We do things a bit differently
Accredited Practising Dietitian
Member of Australia & NZ Academy for Eating Disorders
Medicare Registered Provider
At the Liberation Clinic, we're strong believers in collaborative care, and treating you as a whole person. Your opinions and preferences matter, and we respect that you are the expert in your own life! That’s why you’ll never be given a cookie-cutter meal plan and sent on your way. We will take the time to build your skills and confidence, at your pace, so you can take back the power that food has over you.
What could you achieve if all the time and mental energy you spent worrying about food or your body was freed up?
We believe you deserve a full life, and your eating disorder is taking away this opportunity. We don't believe that reducing behaviours and weight restoration (if necessary) is the whole story. We want to get you to a place of resilient recovery, so you're equipped to move on with your life in a highly triggering world, remaining free from the ED forever.
Meet clinic director & Dietitian, Emma Robertson
I started my private practice in 2009, but decided to specialise in eating disorder treatment in 2015, and haven't looked back! You’ll find the formal stuff first, then a bit more about me personally 🙂
I earned a B.Science (Pharmacology) and Masters in Nutrition and Dietetics from the University of Sydney, and am registered with:
- Dietitians Association of Australia
- Medicare registered provider
- Dept Veteran’s Affairs registered provider
- All health funds
My clinical interests include:
- Eating disorders treatment, including adolescents
- Teaching a Non-Dieting approach to health, instead of traditional weight focused counselling
- The intersection of Irritable bowel syndrome/ symptoms and eating disorders
- Body image counselling
- Helping parents to support their childrens' body image, and establish a healthy relationship with food
I’ve taken extra formal training in:
- Maudsley Family based Treatment (for teens- young adults with Anorexia Nervosa/ Bulimia Nervosa)
- Mindful eating and 'Intuitive Eating'
- Outpatient management of eating disorders, including binge eating disorder
- Body image counselling skills
- Non-diet/ Health At Every Size (HAES®) counselling skills
- Motivational Interviewing
- Responsive Feeding Therapy for ARFID (Avoidant/ Restrictive Food Intake Disorder)
Alongside private practice, I’ve worked as a Health Coach on various private and government run programs, helping clients with all manner of health goals, from quitting smoking, to managing stress. I dedicate all my professional development budget (plus some! oops..) to being more and more helpful to people with eating disorders, and people who want to enjoy life without body image getting in the way. I’m a mum of two young girls (plus golden retriever furbaby), and am still learning how to juggle family, running a business, and having fuel left in the tank for myself 😉 I practised martial arts for 12 years before kids, and still try to get some pad work in when I can. I also love weight training. Not because it makes me strong, but because it shows me I am strong 🙂
My Nutrition Philosophy
Food is supposed to be one of life’s pleasures, but for so many of us it’s a source of guilt, anxiety and confusion. It shouldn’t be like this! I want to help you to enjoy a better relationship with food again, so you can get on with the rest of your life. I’ll help you get back in touch with your body’s ways of telling you what it needs (hint: you know more than you think!), so you’ll never need, or want, to get back on the diet cycle again.
Meet Associate Dietitian, Nicole Wolman
Nicole Wolman is an Accredited Practicing Dietitian from South Africa. She graduated in 1997 from the University of Cape Town with an Honours degree in Nutrition & Dietetics. She has worked in private practice for over 20 years and has always practiced a non-diet approach, before it was a 'thing'! Nicole was instrumental in setting up a new hospital eating disorder inpatient unit in Johannesburg, in the early 2000's, and worked there for a number of years, before returning to private outpatient work.
Nicole has been seeing the anguish caused by weight-cycling and yo-yo dieting for decades. Her passion is helping her clients live a life free of dieting and restriction. She understands the metabolic consequences of food restriction and the negative impact this can have your quality of life, and is passionate about helping you get back the full life you deserve.
Nicole has a warm and sensitive approach and has a special interest in helping people in their eating disorders. She is a strong believer in the Health At Every Size approach, and practices intuitive eating.
