The few studies of pregnancy complicated by bulimia imply that women either cease or reduce bulimic behaviors when they become pregnant. Contrary to these reports, our interviews with three pregnant bulimics revealed they did not reduce bingeingand-purging behaviors or, if they did, replaced them with other potentially dangerous weight-control measures. The results of this case study underscore the importance of therapist awareness of the medical risks for bulimics who become pregnant and the need to identify and directly address these clients' cognitive and perceptual distortions. Interventions are useful in terminating bingeing-and-purging behaviors.Only a few accounts of pregnancy occurring in bulimic women appear in the literature and those studies that do exist (

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