Palmtop computers may provide an innovative and effective extension of psychotherapeutic treatment for eating disorders. Palmtop applications have been used historically in studies utilizing ecological momentary assessment methodology, and in this capacity their portability and immediacy have been advantageous. In this paper, a new treatment for bulimia nervosa will be described which includes palmtop modules as therapy extension devices. The format of the therapy will be reviewed along with the specific content of the modules. Advantages of such microcomputer applications will be discussed, as well as methodological challenges.

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There is some evidence to suggest that eating disordered individuals are unusually likely to engage in self-harm behavior. However, the nature of the relationship among self-harm, bulimia nervosa, and related constructs such as borderline personality disorder and multi-impulsive bulimia nervosa remains unclear. This article briefly addresses the nature of this relationship and discusses two possible mechanisms for self-harm behavior in bulimia nervosa. Additionally, a protocol for managing such behavior in the treatment of eating disordered individuals is presented.

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