THE CONSULTATION

Before the first consultation, I will provide you with a health and nutrition questionnaire and a 3-day food diary to complete. An initial consultation typically lasts an hour, and in this time I will ask you more detailed questions about your current health concerns, symptoms, diagnosis and treatment, medical history, family history, lifestyle habits, levels of physical activity, use of medication and supplements and diet. I will then evaluate your individual needs and use the extensive evidence base for nutritional science to develop a personalised, safe and effective nutrition and lifestyle programme.

For patients with eating disorders and weight issues, I will also ask you about your weight and dietary history, your current relationship with food, any dietary treatment plans you may have followed, your levels of motivation and your particular motivational issues. We will also discuss other issues such as lifestyle, psychological barriers, support networks, problem solving techniques and stimulus control etc. The initial consultation for these health concerns, along with other complex cases, is generally 2 hours.

The findings and recommendations for your personalized plan will be discussed with you during the first follow-up consultation. This generally lasts 45 minutes. The plan may include a list of dietary and lifestyle adjustments, suggestions for dietary and lifestyle support, supplementation, relevant education and advice and useful tools and strategies to help you implement these recommendations into your every-day life. You will, however, be given a lot of useful advice and guidance to take home with you after the first consultation. At various points along the treatment programme, I may recommend various medical or functional tests to more accurately assess your health issues. 

The first follow-up consultation is usally after 1-2 weeks. Further follow-up consultations are generally after 2-4 weeks. During these follow-up sessions I will  monitor your progress, make any necessary adjustments to your treatment plan, and incorporate any further health protocols. Most people with weight issues or eating disorders need at least 3 to 6 follow-up consultations in order to prevent relapses. However, for other health concerns the number of consultations required varies greatly. Some people only may only need one follow up consultation, and those desiring just general dietary advice, will only need one or one double session.

Home visits and telephone consultations are also available for those who require them.


 
TYPICALLY THE INITIAL CONSULTATION COMPRISES:
  • Full Assessment of dietary, lifestyle and medical issues
  • Food Diary Analysis 
  • Diet Plan (discussion and agreement)
  • Motivation Levels 
  • Stress Levels 
  • Support Strategies 
  • Possible Supplements 
  • ​Identification of possible biochemical imbalances:-        Nutritional deficiencies, blood sugar imbalances, gastro-intestinal imbalances, hormonal imbalances, neurotransmitters imbalances (brain chemicals), allergies and food intolerances.
  • Identification of possible eating disorders​

​FOLLOW-UP CONSULTATIONS MAY COMPRISE:
  • Written recommendations and diet plan
  • Diet plan evaluation 
  • Treatment plan evaluation 
  • Nutritional education                                                              (e.g. how the body works, why the body needs and how it utilizes nutrients (fats, carbohydrates, protein, vitamins and minerals), food groups, portion sizes and numbers of servings, recipes, meal and snack suggestions etc.).
  • Stress management 
  • Supplement re-assessment 
  • Blood sugar balance control 
  • Protocols for other possible biochemical imbalances 
  • Identification of triggers and relapse prevention   (particularly for weight management and eating disorders):-
    (Stimulus control - the identification and modification of the barriers linked to unhealthy dietary of lifestyle behaviours.
    Problem solving – developing skills and strategies to cope with difficult social and emotional situations which challenge new behaviours.
    Practitioner support and other support strategies – discussions on how to best develop and utilise social support strategies from family members, friends, peers, groups programmes or other social activities.
    Self-rewards – healthy or non-food rewards for achieving behavioural goals.
    Self-monitoring – the use of diaries or other methods to attain more self-awareness of eating patterns and activity/lifestyle behaviours and how they relate to symptoms).
  • Other cognitive and emotional issues for eating disorders and weight management using the cognitive behavioural therpary (CBT) councelling model -          (e.g. poor body image, fat/thin conflict, habit, addiction process, faulty food scripts, attitude traps, poor assertion, low self-esteem, feelings, lifestyle, stress etc.)​

Contact Details

For all enquiries or to make an appointment, please email or call

email
contact@englandnutrition.com

phone
07702 521 359

address
Stanford Road Consultation Rooms N11 3HY