Description:This text presents an approach to working with women who have bulimia nervosa which is based on research showing that bulimia nervosa involves interpersonal, social and societal factors as well as the cognitive, developmental and behavioural aspects that have been the focus of much professional intervention to date. The author shows how people seeking to understand and emotionally support women with this complex problem need to be able to work with all these dimensions. The practical application of this multi-dimensional, systems-based understanding to treatment practice is demonstrated through three in-depth case studies.