Southern California Clementine Opening


Monte Nido has been strongly rooted in the eating disorder treatment field with over twenty years of providing treatment in California. We consistently refine program components that are integral to our clients’ ability to become fully recovered, and listen to what professionals tell us there is a need for.

With that in mind, we are delighted to announce that Monte Nido & Affiliates residential treatment program, Clementine, will be opening in the Malibu area in early 2018 for adolescent girls. Created to be sensitive to the developmental needs of this younger population, Clementine tailors medical, psychiatric, clinical and nutritional care in the comfort of a home with the highest level of medical and psychiatric care outside of a hospital. Our adolescent-centric team provides decades of experience in a collaborative environment rarely offered to teens and their families.

All of the Monte Nido & Affiliates programs are connected through our shared histories, vast overlap in mission, treating all clients as people first, dedication to evidence-based eating disorder treatment and our belief that being fully recovered is possible. The Monte Nido and Clementine programs will deliver treatment to adults and adolescents in California, while maintaining their own unique approaches and age- appropriate program components. We hope you will make time to be personally introduced to our Clementine program, meet the team and receive education from the experts who guide our programs through attending any of our upcoming events.


For more information about Monte Nido please call 888.228.1253, visit our website and connect with us on FacebookLinkedInTwitter, and Instagram.

Maintaining Recovery in College: Part Two


Senior Director of East Coast Clinical Programming Dr. Melissa Coffin, PhD, CEDS continues our series on tips for women entering or returning to the collegiate environment after treatment. We hope these tips will assist you in navigating this transition and embolden you to truly enjoy your college experience.

Dr. Coffin has been a pivotal member of Monte Nido & Affiliates since 2008 and has extensive experience in the treatment of anorexia nervosa, bulimia nervosa, binge eating disorder and compulsive over-exercise. She has presented nationally on eating disorders, body image, food rules and self-care at conferences by the National Eating Disorder Association, the Binge Eating Disorder Association, and the International Association for Eating Disorder Professionals.

Embrace change. College is an exciting time in life and it is ripe with new opportunities. Be open and flexible to the changes that come with it even if it means trying something that you’ve never done before.
Be mindful. With all of the opportunities in college you have to pick and chose what is most important so you don’t spread yourself too thin. Be conscious around how you spend your time and what you commit to as that will shape your experience.
Engage in self-care. Make sure to schedule time in each day to relax and take care of yourself, even if it’s just for a short time. Having rest, sleep, and time to decompress regularly will help to keep your stress in check.
Stay connected. Not only will you be forming new relationships in school, you still have your family and friends at home. Use your resources to stay connected with old and new.
Ask for help. It’s OK to ask for help from family, friends, and professionals if you need it. There are those on campus that can help you with your mental health, medical health, academics, financial issues, social needs, career planning, et cetera. Reach out and ask for what you need. The counseling or health centers are usually good places to start.


For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To learn about summer programming at Clementine, please visit our website or reach out to an Admissions Specialist.

Article Spotlight


Join us in reading inspirational and informative articles we have cultivated from across the web. If you have found an article you feel is inspirational, explores current research, or is a knowledgeable piece of literature and would like to share with us please send an e-mail here.


A Letter to Parents of Children Heading to College Psychology Today

5 Truths About Eating Disorders the Stereotypes Don’t Show The Mighty

Motivation to Recovery: Adolescent Research on Anorexia Eating Disorder Hope

Why Yoga is an Excellent Practice While in Eating Disorder Recovery, and What Parents Should Know More Love

Who Are You Recovering For? Project Heal


For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To learn about summer programming at Clementine, please visit our website or reach out to an Admissions Specialist.

Clementine’s Summer Programs


With the summer in full swing, parents and families may find themselves looking for programs that will help treat and prepare their children before they had back to school in the fall. At Clementine, we offer programs that incorporate highly personalized medical, psychiatric and nutritional care with an extensive academic program in an effort to help them make that transition as comfortable as possible.

Summer programming for adolescents take place at our locations in Briarcliff Manor, NY; South Miami, FL and Portland, OR. At all of these locations, school times are still honored the same as they are during the school year but the times are cut in half and end late August. The culture at these locations still focus on personalized, supportive programming and collaboration between faculty, families and patients. However, during the summer we help to attain a new goal of sustainable, preparedness through an additional education plan.

