Eating disorder not otherwise specified (EDNOS; American Psychiatric Association, 2000) is, by far, the most common eating disorder that college counseling professionals encounter among their female clients. Empirical evidence and best practice guidelines support use of cognitive behavior therapy (CBT) with women experiencing EDNOS. This article describes the EDNOS constellation of symptoms in college women and provides a detailed description of the CBT model for eating disorders, including counseling phases, behavioral goals, and cognitive components.