Adult Clinic

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.

Danica Torres, RN


Danica Torres, RN - photo

Danica Torres, Registered Nurse joined the UCSD Eating Disorder Treatment and Research Program in December 2010. Her career as a nurse includes acute care experience and experience with adults and adolescent eating disorder patients in residential, inpatient and partial hospitalization settings. At UCSD, she attends to the medical needs of the patients along with assisting the physicians to coordinate care throughout the patient’s treatment process.

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, and DBT- Linehan Board of Certification, Certified Clinician™. 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 newly released 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 of Eating Disorders: The Journal of Treatment and Prevention.

Julie Trim, PhD

Director of Adult Services, Assistant Clinical Professor

Julie Trim, PhD - photo

Dr. Julie Trim is an Assistant Clinical Professor at UCSD and is the Director of the Adult Program. She began working at the UCSD Eating Disorders Center as a postdoctoral fellow in 2008, and was given the task of developing our Adult PHP. The program opened on April 1, 2009 (it was no April fool’s joke!), and she has been managing the program ever since. Dr. Trim received her B.A. in Psychology and Spanish Literature at the University of Michigan. After college, she lived and worked in Buenos Aires for a year to informally study their culture and soak up the Argentine lifestyle. Dr. Trim went on to receive her Ph.D. in Clinical Psychology from Arizona State University and completed her predoctoral internship at UCSD’s Counseling & Psychological Services (CAPS). Dr. Trim has treated individuals with eating disorders at nearly all levels of care ranging from residential to outpatient. She has a particular interest and specialization in treating PTSD and trauma. She is trained in Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE), two evidence-based treatments for PTSD. She is currently the Co-Chair of the Trauma “Special Interest Group” (SIG) of the Academy for Eating Disorders. Dr. Trim is also on the LGBTQ Committee of the UCSD Department of Psychiatry and values working with patients of diverse backgrounds. Dr. Trim has found that people with eating disorders tend to be very smart, sensitive, compassionate people who just need a little help in managing their emotions so that they can reach their full potential. She delights in seeing patients transform from living a life in “black and white” to living a life in color. Outside of work, Dr. Trim enjoys spending time with her husband (a psychologist at the VA) and her kids, Jake and Piper. She loves traveling, game nights, and informal dance parties.

Anne Cusack, PsyD

Adult Program Manager

Anne Cusack, PsyD - photo

Dr. Anne Cusack is a clinical psychologist at the UCSD Eating Disorders Center for Treatment and Research and co-manages the Adult Treatment Program. As a graduate from The Chicago School of Professional Psychology, she completed her pre-doctoral internship at Greystone Park Psychiatric Hospital working with various psychiatric populations. Clinically, she has worked as a therapist on a research trial of Dialectical Behavior Therapy (DBT) for eating disorders at the University of Chicago, as well as provided treatment of eating disorders, mood disorders, substance use disorder, PTSD, complicated grief and personality disorders in inpatient, partial hospitalization, and outpatient settings. She specializes in DBT and Prolonged Exposure therapy. She is currently the Academy for Eating Disorders co-chair for the DBT special interest group. Her research interests include treatment development, acceptance, mindfulness, emotion regulation, suicidality, and self-injurious behaviors. Anne previously worked in the Adolescent Program and currently provides individual, group and family therapy for the Adult Day Treatment and Intensive Outpatient Programs. When she’s not at work, Anne loves traveling, adventuring and playing with the cutest puppy in San Diego!

Kim Claudat, Ph.D.

Adult Program Manager

Kim Claudat, PhD - photo

Dr. Kim Claudat is a clinical psychologist and co-manager of the Adult Treatment Program at UCSD Eating Disorders Center for Treatment and Research. She received her Ph.D. in Clinical Psychology from University of Nevada, Las Vegas, and completed her pre-doctoral internship at Sharp HealthCare in San Diego. Dr. Claudat began her work at UCSD Eating Disorders as a postdoctoral fellow, working in both the adolescent and adult programs. In addition to providing individual, group, and family therapy in the Adult Treatment Program, she runs the Transitional-Family Program (TFAM) for young adult patients and their loved ones. She has received specialized training in Cognitive Processing Therapy for PTSD (CPT), and as a CPT Provider, provides this treatment to our patients presenting with co-morbid PTSD. Her clinical and research interests focus on the connection between eating disorders and emotion regulation difficulties, as well as treatment development and outcomes. Although her research and clinical work has mainly focused on eating pathology, she has experience providing evidence-based treatments to children, adolescents, adults, and their families, with a range of presenting psychiatric problems across various treatment settings.