Teachers lead classrooms Monday through Thursday and on Friday recovery coaches take over. Teachers select various topics on current events to incorporate into programming in an effort to prepare adolescents for their transition back into a typical school atmosphere. Each day is dedicated to a different programming aspect. Tuesdays are dedicated to how to write a college essay, how to create an effective budget, how to write a proper letter and how to apply for a job. Wednesdays incorporate a rotation of Ted-Talks and academic games intended to increase socialization skills and conflict resolution. Thursdays are dedicated to movies and discussion and Fridays are career days where local professionals come in to expose adolescents to the professional opportunities in the real world.

It is essential students maintain a balance between their academics and treatment so we make sure to incorporate a sufficient amount of each in their day. If for some reason a student is falling behind there are ways to accommodate based on their specific needs. If a student has a lot of school work, some of the activities listed above can be suspended for a private tutor to come in.

Our summer program at Clementine offers a specific treatment plan for your child on their path to healing with an additional academic component in our curriculum. It is our hope that through this program your child will leave treatment feeling better than before and with a foundation for their future school year.


For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To learn more about summer programming at Clementine, please visit our website or reach out to an Admissions Specialist at 855.900.2221.

A Fine Line: The Intersection of Mental Health and the Medical Treatment of Eating Disorders


Clementine’s Chief Medical Officer Joel Jahraus, MD, FAED, CEDS and Medical Director Lauren Ozbolt, MD, CEDS oversee the psychiatric care and attending psychiatrists at all Clementine adolescent treatment program locations. In their writing, they share the many challenges with eating disorder treatment and the broader implications for adolescents and young adults. They stress how accurate diagnosis and treatment necessitate the interaction of a multidisciplinary team including mental health, medical and nutrition.  

I have yet to see any problem, however complicated, which, when you looked at it the right way, didn’t become more complicated.” –Paul Anderson

To say eating disorders are multi-faceted illnesses would be a serious understatement, as any professional in the field would tell you. Not only do treatment teams have to find a balance between their different disciplines when addressing complicated medical and psychiatric issues, but they also face the added challenges of working with patients who are often unhappy about being in treatment, tend to have difficulty trusting treatment providers, may feel in denial of their condition or resistant to treatment, and on top of everything else may face legal or financial barriers to seeking proper treatment. All of these obstacles don’t even begin to cover the myriad of psychiatric and medical comorbidities that typically present in a patient with an eating disorder.

When unraveling an eating disorder medically, we are first encountered with the challenge of discerning whether or not symptoms such as dizziness, tremors, and heart palpitations are the result of malnutrition, dehydration, altered metabolism or from psychiatric manifestations such as anxiety.  Additionally, we also come across co-morbid medical conditions such as hypothyroidism, anemia, and atypical chest pain (just to name a few) that can in turn cause psychiatric symptoms. When psychotropic medications are introduced into the equation, it is important for the team to be vigilant as they themselves can have side effects that can manifest as medical or psychiatric complications. This constant presentation of symptoms that compete for both medical and psychiatric care calls for effective and cohesive clinical integration when treating clients with eating disorders. The underlying illness, whether psychiatric or medical may be challenging to diagnose and one should not immediately rule out the other when complications arise. People with mental health issues often get physically ill; they are not mutually exclusive.

It is clear that there are a multitude of considerations to make when first meeting a client and as promised, the problem is only more complicated when we hone in on any one aspect of the illness. When it comes to evaluation and treatment planning, once again, clinical integration is key. There are several general considerations that we recommend taking into account when first meeting a patient:

Be suspicious: patients may make evaluation more difficult, either by being unwilling to give a full history, unable to give an accurate description of symptoms or too frightened to allow a full physical exam.

Remember that patients with mental illness develop medical problems too.

Be alert for presentations, which make medical illness more likely, but don’t stop considering a medical illness just because they don’t initially fit.

Look for symptoms that make medical illness more likely.

Do not assume a certain symptom “must” be of psychological origin.

Be holistic: note the patient’s feelings and functioning within the current context as well as what happened in the past.

Above all, it is important to be aware of the limitations placed on a patient’s capacity for recovery when looking at a complex illness through a narrow lens. It is crucial that clinicians are acutely aware of the urgency of the patient’s needs, whether medical or psychiatric, and appropriately empathize with the individual to reassure them that you understand their concerns. They need to know that you will you will work to help them feel better whatever the cause.  Integration of the various disciplines involved in the care and treatment of eating disorders takes collaboration. With balance, careful consideration of contributing factors and regular communication, eating disorder providers can successfully help treat their patients in a holistic and effective way.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To learn about summer programming at Clementine, please visit our website or reach out to an Admissions Specialist.

Finding Your Passion with Career Testing


Associate Director of Clinical Research and Clinical Outcomes Dr. Jessica Genet, PhD explores the importance of finding a passion; whether that includes hobbies, extracurricular activities, a major in college, or a career path. Career assessments and further exploration in therapy allow clients to understand their preferences, values and interests, and offers guidance toward following a true passion. 

