The medication quietened the noise. It didn't answer the question underneath it.

A course, written by a clinical psychologist, for the part nobody prepared you for.

Start the course — £197

Founding price £147 until 30 September 2026, for the first people through.

The recognition

For most people it happens in the first few weeks.

A signal that had been loud for years drops in volume. Food stops asking. The argument that used to run in the background of an ordinary afternoon simply isn't running.

And that is often wonderful, and it is also, for a lot of people, the beginning of a question they weren't expecting.

Because the medication turns the signal down. It doesn't touch the reasons the signal was loud.

Whatever eating had been doing for you — soothing, marking the end of the day, filling the hour between everyone going up and being able to reasonably go to bed — is still there. It's just no longer being answered.

Some people notice that in the first month. Some notice it a year in. Some notice it when someone at work says so you took the easy way out then, and they laugh, and then think about it for a fortnight.

This course is about that.

What this is

A self-paced psychological course for the part of this that isn't medical.

It was written by a clinical psychologist with more than a decade in the NHS, including leading a specialist weight management service, and it draws on what actually comes up — not what people expect to come up.

It is not a diet, a plan, or a set of rules to follow while the medication does the work. It's an attempt to use this particular period well: to build the understanding, habits and skills that will still be standing if the medication changes, stops, or simply becomes something you're no longer taking.

What this is not

Being clear about this matters more than the marketing usually allows.

It is not medical advice. Nothing here discusses doses, side effects, or whether you should be taking anything. Those questions belong to you and your prescriber, and the course says so repeatedly and hands back to them wherever the ground becomes physical.

It is not therapy. Buying it doesn't create a therapeutic relationship, and nobody reads what you write.

It is not an argument for or against taking it. That decision is yours and it's already been made.

It is not for everyone. There's a short set of questions before you buy, and for some people the honest answer is that this isn't the right thing right now. Those answers aren't stored anywhere.

The journey

Eight modules, in the order the difficulty tends to arrive.

  1. OneThe Window

    What the medication does, what it doesn't, and an accurate description of where you're actually starting from.

  2. TwoWhat Food Has Been Doing For You

    Not what you ate. What it was for. This is the module the rest of the course runs on.

  3. ThreeThe Quiet

    What happens when the thing that filled the evenings stops filling them, and why relief and grief turn up together.

  4. FourEating Without the Old Signals

    Appetite has stopped being a guide. Rhythm, the awkward middle, and eating when you don't want to.

  5. FiveA Body Changing Faster Than the Self

    Comments, mirrors, changing rooms, and being treated differently by strangers in ways you didn't ask for.

  6. SixShame and the Easy Way Out

    The concealment, what it costs, and why it confirms the judgement rather than protecting you from it.

  7. SevenFear of Regain

    The fear is reasonable. The plan it proposes at eleven at night is not. Telling them apart.

  8. EightWhat Holds Without It

    What stands when the medication isn't doing the work.

The tools

Six psychological instruments, built for this specific problem, that you fill in and keep.

  • The Window Map

    an honest account of what's become easier, what's stayed the same, and what's become unexpectedly harder. You come back to it in the final module and see what you wrote at the start.

  • The Function Finder

    what eating was actually doing for you, in your own words.

  • Two Cycle Maps

    the pattern you'd describe to anyone, and the one you wouldn't.

  • The Replacement Ladder

    built from your own functions, with a rung for the days you have nothing.

  • The Letter

    to the thing that worked. Nobody reads it. You can delete it.

  • Three Questions

    for the moment an urge arrives that isn't hunger.

Everything you write saves to your account and is there on any device, whenever you sign in.

The audio

Twelve recorded pieces, in your psychologist's voice, at the moments where reading isn't enough.

Four are guidance — before you begin, before the exercise the course turns on, before you write The Letter, and at the end.

Eight are guided practices — things to actually do. The empty hour when everyone's gone up. An urge that isn't hunger. The awkward middle of a meal that's turned. The walk home after somebody said something. The fear that arrives at night and doesn't respond to argument.

They're short, unhurried, and made to be used at the moment rather than admired in advance.

Marianne and Dev

Two people run through all eight modules.

Marianne is relieved, then stalls badly in the third module and doesn't open the course for weeks. Dev doesn't think it applies to him at all, rejects the central premise, skips a module, and quietly stops eating enough without noticing.

They're composites — not clients, no detail belonging to any individual — and they're there because a course where everyone does it correctly is no use to anyone at three in the morning.

What you leave with

What Holds. A document that's yours, assembled from everything you've written across the course: what food was doing for you, the shape it took, what you have instead, what you'll notice first if the old pattern returns, and what you'll actually do about it.

Most courses end. This one ends with something in your hands.

Who wrote it

Dr Rachel Megahy is a Chartered Psychologist and HCPC-registered Clinical Psychologist. She trained at the University of Edinburgh and spent over a decade in the NHS, including leading a specialist weight management service, before moving into private practice.

She wrote every word of this course and recorded every piece of audio.

Price

£197. One payment, permanent access, no subscription.

Founding price £147 until 30 September 2026, for the first people through.

The guarantee

If you work through the first two modules and it isn't what you needed, email within thirty days and you'll get all of it back. No form, no explanation required.

If the questions before you buy suggest this isn't the right thing for you at the moment, you'll be told before you pay.

Questions

You already did the hard part. This is the part nobody mentioned.

Start the course — £197

Founding price £147 until 30 September 2026, for the first people through.

Self-paced · Written and recorded by a clinical psychologist · Not medical advice

I'm not able to offer crisis support. If you need urgent help, contact your GP, call NHS 24 on 111, or call 999 in an emergency. See urgent support options