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Intensive Outpatient Program (IOP)

Butterfly's Intensive Outpatient Program (IOP) is a fee for service Treatment Program inspired by the work of Carolyn Costin.

The IOP aims to empower each person's healthy self and instil a strong belief in the hope of recovery.This program represents a unique and different approach to eating disorder treatment in Australia.

Butterfly's IOP Brochure

Program Outline

Using combined elements of a strong clinical team, high staff to client ratio and individual treatment plans, the IOP works to enhance the ability for the individual to deal with his or her eating disorder by:

  • Developing individual skills and strategies
  • Identifying underlying psychological issues that may be interfering with recovery
  • Improving social and relationship dynamics
  • Educating and guiding family members and significant others


The environment of the IOP is designed to reflect real-life situations that are encountered in daily life.

This includes:

  • Cooking and eating meals at home
  • Eating away from home 
  • Managing relationships with people as well as food

The IOP staff provide meal therapy where staff support patients through the meal process and act as role models by eating themselves.

The staff work closely with clients in an open and non-judgemental way, placing significant emphasis on forming respectful and trusting therapeutic relationships.

2064 IOP diagram 779wide online

Download the IOP Weekly Structure

The IOP Team

Rachel Simeone - Clinical Manager

Rachel Simeone

Rachel is a registered psychologist and Clinical Manager of Treatment. She provides therapeutic intervention in both the IOP and the Youth Program. Her background is in community acute mental health services specialising in treatments for trauma, self-harm and eating disorders. Rachel comes to the Butterfly Foundation with an eclectic treatment approach including DBT, CBT-E, IPT, ACT and a cup of tea. She believes in creating strong therapeutic relationships and supports her clients to develop a healthy relationship with food and their bodies through skill development, role modelling and instilling hope that full recovery is possible.

Maria Reboredo - Therapist

maria profile

Maria Reboredo is a registered psychologist who has a passion for helping people show up as their best selves at all stages of life. Her strengths include providing an empathic and safe environment for you to explore your inner workings with delicacy and care.  She uses a strengths based approach to identify personal strengths as a basis for continued resilience.  She enjoys using a creative approach to help clients meet their needs.   

Maria has 10 years of experience working with people from all walks of life in reaching their goals and needs.  In those ten years she has worked across the University of Sydney, University of NSW, Macquarie University and headspace centres implementing evidence-based strategies.  She has been trained in a range of evidence-based therapies including Cognitive Behavioural Therapy, Acceptance Commitment Therapy, Interpersonal Therapy and Positive Psychology Coaching.  

Rebecca Guzelian - Therapist

Bec G

Rebecca is a registered psychologist, and a therapist working with clients in both the IOP and the Youth Program. She is experienced in treating eating disorders within a range of settings including private practice and in family and group based settings. Her therapy style is relaxed and person-centred with a focus on being relational and genuine with her clients. She is trained in evidence-based therapies including Cognitive Behavioural Therapy (CBT), Mindfulness, Schema Therapy, Dialectical Behaviour Therapy and motivational work. She believes in providing a safe and non-judgmental space for clients to explore their own motivations to recover and to assist them in moving closer to a valued and meaningful life.

Ashlea Hambleton - Therapist

 Bio Picture

Ashlea Hambleton is a provisionally registered psychologist, currently completing a Masters in Clinical Psychology.  Ashlea has completed research with the University of Newcastle exploring generational patterns of anxiety as well as the lived experience of self harm.  Her passion is working with individuals and their families whom are effected by eating disorders.  Ashlea works in both the IOP and the Youth Program and has a compassionate, authentic approach with a readiness to be flexible in supporting her clients to build rich and meaningful lives.  Ashlea utilises various treatment models; including, Cognitive Behaviour Therapy – Enhanced, Acceptance and Commitment Therapy, Dialectical Behaviour Therapy, Maudsley Family Based Therapy and Motivational Enhancement Therapy

Talia Cecchele - Consultant Dietitian

Bio photo 2

Talia is an Accredited Practising Dietitian (APD) who provides consultation to both the IOP and Youth Program. She has worked in acute clinical dietetics in adults and paediatrics for the last 5 years. Talia is experienced in managing eating disorders across a range of settings including community mental health and hospital inpatient settings. She has a compassionate, balanced and individualised approach to eating for recovery and has been trained in Maudsley Family Based Therapy and Eating Behaviours. Talia applies scientific knowledge and uses a non-diet approach to encourage life-long changes to improve physical and mental health.  

Clinical Support Officer - Position Vacant


Please call (02) 8456 3915 or email to find out more about the program. You can also fill out our enquiry form and someone from our team will be in contact with you. You can now make payments for the IOP online

The IOP is offered in person in Crows Nest (Sydney, New South Wales). To find out about treatment options for other states and territories, please contact the Butterfly National Helpline (1800 ED HOPE).


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It can be extremely difficult raising the subject of eating disorders with a friend or loved one. To be supportive one needs to learn what to say and what not to say.  


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Communicating your concern with your child about eating and dieting behaviour can be extremely difficult. Butterfly offers a range of services that can provide you with skills and information related to communicating with your child.  


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