Eating Disorders

Eating disorders are mental health illnesses, classified by the DSM-V manual and diagnosed by a psychiatrist.  The eating disorders we treat include Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder, ARFID and Diabulimia and we support people of all ages from 12 years upwards.

We treat clients with eating disorders in as collaborative way as possible, linking into the healthy part of you.  With psycho-education focused on nutrition and how your body works, we hope to enable to you to fight the eating disorder voice and eat the food you need.  We will often give a meal plan, but it may not always be necessary and this will be guided by you and, where relevant, your family. If and when appropriate, we then help you start to tackle fear foods and eating disorder specific behaviours that you have identified.

Using principles of evidenced based behavioural change therapies, such as cognitive behavioural therapy (CBT), acceptance commitment therapy (ACT), as well as solution focused based therapy, we help you implement long-lasting changes that fit with your lifestyle and values.

Whilst we work on a behavioural change level, this does not identify the root cause of your illness and you will need to be working on this with a psychotherapist or psychologist alongside our treatment.  In the cases of diagnosed eating disorders, having a therapist or psychiatrist involved is a prerequisite for consultations with us.

Both Jen and Sue have extensive experience of working with people with eating disorders, both in the NHS and privately, and look forward to working with you.

Book an appointment today!

Disordered eating

This is not a diagnosed illness, but often the symptoms can be similar, but less severe. You may spend considerable amounts of time and energy worrying about food; social occasions may cause great anxiety and you may have rigid food rules that you feel you cannot break. You may restrict your food intake and end up feeling guilty and ashamed for food choices you make. Often you are trying desperately to eat more healthily, but by over restricting your food intake, you sometimes end up doing the opposite.

If this sounds like you, then we empathise. This is a really hard position to pull yourself out of on your own. We can work alongside you to help you challenge your food rules and allow you to start listening to your body, as opposed to external rules and cues.

We can help you towards living a life that is no longer ruled by food and your body weight and one where you are free to listen to your body.

Please contact us to book an appointment

Meal support for eating disorders:

Meal support can help to support the person with their difficult thoughts and feelings during or after meals. It is an invaluable service that can help people adhere to their meal plans, which are often difficult to manage alone. Our meal support practitioners can also assist and provide support with challenging fear foods and eating in public. Or they can give guidance and support during the often highly anxiety provoking times of meal preparation and food shopping.

We can work with you at your pace to achieve your goals, whether that is full recovery, or just a better quality of life. We work with all eating disorders and disordered eating.

We suggest a minimum of 6 sessions of meal support, as this allows time to build trust and rapport and allows you time to repeat what is being taught. Some people have on-going meal support sessions, and we can tailor packages on request.

Parent/carer training:

Ruth Jacobs offers support and training to parents or others who live with someone with an eating disorder. We understand these are difficult times for all the family, and being confident in how you manage meal times, food preparation and shopping can really make a difference, both to recovery and also to your relationships in the home. Ruth can teach you step by step meal support. Please contact us ( for more information.


Irritable Bowel Syndrome (IBS) is a functional gut disorder that affects up to 15% of the UK population.  If you have been diagnosed with IBS you may have symptoms that include constipation, diarrhoea, bloating or abdominal pain.

These symptoms can greatly impact your quality of life.

Due to the symptoms being very similar to other gut conditions, it is important that you see your GP to rule out coeliac disease, inflammatory bowel disease (Crohn’s and ulcerative colitis) and bowel cancer.

There are first line evidenced-based, dietary treatments for IBS (NICE guidelines) that often work very well to improve symptoms.  These include reducing caffeine, alcohol and fizzy drinks, eating regularly, and getting enough relaxation.

The second line dietary treatment is a low FODMAP diet.  However, this is not suitable for all people with IBS, but does work to reduce symptoms in 85% of cases.  Due to its restrictive nature, it really needs to be carried out under the supervision of a Dietitian to ensure that you are getting all the nutrients you need.

We can work with you, firstly on the first line dietary changes and then, if necessary, move onto a low FODMAP diet for 6 weeks and then a FODMAP reintroduction (which takes around 6-8 weeks) and personalisation phase.

Many people like more appointments to walk them through each stage of the low FODMAP diet, but we recommend 3 sessions as a minimum – the initial session will focus on the low FODMAP diet and then two follow up sessions of 50 minutes will teach you how to reintroduce the higher FODMAP foods and help you establish which foods you can tolerate in the longer term.

It is really important that you do not continue on a low FODMAP diet in the long term – it is very restrictive and can drive disordered eating and also has adverse effects on your gut microbiome.

Jen is trained by King’s College London in The Advanced Dietary Management and the Low FODMAP Diet in IBS and would love to work with you to help you to manage your symptoms through dietary and lifestyle changes.

Book an appointment today!


Weight management

Are you fed up with the yo-yo cycle of being on and off a diet? We very much work on weight management from the perspective of listening to and being kind to your body. Once you have mastered this, you tend to find your weight naturally settles at a place that is healthy for you. By tuning into your body’s internal signals and by overcoming the rules that often govern what you eat and when, you will foster a better relationship with food and your body.

We can work with you to teach you to learn to trust your body again, to break free of the negative cycle of “diet, weight loss, weight regain”, that can damage your self-esteem and leave you feeling guilty and ashamed.

If you would like a more typical weight loss plan that is also possible. However, we will not give plans that are unrealistic or unsustainable, and prefer to teach you how to eat more healthily within the context of your lifestyle. We know from the research that fad diets do not work and they drive disordered eating.

Any goals for weight management are slow and achievable, and come from a whole lifestyle, personalised approach, as opposed to a quick fix.

If this is what you need, please do contact us today to book an appointment.