In spite of growing attention to the negative psychological and physiological consequences of bulimia, little has been written on its treatment. A comprehensive group treatment program was developed to increase the bulimic's comfort with herself and her body. Subjects were five single females (four college students and a nurse) who participated in 7 weekly sessions and a follow-up session 10 weeks later. Goals of the program were to help the women gain control over their lives and to identify and modify eating habits. Bulimia was presented as a learned habit rather than an incurable disease. Sessions dealt with coping, self-esteem, anger and assertiveness, cultural expectations, body image, and self-expectation. Preliminary results indicated that by the end of the treatment, binging and purging were reduced by over two-thirds. The women also showed improvement in body image and self-esteem, and decreased depression, suggesting that bulimia may be more than a circumscribed eating disorder and that treatment of other areas may be necessary. Changes were maintained at follow-up with continued improvement in four subjects. One atypical subject became worse during the course of treatment, suggesting that all bulimics may not benefit from group treatment. Better screening procedures are needed to identify those persons. (JAC)