In the presence of many gut conditions such as IBD, coeliac disease and IBS, many patients will follow restrictive diets as a way of managing symptoms and can develop significant fear around important food groups. This fear can lead to disordered eating, malnutrition, as well as negatively impact on quality of life and mental health.  Dr Alexa Duff will draw upon case examples and drawing on the evidence base, she will illustrate important psychological considerations when having conversations with patients about restriction, how restriction may be impacting on their mental and physical health and overall wellbeing and how to address food reintroduction.