Gina M. Bongiorno, LMFT

Therapist, COD Manager

Gina M. Bongiorno, LMFT - photo

Gina M. Bongiorno is a senior therapist and manager of the Co-Occurring Disorders (COD) program at the UCSD Eating Disorder Center. Using her expertise in eating and substance use disorders, trauma, and grief as well as specialized training in Dialectical Behavioral Therapy (DBT), Gina developed the comprehensive, evidence-based COD track. Gina obtained her Master of Arts in Marital and Family Therapy at the University of San Diego, where she was the recipient of the Award of Distinction and the Dean's Merit Scholarship, and her Bachelor of Arts in Psychology from McGill University in Montreal, Canada. She also serves as adjunct faculty at the University of San Diego and a consultant for trauma-informed care.

Emily Dailey, LCSW

Lead Therapist

Emily Dailey, LCSW - photo

Emily is a Licensed Clinical Social Worker in the adult program. She graduated from USC Social Work. She has 10 yrs experience with DBT. Emily was trained in DBT at Harbor UCLA where she worked in their outpatient DBT program. She started working with eating disorders in a residential setting and continues her work in PHP and outpatient settings. She also studies and practices Mindfulness and ACT, a mindfulness-based therapy. She has her own Mindfulness practice and feels passionate about teaching it to others. Some of her interests include spending time outdoors with her family.

Christine Costello, MA

Milieu Therapist

Christine Costello, MA - photo

Christine is a Milieu and Program Therapist at the UCSD Eating Disorder Center for Treatment and Research, providing group, individual, and family therapy in the Adult Treatment program. Christine graduated with her Master's in Social Work from the University of Southern California after receiving her BA in Cultural Anthropology at Duke University. She previously provided group, individual, and family therapy at both school and after-school settings, working with underserved, at-risk populations. Christine has specialized training in Mindfulness Based Stress Reduction and Mindful Self-Compassion and is a certified yoga instructor. She is passionate about the benefits individuals can derive from the intersection between mindfulness and mental health. Outside of her own yoga and mindfulness practice, Christine loves to read, travel, get outdoors and snuggle in with her two cats.

Haily Humphrey, MS


Hailey Humphrey, MA

Haily is a Program Therapist working in the Adult Program at the UCSD Eating Disorders Center. She earned a B.S. in Kinesiology with a concentration in Sport Psychology and a minor in Psychology from California State University, Long Beach and a M.A. in Sport and Performance Psychology from the University of Denver. Prior to working for UCSD, Haily worked as an intern/milieu therapist at EDCare in Denver, Colorado—an experience that solidified her passion for working in the field of eating disorders. While at EDCare, she helped implement the program’s Elite Athlete track, which provided a highly structured and specialized program for both athletes and performers. During her internship, Haily became aware of the prevalence of eating disorders among athletes and the necessity to treat this unique subset of individuals differently than non-athletes recovering from eating disorders. As a past athlete, her passion is to help athletes of all levels overcome their eating disorders, reach their athletic potential and rediscover their passion for sport. In her free time, Haily enjoys surfing, reading and playing with her Lab, Kash.

Lauren Gomez, LMFT

Therapist, IOP Coordinator

Lauren Gomez, MS, MFTI - photo

Lauren Gomez is a Licensed Marriage and Family Therapist and has been working at UCSD Eating Disorders Treatment and Research Center since 2012. She received her Master's degree from San Francisco State University. Lauren is passionate about helping adult men and women with eating disorders. Lauren coordinates the Intensive Outpatient Program to help patients reintegrate back into their live once they are ready to discharge from program. In addition to treating eating disorder disorders, Lauren also provides trauma treatment.

Patrycja Klimek

Milieu Therapist

Patrycja Klimek - photo

Patrycja is a practicum student therapist in the Adult Program at UCSD Eating Disorder Treatment and Research. She is currently pursuing her PhD at the SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology. Patrycja has warmed up to San Diego (pun intended) despite living in NYC most of her life, where she also received her B.A. at Hunter College. Her research interests include exploring cognitive and affective mechanisms underlying body image concerns in body dysmorphic disorder, eating disorders, and steroid misuse. She is also interested in the characterization of transdiagnostic heterogeneity among body image disorders. Further, Patrycja would like to apply findings in these topics to develop effective intervention and prevention programs. She is excited to merge her research interests with her clinical training as part of the UCSD’s Eating Disorder Treatment team.

