Getting help... it's a big step and one which contains many important steps within it. The first thing that really needs to happen is an acknowledgment that you have a problem. While this may seems painfully obvious and petty to point out, it is for many the step that takes the longest time to come to. To admit your eating disorder is a problem is to admit that you don't and can't control it, and this is intensely difficult. (Note that there is a big difference in being TOLD you have a problem and KNOWING you have a problem.) Admitting a problem and need for help can often feel as if you are admitting weakness, however I see it to actually be a huge sign of courage and strength. So, once you can admit to yourself that you have a problem and need some help, then you're on your way.
Treatment takes place on many levels. For starters, at this point it is advisable to approach someone who you trust and tell them what's going on. Though scary, this can provide support and encouragement as well accountability in continuing to seek out the help you need.
You should also pay a visit to a doctor to get a medical checkup. Tell them about your eating disorder so that they know better what to look out for in terms of blood work and other areas of your physical health. Eating disorders (ALL of them) can cause a wide variety of physical complications and you should definately get checked out, even if you don't "feel" it is necessary.
Finding a therapist is also very important. If possible, look for one who has experience with eating disorders. If you are going through insurance, they sometimes have lists of therapists who specialize in certain areas so you can ask about that. Finding a therapist who you feel comfortable with and trust is important, so don't be afraid to ask questions.
Support groups are also very helpful. There are many different organizations which offer support groups in different areas. Sometimes your local hospital may be able to refer you to some support groups in your area, and therapists generally know of some local groups as well or at least know someone who will.
If you want to look into treatment more, I suggest visiting the Something Fishy site (visit my links page). They've got a comprehensive list of treatment options, and it may be a good place to start.
Most of all, know that your life is precious, and you are completely deserving of life. There is a big difference between living and simply existing, and you deserve to LIVE. Be good to you,
~Carrie~