for patients
Integrated Care for Complex Conditions
If you're living with persistent health issues that involve multiple systems—digestive problems alongside chronic pain, stress affecting your physical symptoms, or eating patterns intertwined with emotional wellbeing—you may benefit from an integrated approach.
Our clinical coaching practice addresses complex functional conditions through the integration of psychological medicine, lifestyle interventions, and evidence-based behavioral approaches. Rather than treating symptoms in isolation, we work with the interconnected nature of chronic conditions.
HOW WE CAN HELP YOU
Conditions that can benefit from The Care Layer approach
Chronic Pain
Pain that has been present for a long time and that interferes with your quality of life, including fibromyalgia, pelvic pain, back pain, and others.
Gut Health
Functional gut disorders that interfere with your wellbeing including IBS, functional constipation or diarrhea, persistent bloating and gas, and others.
Emotional & Binge Eating
Disordered eating including emotional eating and binge eating, that require an holistic approach involving psychology and nutrition coaching.
Plant-Based Nutrition
Support for transitioning to or optimizing plant-based eating patterns, addressing nutritional adequacy, metabolic health goals, and sustainable habits tailored to your health conditions.
Burnout & Chronic Stress
Long-term stress that results in physical and emotional symptoms, including poor sleep, digestive issues, pain, fatigue, anxiety and depression.
Metabolic Imbalance
Lifestyle-induced conditions including high blood pressure, high cholesterol, and insulin resistance, that can be improved and even reversed with appropriate support and changes.
Mental Health
Psychological distress including symptoms of depression or anxiety can be addressed through a holistic approach, including mindfulness and nutrition.
Women's Health
PCOS, endometriosis, perimenopause, and menopause addressed through integrated hormonal, metabolic, and psychological approaches with evidence-based lifestyle interventions.
Dr. Elaine Barretto
Credentials
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MSc in Psychological Medicine & Mental Health
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Board Certified in Lifestyle Medicine (DipIBLM)
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National Board Certified Health & Wellness Coach (NBC-HWC)
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Emotional and Binge Eating Licensed Practitioner
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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
For New Clients:
Request Consultation
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.
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.
For Existing Clients:
Schedule your Session
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:

