bulimia nervosa is a complex emotional and physical illness that presents challenges for primary care providers in identifying and supporting individuals with this eating disorder. many patients experience difficulties in accessing specialist psychological treatments. in particular, mature patients and those in rural settings may find significant barriers to cognitive behavioural therapy delivered in specialist settings. guided self-help administered in primary care can be an effective first step in the treatment of less severe bulimic patients. this project provides a literature review on the efficacy of self-help treatments for bulimia nervosa, outlines a conceptual framework for more intervention at the primary care level, and proposes a program to develop and implement a guided self-help tool for the treatment of bulimia nervosa in primary care.