The eating disorder known as bulimia is a relatively new and baffling phenomenon. This paper raises questions that college and university counseling center professionals need to address regarding this phenomenon. The first section focuses on defining the term "bulimia" and its evolution. The second section identifies numerous symptoms that need to be evaluated during assessment and diagnosis. Behavioral, physical, personality, and interpersonal and family characteristics of bulimics are listed. The third section is a succinct discussion of treatment modalities, noting that the consensus of opinion is that a comprehensive multidimensional approach or program is desired. It is stated, however, that when the problem is assessed as unidimensional and specific in a given area, a single or noncomprehensive program may be effective. To illustrate the variance in size and scope of treatment strategies, a few examples of programs are given. The fourth section raises issues which college and university counseling center professionals need to address, including whether college and university counseling centers should treat clients with bulimia. The paper concludes with a brief summary statement. References are included. (TE)