We believe that our commitment to working closely as a team is key to the high standard of care we offer our clients.
Over years of clinical practice, we have developed our own "Shelly Beach Practice" model, which involves collaborative treatment by a psychologist and dietitian. It integrates the core principles of nutrition management and intuitive eating with the evidence-based principles of psychological interventions outlined below. Treatment typically involves: nutrition and psychological assessments; a tailored, evidence-informed treatment programme that takes into account the specific eating problem, client needs and characteristics; and participation in regular progress review sessions with the treatment team. This integrative model is achieving positive outcomes for many of our clients and we are excited by its potential to boost the efficacy of standalone psychological therapies for particular presentations. Following assessment your clinician will discuss whether this model is an appropriate fit for you.
Psychological intervention involves an initial assessment, following which we will discuss with you an individual, evidence-based treatment plan that is the best fit for your current difficulties.
Depending on the client, we may work primarily within a particular treatment modality described below, or draw from a range of approaches which can also include Motivational Enhancement Therapy, Mindfulness Interventions, Dialectical Behavioural Therapy, and Acceptance & Commitment Therapy. Our main approaches are outlined as follows:
Cognitive Behaviour Therapy (CBT) focusses on the interaction between thoughts, feelings and behaviours. It helps people identify unhelpful thoughts and behaviours and learn more effective ways of managing challenging situations. This approach can be applied to a wide range of client difficulties.
Cognitive Analytic Therapy (CAT) involves working collaboratively with individuals to identify and understand patterns of thinking and behaving that have been learnt in childhood and how they contribute to current difficulties. Therapy focusses on recognising and changing these patterns as they occur in every day life. This approach can also be applied to a wide range of client difficulties. Dr Geary has particular expertise in this approach.
Enhanced Cognitive Behavioural Therapy (CBT-E) for eating disorders is a specialised form of CBT that systematically addresses key aspects of eating disorder thoughts and behaviours. CBT-E is the leading evidence-based treatment approach for those with normal weight eating disorders (such as bulimia nervosa).
Maudsley Anorexia Nervosa Treatment for Adults (MANTRA) is an empirically-based treatment package designed to directly target the key maintaining factors of anorexia nervosa that have been identified through research. It is based in CBT principles but also draws on other therapeutic models such as motivational enhancement therapy.
Specialist Supportive Clinical Management (SSCM) for eating disorders emphasises the importance of a supportive therapeutic relationship that facilitates the gradual return to normal eating and weight. The provision of good information, advice and encouragement is key. This approach also provides a forum for addressing other life issues that impact on the eating disorder and quality of life.
A dietetic consultation can assist anyone who wants to improve their health and nutrition through food and lifestyle, supporting those to build a peaceful relationship with food and with their bodies. Dietetic therapy not only focuses on food and eating but can also address concerns about body image, weight, physical activities and thought patterns that may be preventing people from living a healthy balanced life.
How do we work?
The first visit is all about getting to know the client and about making progress from day one with the treatment team.
During the first in-depth consultation (allow 90 minutes), we find out as much as we can about the client and hear their story and all the factors that impact on the current situation. We will also find out the clients goals of therapy. At the conclusion of this session we provide feedback regarding some treatment approaches that can be used. For eating disorder referrals we liaise with the psychologist, and make our dietetic recommendations to inform the treatment plan.
Each ‘Phase’ of therapy will have clear treatment goals and a timeframe after which the effectiveness of our work is assessed.
Eating Disorder Treatment
Our work with you at first involves supporting you with regularity, nutritional adequacy and expanding your food variety. As you begin to recover, we start to build in some of the skills we teach in our Intuitive Eating Programme. From here you will build confidence with eating socially and learn to become more peaceful and spontaneous with food.
Intuitive Eating Programme (IEP)
The Intuitive Eating Programme has been developed through our years of experience of working as specialist Dietitians in the eating behaviour field (we have over 50 years combined experience as dietitians). The IEP supports clients to achieve a more peaceful relationship with their food, body and way of being and for some of you liberating you from diet mentality. This is a skills-based programme and it consists of six to eight sessions addressing what, when and how much you eat, the ten intuitive eating principles and mindful eating. At Shelly Beach Practice we fully support the Health at Every Size (HAES) philosophy which means we take a non-diet approach to our dietetic therapy looking at how we can incorporate more health enhancing behaviours into our lives as opposed to deprivation or restriction.
Body Confidence Training
Confident Body, Confident Child (CBCC) is a new evidence-based resource providing parenting strategies to promote positive body image, healthy eating and physical activity in children aged 2-6 years. We currently deliver parent workshops to introduce the important concepts of child body image development, healthy eating patterns and healthy weight attitudes, to parents of 2-6-year-old children. These workshops are designed to guide parents through the information contained within the CBCC resources, allow group learning and activate behavioural change. The workshops are 2-hours in length and designed to be presented approximately two weeks apart.