Our mission is to support individuals to bridge the gap between where they are and where they want to be.
We offer a 12-week treatment pathway to people aged 16+ who need enhanced support for anorexia, bulimia, ARFID, OSFED, orthorexia, or body dysmoprhia.
“There’s the struggle of recovery itself, and then there is confronting whatever pain the eating disorder was built to cover over. When people are making progress on the outside, that is when we most need to honour the parts that might be hurting on the inside.”
Dr Amy Lucas, Co-founder
Our work is grounded in a simple belief – that eating disorder recovery happens when you feel safe in treatment; when someone understands your needs and you are offered the right support at the right time.
Recovery from an eating disorder rarely happens in a straight line. Most people don’t simply learn what to eat, follow a plan, and feel better. Real recovery is more personal than that. It involves learning how to live differently with food, with your body, and with yourself, in your world. With more than 2 decades of experience in both community and inpatient settings, we repeatedly saw the same challenges; where services that help people with eating disorders often have fixed structures and targets – and many gaps in the system that people can fall through. While many of these services can be helpful, they don’t always adapt easily to the individual or the reality of daily life. People’s needs change from week to week. Recovery is influenced by work or school stress, relationships, health, transitions, other mental health difficulties, and the unexpected challenges that life brings. This is why many people reach a point in their eating disorder recovery where standard treatment doesn’t quite feel enough, but stepping up into hospital or intensive services doesn’t feel right either.
That is why we created the Next Steps Eating Disorder Clinic.
Our 12-week pathway is designed for people who need more robust support, but who may not need – or want – inpatient treatment. We offer structured, compassionate care from home, while recognising that recovery looks different for everyone.
We believe that effective eating disorder treatment must be flexible, personal, and grounded in your real world – not just in theory or clinical targets. From the very beginning, we work collaboratively with you to understand your unique situation, your goals, and the specific challenges you’re facing right now.
Together, we create a plan that fits your life, rather than expecting you to fit into a rigid programme or be left to drift.
Whether you are seeking help for yourself,
a loved one, or a client, our pathway provides
safe, tailored support that is grounded in clinical
expertise and genuine care.
“As a dietician, I believe recovery isn’t something that can be prescribed or shaped by a single approach – it’s something you build, step by step, in a way that works for you and fits your life. Nutrition is not just about food; it’s about restoring trust in your body, developing an understanding of your choices, and building the confidence to live beyond the eating disorder”.
Anna O’Neill, Co-Founder
We work in accordance with NICE Guidelines, using evidence-based approaches trailored to eating disorders, including cognitive-behavioural and third wave models. However, we also pride ourselves on working intuitively, creatively, and in a trauma-informed way. We are neurodivergent-friendly and adapt our approach based on your personal care plan. We understand that eating disorders are not just about metrics (i.e. weight, calories, or behaviours). They are about a person’s relationship with food, with themselves, and with the world around them.
People come with many different goals; for example, to build confidence in making independent food choices, practice eating in social settings, manage anxiety around mealtimes, feel more comfortable in their body, rebuild an identity beyond their eating disorder, overcome previous traumatic experiences of treatment that may be holding them back, or anything else. Whether you are on a journey towards full recovery, or are simply working hard to manage your eating disorder at home, we focus not only on reducing symptoms, but on helping you make the mental, emotional, and behavioural shifts that support long-term quality of life, and to actually implement those changes day to day.
Our online 12-week pathway provides enhanced support if you may be:
- Experiencing a sudden escalation in eating disorder symptoms or risk of relapse at home.
- Going through temporary life pressures or changes that are compromising your stability.
- Recently discharged from a residential placement or inpatient hospital stay and want support to translate your progress to real life at home.
- Stepping down from a day service or similarly intensive service.
- At risk of admission to more intensive services or placements.
- Experiencing post-traumatic stress symptoms following residential or inpatient care.
- Requiring a period of enhanced assessment or support for your eating disorder that community services are unable to provide.
- At risk of deterioration whilst on a waiting list for other NHS or private services.
- Managing your eating disorder well but struggling with poor body image.
- Struggling to find the right referral pathway via your GP.
We offer a free 20-30 minute consultation call when you submit a referral form online.
What we offer
- 3 hours of psychological and dietetic support per week, which includes 2x 50-minute sessions plus 2x 30-minute check-in calls.
- Psychological formulation and assessment report.
- Individualised therapeutic care plan centred around your goals.
- Bespoke meal plan tailored to you.
- Collaboratively designed relapse prevention plan.
- Detailed outcome report with personalised recommendations.
- Multidisciplinary meetings and coordinated care.
- Reporing back to your primary carer or referrer (where required).
- Fully remote support to meet you in your real world
- 2+ decades of expertise in the field of eating disorders.
Fees
Our standard 12-week pathway fees are £6750. Any recommended or requested adjustments will be discussed and agreed collaboratively. We are committed to transparent communication from start to finish.
Your journey on the Next Steps eating disorder pathway…
Next Steps Eating Disorder Clinic 