About Binge Eating Disorder
Binge eating disorder is characterised by regular episodes of binge eating which involves consuming unusually large amounts of food which can feel chaotic, out of control and highly distressing. A person may not be hungry, may continue to eat after the point of feeling full, may eat alone or in secret and may experience intense feelings of guilt, shame and low mood afterwards.
An eating disorder is a mental health condition that can impact people of all ages, sizes, shapes and identities and can be life threatening if left untreated and the person with it unsupported. There are a variety of things that factor into the development of an eating disorder but we do know that dieting is a major risk factor and getting help as soon as possible is important to healing and recovery.
- Do you feel a sense of loss of control with eating certain foods or when eating?
- Do you feel a lot of guilt or shame about the foods you eat, how much or how quickly?
- Are things between you and food feeling complicated (perhaps to say the least)?
- Do you ever eat in secret or find yourself lying about what or how much you eat to others?
- Do you find yourself eating to a point where you feel extremely physically uncomfortable?
- Would you like to pursue healing and moving towards Intuitive Eating?
If you have been diagnosed with binge eating disorder, or are concerned you might be struggling with it, please know that you are not alone. Binge eating disorder is actually the most common eating disorder. It is estimated that it affects around 47% of Australians with an eating disorder.*
W&N provides weight inclusive support to adults who are, or may be, struggling with binge eating disorder. It’s important to note that eating disorders do not look a certain way, including binge eating disorder. If you feel like you might be struggling with disordered eating, binge eating disorder or another type of eating disorder, please know you are deserving of care and support right now. We know from individuals with lived experience who have shared their stories and from research that the sooner individuals get support the better.
Non-diet weight inclusive approach to binge eating disorder support
Supporting you in finding a more peaceful relationship with food, eating and body is central to care at Wander and Nourish Nutrition and we believe the best way to offer that support to you is through the non diet weight inclusive approach.
We believe that each unique individual will settle at a weight their body feels safest and most comfortable at while that individual’s focus is actually on fostering a nurturing and nourishing relationship with food, eating, movement and body. There are many factors that influence health and weight and it’s important to consider these compassionately and holistically.
An important thing to know about the weight inclusive approach is that weight loss interventions are not offered as a part of your care. All sizes and shapes of bodies are welcome and care provided is not oriented around using food, nutrition or movement to try and make them fit into certain parameters but rather to adequately and fully nourish them with whatever they may be experiencing and need. Rather space to have conversations about body image, beauty ideals, weight stigma and bias, intersecting identities and privileges and work to stay curious together is offered.
What helps each person find greater peace, autonomy, authenticity and healing in a culture that constantly policies bodies is what we seek to explore with you from the lense of food and eating. You and your body are not a problem. You and your body deserve to take up space and deserve care and nourishment. The way you experience the world and your body are unique so your care will be too.
The non-diet approach (also often called a weight inclusive approach or anti-diet approach) is aligned with the Health At Every Size® paradigm of care. The non-diet approach focuses on:
Providing respectful care (centers the person’s lived experience and respects them as the expert on themselves)
Encouraging re-connection with internal body cues to support rebuilding body trust where diet culture has damaged it
Encourages eating and movement for well-being and life enhancement instead of for intentional weight control
Honoring body diversity
Considering the social determinants of health
How It Works
Let’s arrange a free call to connect. Not sure if you are ready to engage with a Dietitian or if a weight inclusive approach or Intuitive Eating Dietitian is the right fit for you? We would love to meet you and answer your questions to help you decide next best steps for yourself with what might be showing up with your food, eating or digestion.
An hour just for you. We’ll begin to explore more about what might not be feeling so great right now, where you may have been, what you may have tried already and what you desire to feel/be different moving forward with my support. We explore and consider your goals and values and create a plan together for moving forward towards them based on what matters most.
A more peaceful relationship with food, eating and body. More confidence and tools to navigate food, feelings and body image in your day to day life. Getting head space, time and energy back to use on things that really matter to you.