Tiffany Nakamura, MA, NCC, LPCC


Tiffany Nakamura, PCCI - photo

Tiffany is a Licensed Professional Clinical Counselor at the UCSD Eating Disorders Center for Treatment and Research Program. She graduated with her BA in Psychology and a MA in Clinical Mental Health Counseling with an emphasis in Asian American Mental Health from the University of San Diego. She previously interned at Urban Corps of San Diego providing individual and group counseling for at risk young adults. Tiffany is dual licensed clinician in Hawaii and California, and has experience working with adolescents, families, and adults in PHP and outpatient settings. She currently works in the Adult Treatment program providing individual, family, and group therapy. Tiffany has specialized clinical training in DBT, RO-DBT, FBT, Parent Management Training, Prolonged Exposure, and ACT. She is also a certified yoga instructor and introduced yoga to both adult and adolescent programs. As a published researcher and presenter at local and international conferences, she has special interest and active engagement in the research of eating disorder treatment outcomes and development. For fun Tiffany loves yoga, rock climbing, surfing, travelling, and animals – particularly a Chihuahua-Papillon named Mimi.

Courtney Simpson, MS

Milieu Therapist

Courtney Simpson, MS - photo

Courtney is a predoctoral psychology intern at the UCSD Eating Disorders Center. She received her Bachelor’s in Psychology from Whitworth University and her Master’s in Counseling Psychology from Virginia Commonwealth University. Courtney is currently pursuing her doctorate in Counseling Psychology from Virginia Commonwealth University, where she gained experience implementing evidence-based treatments with patients experiencing medical and psychological comorbidities across a variety clinical of settings. She is passionate about working with individuals experiencing eating disorders and holding hope for full recovery. Courtney’s research interests involve understanding the sociocultural factors that contribute to eating disorders and the development and implementation of interventions that prevent and treat eating-related conditions. She is excited to join the UCSD Eating Disorders team and expand her knowledge of and clinical experience with eating disorders.

Julianna Gorder

Postdoctoral Fellow

Julianna Gorder

Dr. Julianna Gorder is a postdoctoral fellow at UCSD Eating Disorders Center. Dr. Gorder earned her Psy.D. from The Chicago School of Professional Psychology and has extensive experience treating individuals of all ages with eating disorders at all levels of care. Prior to coming to UCSD, she received specialized training in the treatment of eating disorders at Eating Recovery Center of Chicago and the Eating Disorders Program at University of Chicago. Dr. Gorder also has experience working with general and forensic populations of children, adolescents, and young adults within an inpatient behavioral health hospital. Dr. Gorder has training in DBT, CBT, FBT, and ACT, and is particularly passionate about Radically Open (RO) DBT, a treatment for disorders of overcontrol. Dr. Gorder completed her two-week intensive training in RO DBT with treatment developer, Tom Lynch, and has experience administering RO DBT for eating disorders within residential through outpatient levels of care. She has also served as an officer on the RO DBT Student Board since 2017. Her research interests include defining eating disorder recovery, the impacts of trauma on eating disorders, as well as the impact of biotemperament and emotion regulation style on eating disorder presentation. When she is not working, she enjoys spending time with her cat (Lily), traveling, being outdoors, and is an avid fan of Saturday Night Live!

Claire Spencer


Claire Spencer

Claire is a Program Therapist with the Adult Program. Claire graduated with her Master’s in Marriage and Family Therapy from the University of San Diego after studying Psychology and Education at the University of California, Santa Barbara. Between her undergraduate and graduate studies, Claire managed a National Institute of Health grant and conducted research on the impact of weight stigma, which solidified her interest in working with the eating disorder population. Before transitioning to the Adult Program, Claire spent time working with individuals and families in the Adolescent Program. Claire is passionate about working with patients with co-occurring substance use and eating disorders and is a part of the program’s Co-Occurring Disorders (COD) track. Outside of work, Claire enjoys spending time in nature, exploring her spirituality, and relaxing with her family and pets.

Megan Frazier, Psy.D.

Postdoctoral Fellow

Megan Frazier

Dr. Megan Frazier is a postdoctoral fellow at the UCSD Eating Disorders Center for Treatment and Research. She received her doctorate in clinical psychology at Pepperdine University in 2018, her masters in Marriage and Family Therapy at the University of Southern California in 2014, and her bachelors in Psychology at UCLA in 2012. Dr. Frazier completed her pre-doctoral internship at Casa Pacifica, a trauma-informed residential treatment center for adolescents. Her research experience is in trauma and expressive arts therapy, and she has an extensive clinical background in the assessment and treatment of disorders in children and adolescents, including eating disorders, depression, psychosis, ASD, PTSD and complex trauma. When working with clients and their families, Dr. Frazier uses an integrative approach rooted in attachment, while utilizing DBT and FBT in treatment. As a proponent of self-care, Dr. Frazier also enjoys practicing mindfulness and going to the beach with her puppy.

