Eating disorders are no longer considered isolated or single symptom disorders. Numerous authors have noted difficulties categorizing and treating these “refractory” disorders, and over the past three decades the number of techniques, ideas, and approaches available to address these issues has expanded exponentially. While this provides therapists with a wide range of possible interventions, it also leaves open the question of how to choose from this wide field of possibilities. In this discussion I offer some ideas about bringing together disparate, even contradictory, therapeutic ideas and techniques into a relatively cohesive frame which will enhance the work of any therapist with clients with eating disorders.