“Individuals working to break free from the tangle of eating disorders need to find their passions in life… By passions I mean something external that gives the individual enjoyment, positive structure, or a pathway to self-knowledge.”
– Ira M Sacker, M.D., Author of “Regaining Your Self”

We strive to help our patients explore their passions and live a more meaningful life. Unfortunately, the eating disorder is often so preoccupying and all-consuming that it interferes with the process of exploring interests and engaging in fun activities. Some of our clients struggle to find a job, a major in college, hobbies or extracurricular activities that bring them true enjoyment. Other clients have chosen paths and activities that “look good” externally (and bring them praise from family and friends) but are internally unrewarding. With these struggles in mind, all aspects of our treatment at Clementine, from therapy sessions and yoga classes to outings in the community, aim to help our patients find their passions, explore new activities, and find what brings them true happiness.

One particularly unique service we offer at Clementine is the opportunity to complete a career assessment. Career assessments are designed to help individuals understand their preferences, values and interests, and offers guidance towards selecting majors in school, jobs, career paths, and hobbies that are motivating and rewarding. Are you a person who tends to make decisions based on personal values or are you someone who tends to make decisions based on logic? Are you a person who prefers working on teams or prefers accomplishing tasks independently? Are you excited about activities that require self-expression and creativity? Are you interested in the helping professions such as teaching? These are just some of the questions a career assessment will explore. It is important to understand that a career assessment is not a magic eight ball and will not spit out an answer like “you must become a teacher.” Instead, it offers a springboard for discussion on these topics, leaving plenty of space for personal reflection and choice. Career assessments offer more than guidance on career or job choices; many of our clients describe the experience as an opportunity for self-discovery. We are delighted to provide this service to our clients.


For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To learn more about our newest location, Clementine Briarcliff Manor, please reach out to a Clementine Admissions Specialist at 855.900.2221.

Making Mango Memories


Clementine Miami Pinecrest Dietitian Alyssa Mitola, MS, RD, LD/N shares about a special tradition held each year at Pinecrest in this week’s blog post! The yearly Mango Jam Jamboree is an event for staff and clients that includes gathering the mangos, preparing the dish, and sharing the food together. Read on to learn about this special Clementine Pinecrest tradition…

It is that time of year again! The 3rd Annual Clementine Pinecrest Mango Jam Jamboree. Every year, when the mangos begin to ripen, staff and clients at Clementine Pinecrest gather round to make clementine mango jam in our PJs, while jamming to some of our favorite tunes. This tradition started when we first discovered the numerous mango trees growing in our very backyard. Throughout the summer months we always incorporate a variety of mango dishes into our local fare menu-there is nothing more local than the backyard. However, the highlight of mango season is always the Jamboree.

The Mango Jam Jamboree has become notorious among staff and clients alike. Stories of Mango Jams past are shared among clients and the staff always wants to work on the day of the jam. Of course, we can never predict when the jam will be because, like all things in nature, they ripen on their own time. One year the jam happened in May, another it wasn’t until July. You can’t put a time limit on a developing fruit— a lesson we always share with our clients, as well. Waiting for the fruit to ripen is always a reminder to practice flexibility and patience.

The Clementine Mango Jam Jamboree is filled with many lessons. It is not just a fun event for staff and clients, it is an opportunity for corrective experiences with food. Traditions are very important in families and so often traditions include food. An eating disorder often infiltrates family traditions, sometimes tarnishing the memories, or even leading some families to change traditions. Creating new traditions or healing old ones is a very important step in healing your family’s relationship with food.

The Clementine Mango Jam Jamboree is one tradition, we have here, but I always encourage our families to create positive traditions when the clients return home. Whether it is baking cookies, developing a family recipe, or cooking each week, traditions provide consistency and foster a relationship with food beyond nutrition facts. It doesn’t matter what stage of recovery you are in, there is always an opportunity to have corrective experiences with food. There is nothing I love more than watching the clients enjoy the mango jam on a fresh croissant or laughing in the kitchen as they mash the jam. Clients are always shocked how easy it is to make. For that one moment, the clients aren’t counting calories, they are creating memories.

As a registered dietitian, it is important for me to foster these opportunities throughout recovery. During the Jam, I walk clients through the experience of gathering mangos, preparing the dish, and sharing the food together. Our clients walk away with a greater appreciation for the food on their plates-a mindfulness practice we call gratitude. In Hindu culture mangos are viewed as a symbol of life. Our hope is for each client to walk out our doors and begin her recovered life. Each year, our Clementine Mango Jam reminds me of that very goal. For that hour, we celebrate the lives of all those fighting for recovery.

