Now accepting Aetna, BCBS, and Highmark!

Nutrition Counseling for Teens & Adults
with Eating Disorders, OCD, and Trauma

When recovery finally gets to look like yours.

book a discovery call

Not trying harder. Trying differently.

Help isn't help, unless it's helpful.

You’ve done a lot of work already: the programs, the meal plans, and the appointments that promised something different. And still, recovery isn’t sticking because it hasn’t taken into account ALL of you. Your history keeps showing up at every meal and you’re trying to decide if it’s really worth all the effort to try this again in hopes of food taking up less brain space.

Nutrition counseling that takes the whole picture seriously can help you rebuild a relationship with food that’s actually sustainable, on your terms, at your pace.

Your nervous system doesn’t get a break, and having to navigate food is just the cherry on top of all the stress.

Nutrition Counseling for...

Nutrition Counseling for...

Eating Disorders

Individualized support for navigating an eating disorder, disordered eating, or food fears that are consuming your day-to-day life.

Obsessive Compulsive Disorder

Understanding how obsessions and compulsions that show up as rigid rules and rituals can impact your experiences with eating, movement, or your body.

Trauma

Food rules may have developed as a way to feel safe. After traumatic experiences, your body might become more hypervigilant or more disconnected from internal signals, which can shape how you relate to food, eating, and exercise.

Medical Nutrition Therapy & Tube Feeding

Nutrition guidance for individuals managing medically complex situations or eating disorders that require tube feeding and alternative feeding support.

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Rachel's Approach to Nutrition Counseling

harm reduction

Complete elimination of eating disorder behaviors isn't a condition of care. The urges are real, and we’re here to work through them together.

trauma-informed

Behaviors, compulsions, and trauma all live in the same nervous system. To support your nutrition, we have to understand how trauma affects your body.

weight inclusive

My philosophical foundation of nutrition counseling is rooted in weight inclusive, Health at Every Size ® care.

non-pathologizing

We trust your intuition here, and our work doesn’t require a diagnosis to know something needs to be addressed when it comes to your eating patterns & behaviors.

Hi, I'm Rachel!

RACHEL SHIFFLET, MSN, FNP-BC, CRNP, RN, RD, LDN, CEDS

A registered dietitian (and technically a nurse practitioner too) who realized early on in her career that the traditional eating disorder recovery route wasn’t for everyone.

I’m a hype-girl when it comes to taking small steps forward, a truth-teller that won’t sugarcoat recovery, and a former believer that everything would be so much better if I had the perfect diet.

Reach out to rach

Let's get back to trusting your intuition.

Let's get back to trusting your intuition.

initial reachout

Let’s make sure we’re a good fit to work together and answer all of your questions. Schedule a discovery call or send an inquiry form to get started.

01

schedule initial appointment

02

We’ll find a time for your first appointment where we’ll review your food & medical history and talk about what nutrition support looks like for you.

onboarding

03

Once we have your initial 90-minute appointment scheduled, you’ll get access to your client portal to complete a few forms.

Insurance & Rates

RMS Nutrition Counseling is in-network with Aetna and Highmark/BCBS.
Before our first session, please verify that your insurance plan covers nutrition counseling and whether any co-pays are required. A script will be provided for you to use when calling your insurance!

If you don’t see your insurance listed and are still interested in working together, we can do so at a private-pay rate.

Initial Appointment

$225

50 Min Follow-Up

$180

30 Min Follow-Up

$105

Frequently Asked Questions

Can I work with you virtually?

Yes! Unless otherwise specified all sessions are conducted through a virtual HIPAA-compliant platform. 

Are you in-network with any insurance companies?

Yes! RMS Nutrition Counseling is proud to be in network with Aetna and Highmark/BCBS. I am considered an out of network provider for all other insurance carriers. If I am not in network, I can provide Superbills for you to submit to your insurance company for possible partial or full reimbursement under out of network benefits. 

What makes you different from other dietitians?

I take a relational approach, grounded in the belief that the connection we build together is one of the most important parts of meaningful, positive change. As your provider, my goal is to collaborate with you so you feel like an active part of the process, not someone being told what you should do. I focus on meeting you where you are to create a space where you feel supported and capable. Safety is always a priority, and I see it as something we build together so you can move from feeling stuck or uncertain toward a sense of “ I can do this”.

How long will we work together?

For as long as you find it helpful and meaningful! Typically at the beginning of a new relationship it can be most beneficial to begin with weekly or biweekly sessions. Depending on your needs, we can increase or decrease the frequency of sessions collaboratively. 

"Rachel is an incredibly talented dietitian who gives every client her all."

She is one of the gentlest people I have ever met and focuses on clients feeling safe and autonomous so they can serve as the catalyst for their own progress. Rachel excels in piecing through the emotional depth that comes with eating disorders and takes a holistic approach rather than just focusing on the food. She has a unique ability to connect themes in a client's life and help them see the protective nature of their eating disorder while also helping them build the knowledge and skills to feel safe without the use of behaviors. She is calm, gentle, supportive, kind, and caring, and has truly saved my life. I am so grateful for the opportunity to work with a provider who cares so much and would recommend her to anyone.

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"Rachel held the hope that not only was recovery indeed possible for me, but I could learn to enjoy food without guilt and also be at home with my body."

I began working with Rachel three years ago after spending decades living with anorexia, orthorexia and complex trauma. I held little hope that I would ever be able to let go of my deeply embedded beliefs and harmful behaviors. From the first session, Rachel made me feel safe. She met me where I was and at the same time guided me to make changes in a way that pushed me out of my comfort zone and allowed me to gradually increase my food intake while incorporating foods that I had not eaten in years.  She encouraged and supported me as my body started to change and taught me how to manage the anxiety and fear that came along with my changing body. It has not been an easy process and I have had ups and downs in this journey. Yet, it has been so worth it.

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"Without Rachel, I would not be making steps towards recovery."

Working with Rachel has truly changed my life. She is so knowledgeable and has provided me the education to understand my eating disorder, the importance of proper nutrition, and the influences in my life that have affected my relationship with food and exercise. Not only that, she is so compassionate, encouraging, validating, and empathetic. She has provided me with a space to share everything I am feeling and meets me with acceptance and support. Without Rachel, I would not be making steps towards recovery and I would not have nearly as much awareness of how my eating disorder shows up in my life. Rachel is amazing! 

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"After just one or two appointments, she helped me open up and realize some deeper nutritional issues!"

Working with Rachel over the past 3 years, I have made immense progress with my complicated relationship with food, as well as my health anxiety in general. I originally made an appointment with her to discuss gastrointestinal issues, as recommended by my primary care physician, but after just one or two appointments, she helped me open up and realize some deeper nutritional issues! Rachel has always been informative, respectful, and supportive. She is an active listener, and talking to her in sessions is as easy as chatting with a friend! I was nervous at first, because of stereotypes I had heard in the past of dietitians/nutritionists, but I have never felt judged by Rachel, or pressured to take a certain path. I would recommend her to ANYONE who has any kind of non-neutral feelings about food or body image. 

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