A novel method of family therapy for persons suffering from eating disorders, therapeutic letter writing (TLR), is presented. The protocol used for letter writing, its advantages and limitations, and a variety of applications are reviewed. The concept of TLR grew out of the study of narrative therapy, and was strongly influenced by ideas of Lorraine Wright and Maureeen Leahey about nurses and families, as well as the work of W.R. Miller around stages of change. This article will review: the process of TLR; therapeutic uses of eating disorders linked to TLR, including those relevant to families divided by distance or understanding; and the advantanges and disadvantages of TLR. Finally, a case study is discussed.