Cognitive Behavioral Therapy (CBT) is the most strongly supported and widely used treatment method for bulimia nervosa. The aim of CBT treatment is to (1) reduce the fear of weight gain, and (2) to decrease extreme weight control methods. (85% of those treated achieve partial or full recovery.

Psychoanalytic Therapy focuses on conscious and unconscious motivations of behaviors. The aim is to explore and resolve the underlying psychological problems involved in eating disorders.

Interpersonal Psychotherapy focuses on identifying and altering the interpersonal context in which the bulimia has been developed and maintained. The aim is to resolve any interpersonal problems that may be contributing to the bulimic patterns, such as low self-esteem or loneliness.

Stress-Management Strategies are often used to help bulimics cope with the stress and anxiety they experience around food, weight, and shape. These might include various breathing techniques or stress-inoculation training, which can help people cope with anticipated future stressors more effectively.

Self-Monitoring Techniques involve observing and recording particular behaviors (thoughts, feelings, and actions) to gain a better understanding of interactions between the person and their environment. Meal monitoring is often used with bulimics to help them identify their eating patterns and triggers, and become aware of  what happens before and after they engage in these maladaptive behaviors.     

Medication Management with tri-cyclic antidepressants and SSRI's are effective for short-term relief of symptoms such as anxiety before meals.