This manual is written for professionals working with people suffering with bulimia nervosa and for sufferers themselves. It provides a framework for understanding what maintains the disorder and why it has developed. In addition, there is a step-by-step programme to aid recovery. The authors draw on developments in cognitive theory and on innovation and cognitive th erapy treatment strategies. They focus on the link between thinking and behaviour, and give guidance on learning how to identify and change negative thoughts, underlying assumptions and core self beliefs. Factual information is presented alongside a programme of work sheets, self-assessment questionnaries and case examples from the authors' professional experience.