MB Counselling and Coaching

MB Counselling and Coaching I'm Megan, accredited therapist & clinical supervisor. Specialising in eating disorders, trauma, OCD & neurodivergence.

Follow for free weekly evidence based education & practical strategies for adults, children and parents.
đź“ŤFareham, and UK online.

I currently have limited availability for therapy:🌿 Tuesdays at 10am and 12pm.🌿 Thursdays at 2pm.🌿 Some fortnightly dayt...
04/09/2026

I currently have limited availability for therapy:

🌿 Tuesdays at 10am and 12pm.
🌿 Thursdays at 2pm.
🌿 Some fortnightly daytime spaces on Wednesdays.

Availability is offered on a first-come, first-served basis and is likely to change quickly.

Sessions are available online or in person for children and adults.

I’m also very pleased to have welcomed another supervisee this week 💚 I now have limited availability remaining for clinical supervision for qualified and trainee therapists.

Please email me if you would like to discuss therapy or supervision:

[email protected]

This post is for general information only. Please consider your confidentiality when commenting or interacting publicly.

It’s been a big week in our house. My son has started nursery school, and my daughter has begun her final year of second...
04/09/2026

It’s been a big week in our house. My son has started nursery school, and my daughter has begun her final year of secondary school 💗 It’s been a week full of excitement, relief and happiness for my children.

I’ve been feeling poorly this week, I think it’s a virus, so I’m taking the weekend to rest and recover. I hate being unwell; it always leaves me feeling sad and anxious.

Just as I say to my clients, I’m gently reminding myself that this will pass, the difficult emotions as well as the physical sensations.

I hope everyone is feeling well and has a lovely weekend đź’—

I’ll be back to work on Tuesday, when we’ll continue exploring FBT Phase 1 and look more closely at common parenting responses within FBT.

This post is for educational purposes only and is not a substitute for individual therapeutic or medical advice. Please be mindful of confidentiality when commenting or sharing personal experiences.

Looking brighter and eating more are encouraging steps, but they don’t always tell us how the body is recovering 💗In Pha...
03/09/2026

Looking brighter and eating more are encouraging steps, but they don’t always tell us how the body is recovering 💗

In Phase 1 FBT, medical monitoring sits alongside nutrition and therapeutic support. Weight restoration matters, and checks need to consider the young person’s wider physical health, growth and development too.

Parents have an important role in sharing concerns, but you don’t have to interpret medical results or make these decisions alone. Your GP and eating disorder team should guide the monitoring plan.

If you’re worried or things change, speak to the team rather than waiting for the next appointment.

If your child suddenly becomes more unwell, seek urgent medical help. For a medical emergency, go to A&E or call 999. If you’re unsure what help they need, call NHS 111. Do not delay calling 999 if their life may be at risk.

This post is for education only and does not replace individual advice. Please remember that likes and comments are publicly visible, so consider your confidentiality when interacting.

Another bit of behind-the-scenes private practice admin completed… 📖💻This week I’ve been reviewing and updating my Clini...
03/09/2026

Another bit of behind-the-scenes private practice admin completed… 📖💻

This week I’ve been reviewing and updating my Clinical Will, alongside adding information about it to my therapy and supervision agreements.

A Clinical Will sets out what should happen to a therapist’s practice if they were to die, become seriously unwell or unexpectedly be unable to work or contact their clients themselves.

It means there is a clear plan for who will contact current clients and supervisees, how they can securely access the information they need, what happens to appointments, records and payments, and how confidentiality will continue to be protected.

It’s probably not the nicest part of running a private practice to think about, but it is an important part of working ethically and responsibly. Clients shouldn’t simply be left wondering what has happened if their therapist suddenly disappears.

I’ve now nominated a new Clinical Executor and reviewed the practicalities of how my Clinical Will would actually work, rather than it simply being a document sitting in a folder.

With the new BACP Ethical Framework coming into effect in November, this felt like a good opportunity to review my arrangements and make them clearer within my contracts too.

These are also exactly the sorts of conversations I think are important to have in clinical supervision, particularly for therapists working independently in private practice. đź’—

This post shares my own private practice reflections and is for general information only. Therapists should consider their own professional body guidance, insurance requirements and individual practice arrangements.

02/09/2026

Phase 1 FBT asks a lot of parents.

You are often being asked to make decisions while your child is distressed, angry, frightened or pleading with you to change the plan.

Parental leadership does not mean being harsh. It means being calm, clear and consistent when the eating disorder is making it difficult for your child to make safe decisions.

You do not need to feel completely confident before you lead. Sometimes the confidence comes afterwards.

Next week I’m going to look more closely at different caregiving responses and how these can influence recovery.

FBT should be guided by a qualified eating disorder professional.

Educational content only and not a substitute for individual therapy or professional support. Please be mindful that liking, commenting on or sharing mental health content may reduce your confidentiality, as these interactions can be visible to others. Only engage if you feel comfortable doing so.

September is here 🍂 and I am loving the cooler weather! I’m especially loving being able to move around the house withou...
01/09/2026

September is here 🍂 and I am loving the cooler weather! I’m especially loving being able to move around the house without sweating and having a mini meltdown.

