Eating Disorder Services

What does the service do?

The Eating Disorder Service Knowsley and St Helens (EDS) is a specialist, secondary care, out-patient service that provides comprehensive assessment and treatment for young people and adults with eating disorders.

Who is it for?

The EDS provides a service to people who have a GP based in Knowsley (including Kirkby) or St Helens.

Our service users include both men and women aged 18+ who have a range of problems around eating and body image. We also often work with young people aged 14-plus who are under the care of a Child and Adolescent Mental Health Service (CAMHS).

The main eating disorders we can help with include Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, and Eating Disorder Not Otherwise Specified (EDNOS). Eating disorders are usually about more than just weight or eating and often develop as a way of coping with or communicating distress. People with eating disorders may experience some of the following:

  • Preoccupation with food, eating, weight and body image, often to the extent that it can disrupt personal, social and working lives
  • Guilt, self-criticism, shame or worry about their eating behaviours, appearance and weight
  • Striving to severely limit their dietary intake in order to change their weight or appearance
  • Feeling that they are “fat”, when in fact they may be a healthy weight or even underweight
  • Losing control when eating, resulting in eating a large amount of food in a short space of time
  • Wanting to compensate for eating, sometimes through self-induced vomiting, laxative misuse or excessive exercise
  • A wide range of physical health symptoms, including tiredness, sleeping problems, sore throat, swelling of legs/ankles, dizziness, vomiting blood, heart palpitations, abdominal pain/discomfort, constipation, anaemia, diabetes and menstrual periods stopping.
  • Low mood, depression or anxiety problems

Who will you see?

We are a small, multi-disciplinary team of highly trained and experienced Clinical Psychologists and an Advanced Dietician.

After we have accepted your referral, you will be invited to attend a few assessment sessions with a Clinical Psychologist and the Advanced Dietician. Together, we will then agree an appropriate treatment plan with you.

Depending on your needs, we will offer a range of evidence-based psychological and dietetic interventions, including cognitive behavioural therapy (CBT), dialectical behaviour therapy (DBT), motivational enhancement therapy, nutritional counselling, education about eating disorders and carer/family support. Appointments are usually on a weekly or fortnightly basis, and you may be offered individual or group sessions


Who else helps?

We will work closely with other professionals and services involved in your care, including your GP and any other relevant mental health team (e.g. CMHT, CAMHS).

Eating disorders can result in potentially very serious health problems; so we will ask you to attend your GP regularly for health checks and blood tests. If any physical health problems are identified, your GP will be responsible for arranging medical treatment and monitoring. We do, however, liaise closely with your Doctor.

Sometimes out-patient treatment is not enough on its own. In those rare cases, we refer service users to specialist in-patient eating disorders units. When this happens, we liaise closely with the in-patient unit and offer comprehensive out-patient follow-up care once the service user has been discharged from hospital.

What do I do next if I think this service may help?

If you are worried that you may have an eating disorder, you should talk to your GP and ask to be referred to the EDS.

You can contact the EDS on (0151) 430 1321, and we will be happy to send you any additional information or answer any questions you have.

Where and when is the service available?

We operate from Monday to Friday, 9am to 5pm. Outside of these hours, a confidential answering machine is available on (0151) 430 1321.
We are based at:

Eating Disorder Service Knowsley & St Helens
Knowsley Resource & Recovery Centre
Whiston Hospital
Warrington Road
L35 5DR

Is there anything else I need to know?

Please click here for an information leaflet about the EDS.

For extra information or support around eating disorders, beat (the national eating disorders charity) can be accessed on:
Helpline: 0845 634 1414
Youthline: 0845 634 7650



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