During her career Nicole has always tried to make sensible nutrition advice accessible to everyone, with cooking demonstrations, speaking wherever there's an audience, writing articles for magazines (pre-internet days!), as well as appearing on TV and radio in South Africa.
Nicole loves coffee, food and eating out. She is thrilled to be able to live near the sea, and tries to walk along the beach as often as she can. She is a mum of a tween and teen.
Meet Associate Dietitian, Yive Yang
New Associate Dietitian starting March 2022!
We'll be welcoming a new associate dietitian to the team around March 2022, yay! We'll share more details and open bookings for them in around late Jan '22- early Feb. We'll offer places to our waitlist and email subscribers first, so please subscribe or get in contact with us if you'd like to be notified when our new team member is available.
Emma's story: How I discovered HAES and the Non Diet Approach
I started working in private practice right after graduating, in 2008. Everyone warns new grads against going straight into private practice. It's hard work, can be lonely, and there's no-one to mentor you. All very good reasons, but I've never exactly been great at following rules for the sake of it, and I was so eager to get out there and share my knowledge, so in I jumped!
I loved private practice straight away, but soon realised that being a dietitian is actually way less about sharing information (because most people know waaay more nutrition theory than they'll ever need), and far more about helping people navigate the realities of their lives, and the logistics of steering themselves towards the health habits that will make all the difference. So to really help people, I felt like I needed more training in things like counseling and behaviour change psychology than I’d learned in my Masters degree. As luck would have it, I found a part-time job in health coaching, doing exactly what I needed to upskill in! What better way to get trained than by taking a job and practicing day after day, right? And I could keep my clinic running part-time. Perfect!
The health coaching job was great, but the best thing about it was the fact that each client was followed up for 6 months or more. When you keep talking to the same people week after week, month after month (and year after year with some awesome clients), you get a feel for what approaches work, and which ones really don’t! That’s when I really started questioning the value of any prescribed meal plan, macronutrient balance, or even something as gentle as suggesting a meal idea. It seemed like the more I (or other health coaches) gave prescriptive advice, the more ‘relapses’ clients would have into their old habits…
… cue lightbulb!...
I needed to do less prescribing and more listening
Now here’s the issue: We live in a diet pushing, get-thin-at-all-costs culture, where we’re repeatedly sold on the ideas that we just need to:
- Find the ‘right’ meal plan. Don’t ‘cheat’ and eat ‘bad’ food.
- Hit the gym whether we want to or not, to ‘burn off’ enough food to lose weight, or ‘make up’ for extra food we've eaten that wasn't part of our prescribed rations.
- Have someone to be accountable to because we ‘don’t have enough motivation’.
- Get down to the ‘correct’ weight and all our health and self-esteem troubles will disappear.
This means that for anyone who’s looking around for ways to improve their health, these are the things they think they need to do. So when a new patient booked themselves in to my clinic, what they expected from me was something along the lines of ‘here’s the right diet for you- OK, go!’
But of course, given my professional experiences, I just couldn't bring myself to do that. What I’d learned along the way was that giving prescriptive (‘thou shalt and thou shalt not’ style) advice doesn’t actually solve anyone's issues. What it does instead, is reinforce the dieting mentality (thoughts like the ones above). It maintains those feelings of guilt and being ‘out of control’ when you inevitably ‘break the rules’, which further damages self-esteem. I learned that people actually know far more about what is best for them than any health professional could. I'd discovered, mostly by trial and error, and thousands of hours talking to real people, that teaching people the skills to make their own informed health decisions was far more valuable. I kept health coaching for a few years, but left when I’d learned all I could from that job. I’d also started to feel more constrained than supported by their rigid procedures for counselling clients, so it was definitely time to move on!
If it’s bad for someone with an Eating Disorder, why is it OK for others?
