Initial Appointment (Assessment)
The initial appointment is an opportunity for you to tell us what has led you to seek support for your eating difficulties and some background information about yourself. It will last around 50 minutes. You will meet one of our therapists.
Depending on your concerns one of our medical doctors, dietitians or assistant psychologists might join this meeting, too. In this meeting we will discuss your expectations, hopes, fears and any goals you might have. It is an opportunity for you to meet the service and for you and us to assess together whether we feel we will be able to work well together
You will be able to ask questions about our professional experience and remit and our approach to therapy. It is also opportunity for us to assess whether we are able to work with your concerns or difficulties.
If we decide to work together after our initial appointment, you will be placed on our waiting list and we will contact you as soon as a therapist becomes available.
If we do not feel that we are the right service for you we will let you know and we will sign-post you to services that might be able to help you.
We offer a number of treatments. Most clients will receive psychological therapy or monitoring & support in line with the NICE guidelines. In addition, you may receive dietetic support or psychiatric reviews depending on your circumstances.
Once a therapist becomes available, they will invite you to your first therapy appointment. During this appointment, we will decide together on a treatment approach. Your therapist will discuss the available options with you. These include the nationally recommended forms of psychological therapy for eating disorders: The National Institute of Health and Care Excellence (NICE) guidelines recommend offering one of four different psychological therapies for the treatment of Eating Disorder.
For Eating Disorders such as Binge Eating Disorder, Bulimia Nervosa and other similar eating disorders, Cognitive Behavioural Therapy (CBT) is recommended.
For Anorexia Nervosa and similar eating disorders there is no evidence available at the moment to indicate which of the four types of therapy works best, so it is recommended the therapy options are explained and discussed to see which therapy is most suitable.
Usually, we will start with 6-8 sessions of psychological therapy and review this once we have completed these sessions.
We will arrange a regular appointment, which will normally be on the same day at the same time each week and last 50 minutes unless otherwise agreed. In order for psychological treatment to be helpful, it is important to have regular sessions.
Where are countywide service and offer treatment in a number of locations. You may wish to wait for location closer to home then is offered or available, and your treatment will not be affected by this choice.
As part of your treatment, we will discuss with you whether you might benefit from dietitian support. If we decided together that this would be useful, our dietitian will offer you an initial appointment. This will last approximately 1 hour (with shorter 30-45 minute follow up appointments if required).
As part of the team, the dietitian will be aware of your goals and progress with therapy. The dietitian will work with you to help you understand and manage any physical symptoms, concerns or medical diagnoses you may have which impact your nutritional intake. The dietitian provides evidence-based advice and information and will identify any potential dietary deficiencies, will work with you to make an individualised eating plan to lessen any risks, and may work with you to expand and normalise nutritional intake. The dietitian will also support you to stay motivated throughout therapy to achieve your goals.
Depending on your needs we might also decide together to make an appointment with the team psychiatrist, who will see you on her own or with another member of the team, depending upon your needs at the time.
The role of the psychiatrist is to assess medical and psychiatric risk , offer clinical opinion about any comorbidities, and advice regarding further management including medication, physical health monitoring and risk management
We have some limited capacity at present to support carers of clients under the care of our service. If you are looking for support you can contact our service and we can discuss this on an individual basis. Unfortunately, our capacity to support is very limited at present but we are working on this to change in the future.
As a service we also sometimes invite carers, family members or loved ones of our patients to joint sessions in order to facilitate recovery.
CEDA the Carers Eating Disorder Association offers support to carers and family members of people with eating disorders in Bedforshire and Luton. Their contact details can be found here >>