Coaching

Lifestyle & Psychological Medicine

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Specialized coaching for complex chronic conditions.

Dr. Elaine Barretto works with a small number of adult patients living with complex chronic conditions that require an integrated psychological, lifestyle, and behavioral approach. She also accepts referrals from practitioners who need a whole-person complement to their clinical work.

From everyday health to complex conditions

Our coaching supports general health and preventive care, with deeper frameworks for conditions that require long-term support, interdisciplinary thinking, and sustainable behavior change. Because these conditions are interconnected across physiology, psychology, and lifestyle, care must be as well.

Functional GI Disorders

IBS, functional gut disorders, and digestive symptoms often reflect the interaction between stress, nervous system regulation, diet, and behavior. We develop structured strategies that integrate psychogastroenterology, plant-forward nutrition, culinary nutrition education, stress regulation, and behavior-change support.

Chronic Pain Syndromes

Persistent pain and fatigue rarely stem from a single cause. We place particular emphasis on nociplastic pain conditions, such as fibromyalgia, using an integrated approach that includes pain neuroscience education, mindfulness, anti-inflammatory nutrition, psychological therapies, and behavioral health.

Emotional & Binge Eating

Eating patterns are closely connected to stress, mood, and nervous system regulation. We address disordered eating from multiple fronts, integrating positive embodiment, nutritional therapies, breathwork, therapeutic yoga, psychology, and behavior-change science to help patients build a healthier relationship with food.

Burnout & Chronic Stress

Stress plays a central role in many of the conditions listed here. Burnout requires a targeted approach integrating lifestyle medicine, nervous system regulation, and behavioral strategies to support recovery and resilience.

Metabolic & Lifestyle-Related Health

Conditions such as metabolic syndrome, prediabetes, and cardiovascular risk benefit from lifestyle medicine, plant-forward nutrition, movement, culinary nutrition education, and long-term habit change supported by structured education and follow-through.

Women's Health & Hormonal Transitions

We support conditions such as PCOS, endometriosis, and perimenopause, focusing on reducing inflammation and pain while supporting physical and mental health. Our approach integrates lifestyle medicine, nervous system regulation, and behavior-change strategies to support long-term wellbeing.

Mental Health & Emotional Well-Being

Anxiety, burnout, and mood challenges are closely connected to sleep, nutrition, stress, and daily habits. We integrate lifestyle psychiatry, nutritional psychiatry, psychology, and behavior-change science to complement traditional mental health care.

Sleep & Recovery

Sleep plays a central role in physical and mental health and is often a priority area for change. We support individualized strategies including sleep hygiene, circadian rhythm regulation, relaxation techniques, supplementation, and behavior-change coaching to improve restorative sleep and recovery.

Complex or Unexplained Symptoms

Many patients experience overlapping symptoms that don’t fit neatly into a single diagnosis. The Care Layer provides a structured, whole-person, interdisciplinary framework to bring clarity and direction.

For Patients

You're managing a chronic condition — chronic pain, gut-brain disorder, burnout, emotional eating, hormonal health — and you've tried the standard approaches. Something is still missing. This is for you if you want structured, personalized support that addresses the whole picture — not just the diagnosis.

For Referring Practitioners

You're working with a patient who needs deeper support in behavioral change, lifestyle medicine, health psychology, or self-management for a complex chronic condition. Dr. Barretto works alongside clinical teams and accepts referrals for adult patients.

Please note: This is not a primary care or emergency service. Dr. Barretto's coaching practice operates at the intersection of health psychology, lifestyle medicine, and behavior change — as a complement to, not a replacement for, medical care.

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MEET THE COACH

Dr. Elaine Barretto

Psychological Medicine | Lifestyle Medicine | Health Psychology
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Specialized clinical coaching for adults living with complex chronic conditions that require integrated psychological and lifestyle medicine approaches.

Credentials

  • MSc in Psychological Medicine & Mental Health
  • Board Certified in Lifestyle Medicine (DipIBLM)
  • National Board Certified Health & Wellness Coach (NBC-HWC)
  • Emotional and Binge Eating Licensed Practitioner
  • Certified in Health Communication,
    Pain Management, Pain Neuroscience Education, IBS/FODMAP, Psychogastroenterology,
    Culinary Nutrition Education, Plant-Based Nutrition, Mindfulness, Yoga
  • PhD in Engineering / Biomedical Technology
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Appointments

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For New Clients:
Request Consultation

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While my primary focus is now on practitioner education and healthcare systems design, I maintain a limited clinical coaching practice for patients with complex chronic conditions.

I take time to review each consultation request to ensure we're a good fit and that I can provide the depth of attention your situation deserves.

If you're experiencing complex chronic conditions that involve multiple interconnected systems and believe an integrated approach may help, I invite you to share a bit about your situation.
I review all requests personally to ensure I can provide appropriate care given my current capacity and clinical focus. You'll hear back within 3-5 business days with next steps.
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For Existing Clients:
Schedule your Session

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Welcome back.

If you're currently working with me or have consulted with me previously, you can schedule your next appointment directly using the link below.

Available appointment types:

  • Follow-up consultation (60 minutes) - Progress review and protocol adjustment             

  • Deep dive session (90 minutes) - Comprehensive assessment for complex changes or new areas of focus

Both appointment types are available virtual (via Zoom) or in-person at my Singapore office.

Before your appointment: If there have been significant changes since we last met, please send a brief update to hello@thecarelayer.com

let's design your self-care, together.

I'm looking forward to seeing you.