Eating Disorder Support – From Hospital To Home

INTENSIVE ANOREXIA SUPPORT | LET US HELP YOU WITH THE TRANSITION FROM INPATIENT TO OUTPATIENT CARE

OUTPATIENT TREATMENT AT WEIGHTMATTERS

You may have experienced inpatient treatment in hospital,  and now you are ready to take the next step in your recovery, and progress to outpatient care. However, this process can be scary and intimidating.

You may fear that in resuming control over your food and eating, that your old patterns of thinking will take over and prevent you from recovering. You may feel anxious about navigating the outside world again and coping with stressful life events.

At WeightMatters, we have an experienced and dedicated team to help you manage your transition from an inpatient setting to resuming life at home. 

We offer a complete package including intensive therapy, meal support from our dietetic team and support for your family members, who may be unsure how to most effectively support you at this time.

Each package is tailor made to suit each individual client and their specific life context. Some clients have a clear idea of the help they are looking for, while others are less clear. We want to make sure that we find the right approach for you, and one of our strengths is listening carefully so we can fully understand your needs.

Treatment packages include personalised psychological and nutritional programmes, supplemented by psychiatric support and medical liaison.

The transition from being in hospital to being back at home, although positive can also present challenges. We tailor our therapy programmes around each individual’s needs.  This could be daily to begin with daily support, or sessions several times a week. We recognise that everyone is different and we are here to understand your needs and what works best for you. 

We offer the opportunity to begin work with our psychiatrist if needed, and we will liaise with your G.P to manage your medical needs. It is important that we work as part of a ‘Golden Triangle’ where we look after and meet all of your physical, emotional and nutritional needs.

Below is some information on the process of developing your treatment plan, and what your treatment may look like. Your plan will be tailored to your personal needs, and may vary from person to person.

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PSYCHOLOGICAL ASSESSMENT

Before you start treatment, you will have an initial assessment with our lead therapist, so they can understand your personal journey with anorexia and develop a clearer picture of your treatment needs.

In your initial assessment, we will work together to:

  • Understand your experiences with anorexia and your journey so far
  • Explore your goals for treatment and what recovery means for you
  • Explore obstacles or barriers that might impact your recovery journey
  • Look at your readiness for change and address any concerns you may have

Having an initial assessment is important for us when creating your treatment programme. Every person has a unique experience, and we want to ensure we tailor your plan appropriately, depending on your needs.

Depending on your needs, your treatment may start with a psychiatric assessment with our Consultant Psychiatrist. This may be required if you have a complex history with recovery, you take any medication, or have any other mental health conditions that require attention.

NUTRITIONAL ASSESSMENT

You will also undergo a dietitian assessment, to assess your nutritional status and needs moving forward. 

Dietitian assessment may include:

  • Understanding your historical eating patterns
  • Explore current and historical medical reports
  • Arranging functional tests to investigate underlying imbalances

From here, our team will work together to formulate your bespoke treatment plan. We value the importance of a multidisciplinary approach.

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TREATMENT STRUCTURE AND PLAN

Your treatment plan will consist of integrated psychological and nutritional support for you and your family. Below you can find out about the different psychological therapies available and meal support assistance from our dietitian.

PSYCHOLOGICAL THERAPY

The frequency of sessions will depend on your treatment goals and your current health status.

Initially, you will meet with your therapist for three therapy sessions per week, so you feel fully supported in your transition from inpatient to outpatient life. This may be adapted to your needs as you progress through your treatment.

Our therapists specialise in a range of psychological approaches and can use different tools and techniques to guide you through your recovery from anorexia.

COGNITIVE REMEDIATION THERAPY

Cognitive remediation therapy is an evidence-based treatment that can help you improve your emotional, social and cognitive functioning.

We will work with you to improve your cognitive flexibility, so you can relax the strict rules you hold around food and eating and reduce your distress when your routines become disrupted.

Cognitive remediation can also help you reduce focusing on smaller details, such as calorie counting, and can help you widen your perspective. By using different activities and techniques, we can help you contextualise your thoughts and behaviours and improve your symptoms.

