Get outa here!

If CBT for bulimia can be done by teleconference as successfully as "face to face" then I imagine the pool of families who will seek that service will not be limited by geography. Not to go all Adam Smith, but taking geography out of the picture would inevitably also change the market. Clinicians passed over for distant service providers will be forced to ask themselves "why aren't I offering more effective services?"

I look forward to the day when families are able to choose services for their ill children based on evidence of effectiveness as well as fit with the patient's unique needs.