Weight Management Service

St Columcille's Hospital

Change - Eat Well - Be Active

About our Service

The Weight Management Service in St. Columcille’s Hospital Loughlinstown, Co. Dublin, is a public service that is run by the Health Service Executive (HSE). The clinical lead for the service is Professor Donal O’Shea.

The staff that run the clinic are Dietitians, Physiotherapists and Psychologists.


There are three dietitians working in the Weight Management Service, and all are experts in helping people to manage their weight. The dietitian starts by discussing how food fits into your everyday life. Topics such as meal times, the types of food you enjoy, reasons why you eat, your cooking skills and budget will be discussed so the dietitian can help you to find an eating plan that suits you. You will also complete a food diary to help you get a better understanding of your eating habits, show what areas of your eating are going well and what areas you could change to help you lose weight.

The dietitian works with you to decide on an individual eating plan, designed to help you to lose weight in a healthy way and will continue to help you to stick with your eating plan and deal with ‘slip-ups’. You will learn skills like how to read a food label, how to monitor your weight and your eating habits, problem solving, healthy cooking methods and planning meals. The dietitian will also give you information on healthy eating, recommended portion sizes, calories and energy balance, recipes and managing difficult situations.


The weight management physiotherapists specialise in helping to talk about physical activity. They understand how difficult it can be to make physical activity part of the day and they are there to help with this.

Some of the things they can help with are pain, sleep, leg swelling, breathlessness and building an activity plan.

They assess fitness again after 6 months to see if this changes.

They also run an exercise class on a Friday from 1:30-2:30 pm that everyone can come to. They work closely with the rest of the team to help with activity and weight management goals.


Events in our lives, especially in the formative years when our sense of self is developing (from birth to around three years of age), have a crucial influence in the man or woman we become. We must include our time in the womb and the nature of our birth in this. Psychology takes all of these factors into consideration, often to the surprise and discomfort of people attending the clinic.

Much, if not all, of our early experiences, before we had words, are lost to our consciousness. But they live on in "feelings'. And these feelings are contained in the body.

Psychology aims at unlocking these feelings and habits so we begin to have some control over who we are and how we treat ourselves. This is essentially, as Sigmund Freud said, "a cure through love". Nothing less.