The treatment of eating disorders is a challenging undertaking for any health professional but when Trauma and its sequelae enter the picture it often becomes even more daunting if not overwhelming for therapists. The fields of eating disorders and traumatology have both made impressive gains in the last several years, and this presentation will seek to integrate the best of both worlds from a clinical perspective. Regardless of theoretical orientation therapists are faced with a host of challenging issues in working with these patients, including increased comorbidity, resistance and refractoriness to treatment, potential legal issues, and a host of transference and countertransference issues, such as repetition-compulsion or reenactment of prior traumas and/or neglect, the wish to rescue, as well as vicarious traumatization and abandonment of and by the patient.