Kirby Macdonald (she/her)

I care about supporting people who have felt unseen, misunderstood, or harmed within traditional mental health and eating disorder spaces. My work is grounded in curiosity, compassion, collaboration, and a deep respect for autonomy. I know that eating disorders, body distress, and mental health struggles do not exist in a vacuum — they are shaped by our identities, lived experiences, relationships, systems, and the world we move through every day.

I strive to create a space where people can show up as they are, without needing to perform “readiness,” compliance, or recovery in a way that feels inauthentic or unsafe. I value honesty, nuance, and real human connection, and I aim to meet people with warmth and respect rather than judgment or rigid expectations.

Areas of Interest

  • Eating disorders grounded in body image distress, including anorexia nervosa, binge eating disorder and bulimia nervosa

  • Difficulties with intake due to sensory differences or aversions, including ARFID

  • Neurodiversity, including autism and ADHD

  • LGBTQIA+ and gender diverse experiences

  • Cultural and ethnic diversity

  • Chronic illness and disability

  • Supporting people navigating oppressive systems and medical trauma

Philosophies of Practice

  • HAES® aligned

  • Neurodiversity affirming

  • LGBTQIA+ and gender inclusive

  • Trauma informed

  • Body fascism opposing

  • Autonomy and consent centred

  • Collaborative and person-led

  • Non-pathologising

Approach to Eating Disorders

I believe eating disorders often serve important emotional, protective, sensory, relational, or survival functions. While they can cause significant distress and harm, they do not arise “out of nowhere,” and I do not believe people should be reduced to symptoms, behaviours, or compliance markers.

My approach is collaborative, autonomy-focused, and grounded in empathy. I prioritise building trust and rapport, because feeling safe, respected, and understood matters. I recognise that people exist within complex realities — including neurodivergence, trauma, oppression, chronic illness, financial stress, cultural expectations, and systemic harm — and these realities shape both distress and recovery.

I am open to non-traditional and harm minimisation approaches where appropriate, particularly when rigid or coercive treatment models have caused harm or failed to account for a person’s capacity, needs, and lived experience. I believe recovery is rarely linear, and that there is space for uncertainty, ambivalence, and grey areas.

I reject shame-based, compliance-driven, and coercive approaches to care. Instead, I aim to support people in reconnecting with their own values, agency, needs, and internal wisdom at a pace that feels sustainable and respectful.

Lived Experience

My lived experience informs my practice in meaningful ways. I have personal experience with eating disorders, including navigating non-traditional approaches to healing and recovery. I also live with AuDHD traits and chronic health conditions, which shape the way I understand capacity, burnout, masking, sensory needs, and navigating healthcare systems.

I also recognise the privileges I hold, including being white, cisgender, heterosexual, thin, tertiary educated, and self-employed. I aim to remain reflective and accountable about how these privileges shape my perspective and the spaces I hold.

  • Bachelor of Health Science (Dance Major) - The Australian College of Physical Education

  • Master of Nutrition & Dietetics - University of Wollongong

Qualifications

Credentials

  • Accredited Practicing Dietitian - Dietitians Australia

  • Credentialed Eating Disorder Clinician - Australia and New Zealand Academy of Eating Disorders (ANZAED)

Other Things About Me

Outside of work, I’m usually spending time with my four cats, reading, moving my body in ways that feel joyful and grounding, or getting outdoors. I love running, dancing, and hiking, and I value movement as something that can support connection, expression, regulation, and pleasure — not punishment or obligation.

I’m also someone who values authenticity and humour, and I believe therapeutic spaces can hold both depth and lightness at the same time.