Clementine Mango Jam

1 – 2 mangos
1/4 cup sugar
1 tablespoon lemon juice
1 teaspoon fresh squeezed clementines or oranges

Place all ingredients in a small pot over high heat. Stir until the mixture thickens and begins to gel. Spread on your a croissants, english muffin, or your favorite type of toast.


For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To learn more about our newest location, Clementine Briarcliff Manor, please reach out to a Clementine Admissions Specialist at 855.900.2221.

10 Self-Care Tips for Caregivers

Becky Henry is trained as a Certified, Professional Co-Active Coach (CPCC) and uses those skills to guide families to let go of fear and panic, learn self-care skills and become effective guides for their loved one in eating disorder recovery. In this week’s blog post, Becky shares valuable self-care tips for caregivers.. 

Loving and caring about someone who is in recovery from an eating disorder likely has left you feeling hopeless, helpless, overwhelmed, terrified, upset, confused and more.

When your loved one is over 18 you might fear there is nothing you can do to help them with recovery from one of these deadly brain illnesses.

There is HOPE! There are plenty of things you can do to both help your child in recovery (no matter their age) and help yourself. I’m sharing 10 simple self-care tips with you to try so you can practice self-care and more easily and effectively help your loved one. But first, just like they say on the airplane, you must put on your oxygen mask first!

Doing things you enjoy while you have a child who is so sick may seem selfish and counter intuitive but it is essential to practice extreme self-care. This is a crisis and your child needs a parent who is in top form and ready to go to bat for them. So, let’s do it!


  1. Send those fears on a hike!Literally! First, notice that you’re having a fear response. That’s the tricky part. Then consciously CHOOSE to send fears on a hike. Last, CHOOSE another much more useful and fun thing to think about. And then if you like, take your own hike – without the fears.
  2. Make sure you’re included in the treatment team.The evidence is increasingly showing that when the family is included, the treatment outcomes improve. The chemical dependency world has known this for over 30 years.  They have also been huge proponents of caregiver self-care.
  3. Learn skills for being calm, emotionally objective and confident.This may include some DBT SKills. Dialectical Behavior Therapy (DBT) helps anyone with mindfulness and distress tolerance. When we are mindful and have managed our distress, we can be calmer. Being calm helps us be rational in our decisions so we can then cope with the wild things the eating disorder will throw at us. Doing our part to preserve our sanity and health helps us remain calm so we can actively preserve relationships. That doesn’t mean it is going to be all wine and roses, but we can do our best to show the person in recovery that they are loved. Not an easy task with someone who often thinks they are unlovable and has their thoughts distorted by the eating disorder.
  4. Make a Top 10 List.What’s this you say? When I was learning how to be a more effective parent of someone with an eating disorder, someone gave me one of the best pieces of advice I’ve ever gotten. She said, You’re in crisis, practice extreme self-care, and make a TOP 10 List of things that fill you up.” This seemed selfish to me at that point, but I get it now. It was hard to fit it in some days with all the work of helping my daughter.

We cannot pour anything out of an empty cup. 

So, you out there-yes you, making sure someone else’s needs are being met…it’s time. Get the nice paper (or any old thing) and make a list of 10 things you love to do, that fill you up. And then…do at least one EVERY DAY. Yes, every day. This will fill your cup up and make you an even better caregiver or “carer” as our friends in the UK say.

It might seem such a small thing to do but it is essential. If you are burned out, you will be of no use to your loved one. They need you, and they need you to be strong. So, do the right thing and go fill yourself up! You are the one who is on the front lines; you’re getting the full brunt of the eating disorder’s wrath. You need extra defenses.

  1. Get support.This may be connecting with others who’ve been through this journey, paying a coach or therapist to guide you or attending a support group.
  2. Learn caregiver skills.An essential piece of self-care. Training on how to be an effective caregiver is available and research is now showing how effective it can be in reducing caregiver anxiety, distress and burden. Check out the research done at Kings College in London by Dr. Janet Treasure. 
  3. Eat regular meals.This may seem obvious…yet in the throes of the chaos your own eating can get off kilter. Your child needs to see you modeling regular eating habits.
  4. Commit to getting ENOUGH sleep.This may feel impossible due to the worries that seem to stream through our brains while in the midst of saving a child’s life. AND, with some practice and support we can get regular good sleep.
  5. Get out in nature and move in a joyful way. Do whatever fills you up and commit to leaving Ed behind. Okay, it doesn’t have to be biking ‘no-handed’ on a beach but let it be fun. Try to notice your surroundings.
  6. Practice Gratitude. There is so much evidence now on how being grateful reduces stress. And even the act of trying to think of things to be grateful for helps our brains produce more feel good chemicals. Give it a try!