In my own practice, I started working more and more with people who have eating disorders, and it lead to some troubling questions. For many people with an eating disorder (or history of one), it’s not appropriate to focus on losing weight, including when recovered. For these patients, I would always explain the ‘set point theory’ of how the body will naturally regulate its weight within a ‘preferred range’. Attempts to surpress weight below this range will be fought- with the end result being that your body will lower metabolism as far as needed, and claw its way back up to its set point eventually. Dieting episodes tend to raise the set point, which means that the minimum weight that your body will allow itself to maintain is often HIGHER after a diet. The high likelihood that weight lost on a diet will eventually be regained is very well established scientific fact. It’s one of the main reasons for our evolutionary success! No-one in the academic world seems to be questioning the effects of starvation on weight set-point (whether from famine or intentional dieting- your body doesn’t know the difference), yet it's just not talked about in health or medical degree programs. (NOTE- actually, this is changing and dietetics degrees are starting to be updated. Very, very slowly...)
The internal conflict was building...
Despite knowing all the above, I was still teaching patients without eating disorders how to manipulate their food and calorie intake for the specific purpose of losing weight. Maybe their doctor had referred them for help with weight loss, and I obliged. Or, they wanted to lose weight for a wedding, or to suffer less with arthritic pain, or any number of other seemingly valid reasons. But as time went by, I struggled more and more with the rationale for helping people to lose weight, when I was starting to realise that it would only be temporary for most people because of the changes to metabolism and set-point. Sure, I was confident that I was teaching my patients a far more moderate and balanced approach to food than they had previously known. But the more I read research about the effect of calorie restriction on metabolism, the more I realised that it didn’t matter HOW you do it. You could do an expensive juice-fast, you could do whatever diet a Kardashian did last month, or you could eat a well balanced low energy diet that I’d prescribed… but the negative outcomes of dieting would be the same.
So what actually happens when we diet?
Here are some of those negative effects of dieting that are strongly supported by research:
- For 95% of normal healthy people, weight will return to pre-diet level within 2-5years. This has nothing to do with willpower or adherence to the diet. It’s due to, often permanent, drops in metabolism. This is how a healthy body adapts to survive famines.
- Because dieting increases weight set-point, many dieters will end up heavier than they started. Especially if they're experienced repeat-dieters.
- Newer research is starting to show that weight cycling itself causes worsening health. It does things like reducing insulin sensitivity (which increases risk of diabetes), and increasing risk of heart disease.
- The social issue of weight stigma directly causes chronic stress and worsening mental health, and can lead to physical health issues like heart disease.
- Dieting increases body dissatisfaction, which is tied to lower self-esteem and confidence- regardless of whether you lose weight. Hang on- don’t people diet because they want more confidence? Very ironic.
- Dieting leads to preoccupation with weight and shape, and increases risk of developing an eating disorder. Eating disorders are far more destructive to health and wellbeing than simply being a heavier person (including the health and wellbeing of a sufferer’s family, and extensive time off work that might be needed to care for your loved one).
- The feelings of deprivation while dieting- or even thoughts about planning to restrict your food in future- directly lead to difficulties with binging and over-eating. Again, this is a normal physiological reaction, not an issue with willpower.
When you consider that all of these negative outcomes of deliberately trying to lose weight are far, far more likely to occur than lasting weight loss, I realised that it was just not ethical to recommend that patients continue attempting to diet!
Note- this is where many health professionals jump in and accuse colleagues who use a Non-Dieting approach of ‘glorifying obesity’ or ‘ignoring the effects of excess weight on health’. We’re not. Issues that this question raise about weight bias in healthcare, and questions about the how strongly health outcomes are actually linked with weight, as opposed to lifestyle habits, are talked about in detail by other authors/ on other websites- contact me if you'd like references. The point I want to focus on here, is that dieting doesn’t fix the health issues that are blamed on weight, it worsens them. It's unethical to recommend a treatment that is likely to make the condition worse.
So, what’s the alternative to dieting?
Well, there are two great alternatives for someone in my position.
The first one is to stand up, and be an advocate for change.
