-free" products, along with the abundance of naturally gluten-free grains such as rice, potatoes, oats, quinoa, and corn, has made it easier to maintain a gluten-free lifestyle. Other than reducing or eliminating the consumption of gluten, however, there is no single diet that is best for individuals with celiac disease. Even without gluten, individuals can consume a balanced diet that includes fruits, vegetables, whole grains, and high-quality sources of protein. Indeed, consuming foods rich in vitamins and minerals is particularly important for those with celiac disease, as they often experience nutrient deficiencies due to malabsorption issues prior to diagnosis.

How can a dietitian help with celiac disease?

Dietitians can help with celiac disease by providing guidance on how to maintain a healthy gluten-free lifestyle. They can provide tips on how to avoid gluten-containing foods, including foods that may be at high-risk of gluten contamination. They can also offer substitution recommendations that ensure clients still consume enough healthy grains within their diet, and they can help clients navigate other resources that may be helpful in the management of their disease. In some cases, a dietitian may assist in identifying a gluten sensitivity; although registered dietitians (RDs) can't officially diagnose celiac disease, they may be particularly familiar with celiac disease symptoms and be able to help clients connect to a medical professional for further testing and treatment if they suspect a client may have the condition.