Patients are guided to objectively observe their own eating patterns, including contexts in which problematic eating takes place. Through careful education, patients are guided toward normalizing their eating patterns as a way of breaking the deprivation/ binge cycle. Alternative pleasurableactivities to problematic eating are explored. Patients are encouraged to explore problematic thoughts associated with bingeing and purging and taught to challenge these thoughts.This Therapist Guide contains background information essential to the understanding of Bulimia Nervosa, binge-eating disorder, and its treatment with cognitive-behavioral therapy. It presents a treatment program, including the details of specific therapy sessions and phases of therapy that isbased on research that has demonstrated effectiveness. Frequent review of this Therapist Guide is recommended in order to maximize consistency and effectiveness. This program is not recommended for treating clients with current diagnoses of Anorexia Nervosa.