Nutritional Therapy

What is nutrition counselling?

Nutrition counselling addresses both what we eat and also how we feel about food and our bodies.

 

There are many reasons why our eating habits can become convoluted and bound up with negative emotions like guilt, anxiety and fear. Eating disorders – and disordered eating – exist on a spectrum and they are considered bio-psycho-social disorders. Simply put, there are biological, psychological and social factors that can both predispose and perpetuate these issues.

 

Therapy, nutrition counselling and rehabilitation will together help you re-nourish your mind and body to a place of optimal physiological functioning and cultivate a healthier relationship with food.

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What to expect in nutrition counselling

Nutrition counselling may help with the following:

  • Weight restoration
  • Reducing binge eating and purging episodes
  • Promotion of regular and balanced eating
  • Psycho-education in nutrition science

This approach will provide you with tools to help neutralise your inner food critic and to manage difficult emotions without using food. In the long term, we will help you to re-build interoceptive awareness so that you can recognise your body’s hunger and fullness signals and rediscover the pleasures of food.

Our goal is to support you with lifelong tools to help you feel more confident and comfortable in nourishing your body so that, ultimately, you can focus on other important and meaningful areas of your life.

Nutritional

Intuitive eating benefits

Are food and your body taking up more brain space than you’d like? Are you dominated by endless arbitrary rules about food like when, how much and a fear of losing control? Are you fed up with yoyo dieting and endless cycles of weight loss and regain?

Intuitive eating is an evidence-based theory towards eating developed by US dietitians Evelyn Tribole and Elyse Resch.

Studies have shown intuitive eaters have better self-trust, emotional functioning, body image, reduced risk of eating disorders and disordered eating, less weight cycling and lower BMIs.

At the clinic, our nutritionist will help guide you through the 10 principles of intuitive eating:

  • Reject the diet mentality
  • Honour your hunger
  • Make peace with food
  • Challenge the food police
  • Feel your fullness
  • Discover the satisfaction factor
  • Cope with difficult emotions without using food
  • Respect your body
  • Exercise – feel the difference
  • Honour your health with gentle nutrition

The food and mood connection

Recent evidence associates overall diet quality with mental health across different life stages. Multiple studies show a direct dose-response correlation between a high quality diet and a reduced risk of developing mental disorders like depression.

 

Alongside therapy and medication, diet is a modifiable factor when it comes to our mental wellbeing.

 

Your nutritionist will help you explore your current food and eating patterns and make small sustainable changes to help improve your overall diet quality. We can also use food to support movement, sleep and stress management.

Nutrition optimisation - why’s it so important?

In 2017, the Global Burden of Disease (GBD) published a report concluding that adults do not consume enough fruits, vegetables, nuts, seeds and wholegrains. The last decade has seen an exponential rise in highly processed foods, sweetened beverages, diet food products and a change in eating habits including increased takeaways and eating on-the-go. Together, this has resulted in compromised nutrient intake with repercussions for our physical and mental health.

 

Our nutrition optimisation programme includes a thorough assessment of your medical history and current eating habits. Follow-up sessions will include recommendations for small sustainable changes to help improve overall diet quality and optimise nutrient intake.

Frequently asked questions

This will vary from person to person, based on their history and personal circumstances. At the clinic, we don’t believe that lasting change can happen in “quick fixes” and so generally, we recommend a minimum of 12 sessions in order to allow for significant and sustainable changes to take place. The frequency of your sessions will also vary, based on your progress. They may start weekly and then change to fortnightly, monthly and so on.
Meal plans will be recommended based on your individual needs, situation and preferences. If you need to restore weight, then you will likely need a temporary meal plan to support you in reaching a healthy weight, as well as restoring important bodily processes. Most meal plans will include suggestions around portion sizes alongside guidance on how to build balanced meals and snacks that will support you in reaching your goals.

Yes, your nutritionist will be available to you in between sessions should you have any questions following your sessions.

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Marina Hilleary

Dr Marina Hilleary is a Clinical Psychologist working in the NHS and private practice. She completed her BSc in Psychology at the University of Exeter, graduating with first-class honours and was subsequently awarded an MSc in Mental Health Studies and a Doctorate in Clinical Psychology at the Institute of Psychiatry, Psychology and Neuroscience, King’s College London.

Dr Hilleary has 9 years of clinical experience in various NHS mental health settings, her current position being on a Specialist Adolescent Team at a Community Child and Adolescent Mental Health Service (CAMHS). She has a specialist interest in working with children, young people and their families and has worked with young people presenting with a wide range of difficulties including depression, low self-esteem, anxiety (specific phobias, GAD, social anxiety, separation anxiety, panic and OCD), PTSD, behaviours that challenge and additional neurodevelopmental needs.

Dr Hilleary is experienced in carrying out comprehensive psychological assessments (including cognitive assessments) and recognises the importance of working towards a shared understanding of the presenting difficulties to enable a positive therapeutic outcome. She draws on a range of evidence-based psychological therapies and models, including Cognitive Behaviour Therapy (CBT), Dialectical Behaviour Therapy (DBT), Compassion Focused Therapy (CFT), Acceptance and Commitment Therapy (ACT) and Mindfulness-Based approaches. In addition, Dr Hilleary utilises systemic family approaches when working with young people and their families.

Dr Hilleary adopts an integrative, compassionate and person-centred approach to engage young people, building their motivation to participate in decisions around their care plan and achieve their therapeutic goals. She works creatively with her clients and, where appropriate, alongside any of their important support systems.