Until now, only those living in urban areas have been able to access specialist treatment for eating disorders.  Those living in remote and rural areas have had limited access to treatment due to the high costs and disruption to work and family life associated with travel to Aberdeen.  This study aimed to evaluate the effectiveness of treatment conducted via videoconferencing for those in remote areas (including Shetland, Fraserburgh, Banff and Stonehaven).  A single case series was conducted with 6 Bulimic clients using an observational design to show changes in bulimic symptoms and related variables over time.  A flexible cognitive behavioural therapy approach was used, and video therapy sessions were conducted at a high bandwidth (384 Kbytes/sec (ISDN 6).  Symptoms were measured using daily diaries and regular self-report questionnaires. 
   