At First Steps we have a number of trainee counsellors and counsellors offering individual sessions for anyone affected by eating disorders. Daytime and evening appointments are available for a series of 24 sessions. Is it kindly asked that a £5 donation is given for this service, which will ensure that First Steps can continue to provide these services to other people suffering from eating disorders. 

If you would like to find out further information or to sign up for the service, please contact First Steps on 01332 367571 or [email protected]. Or alternatively, you can self-refer or refer another here


Dramatherapy is a form of psychological therapy which utilises the creative arts as a means for verbal and non-verbal expression. The sessions are facilitated by a fully qualified and registered therapist who is there to support and guide clients to work therapeutically at their own level in a safe environment. Individuals do not need any experience in any of the arts. Creative methods are purely used as another medium of expression and exploration. Please click this link for further information.

The Therapists: At First Steps we have one qualified Dramatherapist, Sarah, who is able to offer both individual and group therapy to individuals. Sarah has a high level of experience working with eating disorders and mental health. Sarah is registered with the Health Care Professions Council and The British Association of Dramatherapists.

Our therapist is happy to provide informal meetings where individuals can come and find out more about the therapy, these will be free of charge.

Body Awareness Therapy (BAT5)

What is BAT5?

The Cognitive Behavioural Model is adapted in Body Awareness Therapy (BAT5). BAT5 applies cognitive behavioural methods to look at the relationship between thoughts, feelings and behaviours.

Body image is how we behave towards our bodies and is NOT about how you look.  Body image can be positive or negative.

This programme consists of 5 sessions.

Who is BAT5 available to?

  • First Steps are offering BAT5 to 12 individuals aged 11 - 23 years
  • There is a requirement to commit to attending ALL sessions
  • There will be NO COST

Details about BAT5 sessions: BAT5 will be held at First Steps main building on 16 Agard Street, Derby

The aims of BAT are:

  • To provide a place to discuss issues regarding changing body shape.
  • To provide psycho-education focusing on issues related to body image.

Compulsive Exercise Therapy

First Steps offers professional and supervised support for service users wanting to engage in healthy, non-compulsive exercise. We provide practical healthy exercise guidance, on a one-to-one basis, helping you to develop skills in a healthy and enjoyable way.

Potential Benefits for You:

  • Increased self-esteem and confidence
  • Improved quality of life and psychological well-being
  • Improved Bone Mineral Density
  • Less time spent exercising, providing more time to pursue other interests and to spend more time with family/friends
  • Reduced symptoms of depression
  • Reduced distorted feelings surrounding food and exercise
  • Improved fitness (both cardiovascular and muscular)

Recent studies have shown that the inclusion of guided physical activity and exercise sessions, which are both mindful and attentive, can help to challenge unhealthy exercise behaviours and help support an recovery from compulsive exercise.

First Steps utilise the Loughborough Eating Disorders Activity Therapy (LEAP) programme in helping sufferers challenge their compulsive exercise tendencies. This is a manualised form of cognitive behavioural therapy. 

Pets As Therapy

Hello First Steplings,

My name is Tinka, I am a Jack Russell aged 7 years young!

I first came to First Steps when my companion died, as I was very upset and was off my food for a long time. My owner (Cathy) decided that I needed to do some voluntary work to get me out of the house!

Volunteering at First Steps has given me a new lease of life and I adore being a P.A.T Dog as I can't get enough fuss and attention and everyone is so lovely to me!

I attend the Support Group For All Ages and you may occasionally see me at the Young Persons Support Group. I am in the office most days and I also attend board meetings and other meetings at our offices with professionals and volunteers. I love being with people and going for walks.

Please feel free to pop in and see me!

My official P.A.T Dog registration number is 1072973


Hypnosis is a natural state that everyone has experienced. It's not magical or mysterious. Anything that fully absorbs your attention so that you ignore distractions is an experience of hypnosis.

Here at First Steps, we are pleased to offer this type of therapy on a fortnightly basis. 

To book a place, receive support or for more information regarding any of this support, please contact First Steps on 01332 367571 or [email protected]