Who are Intuitry?

We are a weight-neutral health service for people experiencing eating disorders, weight or shape concerns, or just really sick of dieting.

OUR MISSION

In prioritising body autonomy, we always meet clients where they’re at.

We disrupt diet culture, advocating for moral-free and internally directed eating practices that serve our clients personally. And through a weight-neutral, equity-informed approach, we support clients in embracing a connection to their body that doesn't interfere with the connection to identity and community.

OUR VISION

To empower you towards an experience in which your body is no longer your identity.

Want to refer?

Specialising in eating behaviour, we know that sometimes it can be helpful to have a specific diagnosis, and sometimes the diagnosis can get in the way. We work with people of all eating disorder diagnoses, as well as people who present with disordered eating, or without a diagnosis. We welcome people of all sizes, genders, sexualities and endeavour to provide neurodiversity-affirming care.


Matching our nutrition therapy to the appropriate treatment model, our dietitians work with children, adolescents, adults and families.

When to refer to a dietitian?

Dietitians are often thought of as the 'food police' or in eating disorder treatment as 'the meal plan people'. Whilst meal planning is part of what we do, what a dietitian can offer is so much more:

NEW DIAGNOSIS

Our dietitians are trained in skills to support all eating disorder diagnoses at all stages of community-level recovery.

WAITING FOR AN APPOINTMENT WITH PSYCHOLOGIST

Whether your client is an adult or adolescent, all evidence-based models of treatment begin with nutritional restoration and can begin with a dietitian.

UNSURE IF CLIENT HAS AN EATING DISORDER OR NOT

Dietitians are well placed to have in-depth and safe conversations about intake to inform your diagnosis and can help improve relationships with food even if disordered eating is sub-clinical.

UNSURE ABOUT RECOVERY

Ambivalence is expected when working with eating disorders. Dietitians are skilled in navigating readiness for change and enhancing motivation.

GASTRO COMPLAINTS

Overeating, restrictive eating, and compensating can complicate gastrointestinal symptoms. Dietitians are well placed to assess and manage food impacts on GI issues in ED recovery.

VEGAN / VEGETARIAN

ED rules might include sometimes possibly ethically based rules like vegan or vegetarian eating. Dietitians can help to navigate the appropriateness of these rules and nutritional considerations of their limitations.

UNEXPLAINED WEIGHT CHANGES

Whether weight is going up or down, these conversations with clients are delicate. Dietitians can take the time to explore the full picture without reinforcing value in smaller bodies or triggering ED thoughts.

BARIATRIC SURGERY

More than half of people presenting for bariatric surgery suffer from Binge Eating Disorder. Eating disorders are psychiatric illnesses and surgery does not change that. A dietitian can help provide support in these cases.

Barriers to seeing a dietitian

CLIENT ALREADY 'KNOWS WHAT TO EAT'

Recovery often involves helping clients 'recalibrate' their understanding of nutrition. Often clients place too much importance on eating 'well', or hold unrelenting standards of healthy eating, or over-inflate the impact each choice will have. But we also do way more than just tell clients what to eat.

CLIENT IS AFRAID OF BEING WEIGHED

Whilst weight is used in a lot of eating disorder treatments, it's not necessary for every presentation and our clients get to be a part of the discussion on whether it's a part of treatment or not.

CLIENT IS AFRAID OF BEING TOLD OFf

Though we can't erase previous experience with food police in one session, we are very conscious of the shame and guilt felt by our patients and work hard to demonstrate our lack of judgment.

CLIENT feels THEY'RE not sick enough

Though it's important that our client's perspective is considered, we always want a get a sense of whether it might be that it's just the ED that thinks they're not sick enough. You don't need to wait until the ED is worse to deserve support.

What dietitians do

ENGAGE CLIENTS IN CRITICAL THINKING

Eating Disorder logic often doesn't add up but highlighting that doesn't improve recovery. Dietitians can utilise their nutrition comprehension to gently support clients to critique their ED thoughts about food.

predictable weight restoration

When clients need to do nutritional restoration in recovery, the typical fear is that they will gain weight very quickly, that it will be ever-increasing and never-ending. Dietitians provide confidence in a measurable degree of change that acknowledges the client's fear and supports recovery.

MEAL STRUCTURE

People with eating disorders can often be overly rule-bound or lacking helpful structure. We navigate the right amount of direction to impart to support recovery. We provide confidence without developing more rule-bound eating.

CHALLENGING FOOD RULES

Eating disorders will typically involve rules about what to eat, when, how, and how much to eat, or rules about what to do if certain foods/amounts are eaten. Dietitians can highlight the costs of these rules and support clients to disprove their predictions.

