Adolescent Clinic

Roxanne Rockwell, PhD

Associate Clinical Professor | Director of Adolescent Services

Roxanne Rockwell, PhD - photo

Dr. Roxanne Rockwell is an associate clinical professor in the Department of Psychiatry and Director of the UC San Diego Health Adolescent Eating Disorders Service. She has experience in the evaluation, treatment and research of eating disorders and obesity since 1999. She was one of the founding members of the UC San Diego Health Eating Disorders Center for Treatment and Research in 2005, and has been integrally involved in its development and expansion. Dr. Rockwell played a primary role in devising and building the innovative individual and multi-family Intensive Family Therapy (IFT) programs and the adolescent and young adult partial hospital and intensive outpatient programs. As a certified Family Based Treatment (FBT) therapist, she served as the IFT program director for several years, and currently provides training and supervision in this modality for faculty and staff. She was the founder of the UC San Diego Eating Disorders Parent Advisory Council (PAC) in 2012 and continues to oversee this important service. She serves as a LEAD Fellow and Diversity Champion for the Office of the Vice Chancellor for Equity, Diversity, and Inclusion at UC San Diego.

Medical Team

Mary Ellen Trunko, MD

Medical Director

Associate Clinical Professor, UCSD Department of Psychiatry

Mary Ellen Trunko, MD - photo

Dr. Mary Ellen Trunko has worked with the UCSD eating disorders program since its inception, and has been involved in planning and development of services, delivery of patient care, and supervision and teaching of junior staff members. As associate clinical professor and medical director, Dr. Trunko performs comprehensive psychiatric evaluations, handles medication management, coordinates primary care and other medical services, and educates patients and their families on physiological, medical and psychological aspects of eating disorders. She also runs an outpatient practice that includes individuals with eating disorders as well as those with general psychiatric needs.

Dr. Trunko is board certified in both psychiatry and internal medicine, an unusual combination that is highly relevant to the understanding and treatment of eating disorders. She has used this specialty knowledge to advise primary care providers on the care of eating-disordered patients through presentations and consultation. She has written review papers and clinical case reports on pharmacological interventions for eating disorders. Dr. Trunko earned her MD degree from the University of Illinois at Chicago College of Medicine, and completed separate residencies in internal medicine and psychiatry at UCSD.

Cosmina Ciobanu, MD

Assistant Clinical Professor, Child and Adolescent Psychiatrist

Cosmina Ciobanu, MD - photo

Cosmina Ciobanu M.D. is a child and adolescent psychiatrist in the Pediatric and Adolescent Eating Disorders Program at the UCSD Eating Disorders Center for Treatment and Research. She is also an Assistant Clinical Professor at the UCSD School of Medicine. She attended the University of Notre Dame on a full tennis scholarship and graduated Magna Cum Laude, double majoring in Science Preprofessional Studies and Anthropology. She completed medical school and her adult psychiatry residency at the University of California, San Diego. She received specialty training in child and adolescent psychiatry at Stanford University School of Medicine, where she served as a chief fellow. She is double board certified in adult psychiatry and child and adolescent psychiatry. She joined the UCSD Eating Disorders Center for Treatment and Research in October 2019 and has greatly enjoyed working in a team based setting treating children and adolescents with eating disorders and other comorbid conditions.

Lisa Adler, MD

Lisa Adler, MD - photo

Dr. Adler has been attending psychiatrist since 2019 at both the eating disorders partial hospital program and at Rady Children’s Hospital as a consulting psychiatrist on the medical behavioral unit (MBU). She is a graduate of Cornell University and New York University School of Medicine. Dr. Adler trained in psychiatry at George Washington University in Washington, DC and in Child and Adolescent Psychiatry at the Children’s Hospital of Philadelphia (CHOP).

Venus Estepa-Morse, RN


Venus Estepa-Morse, RN - photo

Venus Estepa-Morse, Registered Nurse welcomed the opportunity to work for the UCSD Eating Disorders Center for Treatment and Research Program in December 2012. Her career as an RN includes sub-acute care, travel medicine and experience with adult, adolescent and pediatric eating disorder patients in a partial hospitalization setting. At UCSD, she attends to the medical needs of the patients in the Pediatric Program along with assisting the physicians to coordinate care throughout the patient’s treatment process. Venus enjoys spending time with her family and traveling.

