Binge eating problems are a common source of psychiatric morbidity amo
ng young adult women. To date, the research on their treatment has bee
n conducted almost exclusively in specialist settings. As it is unlike
ly there will ever be sufficient specialist resources to address a pro
blem of this scale, a priority is to develop treatments that can be ap
plied more generally. One option is to develop treatments suitable for
use in primary care. Four such treatments are available: antidepressa
nt drugs, brief cognitive behavior therapy, and the use of a cognitive
behavioral self-help manual with or without supervision from a nonspe
cialist therapist. Tests of the effectiveness of these treatments are
needed.