I think that the place we can have the greatest impact with advocacy efforts is with children and teens. Recent studies have been very encouraging and supported the idea that educating kids about key non-dieting concepts can have a huge and lasting effect. Teaching kids about:
- the effects of dieting on metabolism and mental health
- building media literacy, specifically looking critically at how the ‘thin ideal’ is widely used as a marketing tool
- supporting them to develop a positive body image, by considering what their body can do, rather than how it looks
- supporting them to view food as nourishment, and activity as enjoyment, rather than tools to control weight
- teaching respect for size diversity in the same way as we respect diversity in hair colour, ethnicity or sexual orientation
…all these education topics directly lead to reductions in BOTH unnecessary weight gain and eating disorders as adults. So, exposing kids to these ideas through talks to school groups, holding workshops, and making sure that kids see a health professional (with specific experience with eating disorders) at the first signs of disordered eating or issues with body image, are the best ways to stop future problems AND curb any rising average weight of people in developed and developing countries alike.
Secondly, we can help adults to shift their focus from weight to health
We can help individuals to stop further diet-cycling. This is the basis of all of the diet-alternative approaches to health that you might read about, including ‘Non-Diet Approach’, ‘Anti-Diet’, ‘Health At Every Size (HAES®)’, and ‘Intuitive Eating’.
To be honest, it’s been my experience that working in this way is actually harder than using a traditional, prescriptive, weight loss approach. It can be hard work for the health professional (and requires some extra counselling skills training) to unpack a lifetime of beliefs and habits about dieting, body image, and to help people separate health from weight so we can focus on the important things that we have more control of. But it's also harder for patients!
Importantly, it’s not all work that a dietitan has the skill to do. Some people benefit greatly from talking about body image and other issues that might be brought up in our sessions with a psychologist. I’m very aware of where my scope of practice boundaries lie, and will let you know if an issue arises that is best looked at by a different type of health professional. It’s then your choice as to if/ when you might seek further help. However if you’re being treated for an active eating disorder, you will definitely need psychological and medical support as well as dietetic.
If you're not 'doing' weight loss, what are you doing?
There are plenty of ways that our lifestyle can influence health regardless of our weight! When you become a dietitian, one of the first realities you learn is that most people don’t know the extent of your knowledge and skill! Unfortunately, much of the public, AND many doctors, think we’re just weight loss coaches. But in our 4-5 years at university we learn far more than this! As a profession, we need to remember that we have a huge repertoire of medical nutrition therapy options for improving health issues. These are research-supported options that will improve people’s health regardless of their current weight, or whether or not they lose weight in the process!
So, while I believe it can be more difficult for practitioners to work from a Non-Dieting approach, the rewards for patients (and the practitioner!) are soooo much greater. I think that a life of truly enjoying food, being able to eat ‘normally’ without rules, binges, and guilt, being able to trust your body’s cues (including cravings), knowing that you won’t spiral out of control by responding to those cues appropriately, and living your best life without worrying about weight, are all things that a huge number of people would desperately love to have. We just need to go about the process a bit differently than we have been.
So now, more than a decade into my career, here’s how I summarise my role in private practice:
"I will model the patience and compassion that you deserve, and approach the process of unpacking nutrition and dieting beliefs or behaviours with curiosity, not judgement. Over our work together, I will teach you the skills, and build your confidence, so that you can treat yourself the same way. We’ll approach lifestyle changes as experiments, not as a new set of rules, because you are the expert in your body and your life."
If my story resonates with you, and if you think my approach could help you, I’d love to meet you. You can:
- send me an email via the form below.
- call the clinic number to have a chat and see if you’d like to work with me or my team. Please do leave a message with preferred days/ times to call you back. All of our team work part-time around kids or PhD work.
- if you’re ready to book, Check our availability in our online booking system, here
- OR, if you're not sure whether you'd like to work with us yet, please join the newsletter to learn more about how we work.
Thanks for reading this far, and I hope the resources and information on this website help with your liberation from food and body worry!
NOTE ABOUT REFERENCES- if you’re a health professional and interested in reading literature to support the ideas discussed on this site, please feel free to email me (you can use the contact form on the Contact page) and I’m happy to share relevant references with you. They’re specifically not included for brevity and readability- I ramble enough already!