Therapy for Women Using GLP-1 Medication

A focused programme for building what the medication can't teach you

Wherever you are with it

Maybe the noise has stopped for the first time in your life, and you’re far more emotional about that than you expected.

Maybe you’re still bingeing, and nobody warned you that was even possible.

Maybe it’s working, and you’re quietly terrified of the day it stops.

Any of those is a reasonable place to start.

Why now is a good moment for this work

For a lot of women, this is the first time in decades that food has been quiet enough to think straight.

That’s a genuinely useful window, and it doesn’t last indefinitely — doses change, supply changes, bodies adapt, life happens. This programme is about using it. Building the habits, the structure and the understanding that were close to impossible to build while your head was full of noise.

Whether you stay on medication for the foreseeable future or not, the work is the same.

So you know where you stand with me.

I’m not anti-medication and I’m not anti-weight-loss. I don’t advise on prescriptions, doses or stopping — that’s your prescriber’s job, and their guidance takes precedence over anything we discuss.

Whether you stay on it for a year or for the rest of your life is a decision for you and your doctor. Plenty of the women I work with expect to be on a maintenance dose long term, and that’s entirely their business.

What the medication reaches, and what it doesn't

GLP-1 medications change appetite, and for many people they quieten the constant mental chatter about food. That’s real and it matters.

What they aren’t designed to touch:

The habit and the ritual — the same time of night, the same cupboard, the same programme in the background
What food has been doing for you emotionally, which is usually something, and usually working
Years of guilt and shame that don’t dissolve because appetite did
What you’ve come to believe all of this says about you
What to actually do when hunger returns, at whatever point it does

A lot of people describe a strange disconnect — physically they don’t crave food any more, and emotionally it still offers something. That gap is worth understanding rather than waiting out.

What we work on:

Hunger that doesn’t feel like an emergency. For most of my clients, hunger has spent decades being either the enemy or the thing that started a binge. On medication it goes quiet. When it comes back — and at some point it does, whether through a dose change or coming off — it can be genuinely frightening. Learning that hunger is information rather than a threat is some of the most useful work we do.
Working out what “enough” feels like now. Satiety on a GLP-1 is a different signal to the one you spent years overriding. Recognising it, trusting it, and knowing what to do when it shifts again takes practice, and it’s easier to practise while things are calm.
Eating enough, and eating well. Under-eating on these medications is common and rarely discussed. Your sessions with our specialist dietitian cover nutrition properly — adequacy, protein, and what a sustainable pattern actually looks like for your body rather than for a leaflet.
What to do if the urges come back. Not white-knuckling. Strategies worked out in advance, while you have the headspace, rather than improvised in the middle of a bad week.
Routines that survive real life. Particularly if ADHD traits are part of your picture. Structure that bends, because you’ve already tried the rigid kind.

One reason nutrition support matters here: a 2026 systematic review in eClinicalMedicine found that GLP-1 medications reduced binge eating and emotional eating — and also increased dietary restraint. If restriction has historically been what set your eating off, that’s worth keeping an eye on rather than discovering the hard way.

Who This is For

This programme is for you if:

How I work:

My background is in eating disorder therapy, with additional training in CBT, in ADHD and binge eating, and in supporting people through medical weight interventions. I use hypnotherapy and EFT alongside talking therapy where they’re useful.

Having come through binge eating myself, I know the distance between understanding something and being able to do it, which is usually where the actual work sits.

Most of the women I work with are in midlife, carrying more than is reasonable, and frequently recognising ADHD traits for the first time. Sessions are built to be manageable rather than another thing to be good at.

What's included

This is a focused, time-limited piece of work rather than open-ended therapy, and it includes sessions with a specialist dietitian who works with GLP-1 and bariatric clients. That combination is the reason it’s priced differently to my ongoing 1:1 work.

6-Session Package | £650

12-Session Package | £1140 (15% discount)

What tends to change

I can't promise you a particular result, and I'd be wary of anyone who does. What people generally describe:
Knowing what sets their eating off, and having something to do about it
Hunger and fullness feeling like information rather than a threat
Being able to think about food and their own body without it turning into a fight
Feeling less at the mercy of whatever happens next with the medication
Less of the constant self-criticism, which for most people is louder than the eating

Why there's a dietitian involved

Most therapy for eating doesn’t come with a dietitian, and most nutrition support doesn’t come with a therapist. Working alongside each other means the two halves of this actually meet.

Nutrition on a GLP-1 has its own particular issues. Under-eating is common and rarely discussed. Protein and adequacy matter more than usual. And most of the advice circulating online is aimed at losing weight rather than at someone who has spent thirty years in a fight with food.

Our dietitian specialises in GLP-1 and bariatric care. That’s her territory and it sits outside my scope as a therapist. Having both of us involved means nobody is guessing.

What this asks of you

An hour a week, or a fortnight, at a time that fits around everything else.

Some reflection in between. A short journal, not a food diary, and nothing you have to be good at.

That’s it. No meal plans to follow, no tracking, no homework to hand in. You’ve almost certainly tried a version of this that demanded a great deal and gave very little back, and I’d rather not add to that pile.

If a week goes badly, that’s material rather than failure. It’s usually the most useful thing we look at.

"I always thought I just needed more willpower. Therapy with Claire helped me realise it was never about that. I finally feel calm around food."

"Claire’s support while I was using GLP-1 medication was invaluable. I feel like I now have the tools to continue the progress I’ve made — and not feel scared about the future."

If you've read this far...

That usually means something here sounded familiar.

There’s a free 30-minute call where you can ask whatever you want and get a sense of whether this is the right fit. Nothing is decided on the call and there’s no pressure to book afterwards.

Questions about therapy alongside GLP-1 medication

Can I start therapy at the same time as starting medication?

Yes, and it’s a sensible time to do it. Starting alongside means you notice what changes and what doesn’t as it happens, rather than trying to reconstruct it later.

I'm still bingeing on a GLP-1. Is that normal?

More common than you’d think, and it doesn’t mean the medication has failed or that you have. These medications reduce appetite, and bingeing isn’t always about appetite. If food has gone quieter and you’re still losing control at points, that’s usually the part worth looking at.

Why does this cost more than your ongoing therapy?

Because it includes sessions with a specialist dietitian alongside the therapy. Nutrition on a GLP-1 is a genuine issue — under-eating is common and rarely discussed — and that’s outside my scope as a therapist. Having both of us involved means the whole picture gets attention.

Do I have to be planning to come off it?

No. Plenty of the women I work with expect to stay on a maintenance dose long term, and that’s entirely their business. This isn’t preparation for stopping, and I won’t push you towards it. The work is the same either way.

What if I need longer than twelve sessions?

Then we talk about it. This programme is deliberately focused and time-limited. If what surfaces needs open-ended therapy, moving to my ongoing 1:1 work is straightforward.

Do you work with my doctor?

I can, with your consent, though I don’t provide medical advice and nothing we discuss overrides your medical team.

I’m a qualified eating disorder therapist with specialist training in ADHD and binge eating, CBT, bariatric counselling and obesity practice. Registered with BACP, membership number 00727765. Fully insured and in regular clinical supervision.

If booking a call feels like a lot right now, send me a message instead.

What happens on the call

Thirty minutes, online, free. You tell me what’s been going on, I ask some questions, and we work out together whether this is the right fit.

If it isn’t, I’ll say so and point you somewhere more useful.