OSFED TREATMENT
AT THE FITZROVIA PSYCHOLOGY CLINIC

WHAT CAN I EXPECT?

  • Initial Consultation: Discuss your concerns with a clinician experienced in eating disorders. We explore your relationship with food, emotional wellbeing, and how symptoms may be affecting your daily life.
  • Comprehensive Assessment: A detailed assessment examining eating patterns, psychological factors, lifestyle impact, and any co-occurring mental health conditions such as anxiety, depression, or trauma.
  • Clear Feedback: Receive a clear explanation of the assessment findings, including whether symptoms meet diagnostic criteria for OSFED or another eating disorder.
  • Personalised Treatment Plan: Collaboratively develop a treatment plan tailored to your needs. This may include evidence-based therapies such as cognitive behavioural therapy (CBT), alongside support for underlying emotional and psychological difficulties.
  • Supportive and Flexible Care: Access high-quality private care with flexible appointments, including in-person sessions in London or online therapy where appropriate.
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DIAGNOSIS AND TREATMENT

OSFED is diagnosed when an individual experiences significant eating-related distress and behavioural patterns that do not fully align with the criteria for anorexia, bulimia, or binge eating disorder. As an umbrella diagnosis, OSFED can present in different ways. Examples include atypical anorexia, bulimia or binge eating disorder of low frequency or duration, purging disorder, and night eating syndrome.

Like all eating disorders, OSFED is often linked to underlying thoughts and emotions, such as anxiety, low self-worth, perfectionism, or a need for control. Many people experiencing OSFED find themselves concealing symptoms, and physical signs are not always immediately apparent.

At The Fitzrovia Psychology Clinic, diagnosis involves a comprehensive psychological assessment exploring behavioural patterns, emotional wellbeing, and mental health history. Treatment is personalised and may include psychotherapy, support for co-occurring conditions, and strategies to develop healthier coping mechanisms.

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Meet the Team

You’re in expert hands at The Fitzrovia Psychology Clinic. Our team of highly experienced clinical and counselling psychologists — many with NHS backgrounds — specialise in eating disorders, trauma, and complex mental health conditions.

Respected across the UK and internationally, our clinicians are known for their empathy, clinical expertise, and dedication to supporting meaningful and lasting recovery.

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Dr J. Davidson

Team Lead of The General Adult Mental Health Team | Clinical Psychologist

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Dr A. Hayes (nee Rigg)

Founder of The Fitzrovia Psychology Clinic | Consultant Clinical Psychologist

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Dr Emily Alteirac (Nee Smyth)

Co-Founder | Clinical Psychologist | Team Lead of The Trauma Team

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Dr L. Viney

Co-founder | Clinical Psychologist | Team Lead of The Schema Team

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Dr H. Stringer

Clinical Psychologist

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Dr V. Khurana

Clinical Psychologist

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Dr Mirko Esposito

Clinical Psychologist

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Dr C. Eilender

Clinical Psychologist

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Dr H. Scanlon

Clinical Psychologist

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Dr Heather Westwood

Clinical Psychologist

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Dr Gavin Menzies

Clinical Psychologist

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Dr Kate Watchorn

Clinical Psychologist | Team Lead of The Perinatal and Child Team

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Dr Sabrina Appadoo

Counselling Psychologist | Team Lead of The DBT Team

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Dr Sam Russ

Clinical Psychologist

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Dr Christopher Bonner

Clinical Psychologist | Team Lead of The Health Psychology Team

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Dr Frankie Washington

Clinical Psychologist

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Dr Richard Pomfret

Counselling Psychologist

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Dr C. Cookson

Clinical Psychologist | Team Lead of The Child and Adolescent Team

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Dr Gabrielle Brady

Counselling Psychologist | Team Lead of The Eating Disorder Team

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Dr Leonora Marshall

Clinical Psychologist

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Dr N. Khan

Clinical Psychologist

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Dr S. Lakin

Clinical Psychologist

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Dr Adam Kadri

Clinical Psychologist

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Dr Ama Hagan

Clinical Psychologist

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Dr Frances Maclennan

Consultant Clinical Psychologist

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Mr Jan Sheppard

Psychotherapist

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Dr A. Mrkaljevic

Counselling Psychologist

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Dr Kiana Azmoodeh

Clinical Psychologist

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Dr Tamara Licht Musso

Clinical and Counselling Psychologist

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Dr J. Shearer

Clinical Psychologist

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Dr Gurbaani Bhalla

Counselling Psychologist

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Dr Elliott Gibbs

Counselling Psychologist

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Dr Ranjeet Karir

Counselling Psychologist

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Dr C. Barry

Clinical Psychologist

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Dr Daisy Lee

Sport and Exercise Psychologist

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Dr Rossana Basile

Counselling Psychologist

Frequently Asked Questions

Other Specified Feeding or Eating Disorder (OSFED) – Frequently Asked Questions What is OSFED?

OSFED is a diagnosis given when someone is experiencing significant eating disorder symptoms that do not fully meet the criteria for anorexia, bulimia, or binge eating disorder, but still require clinical attention and treatment.

Is OSFED a serious condition?

Yes. OSFED is a serious mental health condition and can have significant psychological and physical effects. It is just as important to seek treatment as with any other eating disorder.

What are some examples of OSFED?

Examples include atypical anorexia, bulimia or binge eating disorder of low frequency, purging disorder, and night eating syndrome. Symptoms can vary widely between individuals.

How is OSFED diagnosed?

Diagnosis is based on a comprehensive psychological assessment exploring eating behaviours, emotional wellbeing, and mental health history.

Can OSFED be treated?

Yes. With the right psychological support and treatment, individuals can recover and build a healthier relationship with food and improve wellbeing.

Do you offer online therapy?

Yes. We offer both in-person appointments in London and online therapy where clinically appropriate.

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  • Jonathan is fantastic. I found our sessions to be a very calm environment that really helped me to reset each week. Jonathan really builds a great rapport, and is very practical and realistic during the process. I could not recommend him more!

    Former Client

  • I am extremely grateful for the care Allison showed me during our sessions. She always adapted sessions to match my needs and demonstrated a real understanding of the difficulties I was facing. Her openness and kindness meant that trust was developed very quickly, and I would have no hesitation in seeing her again should I ever need to.

    Former Client

  • The early stages showed me that Emily truly cares about helping other people. I was hesitant to start sessions, but Emily remained consistent with reaching out and always remained patient and understanding. The depth and structure of the sessions was incredible, I’ve never worked with a therapist who has left me feeling like I understand and appreciate to I am to such a level.

    Former Client