Our expertise in the services we offer is supported by over 20 years of clinical experience in working with children, adolescents and adults in the community and hospital settings. The River Oak Health team specialise in the treatment of eating disorders, weight and body image concerns.  At River Oak Health we offer outpatient eating disorder treatment, with individual therapy being the most common type of treatment provided at our clinic. We collaborate with other health practitioners to offer a multi-disciplinary and holistic approach to treatment.

  • Anorexia Nervosa

  • Bulimia Nervosa

  • Binge Eating Disorder

  • Disordered Eating

  • Body Dysmorphia

  • Other Specified Feeding and Eating Disorder (OSFED)

  • Avoidant/restrictive food intake disorder (ARFID)

  • Emotional Eating

  • Yo-yo Dieting

  • Orthorexia

  • Fussy Eating

Eating disorders are complex mental illnesses that commonly develop as a result from a combination of risk factors, including genetic predisposition, environmental experiences, psychological factors and socio-cultural influences. Eating disorders are not a lifestyle choice, they are serious mental illnesses which are often misunderstood. Recovery is possible - and finding a specialised treatment team right for you is a great place to begin your recovery journey

At River Oak we adopt a non-diet approach in all of our work and practice from a Body Acceptance and Health At Every Size® framework. Using this approach allows for our primary focus to be on health and wellbeing rather than weight, numbers and body size.

Psychological Concerns

  • Low self-esteem

  • Body dissatisfaction

  • Stress and anxiety

  • Obsessive Compulsive Disorder

  • Depression

  • Relationship difficulties

  • Self-harming behaviour

  • Suicidality

  • Trauma

  • Adjustment and Life transitions

  • Grief and Loss

  • Art therapy is an expressive therapeutic technique originating in from the fields of art, psychology and psychodynamic therapy. It can be described as a form of non-verbal communication that explores thoughts and feelings and facilitates healing and self-awareness. It provides a platform for people to ‘show’ rather than ‘tell’ how they are feeling as well as connect with themes and stories pertaining to one’s individual experiences.

    Art therapy can tap into both conscious and non-conscious, and is process oriented not outcome focused. The patient and the art therapist work together to understand and derive meaning from symbols and images created. Art therapy does not focus specifically on the aesthetic merits of art making but on the therapeutic needs and processes of the individual. Additionally, you do not have to be good at art or even enjoy art making to reap the benefits of art therapy.

  • Art therapy is an expressive therapeutic technique originating in from the fields of art, psychology and psychodynamic therapy. It can be described as a form of non-verbal communication that explores thoughts and feelings and facilitates healing and self-awareness. It provides a platform for people to ‘show’ rather than ‘tell’ how they are feeling as well as connect with themes and stories pertaining to one’s individual experiences.

    Art therapy can tap into both conscious and non-conscious, and is process oriented not outcome focused. The patient and the art therapist work together to understand and derive meaning from symbols and images created. Art therapy does not focus specifically on the aesthetic merits of art making but on the therapeutic needs and processes of the individual. Additionally, you do not have to be good at art or even enjoy art making to reap the benefits of art therapy.

The clinician will work with you to choose the most effective treatment model. For some of the clients we work with, this might involve some manualised treatment models, which might include the following:

  • CBT is a common form of psychological treatment which explores links between thoughts, emotions, and behavior. This therapy has been effective in treating depression, anxiety disorders, eating disorders, and other mental illnesses. CBT focuses on self-awareness of inaccurate and negative thinking so you can effectively alter your views and responses to challenging situations. In therapy, the client will develop strategies such as understanding motivations, problem-solving skills, self-confidence, and exposure to fears to change behaviors and thinking patterns.

  • CBT-ar is a treatment consisting of four stages across up to 30 sessions. Your therapist will provide education surrounding ARIFD, and develop and practice goals to increase the exposure to fear foods with the aim to increase tolerance, variety, and volume of diet.

    What can I expect from each stage?

    Stage one: Assesses readiness for treatment, learn about ARFID, develop food monitoring strategies, identify fear foods and make some early changes.

    Stage two: Maintenance of early changes, setting bigger goals, and discussing any barriers to change.

    Stage three: Actively addressing food aversions through consistent exposure with the aim of increasing variety and for some increasing volume.

    Stage four: This final stage is about long-term success and relapse prevention.

  • ACT adopts the view that clients should learn to acknowledge their emotions and accept that those are valid feelings toward a challenging experience. With the application of mindful behaviour and acceptance skills, valid alternative responses to challenging situations should be replaced. In developing psychological flexibility ACT focuses on being present in the moment, letting go of unhelpful thoughts, acceptance of emotions, developing self-awareness, discovering own values, and commitment to action is then guided by those values.

