This article provides an overview of an emotionally focused family therapy intervention for bulimic adolescents referred to an outpatient hospital clinic. The article attempts to integrate theory, practice, and preliminary research results. Bulimia is viewed from the theoretical perspective of attachment theory as described by Bowlby (1969). The emotionally focused approach to creating more secure attachment in families is described, outcome on a small number of adolescents is noted, and the implications of these theoretical and empirical points are discussed. Although there have been numerous systemic formulations of bulimia nervosa (Roberto, 1986; Root, Fallen, & Friedrich, 1986) and systemic interventions have become established as an important part of treatment of eating disorders (Gurman, Kniskem, & Pinsof, 1986), the treatment of bulimia with outpatient family therapy is still in an early phase of development. Influential authors have popularized the use of family interventions for eating disorders in general (Minuchin, Roseman, & Baker, 1978; Selvini-Palazzoli, 1978), and there are some empirical data on the effectiveness of family therapy for anorexia nervosa (Dare, Eisler, Russell, & Szmukler, 1990). Although a few descriptions of family therapy for

Although anxiety may not affect behavioral response to stimulant medication in ADHD, it does appear to affect the medication response of more subtle symptoms of cognitive performance in ADHD patients.