Psychology Team

Leslie Anderson, PhD

Director of Training, Clinical Associate Professor

Leslie Anderson, PhD - photo

Dr. Leslie Karwoski Anderson is a clinical associate professor, training director at UCSD Eating Disorders Center, DBT- Linehan Board of Certification, Certified Clinician™, and trainer for Behavioral Tech. She has a Ph.D. in clinical psychology from the University of Kansas, and completed her clinical internship at Duke University Medical Center. Before coming to UCSD, she held a clinical faculty appointment at the University of Washington, was a supervisor in Marsha Linehan's DBT training clinic, and was a staff psychologist at the DBT Center of Seattle. She currently oversees the training and clinical supervision of the UCSD EDC staff, and conducts individual, family and group therapy for anorexia, bulimia, binge eating disorder and EDNOS. Her research interests are in treatment development, evaluation, and outcomes, especially with regards to adaptations of DBT and FBT, and she has published many journal articles and two books in this area (including the Clinical Handbook of Complex and Atypical Eating Disorders). She frequently gives talks and workshops on DBT, eating disorders, suicidality, and related topics in the community and at national conferences. She has served in several leadership roles within the Academy of Eating Disorders, and is the co-editor-in-chief of Eating Disorders: The Journal of Treatment and Prevention.

Sarah Archer, LMFT

Program Manager

Sarah Archer, LMFT - photo

Graduating from USD in 2005 with her Masters Degree in Marriage and Family Therapy, Sarah is a licensed clinician with over 15 years of experience in the treatment of Adolescents and Families. After completing her clinical training at Rady Children's Outpatient Psychiatry , Sarah transitioned to UCSD Eating Disorders Treatment and Research in 2011, where she currently serves as Adolescent Program Manager. Sarah oversees all patient admissions, supervises MFT practicum students and interns and acts as liaison between San Diego Unified School District and patient's academic needs. In addition, due to her own experience as multi-sport athlete and recognizing the positive role Athletics can play in both a patient's identity and recovery, Sarah serves as Director of Athletic Programming and with colleagues created a evidence based protocol to safely return athletes to movement and sport.

Ana Ramirez, PhD

Program Manager

Ana Ramirez, PhD - photo

Dr. Ana Ramirez is a licensed psychologist at the UCSD Eating Disorders Center for Treatment and Research and a program manager of the Adolescent Treatment Program. She received her Ph.D. from Texas A&M University in Clinical Psychology and completed a postdoctoral fellowship at the UC San Diego Eating Disorders Center for Treatment and Research. Her research experience includes the development of an eating disorder prevention program and her current research interests include treatment development, evaluation, and outcomes, and the adaptation of available treatments for culturally diverse patient populations. Dr. Ramirez has training in family-based treatment, dialectical behavior therapy, and cognitive behavioral therapy. Her clinical experience includes treatment of eating disorders across the diagnostic spectrum and ages in inpatient, residential, partial hospitalization, intensive outpatient and outpatient settings. Dr. Ramirez emigrated to the U.S. from Mexico and is fully bilingual. Her passion is working to ensure that ethnic minorities have equal access to evidence-based treatments. Dr. Ramirez provides therapy to Spanish-speaking patients and their families within the UC San Diego Eating Disorders Center for Treatment and Research.

Christina E. Wierenga, PhD

Associate Professor/Supervising Psychologist

Christina Wierenga, PhD - photo

Dr. Wierenga is an Associate Professor and Clinical Neuropsychologist in the Department of Psychiatry at the University of California San Diego. She is an expert in the neurobiology of eating disorders, in particular related to the neural circuitry supporting cognition and behavior. She Co-Directs the Research Program at the UCSD Eating Disorder Treatment and Research Program, where she conducts neuroimaging and neuropsychological research examining the brain basis of disordered eating, with an emphasis on cognitive control, reward processing, and interoception. She is also heavily involved in treatment development efforts for eating disorders guided by a neurobiological understanding of behavior, as well as treatment outcome studies. She is a CA licensed Clinical Psychologist and supervises clinical trainees in the Adolescent Program and conducts neuropsychological assessments in both the Adolescent and Adult Programs. She serves as faculty in the SDSU/UCSD Joint Doctoral Program in Clinical Psychology and the UCSD Clinical Psychology APA approved Internship and is actively involved in training graduate students, pre-doctoral clinical interns, and post-doctoral fellows. She has been funded by the National Eating Disorders Association, the Department of Veterans Affairs, and the Alzheimer’s Association.