SEE FOOD AS MORE THAN JUST CALORIES

Sometimes clients forget how far their eating disorder has taken them from a positive relationship with food, family, and friends. Dietitians can help to reinforce the client's values in fun and social eating.

support DEVELOPMENT OF inTernal trust

We are the best resource to help clients navigate eating throughout their recovery. Starting with evidence-based advice on intake and eventually developing internal trust in eating, body cues, and personal values.

BODY IMAGE HEALING

Dietitians talk about more than just food. Recovery usually involves some degree of devaluing image as part of self-worth and identity. As clients are often preoccupied with the impact of intake on appearance, our work is well-positioned to support our client's experience of their body and sense of self.

HEATH WITHOUT WEIGHT BIAS

We can help separate weight from health allowing clients to pursue health to the extent they wish and are able. This typically allows for sustained health-promoting behaviours in place of diet cycling or ED relapses.

More info on

Eating Disorder support

EATING DISORDER PLANS

In November 2019, Medicare introduced 64 new MBS items to support a model of best practice, evidence-based care for eating disorders. With an Eating Disorder Plan (EDP), eligible patients can access a Medicare rebate for up to 20 sessions with a dietitian and up to 40 sessions with a clinical psychologist in a 12-month period from the date the EDP is developed. It is expected that there will be a multidisciplinary approach to patient management through these items.

Whilst the referrer (managing practitioner) must review the EDP with the patient, as the patient approaches the end of each course of ten sessions with the psychologist before accessing the next course, 20 sessions with the dietitian are accessible without review . However, it is expected that the managing practitioner will be reviewing the patient on a regular, ongoing and as required basis. See a flowchart of the stepped model here.

Patients are eligible to claim Medicare rebates on dietetic services if they have been referred by their GP, Psychiatrist or Paediatrician under an EDP for either:

  • a clinical diagnosis of Anorexia Nervosa (AN), or
  • a clinical diagnosis of Bulimia Nervosa (BN), Binge Eating Disorder (BED), or Other Specified Feeding or Eating Disorder (OSFED) AND meets the three (3) eligibility criteria below: 
  • have a score of 3 or more on the Eating Disorder Examination Questionnaire 6th Edition (EDE-Q 6.0). Online and paper versions of the EDE-Q 6.0 can be found here; and
  • the patient’s condition is characterised by rapid weight loss, or frequent binge eating or inappropriate compensatory behaviour as manifested by 3 or more occurrences per week; and
  • the patient satisfies any two (2) of the following: 
    • body weight less than 85% expected weight, where weight loss is directly as a result of the eating disorder;
    • current or high-risk of medical complications due to eating disorder behaviours and symptoms;
    • other serious medical or psychological conditions significantly impacting on medical or psychological health status with impacts on function;
    • hospitalised for an eating disorder in the previous 12 months;
    • has experienced inadequate treatment response to evidence-based eating disorder treatment over the past six months despite active and consistent participation

What if the EDP eligibility criteria are not met?

Patients not eligible for the EDP may still be eligible to claim up to 5 visits in a 12-month period under a Chronic Disease Management Plan (CDM) for a medical condition that has been (or is likely to be) present for 6 months or longer. Mental Health Care Plans (MHCP)s are valid for psychological services, not dietetic services.

Without either an EDP or a CDM, patients are still able to access our services, but as private patients without medicare rebates. They may be able to claim rebates from their private health fund.

WAEDOCS

The WA Eating Disorder and Outreach Consultation Service is a state-wide service that supports clinicians in safely managing their adult and youth (16+) patients with eating disorders. They provide consultation, education, and resources for clinicians working in inpatient, outpatient, and private settings.

WAEDOCS is a multi-disciplinary team comprising a nurse practitioner, consultant clinical psychologist, consultant liaison psychiatrist, specialist physician, senior dietitian, clinical nurse specialist (mental health) and peer support worker.

WHAT WAEDOCS PROVIDE

  • Consultation liaison, mentoring and support to help clinicians of all disciplines to manage their patient(s)
  • Clinician training and education
  • Resources to guide safe inpatient, outpatient and community management of people with eating disorders.

WAEDOCS REFERENCE GUIDE

You can contact WAEDOCS by phone or email between Mon-Fri 9:00AM-6:00PM:


Tel: 1300 620 208
Email: WAEDOCS@health.wa.gov.au

WAEDOCS has developed a quick reference guide for clinicians on the management of eating disorders in youth and adults, which includes information on assessing risk in patients, guidelines for comprehensive medical monitoring, and criteria for hospital admission

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