Carrington Mahr

Milieu Therapist

Carrington Mahr - photo

Carrington is a Milieu Therapist in the Adult Program at UCSD Eating Disorders Center. She is currently pursuing her Doctorate in Clinical Psychology through the California School of Professional Psychology (CPSS) at Alliant International University. She received her Bachelor of Psychology degree from San Diego State University, as well as her Master of Sport and Performance Psychology degree from National University. She has previously provided both group and individual therapy to high risk adolescents and young adults, schizophrenic adults with co-occurring disorders, and collegiate athletes. Her research interests include working with young adults, particularly college students and student athletes. She has become increasingly aware of how prevalent eating disorders are within the college community, and hopes to provide structured, evidence-based treatment to help minimize and manage symptomatology and navigate a path to recovery. She is excited to merge her research interests with her clinical training as part of the UCSD Eating Disorder’s treatment team.

Brittany Bohrer, MA

Pre-doctoral Psychology Intern

Brittany Bohrer - photo

Brittany is a pre-doctoral psychology intern at the UCSD Eating Disorders Center. She received her Bachelor of Science degree from the University of North Dakota and her Master of Arts degree from the University of Kansas. Brittany is currently pursuing her doctorate in Clinical Psychology from the University of Kansas, where she gained experience implementing evidence-based treatments with patients from a diverse range of clinical presentations and backgrounds. Brittany also has extensive experience in the assessment and diagnosis of eating disorders. She is especially interested in working with LGBTQ+ populations and with persons across the spectrum of eating-disorder diagnoses. Brittany's clinical and research interests include eating-disorder assessment, diagnosis, treatment-development and outcomes research. Brittany is passionate about eating-disorder treatment and recovery and is excited to be part of the UCSD Eating Disorders team.

Joseph Donahue, MA

Pre-doctoral Psychology Intern

Joseph Donahue - photo

Joe earned his undergraduate degree from Wheaton College (Norton, Massachusetts) where he explored body image concerns in college-aged males as part of his honors senior thesis. He earned his master’s degree from the University at Albany, State University of New York where he continues to pursue his doctoral degree in clinical psychology. Joe is passionate about working with people with eating disorders and previously worked at an IOP for eating disorders in Albany, New York. His research interests focus on risk and protective factors for eating disorders, particularly in males and sexual minority populations. His Masters project explored eating pathology among sexual minority men using an Objectification Theory framework. He hopes to continue researching variables that better explain the relation between sexual minority status and increased risk for eating and body image disturbances, as well as barriers to treatment for this population. Outside of work Joe enjoys traveling, cooking, hiking, and exploring Southern California.

Jody Latu

Practicum Student Therapist

Jody Latu - photo

Jody Latu is working towards obtaining a doctorate degree in psychology at Alliant University. She has a Bachelor of Science in psychology from Oregon State University.”, and after graduation she worked for the United States Olympic Committee for Team USA. She has also volunteered with various San Diego Navy MWR Fitness events, Girls on the Run, and has worked on developing help-seeking programs and assessing attitudes and behaviors among undergraduate students. Her areas of clinical and research interest are eating disorders, body image, and mental health and well-being within the elite athlete population.

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.


Erin Reeves, RD

Dietary Manager

Erin Reeves, RD - photo

Erin Reeves is a Registered Dietitian who works in the Adolescent and Adult PHP and IOP programs. Erin began working in the field of eating disorders, while earning her Bachelors of Science degree at California State University Long Beach. After graduation, she completed a yearlong dietetic Internship which lead to the Registration Examination for Dietitians through Long Beach State and received her RD. She has experience in working with adolescents, adults and families and has worked at all levels of care including inpatient, partial, intensive outpatient as well as private practice. Erin really enjoys working with patients to work through food fears and not miss out on wonderful life experiences. After moving to San Diego in the Fall of 2013 she is really thrilled to be a part of the UCSD team and enjoying the SD life. She especially loves taking her two wiener dogs to the beach and going on outdoor adventures with her husband.

Krissy Lines

Registered Dietitian

Krissy Lines - photo

Krissy Lines is a Registered Dietitian with the PHP and IOP adult program at UCSD Eating Disorders Clinic. She first discovered her love of the medical field from working as an Emergency Medical Technician in San Diego, CA. This career led her through kinesiology, nutrition and counseling coursework; eventually earning both her Bachelors of Science and Masters of Science degrees in Human Nutrition from Texas State University. She continued with her Dietetic Internship throughout Central Texas, with a focus on clinical nutrition.

Her Dietetic career focuses on eating disorders, clinical/medical nutrition therapy, education and community nutrition outreach. Krissy has additional experience with nutrition research, including published manuscripts on the home food environment of young children. She continues community work with local Food Banks, individual and group education. Within her nutrition counseling Krissy incorporates intuitive eating, individualized education, supported goal-setting, and hands-on meal planning techniques.

As a native San Diegan, Krissy spends a lot of time at the beach. She also enjoys traveling with her family, playing music, and painting.