Christin Conkle, LMFT

Lead Therapist

Christin Conkle, LMFT - photo

Christin is a licensed Marriage and Family Therapist. As one of the primary therapist and Clinical Supervisor's in the Adolescent Program she conducts family therapy, milieu therapy, and helps to manage the Multi-Family day on Saturday. Specific training is in Family Based Therapy-Anorexia (FBT), Dialectical Behavioral Therapy (DBT), and Co-Occurring Disorders.

Cassandra Detgen, M.Ed.

Milieu Therapist

photo pending

Cassandra received a Bachelor of Science degree in Dietetics from Miami University and a Masters of Education degree in Clinical Mental Health Counseling from Kent State University. She has previous experience working with adults and adolescents in partial hospitalization and intensive outpatient settings. Her role at UCSD includes working closely with the staff and patients throughout the treatment process. Outside of work, Cassandra enjoys traveling and being outdoors.

Carly Hadjeasgari, Psy.D.

Postdoctoral Fellow

Carly Hadjeasgari, Psy.D. - photo

Dr. Carly Hadjeasgari is a postdoctoral fellow at the UCSD Eating Disorders Center for Treatment and Research in the adolescent program. She received her doctorate degree in Clinical Psychology at Alliant International University, San Diego in 2017 and completed her pre-doctoral internship at Loma Linda University School of Medicine. Dr. Hadjeasgari has extensive eating disorder treatment experience working with children, adolescents, adults, and their families at all levels of care. She has been trained in the neurobiologically-mediated temperament of eating disorders as a pre-doctoral practicum student in the adolescent program of the UCSD Eating Disorders Center. Here she learned how to guide clinical interventions by helping her patients redirect their temperaments in more effective ways. Dr. Hadjeasgari’s clinical interest and practice has been primarily rooted in FBT, DBT, CBT, and exposure and response prevention for anxiety disorders. Her clinical and research interests are in the development of innovative treatments and prevention programs for eating disorders. When she’s not at work, she enjoys spending time with her puppy Rialto.

Alyssa Chimiklis, PhD

Postdoctoral Fellow

Alyssa Chimiklis

Dr. Alyssa Chimiklis is a postdoctoral fellow at the UCSD Eating Disorders Center for Treatment and Research in the Adolescent Program. She received her Ph.D. in Clinical Psychology from The Graduate Center, City University of New York and completed her APA Accredited Pre-Doctoral Internship at MercyFirst, working with adolescent males within the juvenile justice system. Dr. Chimiklis has extensive experience utilizing evidence-based treatments for a range of mental health disorders including eating disorders, ADHD, and complex trauma across the life span. She is delighted to be joining the Adolescent Program to enhance her clinical training within the areas of DBT and FBT treating youth affected by a range of eating disorders. Dr. Chimiklis’ research interests include better understanding the neurobiology of eating disorders to develop more individualized treatment interventions for these youth. She is also interested in exploring how yoga/mindfulness interventions influence higher order executive functions, as well as emotion regulation. She participated in overseeing a two-year pilot study examining the efficacy of a yoga/mindfulness program in children with increased levels of inattention and emotion dysregulation. She earned her B.S. in Communication from Boston University and her M.A. in Psychology from Queens College. When she’s not at work, she enjoys exploring San Diego (as she is a former east-coaster) and spending time by the ocean.

Julie Melekian, LMFT


Julie Melekian, MA - photo

Julie Melekian is a licensed Marriage and Family Therapist working with families and individuals in the adolescent eating disorder program and facilitating the Parent Training and DBT Multifamily groups. Julie graduated with her Master of Arts in Marital and Family Therapy from the University of San Diego where she also previously received her Bachelor of Arts degree. She has been working at the UCSD treatment program since 2013 and has taken on various roles in the clinic including time spent on the adult and admissions teams. Julie is certified in the Kazdin Method of Parent Management Training and has participated in intensive training in both DBT and FBT. She has a diverse background working with adolescents and their families in a variety of settings, and her interests lie particularly in the areas of risk assessment, behavior modification, and contingency management. When not in the clinic, you can find Julie spending time at the beach with her family.

