Here are a few examples:
You recognise that your relationship with food has an emotional element that is affecting your weight and shape.
You accept that happiness can’t depend solely on how you look, but you’re struggling to move beyond this.
Your anxiety levels are sabotaging your best efforts around diet and exercise.
Your exercise regime isn’t getting you the results you wanted, and ever increasing activity levels don’t seem to be helping.
Or perhaps you just need contact with someone outside the family who understands, and won’t judge.
Traditionally, people with emotional or physical issues around weight and shape are treated by doctors, with the main focus on managing symptoms, and who, in today’s underfunded NHS, are increasingly strict with the expectations they place on patients.
Things are very different with fit2change. Valuing individuality, goals are agreed on together, the work moves forward at a pace appropriate to the person’s abilities, and is a collaboration, a journey taken together, not a dictatorship.
Also, being able to draw from a wide range of methods, models and approaches, fit2change can easily adapt to changing needs, providing effective, and affordable support to see the client reach their goals.
The term “treatment” suggests something being done to you. In that sense, fit2change doesn’t provide treatment. At fit2change we believe in empowering the individual to manage their issues themselves, driving any change toward what is of value to them. This can be difficult to do alone, and is where fit2change can help. We can support you to recognise the factors that underlie your difficulties, advising and educating you on possible alternative strategies, and helping to motivate you toward making worthwhile and effective change.
The fit2change service does not provide psychotherapy, although there are some parallels, mostly from the collaborative style of working.
The main focus of any psychological work with fit2change is the behaviour changes that are necessary for the client to reach their goals and lead a life with greater opportunity for happiness and personal accomplishment.
For clients who have previously engaged in psychotherapy and found it of benefit, fit2change can incorporate elements of the model used to aid the continuation of this progress, for example, you may have found understanding schema patterns, or using thought diaries of particular value. As appropriate, this would be considered during an assessment.
Like all organisations that retain personal information on clients, we are required to conform to all legislation, including the Data Protection Act. All such information is held securely, and never shared without your prior agreement. At assessment you will be asked whether there is anyone with whom you would like us to communicate, and this will be complied with.
The only exception is if you disclose information relating to harm to yourself or others, or has legal implications with which we will not be complicit.
When a new client gets in touch we’ll arrange an assessment at an appropriate venue. The assessment will highlight areas for work, and will inform any agreement for further work together.
The type of assessment will depend on each individual’s goals, and what aspects of the service are required. Get in touch to discuss your requirements.
Lasting around two hours, first of all, we will listen to you. Then, we discuss your history, and together identify your specific difficulties, sticking points, care needs and areas for work, and any clinical risk.
Questions will enquire into your emotional experience, your diet, relationships, health issues and general wellbeing. Obviously you have the right to not answer any questions as you choose, although it should be accepted beforehand that some will probably touch on emotional matters and may make you feel uncomfortable.
We will then consider your goals, what it is that you want, and consider how we could best help you achieve them, in the context of your individual situation. We may create plans and strategies together to help you progress on your own, or agree a working relationship to support you moving forward with our on-going support. We will consider which aspects of the service may help, and the best method for delivery of them.
If we feel we are unable to help, perhaps because of risk, we will tell you this, but will always try to signpost you toward what would be most useful for you.
No. All packages of care can be cancelled; we require only one month’s notice. There will be no payments after this, and your records will be archived securely.
Alternatively, the service we provide can be adapted to meet any changing need.
Sure. You are always welcome to call us when you feel you would most benefit from our support. It may be in fact that this approach actually helps you retain your independence in achieving recovery. If we feel this way of working is unsafe or not appropriate for you, we will inform you of this, and offer our recommendations for alternative approaches.
In short, no. The role of Care Co-ordinator should ideally be held by an NHS employee, to ensure you are able to access their services effectively.
We can however be involved with the CPA process, if invited to do so, and can write reports, make recommendations and attend reviews if it is considered appropriate by the other involved professionals.
The team at fit2change collaborates with a range of professionals, so if indicated, you could be referred to one of our associated partners, in psychiatry, psychology, psychotherapy, dietetics or occupational therapy, with us co-ordinating your overall package.
We also work with a renowned nutritional therapist, an often overlooked, but very valuable avenue when treating eating disorders.
Alternatively, if your care already involves one of these specialist professionals, you can ask us to liaise with them to provide a more seamless provision of support.
If you wanted us to, we would be happy to help you in sourcing your own support; a new psychotherapist or home care team, for example.
As you progress in managing your difficulties, your needs will change, and you’ll probably require less support. Conversely, if things get worse, you may need more. We can be flexible in the level of service you receive, adapting input to best support you at whatever point you find yourself.
If your condition has deteriorated to the point of requiring admission, it is important that you work with the medical team in the hospital to improve your health as swiftly and safely as possible. Should this occur, you can decide whether to keep in contact with us during your admission, or get back in touch when discharged. We could possibly help with discharge planning.
Note: If you did wish to keep in touch during an admission, you would need agreement from your consultant before this could happen.
Unlike most services today, there is no limit to the length of time you can use the service, although if we felt we were no longer of use or value, we would inform you of this, and discuss it together.
Further questions? Why not use our online booking system to arrange a free call-back session.