When the Noise Stops
Psychological support during and after weight-management treatment
Weight-management treatment can change your relationship with food quickly. Old habits can lose their grip, but they do not disappear on their own, and many people worry about what happens after stopping. This self-paced course helps you use this period to understand your eating, build skills that last, and prepare for stopping, whenever that time comes.
Written by Dr Rachel Megahy, Chartered Clinical Psychologist, and built around The WINDOW Method.
Thinking about stopping? Take the free two-minute readiness check
Who it is for
This course is for you if:
- you are having prescribed weight-management treatment and want to make the most of this period
- you have noticed your eating has changed, but the reasons you ate are still there
- you are approaching a plateau, or wondering whether to continue
- you are planning to stop, have recently stopped, or are worried about what happens after stopping
- you want an approach that works alongside your prescriber's plan, not against it
You can start wherever you are. The course is designed so you can join at the stage that fits you now and come back to other parts later.
This course is not the right fit if:
- you have, or think you may have, an active eating disorder. Please speak to your GP or a specialist service first.
- you are looking for advice about your dose, tapering or when to stop. Those decisions belong with your prescriber.
- you need support in a crisis. A self-paced course cannot offer that.
A short set of screening questions before purchase helps you check whether the course is suitable right now.
What the course covers
The course follows The WINDOW Method, which tracks the whole journey, from the early weeks of treatment to life after it.
Work with the quiet: What changes in your relationship with food during treatment, and why this is a good moment to understand your eating rather than simply enjoy the break.
Identify what you need: The jobs food has been doing for you, such as comfort, reward, rest or relief, and how to start meeting those needs in other ways.
Navigate the narrowing: What to do when weight or motivation levels off. How to stay steady through a plateau without slipping back into old rules.
Decide your next step: A structured way to think through continuing or stopping treatment, with questions to take to your prescriber.
Orient to change: Preparing psychologically for stopping. What to expect as eating changes after treatment ends, and a plan for the early weeks.
Weather the changes: Keeping what you have built after treatment ends, handling setbacks without giving up, and knowing when to seek more support.
Throughout, you will follow Marianne and Dev, two composite characters whose stories show the ideas in everyday life.
Inside the course
Format, access and price
What you get
Six parts, sixteen modules and sixteen guided audio practices, covering the whole journey from the early weeks of treatment to life after it.
- Self-paced written lessons you can work through at your own pace
- Guided audio practices to return to whenever you need them
- Interactive exercises, including the Window Map, the Function Finder and the Replacement Ladder
- A decision-support tool for thinking through whether to continue or stop treatment
- A personal workbook that saves your answers across devices
- “What landed”: mark the passages that matter to you and export them as a PDF to keep
- Send me a question at any time. Each month I answer the most common ones in a written Q&A for everyone on the course.
How it works
Work through it at your own pace, in any order that suits your stage. There are no deadlines, no live sessions and nothing to keep up with.
Access
Yours to keep. Your access does not expire, and it includes any updates to the course.
Price
£197, one payment. No subscription, no upsells.
About the author
Dr Rachel Megahy is a Chartered Clinical Psychologist, registered with the HCPC and chartered by the British Psychological Society. She trained at the University of Edinburgh and has more than two decades of NHS and private clinical experience, including leading an NHS weight management service.
Her work focuses on eating, weight and the psychology of change. She runs Prism Psychology, an online practice working with adults across the UK, and is a published author.
How the course was developed
The content draws on established psychological approaches, including cognitive behavioural therapy and compassion-focused work. Key lessons include a plain-English summary of the evidence behind them. That evidence supports the approaches used; the course itself has not been tested in a trial.
What this course is, and is not
This is psychological support that works alongside your treatment. It is not medical advice, and it does not replace your prescriber, GP or any care you are already receiving.
- It will not tell you whether, when or how to change or stop your treatment. It will help you think those questions through and bring them to your prescriber.
- It does not promise a particular weight outcome. It aims to help you understand your eating and build skills you can keep using.
- It is not therapy and cannot offer crisis support.
If you notice physical symptoms that worry you, contact your prescriber or GP. If you need urgent help, contact your GP, call NHS 24 on 111 (Scotland) or NHS 111 (England and Wales), or call 999 in an emergency.