Binge Eating Disorder Care Options
FREE, 15 MINUTES
Not sure about next steps in finding more peace with food, eating and body? An Exploration Call is an opportunity to connect via video chat (or phone if that is your preference) to meet and explore your questions further before you book any appointments.
The thought of talking about food, eating and your body can bring up a lot of different feelings. You may have had interactions with healthcare professionals (including Dietitians) in your past which may have left you feeling hesitant or uncertain about working together. This call is simply a little space created for you to explore what next steps might be right for you and to meet the human who might be supporting you with them.
$200, 60 MIN. (IN PERSON OR VIRTUAL)
Before we even meet you will be invited to complete some intake forms which ask a variety of questions about you as a whole person. In our first appointment we want to learn even more about your journey so far in and with your body, food, eating, movement and health. You are the expert on yourself and we respect that. In a first appointment, we explore more specifically together what you hope would feel/be different than it might be right now with your food, eating, body image, movement etc.
As we talk through your needs, desires and consider your lived experience we work together to start to unpack and understand binge eating disorder and create a plan to support you.
FOLLOW UP APPOINTMENT
$180, 60 MIN. (IN PERSON OR VIRTUAL)
Our follow up appointments will vary based on what your goals are, what questions you bring with you, what experiences you have since we last met, what things you may have chosen to focus on between appointments and what you most hope to get out of our time together when we meet. We will both continue to learn more about you as we go. All appointments will be guided by non-diet weight inclusive approaches to health.
Lingering questions? Let’s see if we can help with that.
Do you accept Private Health Insurance?
Yes. Different Private Health Insurance Funds will cover a different number of sessions with a Dietitian or cover different amounts per appointment so it’s important to check with your particular provider to see what they offer. If private health is available to you to use for Dietitian services you will be able to submit your paid invoice after your appointment directly to your health insurance provider in order to get reimbursed by them.
I have a Care Plan, how does that work if I want to work with you?
A Care Plan may be created by your Doctor to support you in accessing care from other providers at a reduced cost. There are two types of Care Plans which can be used to access my services. Wander and Nourish does not Bulk Bill, so even if you have a Care Plan mentioned below, there will be a gap fee which you are responsible for paying.
If you have been diagnosed with binge eating disorder you will likely have an Eating Disorder Management Plan from your Doctor. You will have 20 sessions allocated to working with a Dietitian through this plan. You will also need support from a psychologist under this plan. Please discuss any questions or concerns with your Doctor. Currently (2023) under these plans Medicare will help cover $58 of the appointment cost for seeing a Dietitian.
- You do not have to have a care plan to work with me.
- You do not have to stop working with me once you have used your allocated appointments on your Care Plan (should you need and desire support past those appointments).
- I am happy to discuss fees for moving forward if you find yourself in the position where you have used your allocated appointments but desire/need further support and finances are a barrier to that.
I have Private Health Insurance AND a Care Plan from my GP, can I use both?
You cannot combine Private Health Funds and Care Plans for the same appointment. You could however use one of these to help cover costs until it runs out and then swap to the other if you have access to both. Alternatively you may like to see which one has a higher reimbursement and use that option first. The choice is completely up to you.
I don’t have a care plan, can I still work with you?
Do you work with NDIS clients?
Not at this time.
I don’t live nearby, can I still work with you?
Yes. I am happy to offer Telehealth appointments which means you can work with me no matter where you find yourself in the state, country or world. If you are planning to use a Care Plan or Private health Insurance to to help cover costs you will want to check to ensure that they will reimburse for Telehealth and how many appointments and how much they might cover per appointment.
- Some clients will be better suited for in-person local care when possible.
- When possible I recommend at least the initial appointment being in person.
What is Intuitive Eating?
