TheNPRD

TheNPRD Robyn Kievit, NP, RD, CEDS. Nurse Practitioner, Dietitian, Certified Eating Disorder Specialist. Psychopharmacology, Hormone Therapy & Nutrition.

Private Practice, Mentorship & Consultation. Podcast & blog 👉🏻thenprd.com 💜 A nurse practitioner and registered dietitian with more than 25 years of experience, Robyn Kievit specializes in using medical science and psychopharmacology to support her clients in the areas of eating disorders, body image, perimenopause and menopause. Robyn led the industry as the first dietitian to become a nurse practitioner. Combining these degrees and modalities allows her to see patients through these dual lenses, enhancing and elevating the quality of care they receive. Robyn employs a patient, mentoring approach in her work, with an emphasis on helping clients attain their best health in small, new, habitual lifestyle steps while focusing on the positives of what clients are already practicing on their own. Her varied work background — as staff nurse, nurse practitioner, cardiac dietitian, and nutrition consultant to schools, hospitals, and professional sports teams — has given her a unique ability to achieve positive client results. Robyn sat on the Health Professional Advisors Panel for the Egg Nutrition Center and was the medical liaison for the International Association of Eating Disorder Professionals metro-Boston chapter for three years. She also has served on the Consumer Advisory Boards for Paramount Farms, the Wheat Foods Council and as a nutrition expert to the American College Health Association. A sought-after speaker at industry conferences and events, Robyn has appeared live on both television and radio and has been quoted in Boston Magazine , Fitness Magazine, Fox News, Oxygen Magazine, The Boston Herald, The Boston Globe, ADVANCE for NP’s & PA’s, Today’s Dietitian and other national and local media. Robyn attained her FNP with a BSN and MSN in nursing, and earned a BS in Dietetics from the University of Connecticut. For ten years, she was credentialed as a Certified Specialist in Sports Dietetics through the Academy of Nutrition and Dietetics. She is also a Certified Eating Disorders Registered Dietitian through the International Association of Eating Disorder Professionals. She lives in Concord, MA, with her family.

10/24/2025

Some takeaways from my time at annual meeting!

When we tell someone, “Your labs are normal, it’s fine,” we dismiss what their body is trying to say.Normal ranges don’t...
10/23/2025

When we tell someone, “Your labs are normal, it’s fine,” we dismiss what their body is trying to say.

Normal ranges don’t always mean optimal, and they certainly don’t tell the full story. Symptoms like fatigue, anxiety, depression, hair loss, or weight changes aren’t “in your head” just because a lab result falls within a reference range.

Listening to the person in front of you, not just the numbers on paper, is how we practice true, compassionate, evidence-based care.

We would be remiss not to talk about this, the day after World Menopause Day. (Because this topic is important every day...
10/19/2025

We would be remiss not to talk about this, the day after World Menopause Day. 

(Because this topic is important every day!)

Hormones, midlife, and eating disorders are deeply intertwined, yet rarely talked about together.

During perimenopause and menopause, hormonal shifts can trigger mood changes, anxiety, irritability, and body image distress. For those with a history of eating disorders or disordered eating, this can feel like a resurgence of symptoms or a new wave of struggle entirely.

The truth? You’re not “backsliding.” You’re moving through a biologically intense transition that deserves compassion and support — not restriction or control.

If you’re ready to learn more for yourself or your clients, our forthcoming course, Beyond Nutrition, may be the resource you’re looking for. 

👉Head to our bio link to learn more and pre-register today.

We would be remiss not to talk about this on World Menopause Day. Hormones, midlife, and eating disorders are deeply int...
10/18/2025

We would be remiss not to talk about this on World Menopause Day. 

Hormones, midlife, and eating disorders are deeply intertwined, yet rarely talked about together.

During perimenopause and menopause, hormonal shifts can trigger mood changes, anxiety, irritability, and body image distress. For those with a history of eating disorders or disordered eating, this can feel like a resurgence of symptoms or a new wave of struggle entirely.

The truth? You’re not “backsliding.” You’re moving through a biologically intense transition that deserves compassion and support — not restriction or control.

If you’re ready to learn more for yourself or your clients, our forthcoming course, Beyond Nutrition, may be the resource you’re looking for. 

👉Head to our bio link to learn more and pre-register today.

10/17/2025

3 Reasons why I created my new 2-hour on-demand course! (Coming SOON!)

Head to my bio link to pre-register, which means you get the course PLUS a 30-min consult with me for $190! Price goes up after launch.

See you there! 🌸

We’re so used to thinking we need to fix everything about our health — when often, we just need to build on what we’re a...
10/16/2025

We’re so used to thinking we need to fix everything about our health — when often, we just need to build on what we’re already doing.

The truth is, dramatic overhauls rarely work. They’re too big, too fast, and too disconnected from the rhythms of real life. You don’t have to throw everything out and start fresh.

Start smaller. Add to what’s already working.

If you drink a glass of water most days, make it two.
If you walk once a week, try twice.
If you’re already noticing what feels good, do more of that.

That’s how real, sustainable change happens — not through perfection, but through practice.

They’re not three different stories. They’re chapters of the same one.Hormones shift, bodies change, old food rules resu...
10/14/2025

They’re not three different stories. They’re chapters of the same one.

