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Intensive Outpatient Program (IOP)

Butterfly's Intensive Outpatient Program (IOP) is a fee for service Treatment Program based on the USA Monte Nido eating disorder treatment program, established and developed by 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.  

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 - Psychologist / Lead Therapist

Rachel Simeone

Rachel is a registered psychologist and leads the IOP therapy team. She has worked for a number of years 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 teaching skills, role modelling and instilling hope that full recovery is possible.

Rebecca Guzelian - Therapist

Rebecca Guzelian

Rebecca is a therapist on the IOP team. 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.

Kate Unicomb - Consultant Dietitian

Kate Unicomb

Kate is an Accredited Practicing Dietitian and a member of the Dietitians Association of Australia. Having worked as a dietitian for many years, Kate has extensive experience in many aspects of Dietetics in Australia and the UK, specifically in the treatment and support of adults with eating disorders.
Kate has completed training in the non-diet approach to healthy eating and mindfulness. Kate has experience with individual nutrition therapy, group education and teaching to the public. Working in the area of eating disorders Kate knows the negative impacts that strict eating and dietary rules can have on one’s eating and overall wellbeing. Kate’s key belief is that recovery is possible. Kate is passionate about supporting individuals towards improved eating and a more positive relationship with food.

Maria Tchan – Operations Manager

Maria Tchan

Maria Tchan is the operations manager for the Butterfly IOP and has a background in nursing and expertise in health services’ evaluation. She has worked for many years in the community, not-for-profit and research environment and joined the Butterfly IOP in early 2016. She was drawn to the Butterfly Foundation due to her interest in advocating for excellence and consistency in the culture of care and support for people with eating disorders. In her free time she likes to hang out with her two small children (and husband).

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.  

Please call (02) 9412 4499 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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Worried about a friend or someone you care about?

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.  


We can help you with knowing when to talk to your friend and what to say. ›

Concerned parents & carers

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.  


We can help you with recognising issues and what to do. ›

Teachers & Professionals Working with Young People

Teachers and those working with young people are often the first to become aware of dis-ordered eating behaviours.  Butterfly Education provides early intervention and prevention skills for professionals working with young people. 

We have a range of advice & resources ›