This meta‐analysis of 92 anorexia nervosa counseling articles examined the effectiveness of counseling in reducing symptoms of anorexia nervosa at termination and the longest follow‐up assessments. Treatment‐as‐usual studies showed no effect to small effects at both posttest and follow‐up assessments, wait‐list studies showed small effects at posttest and medium effects at follow‐up, and single‐group uncontrolled studies showed medium to large effects at posttest and medium effects at follow‐up. Implications for research and practice are discussed.