Hormones shift, bodies change, old food rules resurface.

Menopause can stir up body image struggles and disordered eating patterns that many thought were long behind them.

And with the right support, healing can deepen here too.

If your patients, or you, as a dietitian in this area of the field, are struggling to understand this chapter of your patients lives or your own, my new 2-hour course may be just the resource you need to get started.

👉🏼 Head to our bio link to learn more and pre-register today.

Perimenopause and menopause don’t pause eating disorder recovery.They often make it harder. Research and real world pati...
10/13/2025

Perimenopause and menopause don’t pause eating disorder recovery.

They often make it harder. Research and real world patient experience support this.

Mood swings. Night sweats. Body changes that bring old thoughts roaring back.

If you’re a dietitian wondering how to help your patients navigate hormone therapy, psychopharmacology, and midlife body image, you’re not alone!

This 2-hour course breaks it all down with research, real cases, and practical tools you can use right away in patient care. And if this course is for you as the clinician in perimenopause or menopause, you’re not alone. I’ve got you!

Head to our bio link to learn more and pre-register today!

Folks who pre-register can get in on early bird pricing of $190 - this will go up to $285 after the early-bird period!

When you purchase the course, you get:

đź’›The course

đź’›A 30-minute consult with Robyn, NPRD founder, a nurse practitioner and registered dietitian with more than 25 years of experience

đź’›5 CPEs pending from CDR to help fulfill your requirements

Midlife is not a crisis. It’s a recalibration.But when diet culture, hormone chaos, and outdated ideas about women’s bod...
10/10/2025

Midlife is not a crisis. It’s a recalibration.

But when diet culture, hormone chaos, and outdated ideas about women’s bodies collide, mental health can take the hit.

This World Mental Health Day, remember:

You’re not “losing it.” You’re navigating a massive biological shift in a world that still tells women to stay small, quiet, and “in control.”

đź’›Support might look like therapy and psychopharmacology alone or combined.
đź’›Support might look like hormone therapy.
đź’›Support might look like finally letting go of restriction.

Whatever it is, your mental health deserves care that’s science-backed, shame-free, and tailored to you.

06/25/2025

The Leading Edge, Not The Bleeding Edge

Series Finale Alert! This is Part 3 of our groundbreaking series with Stella Mental Health, featuring Dr. Eugene Lipov and Dr. Brian Boyle as they revolutionize mental health care through interventional psychiatry. Their approach? There's no one-size-fits-all solution.

What makes their work groundbreaking:

Individualized treatment for depression, PTSD, OCD & anxiety

Specialized care for the complex intersection of perimenopause/menopause and mental health

Targeted interventions for crossover with eating disorders, disordered eating and body image challenges

Many commercial insurances accepted

Moving beyond traditional treatment boundaries

The results? Exceptional outcomes for patients who need more than conventional approaches.

Mental health treatment is evolving - an empathic balance in a collaborative team approach with individualized care at the forefront.

06/05/2025

New Podcast Episode: "TMS: How To Move The Needle"

Part 1 of our 3-part series with Stella Mental Health

Dr. Brian Boyle, Chief Psychiatric Officer at Stella Mental Health, joins us to discuss how Transcranial Magnetic Stimulation (TMS) is changing the game for treatment-resistant mental health conditions.

Key insights:
✨ TMS builds on existing treatments rather than replacing them
✨ TMS is a neuroanatomically focused approach for treatment-resistant depression & OCD
✨ TMS has emerging applications for addictive disorders and anxiety
✨ When current approaches "aren't quite enough" - TMS steps in

Perfect for mental health professionals, patients, and anyone interested in innovative psychiatric treatments.

Listen now ~ The podcast is in the Linktree and can be found on TheNPRD.com website.

Stay tuned for Parts 2 and 3 of our series with Stella Mental Health.

🎤 CONFERENCE HIGHLIGHT: PERIMENOPAUSE, MENOPAUSE & EATING DISORDERS 🎤Incredibly grateful to present yesterday with Chris...
05/02/2025

🎤 CONFERENCE HIGHLIGHT: PERIMENOPAUSE, MENOPAUSE & EATING DISORDERS 🎤

Incredibly grateful to present yesterday with Chrissy Stockert, RN, Chief Health Officer of Within Health, at the 30th annual MEDA (Multi-Service Eating Disorders Association) conference! Our presentation "Changing Bodies, Changing Minds: How Pharmacological Intervention on Perimenopause and Menopause can Help Heal Eating Disorders" addressed a critical intersection in healthcare.

What we covered:
- 50% of the population experiences perimenopause and menopause in midlife
- Those with eating disorders, disordered eating, and body image struggles are often undertreated specifically during these hormonal transitions
- While nutrition, movement, and psychopharmacology remain essential, hormone replacement therapy can be crucial for recovery and wellbeing

Our discussion included case studies and recommended care plans that honor the whole person. We must normalize body shifts and changes while providing comprehensive care that may include adjusting existing medications, introducing new treatments, and utilizing hormone therapy—all without harmful diet culture messaging.

Let's continue this important conversation! True care means meeting people where they are and offering supportive, evidence-based approaches to these complex challenges.




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