Natalie Heller, LMFT


Natalie Heller - photo

Natalie has been working with the UCSD Eating Disorders Center for Treatment and Research Program since July 2015. Natalie graduated with a Master of Arts in Marital and Family Therapy from the University of San Diego, where she previously received her Bachelor of Arts degree in psychology. Prior to becoming a milieu therapist, Natalie completed her practicum traineeship with the adolescent program at UCSD, providing individual and group therapy for teens struggling with eating disorders, self-injurious behaviors, and suicidality. Following her practicum year, Natalie spent time working as a therapist in UCSD’s adult program, where she had the opportunity to enhance her practice as a DBT therapist, both through individual and group therapy. Natalie ultimately returned to UCSD’s adolescent program due to her interest in working with families under the framework of Family Based Treatment (FBT). Since then, Natalie has spent recent years providing individual, family, and group therapy for teens and their family members. Additionally, Natalie created the body image group for the adolescent program, due to her interest in better understanding mechanisms of change in body image experiences and overall appearance satisfaction.

Salma Soliman, MSW

Milieu Therapist

photo pending

Salma is an Associate Social Worker in pursuit of her clinical license. Salma graduated from Rutgers University in 2010 with a BA in Psychology and minoring in Philosophy. Salma holds a Masters in Social Work from the University of Southern California. Salma began her clinical experience as a behavioral health counselor for adults providing life skills training. In 2011, Salma started her training in DBT and was an affiliate of an intensively trained team. Her clinical experience includes program development, counseling to probation and parole populations, and short term counseling and crisis intervention for at-risk adult populations. Salma currently works in the Adolescent Treatment program providing individual and group therapy.

Emily Whipple, BA

Milieu Therapist

Emily Whipple, BA - photo

Emily received her Bachelor of Arts in Psychology from the University of Texas at Austin. She came to the program with experience treating eating disorder patients in residential, partial hospitalization, and intensive outpatient settings. As a Milieu Therapist at UCSD, she works with the Adolescent Day Treatment program to assist with needs of the patients and their families, along with assisting the clinical staff to coordinate care throughout the patients' treatment.

Gina Brunelli, AMFT

Milieu Therapist

Gina Brunelli - photo

Gina Brunelli is an Associate Marital and Family Therapist working towards licensure. She earned her Master’s Degree in Marital and Family Therapy at the University of San Diego in August 2020. She earned her B.A. in Psychology at the University of San Diego as well. Gina completed her practicum in the Pediatric Clinic at UCSD Eating Disorder Center where she found a passion for treating children with eating disorders. When she’s not working, Gina spends all her time outside walking her dog and going to the beach. With years of experience working with young people, Gina is excited to continue her training in the Adolescent Clinic of the UCSD Eating Disorders Center.

Adrianne Anderegg

Milieu Therapist

Adrianne Anderegg - photo

Adrianne Anderegg is a Marital and Family Therapist in training. She is currently working towards her Master’s Degree at the University of San Diego. Adrianne grew up in the Seattle area and received her B.A. in Psychology from Gonzaga University, as well as double minored in Spanish and Business Administration. Adrianne enjoys traveling the world and learning as much about different cultures as possible. So far, she has traveled to 15 countries! When she is not at the UCSD Eating Disorder Center or in classes, she is spending time with friends, watching Seahawks games, doing yoga, cuddling with her cats, and exploring new restaurants and coffee shops in San Diego. Adrianne has several years of experience working with children and families in many different capacities, and looks forward to her training year in the Peds Clinic!

Anna M. Karam, PhD

Postdoctoral Fellow

Anna Karam - photo

Dr. Anna Karam is a Postdoctoral Fellow at the UC San Diego Health’s Eating Disorders Center for Treatment and Research (EDC). Dr. Karam received her Bachelor’s in Psychology and Women’s and Gender Studies in 2013 from the University of North Carolina at Chapel Hill and received her PhD in Clinical Psychology from Washington University in St. Louis in 2020. Her predoctoral clinical internship was comprised of rotations at Rady Children’s Hospital’s Medical Behavioral Unit (i.e., an inpatient unit for the medical stabilization of eating disorders) as well as the EDC. Dr. Karam has received broad and comprehensive training in the evidence-based treatment of psychological disorders including eating disorders, anxiety disorders, and mood disorders, with an emphasis in the areas of eating and weight-related disorders. Her research interests include examining predictors, moderators, and mechanisms of evidence-based treatment for eating disorders, as well as the best methods for dissemination and implementation of evidence-based treatments for eating disorders, with the ultimate goal to enhance and increase access to eating disorder care. Dr. Karam is passionate about combining her research and clinical interests in the area of eating disorders.