  • FBT, commonly known as The Maudsley Model, is utilised in eating disorder treatment for children and adolescents. This treatment focuses on physical restoration and psychological therapy and heavily involves the young person’s family for support and re-feeding. FBT is designed in three stages with a time period ranging from three to twelve months;

    Phase one: Family lead re-feeding of the young person with the aim to restore weight and return to normal eating patterns.

    Phase two: Transition the control of feeding back to the young person and manage possible lapses.

    Phase three: Concludes the young person has restored their weight and is independent with eating. The focus is now on establishing an identity away from the eating disorder.

  • MANTRA is a therapy that consists of 20-40 sessions addressing both physical and psychological factors of recovering from Anorexia Nervosa. This treatment involves phases that build on each other, progressing from educational to experiential.

    Phase one: The client will discover the significance and purpose of Anorexia Nervosa, build motivation for change, assess nutritional risk, and introduce support.

    Phase two: Formulation, goal setting and treatment planning.

    Phase three: Amend nutrition deficiencies, challenge thinking patterns, AN behavioral aspects, and develop self-compassion.

    Phase four: Relapse prevention strategies and follow-up for maintenance of change achieved.

  • DBT is a type of talking therapy typically used to help people diagnosed with borderline personality disorder, eating disorders, and other mental illnesses. DBT usually involves both individual and group sessions where the focus is on replacing harmful behaviors with positive ones. Acceptance-based mindfulness and distress tolerance skills aid in learning how to direct awareness of present emotions and behaviors and navigate emotions during a crisis. Change-based skills of emotional regulation and interpersonal effectiveness teach how to manage an emotional experience and learn assertiveness strategies and management of interpersonal conflict.

  • CFT is psychotherapy that aims to encourage people to be compassionate towards themselves to help promote mental and emotional healing. Through CFT clients develop compassionate motivation, sympathy, sensitivity and distress tolerance. CFT builds compassionate ways to engage with trauma, painful experiences and frightening feelings. These attributes may be learned through appreciation exercises, mindfulness or compassion-focused imagery exercises led by a therapist.

  • SFT is a treatment usually consisting of 10-30 sessions, that targets schemas developed in childhood that are now problematic coping thoughts and behaviours. In therapy, the client will identify schemas and current coping styles of avoidance, surrender or overcompensation. The client will also learn how to reach core emotions and how to appropriately cope with them in a healthy way.

  • MI is an approach to encourage positive behaviour change in treatment. This is a communication style that is focused on collaboration between therapist and client to strengthen personal motivation and explore reasons for change. The therapist will guide this communication, listen and respond with appropriate advice to empower the client.

Treatment Models

Group Programs

We’re excited to be working on some in-house group programs for our clients!

The first of these has launched, and we’re thrilled that supportive meal therapy has commenced for internal ROH clients though we hope to open this up to all clients in the future.

Online

We believe in every body having access to specialist services, wherever they are for whatever they need. For this reason, all of our services are available through telehealth through secure and confidential platforms without any complicated applications (some clinicians may choose not to provide telehealth).

If you are interested in telehealth services, please discuss this with your health care provider or by giving us a call on 1300 240 127.

Telehealth appointments should be conducted in a way similar to your usual appointments. So if you do engage in online or phone appointments, we ask that you:

  • Be present in the session

  • Sit in a quiet, private and safe space

    • Remember that our appointments are confidential - which means it’s best to be by yourself in a private space

    • If you have a support person with you, make sure to let your clinician know

  • Have water and your regulation / sensory kits handy

  • Take notes if you need

Presentations & Workshops

We love sharing what we do whether you’re a group of parents and carers, a school class or professional team!

We have workshops and presentations a-plenty, ready to go or personalisable to you and your needs. In the past, this has included topics such as:

  • RAVES

  • MAWDIVES

  • Sports nutrition for teenage / athletes

  • Gender inclusive care

  • Problem feeders nutrition for speech pathologists

  • Packing a punch: lunch boxes for problem feeders

  • Body image workshops for teens

  • Nutrition and the menstrual cycle

  • Teaching the teachers: eating disorder education in the classroom

  • Introduction to eating disorder care

If you’re looking to nurture your brain with information, training or practical know-how when it comes to food, body image and eating, give us a call on 1300 240 127.

Supervision is a structured, contracted, formal process either in groups or 1-on-1 that is outcome focused, leaving the supervisee feeling supported and informed. It is a shared space of reflection and learning that focuses on safety and collaboration to improve skills, knowledge, professional growth and transformation.

Supervision

You can find out more about supervision, the benefits of supervision and what supervision is for dietitians here.

Supervision is a requirement as part of the Credentialed Eating Disorder Clinician pathway. Find out more here.

We are proud to have 2 skilled clinicians, Shane Jeffrey and Lauren Pearson, who are registered supervisors with DSRA having completed additional supervision training. To start your supervision journey with Shane or Lauren, call us on 1300 240 127 or jump online to organise a call to make sure we find the best fit for you.

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