Orri takes a flexible, stepped approach to treatment so that every person’s programme is appropriate to their individual needs and evolves with them over time. This type of treatment, whilst popular and proven on the continent and in the US, is relatively rare in the UK.
“We’re trying to understand which parts of themselves they want help to strengthen and which parts they need help to overcome.” — Kerrie Jones, Clinical Director
Our multi-disciplinary team works together to help clients along in their journey, whilst also working with families and carers to deliver the highest standards of wrap-around care. Our goal is always to heal the whole person by addressing the underlying causes of the eating disorder. We provide an unrivaled range of treatments and work with our patients to select the best options for them. Everyone’s recovery looks different, and our programmes recognise and reflect that.
Psychotherapy helps to restore healthy behavioural patterns and regulate the areas that may have suffered trauma and subsequently drive dysfunction.
There is no one-size-fits-all approach, so we combine a number of approaches to address an individual’s needs. Our experienced practitioners offer a variety of evidence-based therapies, including:
- Attachment Based Therapy
- Mentalisation Based Therapy
- Cognitive Behavioural Therapy
- Dialectical Behavioural Therapy
- Expressive & Creative Arts Therapies
- Eye Movement Desensitisation & Reprocessing
- Internal Family Systems Therapy
- MANTRA (Maudsley Anorexia Nervosa Treatment for Adults)
Each of our therapists is registered and/or accredited with one or more accrediting organisations and complies with the association’s standards. Our staff undergo strict recruitment and supervision procedures and engage in continuous professional development, keeping abreast of changes in practice and theory.
“Because we’ve got an extensive team with lots of different disciplines within it, we offer an unusual level of variety and flexibility, which can be really powerful.” — Kerrie Jones, Clinical Director
Every client’s programme is managed by a multi-disciplinary team which includes world-class psychiatrists.
Dr. Eric Johnson-Sabine, our Medical Director, is a Consultant Psychiatrist recognised internationally for effective resolution of eating disorders. He set up and ran a centre of excellence in North London for eating disorders – the St Ann’s NHS Eating Disorders Service – and is an expert advisor for NICE guidelines on Eating Disorders.
Dr. Paul Robinson, Director of Research and Development, is a Consultant Adult Psychiatrist best known for his promotion of intensive community treatment to minimise the need for hospital care. He is a founder member and former chair of the eating disorders faculty at the Royal College of Psychiatrists, has authored two College Reports and wrote the national guidelines for managing Anorexia Nervosa in general hospital settings, known as MARSIPAN.
“Orri offers the best treatment options available at the time and avoid admission to inpatient care wherever possible” — Dr Paul Robinson, Director of Research and Development
Extended-day clients attend weekly psychiatry reviews with a psychiatrist, as well as medication reviews as needed. We aim to deliver the highest possible standard of care to individuals and their families, and all of our treatment services are compliant with NICE Guidelines and Royal College of Psychiatrists recommendations.
We do dietetics a little differently at Orri. We do not to talk about calories, nor do we lay down rules. People with eating disorders already have a lot of rules—to the point that these rules dictate how they live their lives. So rather than replace one set of rules with another, our team – led by our Senior Dietitian – prefer to focus on progress and steps forward, rather than food itself. Every meal is supported by therapists and experienced eating disorder professionals. When clients struggle at mealtimes, the team step in to offer support, new approaches and understanding as clients make sustainable changes.
Ultimately, we aim to support clients with developing a natural and intuitive relationship with food; responding naturally to their hunger cues. We understand the perceived comfort and reassurance that counting calories or talking about food can bring, but we also understand how this can become limiting and controlling and ultimately leaves people feeling helpless and trapped.
To strengthen intuitive eating, on arrival each day our clients choose what they’d like to eat from a menu. Everything is home-cooked and served in our beautiful basement kitchen by our resident Head Chef, Scott.
“Talking about food all the time feeds the eating disorder—it’s exactly what it wants and how it controls you” — Paula Tait, Senior Dietitian
Yoga and Body Based Therapy
We offer a unique range of body-based therapies. Our Yoga and Body Awareness Therapist, Elaine Rutherford, has a decade of experience as a yoga teacher, working primarily with people in recovery. Her approach is to unify body and mind, using a combination of yoga, mindfulness and meditation to help people connect their bodies with their feelings.
“Eating disorders invite disconnection. To prevail, eating disorder behaviours – be it restricting, purging, or binging – require a disconnect from the self, from what the body wants and needs.” – Kerrie Jones, Clinical Director
Elaine runs three different yoga sessions each week: teaching the fundamentals of an embodied practice, introducing flow, and learning to rest and let go. Body-Based Therapy involves both talking and mind-body exercises that in allows for a top down / bottom up connection to be made. This process encourages clients to experience emotional and physical sensations and learn to navigate them by regulating their nervous system with a combination of awareness – “what’s happening to me?” – mindfulness and self-care.
“Rather than it always being about the head looking at the body – being cut off from it so there’s a disconnect – body image works from the inside out, healing those pathways that allow someone to feel at ease in their body.” — Elaine Rutherford, Yoga and Body Awareness Therapist
At the heart of the Orri community is a therapeutic process that incorporates group sessions led by experienced therapists. For many, eating disorders offer a way of enduring painful experiences, past and present, for the person experiencing it – the eating disorder is therefore felt as central to their survival. The move towards recovery requires understanding, support and time. To support those who are taking the courageous step of exploring and understanding their eating disorder, Orri provides a space that offers containment, consistency and care. Whilst many feel understandably apprehensive at first, the group therapy process offers an invaluable experience from which clients get support, feedback and grow confidence. Clients draw strength from others during group sessions, and also take pleasure in seeing others draw strength from them.
“The act of revealing oneself fully to another and still being accepted may be the major vehicle of therapeutic help.” — Irvin D. Yalom, author of The Gift of Therapy
The group sessions we offer include many different approaches and include art-based therapies, talk based therapies, movement and music–based therapies, support relapse prevention, provide menu planning, as well as offer mindfulness and body image therapies.