• anorexia nervosa;
  • eating disorders;
  • e-mail;
  • telepsychiatry;
  • internet;
  • distance medicine


Demographic and clinical characteristics indicate high acceptance of e-mail by outpatients with anorexia nervosa. Patients report that frequent e-mail contact provides them with the experience of greater contact with their clinicians and requires them to be more attentive to therapeutic tasks. Routine logs of calorie counts and symptoms may be communicated by e-mail on a frequent basis, freeing up office time for better discussions. Informal investigations in a case series of outpatients with anorexia nervosa suggest that e-mail can offer a useful adjunct to treatment. No adverse consequences have been experienced. Clinicians using e-mail in this fashion must attend to legal and ethical concerns about e-mail communication. Copyright © 2003 John Wiley & Sons, Ltd and Eating Disorders Association.