College women are at particular risk for developing eating disorders and related eating and body image concerns.The purpose of this article is to explore how both drive for thinness and fear of fat may be addressed in counseling with college women. Characteristics of drive for thinness and fear of fat as they relate to the development of eating disorders are addressed, and implications for college counseling and assessment of these constructs are presented.ollege women are at particular risk for developing eating disorders due to factors that include perceived social isolation, high anxiety, body C dissatisfaction, general eating disturbances and dieting, and excessive exercise. As many as 61% ofwomen in college report disordered eating behaviors, and 20% acknowledge some form of an eating disorder (Mazzeo, 1999). Many students without clinical eating disorders show behavioral characteristics, including chronic dieting, calorie restriction, bingeing and purging, diuretic or laxative use, and extreme exercise, ofa disorder without the full constellation of psychological traits (Hesse-Biber, 1996). Many women engage in these behaviors in response to stress, discontent, or, most often, dissatisfaction with their weight and appearance. Cook-Cottone and Phelps (2003) discovered that social approval and confidence in one's social situation mitigate body dissatisfaction. Body dissatisfaction is itself among the strongest predictors in the development of eating disorders (AlexanderHigh social demands, social contagion of binge eating, and the social desirability factor all contribute to more pathological scores on measures of disordered eating attitudes and behaviors for college women (Alexander, 1998). Factors not directly linked to eating also contribute to body dissatisfaction and eating disturbances. For example, pressures to date, alcohol and drug use, and lack ofprivacy have been cited as factors that place college women at increased risk for eating dsorders and related eating and body image disturbances, as do reading fashion magazines and not doing very much cooking (Kashubeck, Marchand-Martella, Neal, & Larsen, 1997). Women in sororities have reported significantly more eating-disordered attitudes and behaviors than average college women. Research has demonstrated