Outpatient eating disorder services

The service provides specialist outpatient care for adult patients (aged 16 years and over) with a range of eating problems.

The outpatient therapies we offer are:

  • Cognitive behavioural therapy (CBT), extending over 30 sessions for anorexia nervosa and 16 for bulimia nervosa
  • Cognitive analytical therapy (CAT), extending up to 24 sessions
  • Maudsley Model of Anorexia Nervosa Treatment for Adults (MANTRA), extending up to 25 sessions
  • Guided Self-help (GSH) for binge-eating disorder and bulimia nervosa, extending over six to eight sessions.

For more information on the therapies we offer please see the following leaflets:

  • Download client information leaflet about cognitive analytic therapy (CAT)
  • Download client information leaflet about cognitive behavioural therapy (CBT)
  • Download client information leaflet about MANTRA
  • Download client information leaflet about Guided Self-help

Long-term outpatient treatment may be offered for those with chronic severe illness, where specialist treatment is necessary to maintain slow progress toward recovery or to prevent deterioration. Patients are usually seen once a week and each session lasts for approximately an hour.

We also offer family therapy for those that would benefit from this service. The number of sessions will depend on the therapeutic needs of each patient. Read more about the support we offer to family and friends

During treatment, responsibility for medical care and prescribing of any medication remain with the patient's GP, with access to a specialist medical review at Vincent Square when required. We aim to maintain good liaison and consultation with other services involved in care throughout treatment and follow-up.

Those assessed as needing urgent or priority treatment, usually due to high medical or psychiatric risk, are offered start of treatment as soon as possible. This is usually within two to 12 weeks.

The service also has an Early Intervention (EI) treatment pathway, which aims to create a patient-centred treatment pathway, designed with the specific needs of this often young, recent onset population in mind. A key part of this is rapid allocation to an evidence based psychological treatment intervention. We aim for EI patients to start their primary intervention within four weeks of their assessment (six weeks from the referral date).

The specific nature of the evidence-based primary intervention offered within the EI framework may differ somewhat depending on the age and/or developmental stage of the person. Given available evidence and NICE recommendations, for young adults with bulimic disorders (bulimia nervosa, binge eating disorder) the treatment of choice is CBT, delivered as guided self-help via a manual or individually face-to-face. For young people with bulimic eating disorders, family therapy may constitute an alternative primary intervention.

For young adults with anorexia nervosa, family therapy and evidence-based individual therapies can equally be used, e.g. CBT or CAT. Sessions with family members/carers are an integral part of treatment. For young people presenting with EDNOS/OSFED the type of intervention and intensity will depend on clinical need, availability and patient preference. For all patients, pharmacotherapy (e.g. antidepressants) is added as appropriate.

Some important EI-specific adaptations of treatment delivery include an emphasis on early nutritional change, increased family involvement where appropriate, a focus on transition management and technology being used as a means to engage patients.

Outpatient Team

Ana Micsunescu, Lead Clinical Psychologist

Mark Brayford, Family Therapy Lead

Divina Pillay, Consultant Psychiatrist

Alice Coddington, Consultant Psychiatrist

Therapy Team

Matthew Pugh, Senior Clinical Psychologist

Gabrielle Brady, Senior Counselling Psychologist

Camilla Follows, Clinical Psychologist

Sophie Rae, Counselling Psychologist

Rebecca Chalmers-Woods, CAT Therapist

Modupé Adu-White, CAT Therapist

Tracy Mainolfi, CAT Therapist

Rohit Dhillon, Counselling Psychologist

Joanna Harvey, Counselling Psychologist

James Kelly , CAT Therapist

Emma Petrova, Assistant Psychologist

Emma Bailey, Assistant Psychologist

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