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Consequently, an extinction schedule should reduce binge eating.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cue exposure was carried out with 6 bulimic women who had responded poorly or not at all to the usual pharmacologic or cognitive\u2010behavioral treatments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Binge eating and vomiting were almost totally suppressed in the 6 patients. Symptom suppression was maintained at two follow\u2010ups, one at 4\u201320 months and another at 2.5\u20133 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Cue exposure may be effective with BN that is resistant to conventional treatments. The anxiety associated with food plays an important role in provoking and\/or maintaining binge eating. Motivation to change is likely to be an important mediator. \u00a9 2003 by Wiley Periodicals, Inc. 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