Okay, as you get your oxygen mask in place, here are resources to keep you supported and involved as a family member:


For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on FacebookTwitter, and Instagram.

To learn more about our newest location, Clementine Briarcliff Manor, please reach out to a Clementine Admissions Specialist at 855.900.2221.

Our Clementine Family: Megan Fahey, MS, RD, CDN


Clementine Briarcliff Manor Registered Dietitian Megan Fahey, MS, RD, CDN shares her personal journey to joining the Briarcliff Manor team in this week’s “Our Clementine Family”. Megan gives an inside look at her daily work in supporting adolescents on their path to full recovery. Read on to learn more about Megan and the Briarcliff Manor team.

What is your name and what are your credentials?

My name is Megan Fahey, MS, RD, CDN. I am a Registered Dietitian with a Master of Science in Nutrition and Dietetics from Bastyr University.

Please give us a brief description of your background.

I have always been intrigued by the mind-body connection, and am passionate about applying my knowledge of nutrition to promote physical, mental, and emotional healing. Through previous work in acute care and private practice settings, I have gained experience developing and implementing detailed nutrition care plans for adolescents and their families.

What does a typical day look like for you at Clementine?

My days consist of organizing menus in the kitchen, reviewing medical information in the office, and holding individual and group nutrition therapy sessions with our clients. I run weekly lunch outings to local restaurants, as well as weekly cooking groups to provide a variety of food exposures. As the adolescents progress through treatment, I also teach them the skills necessary to portion food in accordance with their meal plans. I keep in constant communication with the adolescents’ outpatient teams and families in order to collaborate on nutrition-related care and create a smooth discharge home. My daily goal is to help each adolescent feel energized and empowered by learning how to nourish her body in a mindful way.

In your own words, please describe the philosophy of Clementine.

At Clementine the goal is to provide adolescents with the tools required to let go of an eating disorder and re-engage in a healthy, well-nourished life. We reject the diet mentality, embracing that all food is fuel and that healthy bodies come in all shapes and sizes. Through an improvement in nutritional status and exploration of deep emotional work, we truly believe everyone can experience the freedom of full recovery from an eating disorder.

How does your team work together? How do your roles overlap and differ?

The clinical team at Clementine shares office space, which fosters an environment of collaboration and professional support. We hold weekly team meetings to discuss every component of the client’s care. Although each practitioner offers a unique skill set, we are constantly learning from one another in order to enhance our treatment approach as a team. I work closely with the chef, clinicians, and recovery coaches to create a supportive eating environment to help ease the anxiety that arises around meal times. I value our model of open and honest communication and admire the strength and empathy shown by each and every team member.

What is your favorite thing about Clementine?

I am humbled to work in a role that allows me to witness the powerful, healing journey of eating disorder recovery. The adolescents who enter our home are some of the most insightful, kind, and intelligent individuals whom I have ever met. In working specifically with adolescents, I am reminded to view the world through a lens of curiosity and possibility.  As an added bonus, the adolescents keep me up-to-date on the latest social and pop culture trends!

What are three facts about you that people do not know?

  1. My paternal family lives on a farm in Ireland. I spend time every year on their beautiful land and have always believed that those “roots” influenced my desire to pursue a degree in nutrition.
  2. I love to read and write and have kept journals regularly since the age of 8. The tattered, worn stack of journals sits at my nightstand and I almost never travel without something to write in.
  3. My absolute favorite movie is “The Little Mermaid” and as a child I dreamt of being able to live and breathe underwater.


For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To learn more about our newest location, Clementine Briarcliff Manor, please reach out to a Clementine Admissions Specialist at 855.900.2221.

Clementine Portland: An Interview with Dr. Lauren Ozbolt, MD, CEDS



Dr. Lauren Ozbolt, MD, CEDS is a board certified Adult, Child and Adolescent Psychiatrist who specializes in the evidence-based treatment of mood, anxiety and eating disorders. She currently serves at the Medical Director of Clementine Adolescent Treatment Programs. Dr. Ozbolt took a local news station inside Clementine Portland to share the work being done to support adolescent girls on the path to full recovery. Learn more about Clementine Portland watching Dr. Ozbolt’s interview…




For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To learn more about our newest location, Clementine Briarcliff Manor, please reach out to a Clementine Admissions Specialist at 855.900.2221.