Eating disorder symptoms, for all their painful behavioural constrictions, hold complex, personal stories of the sufferer's relationship not only to food and her body, but also to the caregivers who fed or did not feed her—to the relational context in which needs were met or dismissed, and in which life came to feel as if it could or could not hold the potential for satisfaction, possibilities, and meaning (Petrucelli, 2015, p. 14). There is a wide consensus that eating disorders pose a significant puzzle for therapists. This article uses a case history to illustrate how an eating disorder can be addressed through the lens of attachment theory. Via the themes of trust and relationships, self-soothing, identity, self-esteem/body esteem, trauma, shame, and self-compassion, I will suggest how the eating disordered behaviour can be understood and how we, as therapists, might respond to it.