Services & Rates

Summer 2026 Practice Update: I am currently closed to new clients.

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Local and Telehealth
Nutrition Counseling in Bend, Oregon, and
CA, WA, MD, CO, AZ, VA and TX for neurodivergent menopause and midlife health

Neurodivergent-Affirming ✨Weight-Inclusive ✨Gender-Affirming

If you're looking to address menopausal and midlife health concerns, let’s get you feeling better, together.

Many tools support symptom relief, honor your unique sensory experience, and expand your knowledge of nutrition without going down the path of restriction.

We’ll co-create a plan to nurture habits directed by your strengths and values.

Some identities, conditions, and life stages I work with:

Autism, ADHD, AuDHD, OCD & giftedness

Digestive health - celiac disease, bloating, gas, IBS, reflux, constipation & diarrhea

Eating disorders, including ARFID*

Feeling fearful, anxious, or stressed about food

Food triggers, allergies, or food sensitivities

Ehlers-Danlos syndromes & hypermobility spectrum disorders

High cholesterol

High blood pressure

Hot flashes & night sweats

Mental health diagnoses

MCAS & histamine intolerance

Migraine

Perimenopause & Menopause

PMOS

POTS & dysautonomia

Sunlit yellow and orange rock cliffs over a calm river, with green trees and bushes along the riverbank and a partly cloudy sky.

I work with people with eating disorders at the outpatient level of care. This means that clients are medically stable and actively participating with their outpatient team—most often a PCP, therapist, and, potentially, a psychiatrist, coach, and movement providers.

For new eating disorder clients, we will co-establish a schedule for reporting vitals and labwork checks with your Dr.’s office at the beginning of nutrition services.

First Time Working with a Menopause Nutritionist? Here’s Our Process:

🌙Assessment

We’ll begin with intake forms. In our first meetings, we’ll discuss health history and our findings from your menopausal symptom questionnaire.

We’ll review your food and medical history, relationship with food and body image, and menopausal symptoms and concerns.

🌙Supplement Assessment

Many of us take supplements without having the chance to look them over with a trained provider.

Let’s look at the research together and assess your need for supplements.

Melinda does not partner with or participate in supplement affiliate/referral programs.

🌙Regular-ish Eating

For many clients, a foundational approach to working together is focusing on consistent (what I call regular-ish) eating, especially during the daytime.

While finding this groove looks a little different for everyone, eating regularly is a principle of our work.

🌙Plan

With you in the pilot seat, we’ll co-create a plan for menopausal wellness. 

In addition to nutrition, we’ll check in on movement, mental health, stress, sleep, and fun.

I’m happy to offer referrals to specialized practitioners through my trusted referral network.

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Insurance
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In Network:

Cigna
HealthNet of Oregon
Providence
Regence/BCBS
UnitedHealthcare
Oregon Health Plan:
PacificSource
Trillium
Yamhill

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Cash Pay
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Session Rates:

Initial Assessment - $250
50 Minute Follow-up Sessions - $175

All clients begin with an Initial Assessment.

Our first meeting is 75-90 minutes long and includes an in-depth conversation about health and nutrition history, a review of your intake/assessment forms, and lots of Q&A.

Getting Started:

1.
After a brief Introductory Call to make sure we’re a great fit, you’ll fill out new client paperwork, and book an Initial Assessment.

2.
I’ll review your forms and health history before the first session. Please prepare a quiet place, and we’ll meet on Zoom.

3.
Follow-up appointments are weekly or bi-weekly, with homework and check-ins to stay connected.

Kitchen countertop with decorative cutting boards, potted plant, glass bottle, utensils in container, and a cookbook on a stand.
Someone filling out a planner or calendar with a black pen at a white desk, surrounded by papers, a closed notebook, and a smartphone, wearing a cream-colored knitted sweater.

Frequently Asked Questions

  • I see clients at my downtown Bend, Oregon, location, and work virtually across Oregon, CA, WA, AZ, CO, MD, VA, and TX using a HIPAA-compliant portal. State licensing dictates where I can see clients.

  • Meaningful change to shift nutrition patterns chronic health conditions and your relationship with food usually takes months, even years, not weeks.

    I invite you to step out of the “30-Day Challenge” model we often see in the wellness world.

    I work with clients for an average of four months for brief interventions to long-term, ongoing support.

  • While I am not a therapist, the relationship can feel therapeutic, and I offer resources from some schools of therapy practice.

    I am happy to coordinate care with your therapist, and if needed, can help you find one as part of our work together.

  • My primary group of clients are neurodivergent (Autistic, AuDHD, ADHD) adults in the menopause transition. I also work with neurodivergent adults (all genders) age 21+ . I do not work with the pediatric population.

  • Possibly.

    I work with people who are medically stable, ready for virtual outpatient treatment, and on a spectrum from disordered eating to eating disorder diagnosis.

    Outpatient eating disorder treatment involves working with a coordinated care team with a combination of nutrition, therapy, primary care, psychiatry, and movement support.

    Many eating disorders go undiagnosed, with a voice saying you must be “sick enough” to seek help.

    If we determine during our time together you need a higher level of care than I can provide in an outpatient setting, I’ll work to help you find resources.