Ana Arguilez

Milieu Therapist

Ana Arguilez - photo

Ana is currently working towards her Master of Arts in Marital and Family Therapy at the University of San Diego where she also previously received her Bachelor of Arts and Sciences degree in 2017. She began her clinical experience in 2018 working with youth and families as a case manager at Rady Children’s Hospital Outpatient Psychiatry. As a case manager Ana worked in collaborative care with primary physicians, schools, wraparound teams and other behavioral support specialists to provide continued support to children and families. While completing her practicum training in the adolescent program, Ana is interested in developing skills and training in Family DBT Skills Group as well as Adolescent Group Therapy.

Claire Brandeburg

Milieu Therapist

Claire Brandeburg  - photo

Claire is originally from the Bay Area in Northern California and has been living in San Diego for 8 years. She received her Bachelor of Arts in Elementary Education from San Diego State University in 2017 and worked as a student teacher for 2 years before deciding she wanted to become an MFT. Claire is currently working toward receiving her Masters in Marital and Family Therapy from the University of San Diego while completing her practicum hours here in the Adolescent Treatment program. Within the treatment program she provides individual and group therapy. When Claire is not in the clinic, she enjoys going on hikes and reading at the beach.

Dietary Team

Breana Janke, RD

Registered Dietitian

Breana Janke, RD - photo

Breana Janke is a Registered Dietitian who has been working for the Adolescent and Adult Day Treatment Program since Fall 2012. Breana earned her Bachelor of Science Degree in Foods and Nutrition from San Diego State University. Shortly after completing her undergraduate work, Breana was accepted into a dietetic internship program where she completed one year of supervised practice experience required to take the Registration Examination for Dietitians. Breana’s interest in eating disorders developed during her dietetic internship where she received experience treating patients with eating disorders in both inpatient and outpatient settings. After earning her RD, Breana worked as a clinical dietitian providing medical nutrition therapy to many different patient populations including oncology, diabetes, renal and liver disease. She is a member of the American Dietetic Association and San Diego Dietitians in Eating Disorders Group. Breana is thrilled be a part of UCSD’s Treatment team where she is able to pursue her passion of working in the field of eating disorders.

Rebecca DeHamer, RD

Registered Dietitian

Rebecca DeHamer, RD

Rebecca is a registered dietitian and is certified as an intuitive eating counselor, personal trainer, and strength coach. She earned her Bachelor of Arts in Education from California State University, Chico and started her career working as an adolescent health, physical education teacher, and athletic director in Berkeley, California. Continued research brought her to San Diego State University where she earned her master’s degree in Nutritional Science. While at SDSU, she was the recipient of multiple awards, including a science scholarship from the Association for Women In Science in 2013 for research, and has since published multiple papers. While in graduate school, Rebecca worked in Public Health for UCSD, Nutrition Counseling for SDSU, and taught as an Adjunct Professor at Miramar College. She went on to complete a year-long dietetic internship at UCSD Medical Center and then accepted a position with our outpatient program.

Rebecca is a member of multiple local and national nutrition practice groups, and served on the 2015-2016 executive board of the San Diego chapter of the Academy of Nutrition and Dietetics. She has been in the field of athletics and movement for over a decade, and solely in the field of eating disorders since becoming a registered dietitian. With UCSD, she works as a primary PHP and IOP dietitian and as the sports dietitian for our adolescent athlete track.

Samantha Warsh, RD

Registered Dietitian

Samantha Warsh - photo

Samantha Warsh is Registered Dietitian with the adolescent and pediatric programs. Samantha is originally from Michigan and earned her bachelor’s degree in dietetics from Michigan State University and completed her dietetic internship at Wayne State University in Detroit. Samantha has a diverse background in clinical and community nutrition, with previous work experience at a hospital, dialysis clinic and community outreach program. Samantha was interested in working with eating disorders early in her career and gained experience with this population during her education and internship. Samantha has always enjoyed working with children and teens and was excited to join the team at UCSD in 2016. In her spare time, Samantha enjoys traveling and exploring all things San Diego with her husband and dog.

Sophia Giovannetti, RD

Registered Dietitian

Sophia Giovannetti - photo

Sophia Giovannetti is a registered dietitian working with the adolescent PHP and IOP programs. Sophia earned her Bachelors of Science in Dietetics, Nutrition, and Food Science from the University of Vermont. Sophia went on to be accepted to UC San Diego Health’s dietetic internship where she gained practical experience working in clinical, outpatient, and community settings. During this experience, Sophia spent time working and learning from UC San Diego Health’s Eating Disorder Center, which is when she found her passion for working with this population. Sophia has always enjoyed working with adolescents and their families, and was eager to join this team at the center. As a native North-Easterner, Sophia spends her free time exploring up and down the Pacific Coast!