Appetite Awareness Training (AAT) is an 8-session intervention designed to increase eating in response to internal hunger and satiety cues and reduce eating in response to environmental and non-appetite internal cues such as negative affect and maladaptive dietary rules. Clients learn to identify 3 cycles that maintain problematic overeating and binge eating and to use strategies including problem solving, relapse prevention, and cognitive restructuring to interrupt those cycles. The major innovation is self-monitoring hunger and satiety rather than food intake; a visual cue prompts clients to keep both hunger and satiety at moderate levels. Three case studies of women meeting criteria for the proposed clinical diagnosis, Binge Eating Disorder, are described. Each client demonstrated substantial improvement on the indices that had been initially most problematic, and none met criteria for diagnosis at 6-month follow-up.