It’s a big week in our house too. My eldest goes into her final year of school, which I honestly can’t quite believe, and my youngest starts infant school this week 🥹

I’m also very aware that, while the return to school can feel exciting for some children and families, for others this can be a really difficult time. For children who don’t enjoy school, or for whom school causes significant anxiety and distress, September can feel incredibly overwhelming, and that can be really tough on parents too. 💗

It also means a few changes to my working week. From September, I’ll now be working Tuesday–Thursday, with some additional supervision spaces opening up on selected Wednesdays.

I’m really looking forward to returning to the school I work with in Blandford too, where I run a monthly eating disorder drop-in clinic alongside my private practice.

It feels like the start of a new season in lots of ways 🍂

This post is for general information and education only and is not a substitute for individual therapeutic, medical or professional advice. Please also be mindful of confidentiality when commenting or sharing personal experiences.

Exercise and movement can be a difficult area in Phase 1 FBT.When weight and nutrition are compromised, rest is not only...
01/09/2026

Exercise and movement can be a difficult area in Phase 1 FBT.

When weight and nutrition are compromised, rest is not only about protecting physical health. It also helps interrupt compulsive movement, reduce the need to “earn” or burn off food, and give nutrition the best possible chance to support restoration.

For some young people, this may mean temporarily pausing sport, PE, gym sessions, running or other non-essential activity while the body and brain stabilise.

This is not punishment, and it is not about taking movement away forever. It is about protecting recovery during a vulnerable stage.

Return to activity should be gradual, individualised and guided by progress. It is important to wait until the eating disorder clinician and GP agree that it is medically safe and appropriate to begin reintroducing activity.

FBT should be guided by a qualified eating disorder professional.

Educational content only and not a substitute for individual therapy or professional support. Please be mindful that liking, commenting on or sharing mental health content may reduce your confidentiality, as these interactions can be visible to others. Only engage if you feel comfortable doing so.

It’s that time again… time to switch off from work for the weekend 💗I’ve really struggled to get up to my early morning ...
28/08/2026

It’s that time again… time to switch off from work for the weekend 💗

I’ve really struggled to get up to my early morning alarm this week. I’m sure the big run last weekend contributed, but my period also arrived.

And I’m sharing that because nothing is TMI on here, and nothing is TMI for my clients to talk to me about either.

Period health matters. We need to be able to talk openly about it with our daughters, sons, partners and clients.

For some girls and women, periods can mean much more than a few days of bleeding. Fatigue, pain, headaches, nausea, digestive changes, disrupted sleep and significant changes in mood can all have a real impact on everyday life.

Hormonal changes across the menstrual cycle can also affect mental health. Premenstrual dysphoric disorder (PMDD), for example, can cause severe psychological symptoms before a period.

Neurodivergence belongs in this conversation too. Growing research suggests some neurodivergent women experience changes in attention, executive functioning, emotional regulation and overall symptoms across their cycle.

We still have lots to learn. I have even sat with a psychiatrist who wasn’t aware of PMDD or menstrual psychosis. Menstrual psychosis is very rare, but it is a recognised phenomenon linked to the menstrual cycle.

Our hormones, brains and bodies are not separate systems. If your body is asking for more sleep, rest or kindness at certain points of the month, that may be information worth listening to.

Have a lovely weekend 💗 I’ll be back on Tuesday, where we’ll continue exploring Phase 1 of FBT for eating disorders.

This post is for educational purposes only and is not a substitute for individual medical or mental health advice. Please be mindful that sharing personal experiences in comments may affect your confidentiality.

Regular eating means giving your body consistent opportunities for energy across the day đź’—These slides are examples of w...
27/08/2026

Regular eating means giving your body consistent opportunities for energy across the day đź’—

These slides are examples of what 3 meals and 3 snacks can look like. They’re not a prescription for exact portions, some people will need more food than this, particularly during recovery, growth or periods of higher energy need.

This isn’t only “recovery eating”. For many people, eating regularly across the day like this is simply a normal, balanced and sustainable way to eat.

Over time, increasing variety, flexibility and adequacy matters just as much as the structure itself.

This content is for educational purposes only and is not a substitute for individual therapy, assessment or professional support. Please remember that if you are a current or former client, liking, commenting on or sharing my posts may reduce your confidentiality, as these interactions can be visible to others. Please only engage if you are comfortable doing so.

Accommodation in Phase 1 FBT can be incredibly understandable. Parents are often trying to reduce distress, avoid confli...
27/08/2026

Accommodation in Phase 1 FBT can be incredibly understandable. Parents are often trying to reduce distress, avoid conflict, get through the meal, protect siblings, or simply cope when everyone is exhausted.

But accommodation and negotiation can sometimes teach the eating disorder that distress changes the plan.

That might look like reducing portions after protest, swapping a feared food, offering repeated choices, allowing rituals, reassuring again and again, or making deals such as “you can leave this if you eat that.”

The aim is not to remove compassion. It is to keep compassion directed towards your child while staying clear, steady and consistent with the eating disorder.

A recovery-supportive response might sound like:

“I can see this is really hard. I’m staying with you. We’re still keeping the meal the same.”

This is not about blaming parents. It is about noticing patterns that may accidentally strengthen the ED and gradually responding differently.

FBT should be guided by a qualified eating disorder professional.

Educational content only and not a substitute for individual therapy or professional support. Please be mindful that liking, commenting on or sharing mental health content may reduce your confidentiality, as these interactions can be visible to others. Only engage if you feel comfortable doing so.

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Fareham
SO316LB

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