Steps to Working Together:

Discovery Call

15 minutes · Free · Phone call or video chat

A brief conversation to discuss what you are looking for and whether my approach feels like a good fit for working together.

Initial Session

70 minutes · $220 · In-person or video chat

A more in-depth conversation about your health history, current eating patterns, relationship with food and your body, and goals around nutrition care. 

Together we'll decide what topics feel useful to focus on moving forward and the cadence at which we meet.

Follow up Sessions

50 minutes · $160 · In-person or video chat

We'll explore patterns of eating, health updates if applicable and how you’d like to see these shift over time. Sometimes we may set goals, and other times it may mean sitting with ambivalence, making discoveries, or simply finding a little more ease within the process

Book a Discovery Call

Making Care Accessible

  • Blue Cross Blue Shield, Harvard Pilgrim, and Health New England

  • I'm happy to provide superbills for reimbursement if I do not take your insurance and your plan has out-of-network benefits.

  • You can use HSA/FSA cards to pay for session copays, deductibles, and out of pocket payments.

  • I reserve some flexibility in my rates and am happy to discuss options with you.

  • I offer a significantly discounted rate to folks seeking out eating disorder care. This is for those who apply through Project Heal, an organization that focuses on removing barriers to eating disorder treatment access.

How I Can Support You

Nutrition Counseling Topics:

  • Together, we can explore strategies around nourishment, harm reduction, body image and recovery in ways that honor your autonomy and meet you where you are.

  • Together, we might explore:

    • Finding ways to navigate planning, shopping, cooking, and dishes when capacity is limited

    • Creating supports for losing track of time or forgetting meals

    • Working with differences in recognizing and interpreting hunger, fullness, and other body cues

    • Navigating sensory differences related to taste, texture, smell, or temperature

    • Finding nourishment that meets your needs for stimulation, comfort, or reward

    • Building practical systems that work with differences in time perception, object permanence, and executive functioning

  • This may include sensory-based food avoidance, low interest in eating, limited food variety, or fear of aversive consequences such as choking, vomiting, or becoming sick.

    Together, we can explore ways to expand nourishment while respecting your sensory experiences, pace, autonomy, and relationship with food.

  • Metabolic & Cardiovascular Health

    • High blood pressure (hypertension)

    • High cholesterol

    • High triglycerides

    • Prediabetes

    • Type 2 diabetes

    • Metabolic dysfunction-associated steatotic liver disease (MASLD)

    Hormonal Health

    • Polyendocrine metabolic syndrome (PMOS)

    • Endometriosis

    • Hypothyroidism & Hashimotos

    Autonomic, Connective Tissue & Immune-Related Conditions

    • Ehlers-Danlos syndromes (EDS)

    • Hypermobility spectrum disorders

    • Postural orthostatic tachycardia syndrome (POTS)

    • Other forms of dysautonomia

    • Mast cell activation syndrome (MCAS)

    Chronic Pain, Fatigue & Post-Viral Conditions

    • Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)

    • Fibromyalgia

    • Long COVID

    Digestive Health

    • Gastroparesis

    • Irritable bowel syndrome (IBS)

    • Gastroesophageal reflux disease (GERD)

  • Together, we can make eating feel more accessible within your current capacity. This might include finding convenient and low-effort foods, creating flexible meal routines, keeping reliable foods available, reducing decision fatigue, and identifying ways to meet your nutritional needs without adding another source of pressure.

Together We Can Explore:

  • Explore ways to support your nutritional needs, health, and quality of life through flexible approaches that make room for pleasure, rest, movement, connection, and the many ways we can care for ourselves.

  • Gently explore how to recognize and respond to your body's energy and nutritional needs—even when hunger, fullness, or other internal cues feel difficult to notice, interpret, or trust.

  • Explore what it means to nourish yourself with foods that reflect your preferences, culture, traditions, sensory needs, and lived experiences while loosening the grip of guilt, shame, or the pressure to eat “perfectly.”

  • Explore what it means to live in and care for your body as it is today, while building greater capacity to be with difficult and feelings without needing to immediately change, fix, or escape them.

  • Explore forms of care that extend beyond nutrition—including sleep, movement, rest, pleasure, creativity, connection, and community—and consider what kinds of care feel accessible and meaningful to you.

  • Explore your relationship with movement, including the ways exercise may intersect with body image, food, self-worth, or recovery. When helpful, we can incorporate accessible yoga-based practices to support body awareness, movement exploration, and a kinder relationship with your inner dialogue.

Frameworks that Inform My Work:

Health At Every Size ®

The principles include the following:

Health care is a human right for people of all sizes, including those at the highest end of the weight spectrum.

Wellbeing, care and healing are resources that are both collective and deeply personal.

Care is provided when free from anti-fat bias.

Health is a sociopolitical construct that reflects society’s values.

Intuitive Eating

Intuitive Eating offers a flexible framework for reconnecting with your body’s cues, preferences, and needs without rigid food rules. I believe the principles of intuitive eating can look different for everyone, and we can adapt these principles to your unique experiences, culture, neurodivergence, health needs, and relationship with food.

Neurodiversity Care Model ®

An anti-oppressive methodology that is informed by social justice education, such as disability justice, disability studies, neurodiversity studies, Mad studies, critical autism studies and fat studies. It challenges the medical model of disability, neuronormativity and pathological paradigm that currently pervades and anchors education and practice in dietetics and the mental health field.

Harm Reduction for Eating Disorders

Recovery isn't linear or all-or-nothing. Harm reduction allows us to consider what might make eating disorder behaviors safer while continuing to build toward meaningful change. It focuses on minimizing health risk, improving daily functioning and wellbeing, supporting small sustainable changes, and respecting personal autonomy.

Book a Discovery Call

What it Might Feel Like to Work Together

“One of the things I have really appreciated about working with Cara is their willingness to not only look at food itself (in the form of meal planning, nutritional advice, etc.), but also to focus on the emotional and societal challenges that can make using those tools difficult. They have provided invaluable emotional support and has helped me to navigate setbacks without judgment. Their ability to strike a balance between challenging me to make positive changes and respecting my pace has been very helpful.” -DB

“Working with Cara has been a really meaningful part of my recovery. While skillful in offering practical nutrition guidance, they have also consistently made space for shame, fear, vulnerability, and all of the messy parts of recovery to exist without judgment. Cara’s approach to navigating food and eating is thoughtful and resourceful, while remaining collaborative, deeply affirming, and witty. It has truly been a privilege to work with Cara, and I am tremendously grateful for the care and thoughtfulness they have brought to our work together.” -AM

From day 1 Cara has been exceptional and we have gone beyond what I anticipated seeing a nutritionist would entail. We didn't just talk about what to add to my diet to support my body, but we also worked to breakdown misconceptions about nutrition, food, health, and bodies. Not only did my panels coming back as improved, but I was also working on the reframing the way I think about food, health, and my own body. Cara helped to support me as a whole person. Sure, my panels improved, but as a result of Cara's support I was also able to take back some bodily autonomy (e.g., advocating for myself in health care settings, setting boundaries with family about discussing weight or my body). Cara will meet you where you are at.” -LR