Intuitive Eating is an anti-diet eating as self care framework made up of 10 guiding principles originally created by Evelyn Tribole MS, RDN, CEDRD-S and Elyse Resch MS, RDN, CEDRD-S, FAND. The principles are not new rules which must be followed but rather exist to support you in moving away from the external rules and control of diet culture and history of dieting and instead tuning back into your body’s own signals, needs and your preferences.
The 10 Guiding Principles of Intuitive Eating are: 1) Reject the Diet Mentality 2) Honor Your Hunger 3) Make Peace with Food 4) Challenge the Food Police 5) Discover the Satisfaction Factor 6) Feel Your Fullness 7) Cope with You Emotions and Kindness 8) Respect Your Body 9) Movement-Feel the Difference 10) Honor Your Health with Gentle Nutrition. Intuitive Eating is an evidenced based weight inclusive approach to food, eating, body and health.
There is a certification process providers must go through to become a Certified Intuitive Eating Counselor in order to understand the nuances of how to support clients through this approach. Lisa is a Certified Intuitive Eating Counselor. Having an eating disorder does not mean you cannot pursue Intuitive Eating, but it does mean you will want to pursue working with a clinician who is trained in Intuitive Eating and Eating Disorders so they can appropriately and safely support you. Some of the principles and pieces of Intuitive Eating are helpful to integrate early on and some of them need to be saved and embraced later in your journey.
What is a non-diet or weight inclusive approach anyway?
The non-diet approach (also often called a weight neutral approach, weight inclusive approach or anti-diet approach) is aligned with the Health At Every Size® paradigm of care and embraces mindfulness and Intuitive Eating to remove the focus on using eating or movement to achieve weight loss. This approach honors body diversity and encourages connection with internal body cues to rebuild body trust where diet culture has broken it. You can learn more about HAES® here. You can read more about the non-diet approach here.
I’m not sure if this type of approach is right for me...
I can understand that this approach to health, food, eating and body may sound quite different than what you have pursued before and the messaging you may have been given (and are currently being given). I also believe that you are doing your best with what you have to take care of yourself. You might like to consider booking an Exploration Call with me.
I am happy to hear more about what fears or concerns you might have about taking this new approach to what is going on in your relationship with your body, health and food right now before you book an appointment. If you feel like you just can’t go on another diet, wish your relationship with food and your body felt more peaceful and flexible, wish you spent less time thinking about eating and exercise, are tired of trying to control your body size and shape or are tired of being provided with care that felt like it only cared about your body size and shape- it’s worth reaching out to ask more.
You may also like to consider signing up for the monthly Newsletter: Nourishing News or following @wanderandnourish on Instagram to follow along for a while as you consider what you want for yourself and what you need.
How many appointments will I need to plan for?
Care at Wander and Nourish is very individualized. This means each client’s path forward looks different depending on their needs and concerns. Support for healing and recovering from an eating disorder at Wander and Nourish will be coordinated with other important members of your care team including your Doctor and a psychologist.
Initially regular weekly appointments with your Dietitian will be set up (or as close to as possible). Your Dietitian and team will work to problem solve and collaborate with you when this feels difficult to navgiate (which can be for many valid reasons). Typically several weeks of appointments are planned for and set aside for you during your first or second appointment to help support regular and consistent care.
Your Dietitian will continue to check in with you and other members of your care team as you work together to adjust frequency of your appointments as needed to continue to offer you the best care possible.
What are your fees?
Initial appointments in person or via Telehealth cost $200 AUD and follow up appointments cost $180 AUD. If you have an Eating Disorder Management Plan (AUS) this will help reduce the cost for you for 20 appointments. I understand finances can be stressful and get in the way of you receiving the care you want and need.
If this feels like it might get in the way of your engaging in care and support at this time, please reach out to [email protected] or book an Exploration Call so we can discuss further what options might be available to you. You are always deserving of care and support.
*National Eating Disorder Association, Deloitte Access Economics. Paying the price: The economic and social impact of eating orders in Australia. Australia: Deloitte Access Economics; 2012.