DIALECTICAL BEHAVIOUR THERAPY

Our experienced therapists can also offer Radically Open Dialectical Behaviour Therapy.

It was created specifically to help people struggling with a spectrum of disorders which are characterized by excessive control. 

Excessive control is a key characteristic that maintains anorexia and can keep you trapped in a cycle of disordered behaviours.

Your therapist can work with you to increase your flexibility, so you can adapt to different situations without becoming overwhelmed and returning to over controlling behaviours.

FAMILY THERAPY / COUPLES THERAPY

If you have people close to you who are part of your support system, your treatment plan may include integrating some therapeutic support in the form of family or couples therapy.

Interpersonal dynamics may be an important part of maintaining disordered thoughts and feelings in anorexia. By working through these with the support of a family therapist, this can help promote recovery.

Family support sessions may include:

  • Psychoeducation for Anorexia Nervosa 
  • Learning to manage interpersonal conflict
  • Improving communication skills
  • Developing stress management and emotion regulation skills

These therapy sessions might become a regular part of your treatment plan, or they may be arranged at different points, depending on your needs.

DIETITIAN SESSIONS / MEAL SUPPORT

In your dietitian sessions, you will learn the importance of nutrition for your body systems and the consequences of denying certain foods for your body and physical health.

We will work together to support you in following a structured meal plan to help you take control over your eating in a way that supports your recovery and promotes optimal health and wellbeing.

This will enable you to discuss your individual meal plan, talk about any difficulties you are experiencing and to access help with meal support upon your discharge. 

Prolonged periods of malnutrition can lead to serious physical effects for your body. Our dietitian will personalise your meal plan to help you improve your symptoms and balance your biochemistry.

This may involve working alongside your medical team and arranging functional tests, to manage and assess the severity of your physical health symptoms. 

Dietitian sessions may also include working alongside your family or carers, so they can feel confident when preparing meals and supporting you through your journey.

These sessions can be weekly, bi-weekly or monthly depending on your individual requirements.

MEET THE TEAM

Our dedicated and experienced team are committed in supporting your transition from hospital to home, and will be by your side on your road to recovery.

MULTIDISCIPLINARY TEAMWORK AND MEDICAL LIAISON

We value the importance of multidisciplinary teamwork to support your journey from inpatient to outpatient care.

Your clinicians will meet monthly to discuss your treatment plan and progress, making any adjustments as necessary depending on your journey.

We want to be transparent around our need to liaise with your hospital and GP. This is important for your safety and ensures that you have a full team of support, to guide you through recovery.

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FEES

We believe it is important to be clear and open about our fees, so the following sections take you through the different sections that may be involved in your treatment plan.

ASSESSMENT

To create your bespoke treatment plan, it is important we assess your needs carefully at the start of the process.

  • Initial Therapist Assessment – 75 minutes – £180
  • Initial Dietitian Assessment – 90 minutes – £180
  • Initial Psychiatric Assessment – 90 minutes – £300

LIAISON WITH GP / HOSPITAL

This is charged in blocks of time at £70 for every 30 minutes for calls, meetings and admin management.

ONGOING TREATMENT

This section of your treatment plan will be structured to support your recovery, and will evolve and change over time.

  • Therapy Sessions – 50 minutes – £120 standard / £105 off-peak
  • Dietitian Support – 60 minutes – £150
  • Dietitian Support – 40 minutes – £120
  • Psychiatric Review – 60 minutes – £220

MULTIDISCIPLINARY TEAM MEETINGS

This will be charged based on 30 minutes of time for each of the practitioners involved in your care, this will be your therapist and dietitian, and may include our psychiatrist.

MDT meetings are an essential part of your treatment plan, and allow us to talk about your progress, and any areas where you may be struggling.

MDTs are usually monthly, but may be more frequent at the beginning of treatment, or when a case is more complex.

FAMILY THERAPY

Exploring dynamics in family relationships are an important part of anorexia recovery. Your therapist may join some of these sessions.

  • Family Therapy – 90 minutes – £300
  • Therapist Joining – 90 minutes – £240

Learn more about Eating Disorder Support – From Hospital To Home