Eating Disorder Management
A one-stop-shop for eating disorder recovery
Dietwise has extensive and specialised experience in supporting patients with eating disorders including Anorexia Nervosa, Bulimia Nervosa, OSFED, Binge Eating Disorder and ARFID. Our team provides non-judgmental expert care for children, adolescents and adults with eating disorders, disordered eating behaviours, weight, shape, and body image concerns.
Sonya, the Founder and Director of Dietwise has set up a one-stop-shop of ED-informed clinicians in our North Perth clinic to provide a wrap-around holistic approach to ED recovery. Collaboration is at the centre of our work with these partners and the team includes Psychology, Physiotherapy, Recovery Coaching and Art Therapy. We have also forged strong working relationships with GPs, Paediatricians, Psychiatrists, The Hollywood Clinic (Inpatient & Day Program), WAEDOCS and many other Psychologists and Exercise Physiologists to ensure we deliver high-quality, trauma-informed care. Learn more about our approach to ED recovery and Renourish™ - our Recovery Nutrition Program
New to eating disorders? We’ve got your questions answered
We have 3 Dietitians at Dietwise with extensive expertise in eating disorders and are currently accepting referrals- Sonya Douglas, Kirasha Maharaj and Eryn Richards. They have all been awarded the status of a Credentialed Eating Disorder Clinician (CEDC) by ANZAED.
Our team draws on collective experience from working in the public and private hospital system (acute medical wards and Mental Health Units), The Hollywood Clinic- Inpatient and Day Program and delivering training to other Dietitians in collaboration with WAEDOCS. Having a large team, we have minimal wait times. Our fees vary between Dietitians and you can learn more about our fees.
The new Medicare Benefits Scheme (MBS) item numbers for eating disorders became effective from the 1st of November 2019 under the Eating Disorder Plan (EDP). Learn more about these 64 item numbers.
The new item number for Dietitians for up to 20 visits in a 12-month period are:
Item Number 82350- for services delivered in person
Item Number 82351- for services performed by video-conferencing
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:
- a clinical diagnosis of Anorexia Nervosa (AN);
- 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). which assesses eating disorder pathology; 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
- Satisfy 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
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. Please note that a Better Access to Mental Health Care initiative is valid for psychological services not dietetic services.
Unfortunately, a diagnosis of ARFID (Avoidant/Restrictive Food Intake Disorder) is currently not eligible for Medicare rebates under an EDP. A CDM Plan for up to 5 visits can be used in this case.
The EDP template is compatible with either Word or practice software such as Medical Director or Best Practice. If you require further guidance around the Eating Disorders Plan, NEDC has some useful information and includes a treatment flowchart.
WAEDOCS stands for WA Eating Disorders Outreach and Consultation Service. It is a state-wide service supporting clinicians to identify, assess and safely manage youth (aged ≥16) and adults with eating disorders. The team comprises a consultant Liaison Psychiatrist, consultant Clinical Psychologist, specialist Physician, Dietitian, Nurse Practitioner, Clinical Nurse Specialist (mental health) and Peer Support Worker.
The team at WAEDOCS provides state-wide consultation liaison for youth (aged ≥16) and adults as well as upskilling or mentoring in eating disorders for Medical Professionals, Clinical Psychologists, Dietitians, Nurses or Exercise Physiologists.
The following services are not within the scope of WAEDOCS:
- Case management or governance for or of your patient
- Treatment and/or support directly to patients and/or significant others
- Inpatient services
WAEDOCS have developed a Quick Reference Guide for the Management of Youth and Adults with Eating Disorders. It includes extremely useful information such as:
- assessing risk in patients
- guidelines for comprehensive medical monitoring
- hospital admission criteria on page 7
- daily supplementation to prevent refeeding syndrome on page 8
Several excellent training options are available below to get you started or expand your knowledge:
This is a comprehensive foundational 4 hr self-paced online eating disorder training developed specifically for GPs to provide best practice care for patients with eating disorders. It is CPD accredited and available free of charge to all National Eating Disorder Collaboration (NEDC) members and NEDC membership is also free. Learn more about the training.
This highly interactive eLearning training is 15 hours across 5 modules addressing the nature, identification, assessment and treatment of eating disorders in children and adults. The Federal Government has funded InsideOut to provide this training for free and the discount applied when you checkout.
This 1-hour training provides a comprehensive ‘starter pack’ of skills and resources for community clinicians working with individuals with eating disorders.